MSP Billing Codes

Specialty: Oral And Maxillofacial

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Code	Description	Fee
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Antral Surgery
35727	Antral lavage - bilateral (separate procedure)	$69.72
35726	Antral lavage - unilateral (separate procedure)	$38.03
35711	Antral surgery - immediate recovery of a tooth	$106.18
35717	Antral surgery - nasal antrostomy	$126.92
35715	Antral surgery - radical antrostomy/caldwell luc	$391.23
35712	Antral surgery - secondary recovery of a tooth	$335.37
35720	Closure of an oral antral fistula - immediate	$231.78
35722	Closure oral antral fistula - secondary closure	$245.92
35723	Closure oral antral fistula/secondary - gold foil	$279.48
35724	Closure oral antral fistula/secondary/palatal flap	$452.63
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35729	Diagnostic sinus endoscopy, with or without biopsy	$120.38
35730	Sinus endoscopic surgical procedure	$316.85
Cleft Lip and Palate Surgery
35302	Primary repair cleft lip - bilateral repair	$939.36
35300	Primary repair cleft lip - unilateral repair	$654.25
35305	Primary repair cleft palate - surgical repair	$627.72
35315	Secondary repair cleft lip - pharyngoplasty	$419.21
35320	Secondary repair cleft lip - push-back of palate	$614.82
35310	Secondary repair cleft lip - soft tissue	$633.72
35311	Secondary repair cleft lip/each additional fistula	$316.85
35332	Secondary repair of cleft palate - bilateral	$1,013.90
35330	Secondary repair of cleft palate - unilateral	$760.42
Consultations / Visits
35012	Call out oral surgeon called by ha	$306.14
35013	Call-out charges - evening	$54.56
35014	Call-out charges - night	$76.59
35015	Call-out charges - sat, sun or statutory holiday	$54.56
35025	Cont care operative surcharges - sat, sun, or stat @ 32.77% of surgical (or assistant) fee to a maxmimum of	$368.86
35023	Continuing care operative surcharges - evening @ 32.77% of surgical (or assistant) fee to a maximum of	$368.86
35024	Continuing care operative surcharges - night @ 52.54% of surgical (or assistant) fee to a maximum of	$517.98
35001	Emergency consult surcharge-sat,sun,stat 1800-0800	$27.14
35000	Emergency consultation - in hospital	$118.93
35008	Hospital visits - medical management	$24.60
35006	In hospital consult-non emergent	$183.70
35005	Non-emergent consultation - initial	$118.93
Dental Implants
35168	Intraosseous implants - exposure of first unit	$113.81
35165	Intraosseous implants - placement of first unit	$223.55
35169	Intraosseous implants/each additional unit exposed	$56.92
35166	Intraosseous implants/each additional unit placed	$139.73
35174	Removal of implants - intraosseous, first unit	$111.80
35175	Removal of implants - intraosseous/each additional	$55.89
35172	Removal of implants - subperiosteal	$670.70
Dentoalveolar Complications
35771	Subs visit-treatment of a dentoalveolar complicati	$28.77
35770	Treatment of a dentoalveolar complication	$50.32
Dentoalveolar Surgery
35034	Erupted teeth - each additional surgical removal	$111.64
35031	Erupted teeth - each additional tooth per quadrant	$57.08
35030	Erupted teeth - first tooth per quadrant	$86.54
35033	Erupted teeth - surgical removal with flap	$169.20
35051	Impacted teeth - each additional 'full bony'	$136.62
35046	Impacted teeth - each additional 'part bony'	$92.25
35041	Impacted teeth - each additional 'soft tissue'	$111.64
35055	Impacted teeth - each additional full bony extreme	$201.22
35059	Impacted teeth - each additional tooth follicle	$128.87
35050	Impacted teeth - full bony	$272.62
35054	Impacted teeth - full bony impaction extreme	$290.64
35045	Impacted teeth - partial bony	$195.02
35058	Impacted teeth - removal of a tooth follicle	$161.20
35040	Impacted teeth - soft tissue	$169.20
35063	Residual roots - bone coverage first per quadrant	$169.44
35064	Residual roots - each additional 'bone coverage'	$72.91
35061	Residual roots - each additional 'soft tissue'	$45.86
35060	Residual roots - soft tissue coverage	$92.81
Exposure and Repositioning of Teeth
35076	Surgical uprighting - placement of traction device	$285.19
