MBS Category 4
Oral and maxillofacial services: MBS items and fees.
All 228 items in Category 4, with each item’s schedule fee and Medicare benefits, from the MBS edition of 1 November 2026.
Source: the MBS XML file of 1 November 2026, published by the Department of Health, Disability and Ageing. We update these pages for each MBS edition.
O1 Consultations
5 items
| Item | Description | Fee and benefits |
|---|---|---|
| 51700 | New wording on 1 November 2026APPROVED DENTAL PRACTITIONER, REFERRED CONSULTATION - SURGERY, HOSPITAL OR RESIDENTIAL CARE HOME Professional attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner, at consulting rooms, hospital or residential care home where the patient is referred to him or her | $102.35 75% benefit $76.80 85% benefit $87.00 |
| 51703 | New wording on 1 November 2026Professional attendance by an approved dental practitioner, each attendance subsequent to the first in a single course of treatment at consulting rooms, hospital or residential care home where the patient is referred to him or her | $51.50 75% benefit $38.65 85% benefit $43.80 |
| 54001 | Video attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner | $102.35 85% benefit $87.00 |
| 54002 | Video attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner | $51.50 85% benefit $43.80 |
| 54004 | Phone attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner | $51.50 85% benefit $43.80 |
O2 Assistance At Operation
2 items
| Item | Description | Fee and benefits |
|---|---|---|
| 51800 | Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation mentioned in an item that includes “(Assist.)” for which the fee does not exceed $668.25 or at a series or combination of operations mentioned in an item in Groups O3 to O9 that include “(Assist.)” for which the aggregate fee does not exceed $668.25 (H) | $103.25 75% benefit $77.45 |
| 51803 | Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation mentioned in an item that includes “(Assist.)” for which the fee exceeds $668.25 or at a series or combination of operations mentioned in an item that include “(Assist.)” if the aggregate fee exceeds $668.25 Derived fee: one fifth of the established fee for the operation or combination of operations | Derived |
O3 General Surgery
81 items
| Item | Description | Fee and benefits |
|---|---|---|
| 51900 | WOUND OF SOFT TISSUE, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed (Anaes.) (Assist.) | $390.25 75% benefit $292.70 85% benefit $331.75 |
| 51902 | Wounds of the oral and maxillofacial region, dressing of, under general anaesthesia, with or without removal of sutures, other than a service associated with a service to which another item in Groups O3 to O9 applies (H) (Anaes.) | $88.50 75% benefit $66.40 |
| 51904 | Lipectomy—wedge excision of skin or fat—one excision (H) (Anaes.) (Assist.) | $544.40 75% benefit $408.30 |
| 51906 | Lipectomy—wedge excision of skin or fat—2 or more excisions (H) (Anaes.) (Assist.) | $827.90 75% benefit $620.95 |
| 52000 | SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, small (NOT MORE THAN 7 CM LONG), superficial (Anaes.) | $98.70 75% benefit $74.05 85% benefit $83.90 |
| 52003 | SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, small (NOT MORE THAN 7 CM LONG), involving deeper tissue (Anaes.) | $140.70 75% benefit $105.55 85% benefit $119.60 |
| 52006 | SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, large (MORE THAN 7 CM LONG), superficial (Anaes.) | $140.70 75% benefit $105.55 85% benefit $119.60 |
| 52009 | SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue (Anaes.) | $222.10 75% benefit $166.60 85% benefit $188.80 |
| 52010 | FULL THICKNESS LACERATION OF EAR, EYELID, NOSE OR LIP, repair of, with accurate apposition of each layer of tissue (Anaes.) (Assist.) | $304.00 75% benefit $228.00 85% benefit $258.40 |
| 52012 | SUPERFICIAL FOREIGN BODY, removal of, as an independent procedure (Anaes.) | $28.15 75% benefit $21.15 85% benefit $23.95 |
| 52015 | SUBCUTANEOUS FOREIGN BODY, removal of, requiring incision and suture, as an independent procedure (Anaes.) | $131.55 75% benefit $98.70 85% benefit $111.85 |
| 52018 | FOREIGN BODY IN MUSCLE, TENDON OR OTHER DEEP TISSUE, removal of, as an independent procedure (Anaes.) (Assist.) | $331.25 75% benefit $248.45 85% benefit $281.60 |
| 52021 | ASPIRATION BIOPSY of 1 or MORE JAW CYSTS as an independent procedure to obtain material for diagnostic purposes and not being a service associated with an operative procedure on the same day (Anaes.) | $35.20 75% benefit $26.40 85% benefit $29.95 |
| 52024 | BIOPSY OF SKIN OR MUCOUS MEMBRANE, as an independent procedure (Anaes.) | $62.55 75% benefit $46.95 85% benefit $53.20 |
