Group C1: Cleft and Craniofacial Services
46 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 75002Initial consultation with a psychologist for assessment and treatment planning in a single course of treatment, excluding services bundled with specific MBS items. | $102.35 | $76.80 | $87.00 (85%) |
| 75005Subsequent professional attendance by a practitioner during an ongoing treatment course, excluding services linked to items 75009, 75012, 75015, or 75023. | $51.50 | $38.65 | $43.80 (85%) |
| 75007Production of dental study models prior to provision of specified prosthodontic, orthodontic, or surgical dental services in a single treatment episode. | $91.20 | $68.40 | $77.55 (85%) |
| 75009Orthopantomography (panoramic X-ray) for orthodontic assessment, including consultation on the same day. | $81.60 | $61.20 | $69.40 (85%) |
| 75010Orthodontic imaging including cephalometric radiographs (front or side views) with tracings and full mouth X-rays, with same-day consultation included. | $155.75 | $116.85 | $132.40 (85%) |
| 75011Orthodontic X-rays including front and side skull views with tracings, plus full panoramic mouth X-ray, with optional consultation on the same day. | $203.05 | $152.30 | $172.60 (85%) |
| 75012Orthodontic lateral cephalometric X-ray with tracings and consultation on the same day. | $129.35 | $97.05 | $109.95 (85%) |
| 75015Anteroposterior and lateral cephalometric X-rays with tracings and same-day consultation for orthodontic or craniofacial assessment. | $177.75 | $133.35 | $151.10 (85%) |
| 75023Intraoral X-ray of a single tooth area, either periapical (showing tooth root and bone) or bitewing (showing crown and bone between teeth). | $55.55 | $41.70 | $47.25 (85%) |
| 75024Pre-surgical maxillary arch repositioning for infants using nasoalveolar moulding, including appliance supply, adjustments, and supervision (single appliance). | $718.25 | $538.70 | $613.75 (85%) |
| 75027Pre-surgical maxillary arch repositioning in infants using nasoalveolar moulding with supply and adjustment of two appliances, plus full service supervision. | $984.90 | $738.70 | $880.40 (85%) |
| 75030Expansion of the upper jaw using dental appliances, including supply, adjustment, removal and retention, when not part of a broader orthodontic treatment plan. | $876.95 | $657.75 | $772.45 (85%) |
| 75032Orthodontic treatment for mixed dentition (primary and permanent teeth) to align incisors and expand lateral arches, including appliance supply, adjustments, removal, and retention. | $1,974.50 | $1,480.90 | $1,870.00 (85%) |
| 75034Treatment of misaligned upper front teeth in children with mixed dentition using a removable appliance, including supply, adjustments, and retention. | $731.60 | $548.70 | $627.10 (85%) |
| 75039Orthodontic treatment of single arch (upper or lower) using fixed braces or aligners for the first 3 months, including appliance supply. | $664.65 | $498.50 | $565.00 (85%) |
| 75042Ongoing orthodontic treatment for one dental arch using fixed appliances or aligners, covering adjustments and maintenance for each 3-month period after initial treatment, up to 33 months total. | $248.40 | $186.30 | $211.15 (85%) |
| 75045Orthodontic treatment of both upper and lower teeth using fixed braces or aligners, including appliance supply, for the first 3 months of active correction. | $1,330.40 | $997.80 | $1,225.90 (85%) |
| 75048Ongoing orthodontic treatment for permanent teeth in both jaws using fixed braces or aligners, covering adjustments and maintenance for up to 33 months after the initial 3-month period. | $341.20 | $255.90 | $290.05 (85%) |
| 75049Supply and management of a single-arch fixed or removable retainer (upper or lower jaw) following orthodontic treatment. | $399.30 | $299.50 | $339.45 (85%) |
| 75050Supply of fixed or removable retainers for both upper and lower teeth, including fitting and retention supervision. | $770.85 | $578.15 | $666.35 (85%) |
| 75051Orthodontic treatment using removable or functional appliances to guide jaw growth, including appliance supply and all adjustments. | $1,183.35 | $887.55 | $1,078.85 (85%) |
