Code

Procedure description

DM/+

MP

TC

General Dental Practice

Maxillo-facial and Oral Surgery

Prosthodontics

TREATMENT OF FRACTURES

Alveolus Fractures

9024

Dento - alveolar fracture, per sextant

+L

S

931.67

1 397.44

-

Mandibular Fractures

9025

Treatment by closed reduction,with intermaxillary fixation

S

2 067.08

3 100.47

-

9027

Treatment of compound fracture, involving eyelet wiring

S

2 901.69

4 352.31

-

9029

Treatment by metal cap splintage or Gunning's splints

+L

S

3 216.85

4 825.03

-

9031

Treatment by open reduction with restoration of occlusion by splintage

+L

S

4 763.73

7 145.24

-

Maxillary fractures with special attention to occlusion

When open reduction is required for Items 9035 and 9037, Modifier 8010 may be applied

9035

Le Fort I or Guerin fracture

+L

S

2 908.65

4 362.76

-

9037

Le Fort II or middle third of face fracture

+L

S

4 763.73

7 145.24

-

9039

Le Fort III or craniofacial dislocation or comminuted mid -facial fractures requiring open reduction and splintage

+L

S

6 829.13

10 243.19

-

Zygoma / Orbit / Antral - complex fractures

9041

Zygomatic arch fracture - closed reduction

S

2 067.08

3 100.47

-

Gillies or temporal elevation

9043

Zygomatic arch fracture - open reduction

S

4 140.51

6 210.46

-

Unstable and / or cornminuted zygoma fractures, treatment by open reduction or Caldwell -Luc operation

9045

Zygomatic arch fracture - open reduction (requiring osteosynthesis and/or grafting)

S

6 207.33

9 310.53

9046

Placement of zygomaticus fixture, per fixture

S

5 191.63

7 787.05