| 52025 | LYMPH NODE OF NECK, biopsy of (Anaes.) | $220.15 75% benefit $165.15 85% benefit $187.15 |
| 52027 | BIOPSY OF LYMPH NODE, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure and not being a service to which item 52025 applies (Anaes.) | $179.25 75% benefit $134.45 85% benefit $152.40 |
| 52030 | SINUS, excision of, involving superficial tissue only (Anaes.) | $107.75 75% benefit $80.85 85% benefit $91.60 |
| 52033 | SINUS, excision of, involving muscle and deep tissue (Anaes.) | $220.15 75% benefit $165.15 85% benefit $187.15 |
| 52034 | PREMALIGNANT LESIONS of the oral mucous, treatment by cryotherapy, diathermy or carbon dioxide laser | $51.50 75% benefit $38.65 85% benefit $43.80 |
| 52035 | ENDOSCOPIC LASER THERAPY for neoplasia and benign vascular lesions of the oral cavity (Anaes.) | $569.80 75% benefit $427.35 85% benefit $484.35 |
| 52036 | TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 52039 applies (Anaes.) | $151.95 75% benefit $114.00 85% benefit $129.20 |
| 52039 | TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions (Anaes.) (Assist.) | $390.25 75% benefit $292.70 85% benefit $331.75 |
| 52042 | TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (Anaes.) | $206.45 75% benefit $154.85 85% benefit $175.50 |
| 52045 | TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which another item in Groups O3 to O9 applies, involving muscle, bone, or other deep tissue (Anaes.) | $295.10 75% benefit $221.35 85% benefit $250.85 |
| 52048 | Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5 mm separation between the cyst lining and tooth structure or if a tumour or cyst has been proven by positive histopathology), removal of, requiring wide excision, other than a service to which another item in Groups O3 to O9 applies (H) (Anaes.) (Assist.) | $444.65 75% benefit $333.50 |
| 52051 | Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (H) (Anaes.) (Assist.) | $601.15 75% benefit $450.90 |
| 52054 | Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (H) (Anaes.) (Assist.) | $703.25 75% benefit $527.45 |
| 52055 | HAEMATOMA, SMALL ABSCESS OR CELLULITIS, not requiring admission to a hospital, INCISION WITH DRAINAGE OF (excluding after care) | $32.75 75% benefit $24.60 85% benefit $27.85 |
| 52056 | HAEMATOMA, aspiration of (Anaes.) | $32.75 75% benefit $24.60 85% benefit $27.85 |
| 52057 | Large haematoma, large abscess, carbuncle, cellulitis or similar lesion in the oral and maxillofacial region, incision with drainage of (excluding after‑care) (H) (Anaes.) | $195.05 75% benefit $146.30 |
| 52058 | PERCUTANEOUS DRAINAGE OF DEEP ABSCESS, using interventional imaging techniques - but not including imaging (Anaes.) | $284.35 75% benefit $213.30 85% benefit $241.70 |
| 52059 | ABSCESS, DRAINAGE TUBE, exchange of using interventional imaging techniques - but not including imaging (Anaes.) | $320.35 75% benefit $240.30 85% benefit $272.30 |
| 52060 | Muscle in the oral and maxillofacial region, excision of (H) (Anaes.) | $226.75 75% benefit $170.10 |
| 52061 | Muscle, in the oral and maxillofacial region, ruptured, repair of (limited), not associated with external wound (H) (Anaes.) | $267.60 75% benefit $200.70 |
| 52062 | Muscle, in the oral and maxillofacial region, ruptured, repair of (extensive), not associated with external wound (H) (Anaes.) (Assist.) | $353.90 75% benefit $265.45 |
| 52063 | BONE TUMOUR, INNOCENT, excision of, not being a service to which another item in Groups O3 to O9 applies (Anaes.) (Assist.) | $426.55 75% benefit $319.95 85% benefit $362.60 |
| 52064 | BONE CYST, injection into or aspiration of (Anaes.) | $202.90 75% benefit $152.20 85% benefit $172.50 |
| 52066 | Submandibular gland, extirpation of (H) (Anaes.) (Assist.) | $533.15 75% benefit $399.90 |
| 52069 | Sublingual gland, extirpation of (H) (Anaes.) | $237.65 75% benefit $178.25 |
| 52072 | SALIVARY GLAND, DILATATION OR DIATHERMY of duct (Anaes.) | $70.40 75% benefit $52.80 85% benefit $59.85 |
| 52073 | Salivary gland, repair of cutaneous fistula of (H) (Anaes.) | $179.25 75% benefit $134.45 |
| 52075 | SALIVARY GLAND, removal of CALCULUS from duct or meatotomy or marsupialisation, 1 or more such procedures (Anaes.) | $179.25 75% benefit $134.45 85% benefit $152.40 |
| 52078 | Tongue, partial excision of (H) (Anaes.) (Assist.) | $353.90 75% benefit $265.45 |
| 52081 | TONGUE TIE, division or excision of frenulum (Anaes.) | $55.60 75% benefit $41.70 85% benefit $47.30 |
| 52084 | TONGUE TIE, MANDIBULAR FRENULUM OR MAXILLARY FRENULUM, division or excision of frenulum, in a patient aged not less than 2 years (Anaes.) | $142.95 75% benefit $107.25 85% benefit $121.55 |
