III

SPECIALIST MAXILLO-FACIAL AND ORAL SURGEONS

(M) See Rule 009

Code

Procedure description

Rc

Fee

MP

IMPLANTS

For codes 9180 to 9192 the full fee may be charged, i.e. note 2 of Rule 011 will not apply

9180

Placement of sub-periosteal implant - Preparatory procedure/operation

3616.73

9181

Placement of sub-periosteal implant prosthesis/operation

3616.73

9182

Placement of endosteal implant, per implant

1815.30

+L

9183

Placement of a single osseo-integrated implant, per jaw

2393.16

9184

Placement of a second osseo-integrated implant in the same jaw

1793.31

9185

Placement of a third and subsequent osseo-integrated implant in the same jaw, per implant

1196.25

9189

Cost of implants

Rule 013

9190

Exposure of a single osseo-integrated implant and placement of a transmucosal element

884.07

9191

Exposure of a second osseo-integrated implant and placement of a transmucosal element in the same jaw

663.01

9192

Exposure of a third and subsequent osseo-integrated implant in the same jaw, per implant

441.46

9046

Placement of zygomaticus fixture, per fixture

6571.11

9198

Implant removal

This procedure involves the surgical removal of an implant, i.e. cutting of soft tissue and bone, removal of implant, and closure

1469.92

8761

Masticatory mucosal autograft extending across not more than four teeth (isolated procedure)

1598.93

8772

Submucosal connective tissue autograft (isolated procedure)

1820.15

8767

Bone regenerative/repair procedure at a single site

1949.26

8769

Subsequent removal of membrane used for guided tissue regeneration procedure

Codes 8761, 8767 and 8769 should be claimed only as part of implant surgery

776.57