III

SPECIALIST MAXILLO-FACIAL AND ORAL SURGEONS

(M) See Rule 009

Code

Procedure description

Rc

Fee

MP

DIVERSE PROCEDURES

8908

Removal of roots from maxillary antrum involving Caldwell-Luc procedure and closure of oral-antral communication

3577.31

8909

Closure of oral-antral fistula - acute or chronic

2747.57

8911

Caldwell-Luc procedure

1077.96

8965

Peripheral neurectomy

2356.51

8966

Functional repair of oronasal fistula (local flaps)

3336.78

8977

Major repairs of upper or lower jaw (i.e. by means of bone grafts or prosthesis, with jaw splintage)

(Modifiers 8005 and 8006 are not applicable in this instance. The full fee may be charged irrespective of whether this procedure is carried out concomitantly with procedure 8975 or as a separate procedure)

5602.30

8962

Harvest illiac crest graft

2375.81

8963

Harvest rib graft

2733.33

8964

Harvest cranium graft

2136.77

8979

Harvesting of autogenous grafts (intra-oral)

385.51

9048

Removal of internal fixation devices, per site

1237.99