| 52087 | RANULA OR MUCOUS CYST OF MOUTH, removal of (Anaes.) | $245.00 75% benefit $183.75 85% benefit $208.25 |
| 52090 | OPERATION ON MANDIBLE OR MAXILLA (other than alveolar margins) for chronic osteomyelitis - 1 bone or in combination with adjoining bones (Anaes.) (Assist.) | $426.55 75% benefit $319.95 85% benefit $362.60 |
| 52092 | Operation on skull for osteomyelitis (H) (Anaes.) (Assist.) | $556.05 75% benefit $417.05 |
| 52094 | Operation on any combination of adjoining bones in the oral and maxillofacial region, being bones referred to in item 52092 (H) (Anaes.) (Assist.) | $703.20 75% benefit $527.40 |
| 52095 | Bone growth stimulator in the oral and maxillofacial region, insertion of (H) (Anaes.) (Assist.) | $455.80 75% benefit $341.85 |
| 52096 | ORTHOPAEDIC PIN OR WIRE, insertion of, into maxilla or mandible or zygoma, as an independent procedure (Anaes.) | $135.05 75% benefit $101.30 85% benefit $114.80 |
| 52097 | EXTERNAL FIXATION, removal of, in the operating theatre of a hospital (Anaes.) | $191.60 75% benefit $143.70 |
| 52098 | External fixation in the oral and maxillofacial region, removal of, in conjunction with operations involving internal fixation or bone grafting or both (H) (Anaes.) | $225.25 75% benefit $168.95 |
| 52099 | BURIED WIRE, PIN or SCREW, 1 or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, per bone, not being a service associated with a service to which item 52102 or 52105 applies (Anaes.) | $169.00 75% benefit $126.75 85% benefit $143.65 |
| 52102 | Buried wire, pin or screw, one or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, if undertaken in the operating theatre of a hospital, per bone (H) (Anaes.) | $169.00 75% benefit $126.75 |
| 52105 | Plate, one or more of, and associated screw and wire which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, per bone, other than a service associated with a service to which item 52099 or 52102 applies (H) (Anaes.) (Assist.) | $315.50 75% benefit $236.65 |
| 52106 | ARCH BARS, 1 or more, which were inserted for dental fixation purposes to the maxilla or mandible, removal of, requiring general anaesthesia where undertaken in the operating theatre of a hospital (Anaes.) | $130.35 75% benefit $97.80 |
| 52108 | LIP, full thickness wedge excision of, with repair by direct sutures (Anaes.) (Assist.) | $390.25 75% benefit $292.70 85% benefit $331.75 |
| 52111 | VERMILIONECTOMY (Anaes.) (Assist.) | $390.25 75% benefit $292.70 85% benefit $331.75 |
| 52114 | Mandible or maxilla, segmental resection of, for tumours or cysts (H) (Anaes.) (Assist.) | $703.25 75% benefit $527.45 |
| 52117 | Mandible, including lower border, or maxilla, sub‑total resection of (H) (Anaes.) (Assist.) | $837.15 75% benefit $627.90 |
| 52120 | Mandible, hemimandiblectomy of, including condylectomy, if performed (H) (Anaes.) (Assist.) | $990.20 75% benefit $742.65 |
| 52122 | Mandible, hemi‑mandibular reconstruction of, or maxilla reconstruction of, with bone graft, plate, tray or alloplast, other than a service associated with a service to which item 52123 applies (H) (Anaes.) (Assist.) | $990.20 75% benefit $742.65 |
| 52123 | Mandible, total resection of both sides, including condylectomies if performed (H) (Anaes.) (Assist.) | $1,121.00 75% benefit $840.75 |
| 52126 | Maxilla, total resection of (H) (Anaes.) (Assist.) | $1,077.70 75% benefit $808.30 |
| 52129 | Maxilla, total resection of both maxillae (H) (Anaes.) (Assist.) | $1,442.70 75% benefit $1,082.05 |
| 52130 | Bone graft in the oral and maxillofacial region, other than a service to which another item in Groups O3 to O9 applies (H) (Anaes.) (Assist.) | $529.55 75% benefit $397.20 |
| 52131 | Bone graft with internal fixation, in the oral and maxillofacial region, other than a service to which another item in the range 51900 to 52186, or the range 52303 to 53460, applies (H) (Anaes.) (Assist.) | $732.50 75% benefit $549.40 |
| 52132 | TRACHEOSTOMY (Anaes.) | $298.00 75% benefit $223.50 85% benefit $253.30 |
| 52133 | CRICOTHYROSTOMY by direct stab or Seldinger technique, using Minitrach or similar device (Anaes.) | $108.95 75% benefit $81.75 85% benefit $92.65 |
| 52135 | POST-OPERATIVE or POST-NASAL HAEMORRHAGE, or both, control of, where undertaken in the operating theatre of a hospital (Anaes.) | $172.80 75% benefit $129.60 |
| 52138 | Maxillary artery, ligation of (H) (Anaes.) (Assist.) | $536.85 75% benefit $402.65 |
| 52141 | Facial, mandibular or lingual artery or vein or artery and vein, ligation of, other than a service to which item 52138 applies (H) (Anaes.) (Assist.) | $531.10 75% benefit $398.35 |
| 52144 | Foreign body, deep, removal of using interventional imaging techniques (H) (Anaes.) (Assist.) | $495.00 75% benefit $371.25 |
