MSP Billing Codes

Specialty: Oral And Maxillofacial

Code Description Fee
35711 Antral surgery - immediate recovery of a tooth $106.18
35712 Antral surgery - secondary recovery of a tooth $335.37
35715 Antral surgery - radical antrostomy/caldwell luc $391.23
35717 Antral surgery - nasal antrostomy $126.92
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
35726 Antral lavage - unilateral (separate procedure) $38.03
35727 Antral lavage - bilateral (separate procedure) $69.72

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

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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