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

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.