| 52147 | Duct of major salivary gland, transposition of (H) (Anaes.) (Assist.) | $467.10 75% benefit $350.35 |
| 52148 | Parotid duct, repair of, using micro‑surgical techniques (H) (Anaes.) (Assist.) | $825.65 75% benefit $619.25 |
| 52158 | Submandibular ducts, relocation of, for surgical control of drooling (H) (Anaes.) (Assist.) | $1,329.35 75% benefit $997.05 |
| 52180 | MALIGNANT DISEASE AGGRESSIVE OR POTENTIALLY MALIGNANT BONE OR DEEP SOFT TISSUE TUMOUR, biopsy of (not including aftercare) (Anaes.) | $225.25 75% benefit $168.95 85% benefit $191.50 |
| 52182 | Bone or malignant deep soft tissue tumour in the oral and maxillofacial region, lesional or marginal excision of (H) (Anaes.) (Assist.) | $495.80 75% benefit $371.85 |
| 52184 | Bone tumour in the oral and maxillofacial region, lesional or marginal excision of, combined with any one of liquid nitrogen freezing, autograft, allograft or cementation (H) (Anaes.) (Assist.) | $732.50 75% benefit $549.40 |
| 52186 | Bone tumour in the oral and maxillofacial region, lesional or marginal excision of, combined with any 2 or more of liquid nitrogen freezing, autograft, allograft or cementation (H) (Anaes.) (Assist.) | $901.55 75% benefit $676.20 |
O4 Plastic & Reconstructive
47 items
| Item | Description | Fee and benefits |
|---|---|---|
| 52300 | SINGLE-STAGE LOCAL FLAP, where indicated, repair to 1 defect, with skin or mucosa (Anaes.) (Assist.) | $340.30 75% benefit $255.25 85% benefit $289.30 |
| 52303 | Single-stage local flap, if indicated, repair to one defect, with buccal pad of fat (H) (Anaes.) (Assist.) | $485.95 75% benefit $364.50 |
| 52306 | Single-stage local flap, if indicated, repair to one defect, using temporalis muscle (H) (Anaes.) (Assist.) | $721.10 75% benefit $540.85 |
| 52309 | FREE GRAFTING (mucosa or split skin) of a granulating area (Anaes.) | $245.00 75% benefit $183.75 85% benefit $208.25 |
| 52312 | FREE GRAFTING (mucosa, split skin or connective tissue) to 1 defect, including elective dissection (Anaes.) (Assist.) | $340.30 75% benefit $255.25 85% benefit $289.30 |
| 52315 | FREE GRAFTING, FULL THICKNESS, to 1 defect (mucosa or skin) (Anaes.) (Assist.) | $567.05 75% benefit $425.30 85% benefit $482.00 |
| 52318 | Bone graft, harvesting of, via separate incision, being a service associated with a service to which another item in Groups O3 to O9 applies—Autogenous, small quantity (H) (Anaes.) | $169.00 75% benefit $126.75 |
| 52319 | Bone graft, harvesting of, via separate incision, being a service associated with a service to which another item in Groups O3 to O9 applies—Autogenous, large quantity (H) (Anaes.) | $281.85 75% benefit $211.40 |
| 52321 | Foreign implant (non-biological), insertion of, for contour reconstruction of pathological deformity, other than a service associated with a service to which item 52624 applies (H) (Anaes.) (Assist.) | $567.05 75% benefit $425.30 |
| 52324 | Direct flap repair, using tongue, first stage (H) (Anaes.) (Assist.) | $567.05 75% benefit $425.30 |
| 52327 | Direct flap repair, using tongue, second stage (H) (Anaes.) | $281.40 75% benefit $211.05 |
| 52330 | Palatal defect (oro-nasal fistula), plastic closure of, including services to which item 52300, 52303, 52306 or 52324 applies (H) (Anaes.) (Assist.) | $935.85 75% benefit $701.90 |
| 52333 | Cleft palate, primary repair (H) (Anaes.) (Assist.) | $935.85 75% benefit $701.90 |
| 52336 | Cleft palate, secondary repair, closure of fistula using local flaps (H) (Anaes.) (Assist.) | $585.05 75% benefit $438.80 |
| 52337 | Alveolar cleft (congenital) unilateral, grafting of, including plastic closure of associated oro-nasal fistulae and ridge augmentation (H) (Anaes.) (Assist.) | $1,279.65 75% benefit $959.75 |
| 52339 | Cleft palate, secondary repair, lengthening procedure (H) (Anaes.) (Assist.) | $666.20 75% benefit $499.65 |
| 52342 | MANDIBLE or MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.) | $1,157.15 75% benefit $867.90 |
| 52345 | MANDIBLE or MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.) | $1,304.95 75% benefit $978.75 |
| 52348 | MANDIBLE or MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.) | $1,474.65 75% benefit $1,106.00 |
| 52351 | MANDIBLE or MAXILLA, bilateral osteotomy of osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.) | $1,656.15 75% benefit $1,242.15 |
| 52354 | MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.) | $1,678.95 75% benefit $1,259.25 |
| 52357 | MANDIBLE or MAXILLA, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.) | $1,890.15 75% benefit $1,417.65 |
| 52360 | MANDIBLE and MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.) | $1,928.20 75% benefit $1,446.15 |