| 75200Extraction of a tooth or tooth fragment, excluding cases covered by items 75402 or 75405. | $65.70 | $49.30 | $55.85 (85%) |
| 75203Extraction of a tooth or tooth fragment requiring general anaesthesia, typically for complex cases or patients unable to tolerate local anaesthesia. | $98.60 | $73.95 | — |
| 75206Removal of each additional tooth or tooth fragment during a procedure associated with items 75200 or 75203. | $32.75 | $24.60 | $27.85 (85%) |
| 75400Extraction of a tooth that has fully emerged through the gingiva, typically performed by a dentist or oral surgeon. | $197.20 | $147.90 | $167.65 (85%) |
| 75402Extraction of a tooth or tooth fragment that requires cutting through gum tissue but no bone removal. | $194.90 | $146.20 | $165.70 (85%) |
| 75405Surgical extraction of a tooth or tooth fragment with bone removal, performed for a patient referred by a dentist or medical practitioner. | $249.20 | $186.90 | $211.85 (85%) |
| 75600Surgical exposure of an unerupted tooth with packing to allow eruption or facilitate orthodontic alignment. | $277.75 | $208.35 | $236.10 (85%) |
| 75603Surgical exposure of an unerupted tooth to attach a traction device or temporary anchorage device for orthodontic treatment. | $326.45 | $244.85 | $277.50 (85%) |
| 75606Surgical repositioning of an unerupted tooth, performed by a referred specialist dentist or medical practitioner. | $326.45 | $244.85 | $277.50 (85%) |
| 75609Transplantation of a tooth bud for a patient referred by a dentist or medical practitioner. | $487.40 | $365.55 | $414.30 (85%) |
| 75610Surgical placement of an osseointegrated dental implant fixture and transmucosal abutments in the mouth, performed for patients referred by a dentist or medical practitioner. | $413.20 | $309.90 | — |
| 75618Fabrication and fitting of a bite-raising or dental splint appliance to manage temporomandibular joint dysfunction syndrome. | $277.15 | $207.90 | $235.60 (85%) |
| 75621Fabrication and fitting of surgical splint or guide for orthognathic surgery or implant treatment when provided with specified oral surgery, implant, or orthodontic procedures. | $277.15 | $207.90 | $235.60 (85%) |
| 75800Preventive dental consultation and treatment lasting at least 30 minutes, up to 3 visits per 12 months. | $98.60 | $73.95 | $83.85 (85%) |
| 75802Fabrication and fitting of an acrylic partial denture with retainers for 1 to 4 missing teeth. | $503.65 | $377.75 | $428.15 (85%) |
| 75815Fabrication and fitting of an acrylic partial denture with retainers replacing 5 to 9 teeth. | $743.20 | $557.40 | $638.70 (85%) |
| 75818Fabrication and fitting of an acrylic denture (partial, complete, or overdenture) with 10 to 12 teeth, including retainers. | $876.95 | $657.75 | $772.45 (85%) |
| 75820Metal framework partial denture for replacing 1–4 teeth, including fabrication, fitting, and all components. | $874.05 | $655.55 | $769.55 (85%) |
| 75833Fabrication and fitting of a metal framework partial denture to replace 5 to 9 teeth, including all necessary components. | $1,266.75 | $950.10 | $1,162.25 (85%) |
| 75836Fabrication and fitting of a metal framework partial denture, complete denture, or overdenture replacing 10 to 12 teeth, including all necessary components. | $1,449.55 | $1,087.20 | $1,345.05 (85%) |
| 75842Adjustment of a denture not associated with insertion, reline, rebase or repair services, performed by a dental practitioner. | $48.75 | $36.60 | $41.45 (85%) |
| 75845Laboratory relining of a denture with fitting, restoring the denture base to fit the patient's tissues after bone resorption. | $243.75 | $182.85 | $207.20 (85%) |
| 75848Remodelling and fitting of a denture involving more than 4 teeth. | $292.30 | $219.25 | $248.50 (85%) |
| 75851Repair of one or more points of damage to the metal framework of a denture. | $146.20 | $109.65 | $124.30 (85%) |
| 75854Addition of one or more teeth to an existing denture following tooth extraction, including impression taking. | $146.20 | $109.65 | $124.30 (85%) |