35077	Surgical uprighting - traction device - each add	$142.59
35074	Surgical uprighting/repos/ - each additional	$118.69
35073	Surgical uprighting/repos/uncovering of a tooth	$237.14
35070	Tooth transplantation	$335.37
35071	Tooth transplantation - each additional quadrant	$167.68
Grafting Procedures
35670	Hard/soft tissue grafts - bone/alloplast grafting	$304.17
35675	Hard/soft tissue grafts - soft tissue grafting	$167.68
35685	Harvesting hard/soft tissue grafts - distant site	$380.24
35683	Harvesting hard/soft tissue grafts - local site	$133.08
35680	Harvesting of hard tissue grafts - local sites	$44.71
Lasions
35210	Complicated closure - arterial island flap	$471.47
35206	Complicated closure - each additional graft	$120.71
35211	Complicated closure - each additional pedicle flap	$235.82
35205	Complicated closure - free skin graft - placement	$241.21
35231	Complicated closure - island and rotation flaps	$131.52
35215	Complicated closure - local tissue shifts	$235.10
35230	Complicated closure - soft tissue graft placement	$65.78
35235	Cryotherapy or chemotherapy soft tissue lesion	$244.91
35267	Cryotherapy with enucleation of intraosseous	$279.46
35282	Discontinuity defect - bilateral resection	$1,564.98
35280	Discontinuity defect - unilateral resection	$1,006.08
35250	Intraosseous lesions - < or = 1 cm in diameter	$252.94
35270	Intraosseous lesions - < or = 2 cm diameter	$503.01
35272	Intraosseous lesions - > 2 cm	$726.62
35255	Intraosseous lesions - > 5 cm	$558.92
35252	Intraosseous lesions - 1 cm to 5 cm	$498.46
35260	Intraosseous lesions - each additional same jaw	$279.46
35265	Intraosseous lesions/each additional alternate jaw	$419.19
35226	Primary closure - each additional lesion > 1 cm	$249.25
35220	Primary closure - lesion base < or = 1 cm	$252.94
35225	Primary closure - lesion base > 1 cm	$498.46
35200	Primary closure - lesion based < or = 2 cm	$167.68
35201	Primary closure - lesion based > 2 cm	$335.37
35221	Primary closure/each additional lesion < or = 1 cm	$126.46
35295	Secondary discontinuity defect/microvascular	$2,682.82
35292	Secondary repair discontinuity defect/bilateral	$1,676.77
35290	Secondary repair discontinuity defect/unilateral	$1,106.66
35241	Surface osseous lesions - each add base < or = 1cm	$101.18
35246	Surface osseous lesions - each add lesion > 1 cm	$191.39
35240	Surface osseous lesions - lesion base < or = 1 cm	$202.34
35245	Surface osseous lesions - lesion base > 1 cm	$382.76
Management of Inflammatory Processes
35370	Soft tissue incision & drainage - extraoral deep	$554.88
35375	Soft tissue incision & drainage - sequestrectomy	$286.78
35350	Soft tissue incision & drainage - vestibular	$61.35
35365	Soft tissue incision/drain/extraoral superficial	$153.92
35360	Soft tissue incision/intraoral deep	$291.50
35355	Soft tissue incision/intraoral superficial	$95.05
35380	Soft tissue/incis/drain/-sequestrectomy extensive	$697.07
Nasal Surgery
35657	Closure oronasal fistula - arterial pedicle flap	$419.34
35659	Closure oronasal fistula - tongue flap closure	$470.93
35656	Closure oronasal fistula - transpositional flap	$234.73
Oseous Recontouring
35102	Alveoloplasty - in conjunction multiple extraction	$84.96
35100	Alveoloplasty - per edentulous sextant	$103.17
35105	Alveoloplasty - tuberosity reduction bone removal	$234.74
35108	Removal of torus/exostosis - palatal torus	$291.30
35107	Removal of torus/exostosis - per quadrant	$184.66
Reconstruction of the Alveolar Ridge
35145	Placement of alloplastic membrane/barrier	$50.32
35151	Preprosthetic aug by osteotomy - each additional	$335.37
35153	Preprosthetic aug by osteotomy - with bone graft	$586.87
35154	Preprosthetic aug by osteotomy/each add/bone graft	$363.28
35150	Preprosthetic aug by osteotomy/without bone graft	$544.83
35140	Preprosthetic augmentation with bone or alloplast	$503.01
35143	Preprosthetic maxillary antrum augmentation	$251.54
35142	Preprosthetic maxillary antrum/nasal floor	$503.01
35149	Removal barrier/membrane per sextant	$50.32
Removal Foreign Bodies
35706	Decompression/transposition of mandibular nerve	$333.32
35704	Nerve repair with graft	$1,242.04