| 52363 | MANDIBLE and MAXILLA, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.) | $2,169.10 75% benefit $1,626.85 |
| 52366 | MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.) | $2,121.25 75% benefit $1,590.95 |
| 52369 | MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.) | $2,385.10 75% benefit $1,788.85 |
| 52372 | MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.) | $2,314.30 75% benefit $1,735.75 |
| 52375 | MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) (Anaes.) (Assist.) | $2,592.15 75% benefit $1,944.15 |
| 52378 | Genioplasty including transposition of nerves and vessels and bone grafts taken from the same site (H) (Anaes.) (Assist.) | $896.05 75% benefit $672.05 |
| 52379 | Face, contour reconstruction of one region, using autogenous bone or cartilage graft (H) (Anaes.) (Assist.) | $1,531.35 75% benefit $1,148.55 |
| 52380 | Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (H) (Anaes.) (Assist.) | $2,607.55 75% benefit $1,955.70 |
| 52382 | Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) (Anaes.) (Assist.) | $3,125.85 75% benefit $2,344.40 |
| 52420 | Mandible, fixation by intermaxillary wiring, excluding wiring for obesity (H) | $288.60 75% benefit $216.45 |
| 52424 | Dermis, dermofat or fascia graft (excluding transfer of fat by injection) in the oral and maxillofacial region (H) (Anaes.) (Assist.) | $566.95 75% benefit $425.25 |
| 52430 | Microvascular repair of the oral and maxillofacial region using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit (H) (Anaes.) (Assist.) | $1,304.95 75% benefit $978.75 |
| 52440 | Cleft lip, unilateral—primary repair, one stage, without anterior palate repair (H) (Anaes.) (Assist.) | $647.85 75% benefit $485.90 |
| 52442 | Cleft lip, unilateral—primary repair, one stage, with anterior palate repair (H) (Anaes.) (Assist.) | $810.05 75% benefit $607.55 |
| 52444 | Cleft lip, bilateral—primary repair, one stage, without anterior palate repair (H) (Anaes.) (Assist.) | $899.85 75% benefit $674.90 |
| 52446 | Cleft lip, bilateral—primary repair, one stage, with anterior palate repair (H) (Anaes.) (Assist.) | $1,062.30 75% benefit $796.75 |
| 52450 | Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (H) (Anaes.) | $359.95 75% benefit $270.00 |
| 52452 | Cleft lip, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (H) (Anaes.) (Assist.) | $585.05 75% benefit $438.80 |
| 52456 | Cleft lip reconstruction using full thickness flap (Abbe or similar), first stage (H) (Anaes.) (Assist.) | $990.20 75% benefit $742.65 |
| 52458 | Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (H) (Anaes.) | $359.95 75% benefit $270.00 |
| 52460 | Velo‑pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty for (H) (Anaes.) | $935.85 75% benefit $701.90 |
| 52480 | Composite graft (chondro‑cutaneous or chondro‑mucosal) to nose, ear or eyelid (H) (Anaes.) (Assist.) | $601.15 75% benefit $450.90 |
| 52482 | Macrocheilia or macroglossia, operation for (H) (Anaes.) (Assist.) | $578.40 75% benefit $433.80 |
| 52484 | Macrostomia, operation for (H) (Anaes.) (Assist.) | $688.60 75% benefit $516.45 |
O5 Preprosthetic
14 items
| Item | Description | Fee and benefits |
|---|---|---|
| 52600 | MANDIBULAR OR PALATAL EXOSTOSIS, excision of (Anaes.) (Assist.) | $405.00 75% benefit $303.75 85% benefit $344.25 |
| 52603 | Mylohyoid ridge, reduction of (H) (Anaes.) (Assist.) | $387.05 75% benefit $290.30 |
| 52606 | MAXILLARY TUBEROSITY, reduction of (Anaes.) | $295.30 75% benefit $221.50 85% benefit $251.05 |
| 52609 | Papillary hyperplasia of the palate, removal of—less than 5 lesions (H) (Anaes.) (Assist.) | $387.05 75% benefit $290.30 |
| 52612 | Papillary hyperplasia of the palate, removal of—5 to 20 lesions (H) (Anaes.) (Assist.) | $485.95 75% benefit $364.50 |
| 52615 | Papillary hyperplasia of the palate, removal of—more than 20 lesions (H) (Anaes.) (Assist.) | $603.15 75% benefit $452.40 |
| 52618 | New 85% benefit on 1 November 2026VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral (Anaes.) (Assist.) | $702.00 75% benefit $526.50 85% benefit $596.70 was $597.50 |
| 52621 | Floor of mouth lowering (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed—unilateral (H) (Anaes.) (Assist.) | $702.00 75% benefit $526.50 |
| 52624 | ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - unilateral (Anaes.) (Assist.) | $566.95 75% benefit $425.25 85% benefit $481.95 |
| 52626 | Alveolar ridge augmentation—unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for (H) (Anaes.) (Assist.) | $347.75 75% benefit $260.85 |
