Group O9: Treatment Of Fractures
25 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 53400Surgical treatment of maxillary fracture(s) without splinting, unilateral or bilateral. | $154.60 | $115.95 | $131.45 (85%) |
| 53403Surgical treatment of mandible fracture that does not require splinting or external fixation. | $188.95 | $141.75 | $160.65 (85%) |
| 53406Treatment of maxilla fracture requiring splinting, wiring, circumosseous or external fixation, under anaesthesia with assistance. | $486.65 | $365.00 | — |
| 53409Surgical treatment of mandible fracture using splinting, tooth wiring, circumosseous fixation, or external fixation, including anaesthesia and assistance. | $486.65 | $365.00 | — |
| 53410Treatment of zygomatic bone fracture that does not require surgery. | $102.50 | $76.90 | $87.15 (85%) |
| 53411Surgical reduction of a zygomatic bone fracture via temporal, intra-oral or alternative approach, including anaesthesia. | $285.85 | $214.40 | — |
| 53412Surgical reduction and fixation of a zygomatic bone fracture at one site, including anaesthesia and surgical assistance. | $469.30 | $352.00 | — |
| 53413Surgical repair of zygomatic bone fracture with internal or external fixation at two sites, including anaesthesia and surgical assistance. | $574.95 | $431.25 | — |
| 53414Surgical treatment of fractured zygomatic bone requiring reduction and fixation at 3 or more sites, including anaesthesia and surgical assistance. | $660.50 | $495.40 | — |
| 53415Open reduction of maxilla fracture requiring general anaesthesia with surgical assistant. | $521.45 | $391.10 | — |
| 53416Open reduction of a mandibular fracture, including anaesthesia and surgical assistance. | $521.45 | $391.10 | — |
| 53418Surgical repair of a maxilla fracture using open reduction and internal fixation without a plate, including anaesthesia and assistant support. | $677.90 | $508.45 | — |
| 53419Surgical treatment of mandible fracture using open reduction and internal fixation without a plate, requiring anaesthesia and surgical assistance. | $677.90 | $508.45 | — |
| 53422Surgical treatment of maxillary fracture requiring open reduction and internal fixation with plate, including anaesthesia and surgical assistance. | $860.25 | $645.20 | — |
| 53423Surgical repair of a mandible fracture using open reduction and internal fixation with a plate, including anaesthesia and surgical assistance. | $860.25 | $645.20 | — |
| 53424Treatment of a complex maxilla fracture involving internal organs, blood vessels or nerves, requiring surgical opening and realignment without plate fixation. | $738.00 | $553.50 | — |
| 53425Open reduction treatment of a complicated mandibular fracture with involvement of organs, blood vessels or nerves, without plate fixation, requiring anaesthesia and assistance. | $738.00 | $553.50 | — |
| 53427Surgical treatment of complex maxillary fractures with organ, vessel or nerve involvement, requiring open reduction and plate fixation under anaesthesia with surgical assistance. | $1,008.10 | $756.10 | — |
| 53429Open reduction and plate fixation of a complicated mandible fracture involving viscera, blood vessels or nerves, with anaesthesia and surgical assistance. | $1,008.10 | $756.10 | — |
| 53439Surgical treatment of a closed mandibular fracture involving the joint surface, including anaesthesia. | $285.85 | $214.40 | $243.00 (85%) |
| 53453Surgical reconstruction of the orbital cavity wall or floor, with or without implant insertion, including anaesthesia and surgical assistance. | $578.40 | $433.80 | — |
| 53455Surgical graft of bone or cartilage to rebuild orbital wall or floor, including management of prolapsed or trapped orbital tissue, requiring anaesthesia and surgical assistance. | $679.35 | $509.55 | — |
| 53458Treatment of nasal bone fracture when item 53459 or 53460 does not apply. | $51.55 | $38.70 | $43.85 (85%) |
| 53459Closed reduction of nasal bone fracture under anaesthesia. | $281.85 | $211.40 | $239.60 (85%) |
| 53460Open surgical treatment of nasal bone fractures involving osteotomies, with anaesthesia and surgical assistance. | $574.95 | $431.25 | — |