Medicare Benefits Schedule - Note TN.8.109

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

Related Items: 45801 45807 45809 45811 45813

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Multiple Operation Rule

Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), in the oral cavity, removal from mucosa or submucosal tissues, if the removal is by surgical excision and suture

(Anaes.)

Fee: $153.75 Benefit: 75% = $115.35 85% = $130.70

(See para TN.8.109 of explanatory notes to this Category)

Multiple Operation Rule

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), in the oral and maxillofacial region, removal of, not being a service to which another item in this Subgroup applies, involving muscle, bone, or other deep tissue

(Anaes.)

Fee: $280.85 Benefit: 75% = $210.65 85% = $238.75

(See para TN.8.109 of explanatory notes to this Category)

Multiple Operation Rule

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 if a tumour or cyst has been proven by positive histopathology), in the oral and maxillofacial region, removal of, requiring wide excision, other than a service to which another item in this Subgroup applies (H)

(Anaes.) (Assist.)

Fee: $423.25 Benefit: 75% = $317.45

(See para TN.8.109 of explanatory notes to this Category)

Multiple Operation Rule

Tumour, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (H)

(Anaes.) (Assist.)

Fee: $572.15 Benefit: 75% = $429.15

(See para TN.8.109 of explanatory notes to this Category)

Multiple Operation Rule

Tumour, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (H)

(Anaes.) (Assist.)

Fee: $669.40 Benefit: 75% = $502.05

(See para TN.8.109 of explanatory notes to this Category)