| 52627 | OSSEO-INTEGRATION PROCEDURE - in the practice of oral and maxillofacial surgery, extra oral implantation of titanium fixture (Anaes.) (Assist.) | $603.15 75% benefit $452.40 85% benefit $512.70 |
| 52630 | OSSEO-INTEGRATION PROCEDURE - in the practice of oral and maxillofacial surgery, fixation of transcutaneous abutment (Anaes.) | $223.25 75% benefit $167.45 85% benefit $189.80 |
| 52633 | OSSEO-INTEGRATION PROCEDURE - intra-oral implantation of titanium fixture to facilitate restoration of the dentition following resection of part of the maxilla or mandible for benign or malignant tumours (Anaes.) | $603.15 75% benefit $452.40 85% benefit $512.70 |
| 52636 | OSSEO-INTEGRATION PROCEDURE - fixation of transmucosal abutment to fixtures placed following resection of part of the maxilla or mandible for benign or malignant tumours (Anaes.) | $223.25 75% benefit $167.45 85% benefit $189.80 |
O6 Neurosurgical
13 items
| Item | Description | Fee and benefits |
|---|---|---|
| 52800 | Neurolysis by open operation, without transposition, other than a service associated with a service to which item 52803 applies (H) (Anaes.) (Assist.) | $331.25 75% benefit $248.45 |
| 52803 | Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques (H) (Anaes.) (Assist.) | $477.05 75% benefit $357.80 |
| 52806 | NEURECTOMY, NEUROTOMY or REMOVAL OF TUMOUR from superficial peripheral nerve (Anaes.) (Assist.) | $331.25 75% benefit $248.45 85% benefit $281.60 |
| 52809 | Neurectomy, neurotomy or removal of tumour from deep peripheral nerve (H) (Anaes.) (Assist.) | $567.05 75% benefit $425.30 |
| 52812 | Nerve trunk, primary repair of, using microsurgical techniques (H) (Anaes.) (Assist.) | $810.05 75% benefit $607.55 |
| 52815 | Nerve trunk, secondary repair of, using microsurgical techniques (H) (Anaes.) (Assist.) | $855.05 75% benefit $641.30 |
| 52818 | Nerve, transposition of (H) (Anaes.) (Assist.) | $567.05 75% benefit $425.30 |
| 52821 | Nerve graft to nerve trunk (cable graft) including harvesting of nerve graft using microsurgical techniques (H) (Anaes.) (Assist.) | $1,233.05 75% benefit $924.80 |
| 52824 | Peripheral branches of the trigeminal nerve, cryosurgery of, for pain relief (H) (Anaes.) (Assist.) | $531.10 75% benefit $398.35 |
| 52826 | Injection of primary branch of trigeminal nerve with alcohol, cortisone, phenol, or similar substance (H) (Anaes.) | $284.35 75% benefit $213.30 |
| 52828 | Cutaneous nerve, primary repair of, using microsurgical techniques (H) (Anaes.) (Assist.) | $422.95 75% benefit $317.25 |
| 52830 | Cutaneous nerve, secondary repair of, using microsurgical techniques (H) (Anaes.) (Assist.) | $557.90 75% benefit $418.45 |
| 52832 | New 85% benefit on 1 November 2026CUTANEOUS NERVE, nerve graft to, using microsurgical techniques (Anaes.) (Assist.) | $765.20 75% benefit $573.90 85% benefit $656.70 was $660.70 |
O7 Ear, Nose & Throat
19 items
| Item | Description | Fee and benefits |
|---|---|---|
| 53000 | MAXILLARY ANTRUM, PROOF PUNCTURE AND LAVAGE OF (Anaes.) | $39.00 75% benefit $29.25 85% benefit $33.15 |
| 53003 | Maxillary antrum, proof puncture and lavage of, under general anaesthesia, other than a service associated with a service to which another item in Groups O3 to O9 applies (H) (Anaes.) | $110.00 75% benefit $82.50 |
| 53004 | MAXILLARY ANTRUM, LAVAGE OF - each attendance at which the procedure is performed, including any associated consultation (Anaes.) | $42.60 75% benefit $31.95 85% benefit $36.25 |
| 53006 | Antrostomy (radical) (H) (Anaes.) (Assist.) | $623.95 75% benefit $468.00 |
| 53009 | ANTRUM, intranasal operation on, or removal of foreign body from (Anaes.) (Assist.) | $353.90 75% benefit $265.45 85% benefit $300.85 |
| 53012 | ANTRUM, drainage of, through tooth socket (Anaes.) | $140.70 75% benefit $105.55 85% benefit $119.60 |
| 53015 | New 85% benefit on 1 November 2026Oro‑antral fistula, plastic closure of (Anaes.) (Assist.) | $703.25 75% benefit $527.45 85% benefit $597.80 was $598.75 |
| 53016 | Nasal septum, septoplasty, submucous resection or closure of septal perforation (H) (Anaes.) (Assist.) | $578.40 75% benefit $433.80 |
| 53017 | Nasal septum, reconstruction of (H) (Anaes.) (Assist.) | $721.65 75% benefit $541.25 |
| 53019 | Maxillary sinus, bone graft to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), unilateral (H) (Anaes.) (Assist.) | $695.30 75% benefit $521.50 |
| 53052 | POST-NASAL SPACE, direct examination of, with or without biopsy (Anaes.) | $146.95 75% benefit $110.25 85% benefit $124.95 |
| 53054 | NASENDOSCOPY or SINOSCOPY or FIBREOPTIC EXAMINATION of NASOPHARYNX one or more of these procedures (Anaes.) | $146.95 75% benefit $110.25 85% benefit $124.95 |
