245 Periodontal surgery 11th edition change to D245, S245 – involving one tooth or item description. Periodontal surgery involving one implant tooth or an implant 352 Fracture of maxilla or 11th edition change to S352 – mandible not requiring item description. Fracture of maxilla or mandible – – splinting not requiring splinting fixation 381 Surgical exposure of 11th edition change to D381, S381 – unerupted item description. Surgical exposure of unerupted tooth per tooth – 385 Surgical repositioning 11th edition change to S385 – of unerupted tooth item description. Surgical repositioning of unerupted tooth per tooth – 387 Replantation and 11th edition change to D387, S387 – splinting of a item description. Replantation and splinting of a tooth per tooth – 393 Surgery involving the Decrease fee to match S393 maxillary antrum DVA fee for MBS item Reduce fee from $874.75 to 53019. $813.30. 445 Exploration for a 11th edition change to D445, S445 – calcified canal per canal item description. Exploration and/or negotiation – of for a calcified root canal per – canal, per appointment 521 Adhesive restoration Delete Special Remarks D521, S521 - one surface from DVA schedule - anterior tooth Delete: Limit of five (5) adhesive restorations (521/531) per day. 531 Adhesive restoration Delete Special Remarks D521, S521 - one surface from DVA schedule - posterior tooth Delete: Limit of five (5) adhesive restorations (521/531) per day. Change to item D631, S631 631 Provisional crown description to match ADA Provisional crown per tooth – (not 11th or 12th edition change). 690 Provisional retention 11th edition change to S690 – item description. Provisional retention or device anchorage device
245 Periodontal surgery involving one tooth or implant 11th edition – change to item description. D245, S245 Periodontal surgery involving one tooth or an implant 352 Fracture of maxilla or mandible – not requiring splinting 11th edition – change to item description. S352 Fracture of maxilla or mandible – not requiring splinting fixation 381 Surgical exposure of unerupted 11th edition – change to item description. D381, S381 Surgical exposure of unerupted tooth – per tooth 385 Surgical repositioning of unerupted tooth 11th edition – change to item description. S385 Surgical repositioning of unerupted tooth – per tooth 387 Replantation and splinting of a 11th edition – change to item description. D387, S387 Replantation and splinting of a tooth – per tooth 393 Surgery involving the maxillary antrum Decrease fee to match DVA fee for MBS item 53019. S393 Reduce fee from $874.75 to $813.30. 445 Exploration for a calcified canal – per canal 11th edition – change to item description. D445, S445 Exploration and/or negotiation of for a calcified root canal – per canal, per appointment 521 Adhesive restoration - one surface - anterior tooth Delete Special Remarks from DVA schedule D521, S521 Delete: Limit of five (5) adhesive restorations (521/531) per day. 531 Adhesive restoration - one surface - posterior tooth Delete Special Remarks from DVA schedule D521, S521 Delete: Limit of five (5) adhesive restorations (521/531) per day. 631 Provisional crown Change to item description to match ADA (not 11th or 12th edition change). D631, S631 Provisional crown – per tooth 690 Provisional retention device 11th edition – change to item description. S690 Provisional retention or anchorage device
Changes-fee-schedules-for-dentists.docx