Group O5: Preprosthetic
14 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 52600Surgical removal of benign bone growths (exostosis) from the lower jaw or roof of mouth, including anaesthesia and surgical assistance. | $405.00 | $303.75 | $344.25 (85%) |
| 52603Surgical reduction of the mylohyoid ridge under general anaesthesia with surgical assistance. | $387.05 | $290.30 | — |
| 52606Surgical reduction of the maxillary tuberosity (bony prominence on the upper jaw) under anaesthesia. | $295.30 | $221.50 | $251.05 (85%) |
| 52609Surgical removal of fewer than 5 papillary hyperplastic lesions from the palate under general anaesthesia with surgical assistance. | $387.05 | $290.30 | — |
| 52612Removal of 5 to 20 papillary hyperplastic lesions from the palate, performed under anaesthesia with surgical assistance. | $485.95 | $364.50 | — |
| 52615Surgical removal of more than 20 papillary hyperplastic lesions from the palate under anaesthesia with surgical assistance. | $603.15 | $452.40 | — |
| 52618Surgical procedure to deepen the vestibule (oral cavity space) by removing tissue and muscle, with or without grafting, performed on one or both sides under anaesthesia. | $702.00 | $526.50 | $597.50 (85%) |
| 52621Surgical lowering of the floor of the mouth on one side using techniques like Obwegeser procedure, including muscle excision and skin or mucosal grafting when needed. | $702.00 | $526.50 | — |
| 52624Surgical augmentation of the alveolar ridge on one side using bone graft, synthetic material, or both, under anaesthesia with surgical assistance. | $566.95 | $425.25 | $481.95 (85%) |
| 52626Insertion of a tissue-expanding device into the upper or lower jaw ridge to augment bone for implants; unilateral procedure requiring anaesthesia and assistance. | $347.75 | $260.85 | — |
| 52627Surgical implantation of a titanium fixture outside the mouth for osseointegration, performed by an oral and maxillofacial surgeon under anaesthesia with assistance. | $603.15 | $452.40 | $512.70 (85%) |
| 52630Surgical fixation of a transcutaneous abutment for osseointegration in oral and maxillofacal surgery, performed under anaesthesia. | $223.25 | $167.45 | $189.80 (85%) |
| 52633Surgical placement of a titanium dental implant in the jaw to restore teeth after tumor removal from the maxilla or mandible, including anaesthesia. | $603.15 | $452.40 | $512.70 (85%) |
| 52636Surgical fixation of a transmucosal abutment to osseointegrated implant fixtures in the jaw following tumor resection, with anesthesia. | $223.25 | $167.45 | $189.80 (85%) |