| 53056 | Examination of nasal cavity or post‑nasal space, or nasal cavity and post‑nasal space, under general anaesthesia, other than a service associated with a service to which another item in this Group applies (H) (Anaes.) | $86.10 75% benefit $64.60 |
| 53058 | NASAL HAEMORRHAGE, POSTERIOR, ARREST OF, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding aftercare) (Anaes.) | $146.95 75% benefit $110.25 85% benefit $124.95 |
| 53060 | Cauterisation (other than by chemical means) or cauterisation by chemical means when performed under general anaesthesia or diathermy of septum or turbinates for obstruction or haemorrhage secondary to surgery (or trauma)—one or more of these procedures (including any consultation on the same occasion) other than a service associated with another operation on the nose (H) (Anaes.) | $120.25 75% benefit $90.20 |
| 53062 | POST SURGICAL NASAL HAEMORRHAGE, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (Anaes.) | $107.75 75% benefit $80.85 85% benefit $91.60 |
| 53064 | CRYOTHERAPY TO NOSE in the treatment of nasal haemorrhage (Anaes.) | $195.05 75% benefit $146.30 85% benefit $165.80 |
| 53068 | Turbinectomy or turbinectomies, partial or total, unilateral (H) (Anaes.) | $163.40 75% benefit $122.55 |
| 53070 | Turbinates, submucous resection of, unilateral (H) (Anaes.) | $213.05 75% benefit $159.80 |
O8 Temporomandibular Joint
18 items
| Item | Description | Fee and benefits |
|---|---|---|
| 53200 | MANDIBLE, treatment of a dislocation of, not requiring open reduction (Anaes.) | $84.65 75% benefit $63.50 85% benefit $72.00 |
| 53203 | Mandible, treatment of a dislocation of, requiring open reduction (H) (Anaes.) | $142.05 75% benefit $106.55 |
| 53206 | TEMPOROMANDIBULAR JOINT, manipulation of, performed in the operating theatre of a hospital, not being a service associated with a service to which another item in Groups O3 to O9 applies (Anaes.) | $171.20 75% benefit $128.40 |
| 53209 | Glenoid fossa, zygomatic arch and temporal bone, reconstruction of (Obwegeser technique) (H) (Anaes.) (Assist.) | $1,973.85 75% benefit $1,480.40 |
| 53212 | Absent condyle and ascending ramus in hemifacial microsomia, construction of, not including harvesting of graft material (H) (Anaes.) (Assist.) | $1,066.25 75% benefit $799.70 |
| 53215 | Temporomandibular joint, arthroscopy of, with or without biopsy, other than a service associated with another arthroscopic procedure of that joint (H) (Anaes.) (Assist.) | $489.25 75% benefit $366.95 |
| 53218 | Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or treatment of adhesions—one or more of such procedures (H) (Anaes.) (Assist.) | $782.60 75% benefit $586.95 |
| 53220 | Temporomandibular joint, arthrotomy of, other than a service to which another item in this Group applies (H) (Anaes.) (Assist.) | $394.45 75% benefit $295.85 |
| 53221 | Temporomandibular joint, open surgical exploration of, with or without microsurgical techniques (H) (Anaes.) (Assist.) | $1,044.05 75% benefit $783.05 |
| 53224 | Temporomandibular joint, open surgical exploration of, with condylectomy or condylotomy, with or without microsurgical techniques (H) (Anaes.) (Assist.) | $1,157.40 75% benefit $868.05 |
| 53225 | Arthrocentesis, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space (Anaes.) (Assist.) | $347.75 75% benefit $260.85 85% benefit $295.60 |
| 53226 | Temporomandibular joint, synovectomy of, other than a service to which another item in this Group applies (H) (Anaes.) (Assist.) | $373.80 75% benefit $280.35 |
| 53227 | Temporomandibular joint, open surgical exploration of, with or without meniscus or capsular surgery, including meniscectomy when performed, with or without microsurgical techniques (H) (Anaes.) (Assist.) | $1,422.15 75% benefit $1,066.65 |
| 53230 | Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (H) (Anaes.) (Assist.) | $1,602.00 75% benefit $1,201.50 |
| 53233 | Temporomandibular joint, surgery of, involving procedures to which item 53224, 53226, 53227 or 53230 applies and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (H) (Anaes.) (Assist.) | $1,800.15 75% benefit $1,350.15 |
| 53236 | Temporomandibular joint, stabilisation of, involving one or more of: repair of capsule, repair of ligament or internal fixation, other than a service to which another item in this Group applies (H) (Anaes.) (Assist.) | $563.40 75% benefit $422.55 |
| 53239 | Temporomandibular joint, arthrodesis of, other than a service to which another item in this Group applies (H) (Anaes.) (Assist.) | $563.40 75% benefit $422.55 |
| 53242 | Temporomandibular joint or joints, application of external fixator to, other than for treatment of fractures (H) (Anaes.) (Assist.) | $373.80 75% benefit $280.35 |