35701	Primary nerve repair	$243.73
35692	Removal foreign bodies - superficially located	$106.59
35690	Removal of foreign bodies - within deep tissue	$380.10
35695	Removal of foreign body from bone - surgical	$335.37
35702	Secondary nerve repair	$546.43
Salivary Glands
35754	Excision of sublingual gland, intraorally	$349.41
35756	Excision of submandibular gland	$447.14
35760	Excision ranula/plunging	$447.14
35758	Excision ranula/superficial	$99.57
35749	Intraductal sialolithotomy - parotid	$285.19
35747	Intraductal sialolithotomy - submandibular	$139.73
35752	Intraglandular sialolithotomy	$307.40
35762	Removal benign parotid tumour	$950.57
35740	Salivary glands - dilation of salivary duct	$45.15
35744	Salivary glands - repair of salivary fistula	$509.94
35742	Salivary glands - sialodochoplasty	$139.73
Soft Tissue Recontouring
35128	Frenectomy	$234.00
35129	Frenectomy - second at same surgery	$117.01
35124	Gingivoplasty, per sextant	$112.24
35122	Operculectomy	$43.53
35126	Surgical treatment / palatal papillary hyperplasia	$222.94
35120	Uncomplicated excision of hyperplastic tissue	$89.52
35134	Vestibuloplasty - detachment of mylohyoid muscle	$302.52
35131	Vestibuloplasty - each sextant	$343.01
35132	Vestibuloplasty - mucous membrane or skin graft	$83.84
Surgical Assistant
35801	Surgical assistant	$447.14
35802	Surgical assistant - after three hours continuous	$27.94
35800	Surgical asst/certified surgical asst over $654.12	$583.02
Surgical Endodontics
35080	Apicoectomy - anterior	$315.03
35082	Apicoectomy - bicuspids and buccal roots	$391.27
35088	Apicoectomy - hemisection	$139.31
35084	Apicoectomy - palatal roots of maxillary molars	$373.94
35086	Apicoectomy - per root end fill, add	$37.34
35090	Root amputations - one root per tooth	$278.65
35092	Root amputations - two roots per tooth	$334.35
Surgical Excision
35182	Incisional biopsies - hard tissue (bone/cartilage)	$223.55
35180	Incisional biopsies - soft tissue	$124.43
35186	Lip surgery - cheiloplasty	$307.40
35184	Lip surgery - vermilionectomy	$307.40
35190	Lip surgery - wedge resection depth of the sulcus	$279.48
35188	Lip surgery - wedge resection vermilion border	$112.91
Surgical Treatment of Dentofacial Deformities
35587	Body osteotomies - bilateral	$1,742.67
35589	Body osteotomies - inferior osteotomy/ostectomy	$823.81
35586	Body osteotomies - unilateral	$1,077.28
35640	Cheiloplasty (v/y, double v/y closure)	$122.95
35634	Distraction osteogenesis	$745.80
35550	Interdental corticotomy/ostectomy - first tooth	$217.98
35551	Interdental corticotomy/ostectomy - second teeth	$106.18
35584	Mandibular osteotomies - bilateral - extraoral	$1,837.72
35583	Mandibular osteotomies - bilateral - intraoral	$1,742.67
35581	Mandibular osteotomies - unilateral - extraoral	$1,140.68
35580	Mandibular osteotomies - unilateral - intraoral	$1,077.28
35574	Mandibular symphyseal surgery - augmentation graft	$728.75
35570	Mandibular symphyseal surgery - by osteoplasty	$430.91
35576	Mandibular symphyseal surgery/alloplastic material	$411.90
35572	Mandibular symphyseal surgery/ostectomy/osteotomy	$760.42
35602	Maxillary osteotomies - each additional alveolar	$101.39
35601	Maxillary osteotomies - first additional segment	$202.79
35600	Maxillary osteotomies - le fort i	$1,774.37
35605	Maxillary osteotomies - le fort ii	$2,154.57
35608	Maxillary osteotomies - le fort iii - intracranial	$3,802.19
35607	Maxillary osteotomies - le fort iii, extracranial	$3,041.77
35611	Orbital rim osteotomies - bilateral	$3,802.19
35610	Orbital rim osteotomies - unilateral	$3,041.77
35592	Osteotomy of zygomatic complex - bilateral	$1,774.37
35595	Osteotomy of zygomatic complex - post traumatic	$633.72
35591	Osteotomy of zygomatic complex - unilateral	$1,077.28
35636	Placement of arch bars or other tooth fixation	$348.56
35638	Placement of gunning type splints	$443.58
35625	Reduction of masseteric - bilateral - extraoral	$1,647.62
35624	Reduction of masseteric - bilateral - intraoral	$1,444.83
35621	Reduction of masseteric - unilateral - extraoral	$1,140.68
35620	Reduction of masseteric - unilateral - intraoral	$937.87
35645	Removal of internal fixation devices	$456.27
