III

SPECIALIST MAXILLO-FACIAL AND ORAL SURGEONS

(M) See Rule 009

Code

Procedure description

Rc

MP

Fee

DIVERSE PROCEDURES

8908

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

4019.41

8909

Closure of oral-antral fistula - acute or chronic

3087.13

8911

Caldwell-Luc procedure

1211.17

8965

Peripheral neurectomy

2647.74

8966

Functional repair of oronasal fistula (local flaps)

3749.15

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)

6294.66

8962

Harvest illiac crest graft

2669.42

8963

Harvest rib graft

3071.13

8964

Harvest cranium graft

2400.84

8979

Harvesting of autogenous grafts (intra-oral)

433.15

9048

Removal of internal fixation devices, per site

1390.98