O9 Treatment Of Fractures
25 items
| Item | Description | Fee and benefits |
|---|---|---|
| 53400 | MAXILLA, unilateral or bilateral, treatment of fracture of, not requiring splinting | $154.60 75% benefit $115.95 85% benefit $131.45 |
| 53403 | MANDIBLE, treatment of fracture of, not requiring splinting | $188.95 75% benefit $141.75 85% benefit $160.65 |
| 53406 | Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (H) (Anaes.) (Assist.) | $486.65 75% benefit $365.00 |
| 53409 | Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (H) (Anaes.) (Assist.) | $486.65 75% benefit $365.00 |
| 53410 | ZYGOMATIC BONE, treatment of fracture of, not requiring surgical reduction | $102.50 75% benefit $76.90 85% benefit $87.15 |
| 53411 | Zygomatic bone, treatment of fracture of, requiring surgical reduction, by temporal, intra‑oral or other approach (H) (Anaes.) | $285.85 75% benefit $214.40 |
| 53412 | Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at one site (H) (Anaes.) (Assist.) | $469.30 75% benefit $352.00 |
| 53413 | Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (H) (Anaes.) (Assist.) | $574.95 75% benefit $431.25 |
| 53414 | Zygomatic bone, treatment of, requiring surgical reduction and involving internal or external fixation or both at 3 sites (H) (Anaes.) (Assist.) | $660.50 75% benefit $495.40 |
| 53415 | Maxilla, treatment of fracture of, requiring open reduction (H) (Anaes.) (Assist.) | $521.45 75% benefit $391.10 |
| 53416 | Mandible, treatment of fracture of, requiring open reduction (H) (Anaes.) (Assist.) | $521.45 75% benefit $391.10 |
| 53418 | Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving a plate (H) (Anaes.) (Assist.) | $677.90 75% benefit $508.45 |
| 53419 | Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving a plate (H) (Anaes.) (Assist.) | $677.90 75% benefit $508.45 |
| 53422 | Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving a plate (H) (Anaes.) (Assist.) | $860.25 75% benefit $645.20 |
| 53423 | Mandible, treatment of fracture of, requiring open reduction and internal fixation involving a plate (H) (Anaes.) (Assist.) | $860.25 75% benefit $645.20 |
| 53424 | Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving a plate (H) (Anaes.) (Assist.) | $738.00 75% benefit $553.50 |
| 53425 | Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving a plate (H) (Anaes.) (Assist.) | $738.00 75% benefit $553.50 |
| 53427 | Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of a plate (H) (Anaes.) (Assist.) | $1,008.10 75% benefit $756.10 |
| 53429 | Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of a plate (H) (Anaes.) (Assist.) | $1,008.10 75% benefit $756.10 |
| 53439 | MANDIBLE, treatment of a closed fracture of, involving a joint surface (Anaes.) | $285.85 75% benefit $214.40 85% benefit $243.00 |
| 53453 | Orbital cavity, reconstruction of a wall or floor with or without foreign implant (H) (Anaes.) (Assist.) | $578.40 75% benefit $433.80 |
| 53455 | Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (H) (Anaes.) (Assist.) | $679.35 75% benefit $509.55 |
| 53458 | NASAL BONES, treatment of fracture of, not being a service to which item 53459 or 53460 applies | $51.55 75% benefit $38.70 85% benefit $43.85 |
| 53459 | NASAL BONES, treatment of fracture of, by reduction (Anaes.) | $281.85 75% benefit $211.40 85% benefit $239.60 |
| 53460 | Nasal bones, treatment of fractures of, by open reduction involving osteotomies (H) (Anaes.) (Assist.) | $574.95 75% benefit $431.25 |
O11 Regional Or Field Nerve Blocks
4 items
| Item | Description | Fee and benefits |
|---|---|---|
| 53700 | (Note. Where an anaesthetic combines a regional nerve block with a general anaesthetic for an operative procedure, benefits will be paid only under the anaesthetic item relevant to the operation. The items in this Group are to be used in the practice of oral and maxillofacial surgery and are not to be used for dental procedures (eg. restorative dentistry or dental extraction.)) TRIGEMINAL NERVE, primary division of, injection of an anaesthetic agent | $149.45 75% benefit $112.10 85% benefit $127.05 |
| 53702 | TRIGEMINAL NERVE, peripheral branch of, injection of an anaesthetic agent | $74.85 75% benefit $56.15 85% benefit $63.65 |
| 53704 | FACIAL NERVE, injection of an anaesthetic agent | $45.10 75% benefit $33.85 85% benefit $38.35 |
| 53706 | NERVE BRANCH, destruction by a neurolytic agent, not being a service to which any other item in this Group applies | $149.45 75% benefit $112.10 85% benefit $127.05 |
Check the item before you claim.
An eligibility check tests the patient and each MBS item against Medicare’s rules, so a ‘no’ comes back with the reason before the claim goes in.