35643	Removal of intraosseous wires/pins	$223.55
35647	Removal of splints, suspens. ligatures - other jaw	$63.36
35642	Removal of splints, suspension ligatures	$126.72
35632	Reoperation of a dentofacial deformity	$1,688.97
35560	Segmental osteotomies - per segment	$697.07
35562	Segmental osteotomies - total alveolar osteotomy	$1,291.54
35651	Turbinectomies - maxillary osteotomy - bilateral	$107.75
35650	Turbinectomies - maxillary osteotomy - unilateral	$82.41
35630	When rigid fixation is used for osteotomies	$372.91
TMJ
35532	Arthoroscopy - diagnostic arthroscopy - manipulate	$217.98
35538	Arthroscopic surgery through more than one port	$586.87
35536	Arthroscopy in conjunction with open arthrotomy	$106.18
35534	Arthroscopy/diagnostic arthroscopy/port technique	$441.55
35527	Coronoidectomy, add	$195.63
35525	Gap arthroplasty for anklylosis	$1,084.28
35515	Open joint procedures - alloplastic fossa	$114.07
35510	Open joint procedures - arthrotomy	$894.29
35511	Open joint procedures - condyloplasty, add	$100.60
35512	Open joint procedures - eminoplasty, add	$100.60
35513	Open joint procedures - meniscoplasty	$100.60
35514	Open joint procedures - muscle flap and/or dermal	$114.07
35516	Open joint procedures - ramus/condylar	$279.48
35520	Open joint procedures - total joint replacement	$1,676.77
35530	Reoperation of temporomandibular joint	$411.13
35526	Significant surgical soft tissue/muscle release	$195.63
35504	Temporomandibular joint - arthrocentesis	$139.73
35502	Temporomandibular joint - manipulation	$139.73
35500	Temporomandibular joint - reduction of dislocation	$139.73
35506	Temporomandibular joint/therapeutic arthrocentesis	$195.63
Treament of Traumatic Injuries
35440	Closed reductions - of maxilla with arch bars	$495.66
35444	Closed reductions - zygomatic complex by temporal	$253.50
35442	Closed reductions/of maxilla using gunning splints	$670.70
35410	Complicated - closed with a free graft	$309.64
35495	Compound fracture	$332.24
35461	Correction of post-traumatic deviated septum	$188.36
35400	Dentoalveolar trauma - implantation & splinting	$358.23
35402	Dentoalveolar trauma - reduction of alveolar	$557.67
35420	Eyelid/lip - complicated repair	$346.55
35412	Forehead/scalp/neck - < or = 5 cm laceration	$266.16
35413	Forehead/scalp/neck - > 5 cm laceration	$346.53
35436	Frontal/orbital - floor of orbit fractures	$614.82
35430	Frontal/orbital - frontal sinus fractures	$670.70
35435	Frontal/orbital - isolated fractures	$391.23
35433	Frontal/orbital - naso-orbital-ethmoid - closed	$447.14
35432	Frontal/orbital - naso-orbital-ethmoid - open	$1,006.08
35381	Management of a non-avulsed tooth with wire	$82.69
35470	Mandibular fractures - closed reduction/arch bars	$842.94
35472	Mandibular fractures/closed reduct/using gunning	$1,140.66
35464	Nasal fractures - comminuted nasal fractures	$316.85
35462	Nasal fractures - reduction and splinting	$152.10
35460	Nasal fractures - simple reduction	$76.05
35415	Nose/ear/cheek/chin - < or = 5 cm laceration	$266.57
35416	Nose/ear/cheek/chin - > 5 cm laceration	$346.55
35382	Onetime fee for additional teeth	$41.34
35477	Open reductions - angle/body fracture	$1,093.15
35456	Open reductions - cranioplasty - bilateral	$1,307.51
35455	Open reductions - cranioplasty - unilateral	$871.70
35451	Open reductions - le fort i	$1,383.29
35452	Open reductions - le fort ii	$1,542.64
35453	Open reductions - le fort iii	$1,844.47
35475	Open reductions - subcondylar fracture	$1,093.15
35479	Open reductions - symphyseal/parasymphyseal	$621.01
35457	Open reductions - zygomatic arch	$558.92
35459	Open reductions - zygomatico - orbital complex	$760.42
35482	Open reductions/extraoral - angle/body	$728.75
35480	Open reductions/extraoral - subcondylar	$728.75
35484	Open reductions/extraoral - symphyseal/parasymph	$621.01
35492	Pericranial/periauricular flaps - bilateral, add	$391.23
35491	Pericranial/periauricular flaps - unilateral, add	$279.48
35383	Removal of splint after stabilization	$50.44
35405	Soft tissue injuries - simple/single layer suture	$136.18

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