Acts and Regulations

84-20 - General

Full text
SCHEDULE 4
98-52
1(1)The following services when rendered by a qualified dental practitioner in a hospital, if the condition of the patient is such that the services are medically required to be rendered in a hospital, shall be paid at the rate prescribed in section 22 of this Regulation for the unit values listed in this subsection as follows:
Surgical dental procedures
Units
Abscess of dental origin, incision and drainage..............
38
Intraoral cysts
Diameter up to 1.5 cm..............
97
Diameter greater than 1.5 cm up to 2.5 cm..............
122
Diameter greater than 2.5 cm..............
246
Intraoral biopsy
Soft tissue..............
31
Bone..............
77
Benign intraoral tumours, excision
Diameter up to 1 cm..............
54
Diameter greater than 1 cm up to 2.5 cm..............
109
Diameter greater than 2.5 cm..............
214
Gingivoplasty
First quadrant..............
91
Each additional..............
91
Sulcus deepening and ridge reconstruction
First quadrant..............
149
Additional quadrants: 50% of listed fee..............
149
Antro-oral fistula, repair and closure..............
231
Avulsion of nerve..............
92
Incision
Sialolithotomy, under general anaesthesia
Simple..............
46
Complicated..............
139
Submandibular gland, excision..............
185
Lacerations, facial and intraoral - total care
First 5 cm in extent..............
46
More than 5 cm up to 10 cm..............
72
Complicated (add 5 units per cm)
Sinusotomy for removal of foreign body..............
92
Mandible - fractures
Interdental and intermaxillary wiring..............
154
Simple or compound, unilateral or bilateral,
reduction and fixation..............
269
Operative reduction and intermaxillary
wiring..............
357
Bilateral..............
500

Skeletal pinning, circumferential wiring of
mandible, wiring of Gunning splints or
dentures..............
231
Removal of fracture fixation
devices
Facial suspension..............
100
Intermaxillary..............
38
Preauricular sinus simple..............
77
Repair of palate fistula..............
231
Arthroscopy (+/- biopsy)
Diagnostic arthroscopy..............
139
Plication of Meniscus..............
204
Mandible - resection
Prognathism and micrognathia - double resection
mandible or maxilla - one or more stages..............
616
Tumours - enucleation, resection, partial resection
of mandible..............
231
With bone graft..............
346
Hemimandibulectomy..............
308
Bone graft to jaw or face
Autologous..............
308
Non-autologous..............
231
Mandibular osteotomy (not payable in addition to
prognathism or micrognathia)..............
308
Osteomyelitis of mandible - sequestrectomy
only..............
154

Exposure, excision of soft tissue, saucerization
sequestrectomy, including muscle flap..............
231
Plus bone graft..............
308
Osteotomies - facial bones (not applicable to
fractures)
Malar (maxillary)..............
582
Low maxillary osteotomy and advancement
(LeFort I), including bone grafts..............
582
Two segments..............
769
Three or more segments..............
910
Maxillary osteotomy and advancement
(LeFort II), including bone grafts..............
910
Total maxillary advancement (LeFort III),
including bone grafts..............
1219
Temporomandibular joint
Dislocation - closed reduction..............
23
Meniscectomy..............
154
Condylectomy or arthroplasty..............
231
- add with fixation..............
46
- with prosthesis..............
448
Maxilla - fractures
LeFort type I
Reduction and dental wiring including
circumferential wiring..............
154
External craniofacial fixation..............
385
LeFort types II and III facial suspension..............
385
LeFort type III complicated, i.e. antral packing,
suspension, etc...............
462
Malar fractures - simple elevation..............
115
Operative reduction with pinning, interosseous
or Kirshner wires..............
231
Maxillo-orbital fractures - operative reduction with
antrostomy and packing..............
269
1(2)The procedural fee includes all care within the postoperative period of forty-two days.
1(3)Prostheses used by a dental practitioner in the course of rendering an entitled service are to be billed to the hospital in which the service is provided.
99-29; 2003-51
Surgical assistance by a dentist on an entitled procedure performed by another dentist
2(1)Where the services of a dentist are necessary in addition to those of another dentist in connection with any of the procedures listed in subsection 1(1), such services will be treated as a surgical assistance.
2(2)The fee applicable to a surgical assistance by a dentist in connection with any of the major procedures listed in subsection 1(1) shall be thirty-three per cent of the fee for the procedure.
2(3)A dentist claiming a surgical assistance fee may not claim additional fees for services rendered to that patient during the specified postoperative period.
2003-51
Consultation
3Where a consultation and report on a hospital in-patient is requested in writing by a medical practitioner, oral surgeon or an oral and maxillofacial surgeon, such consultation is payable, subject to the assessment rules of the agreement, at a fee of forty-five units.
96-111; 97-23; 98-52; 2003-51; 2019, c.12, s.21
SCHEDULE 4
98-52
1(1)The following services when rendered by a qualified dental practitioner in a hospital, if the condition of the patient is such that the services are medically required to be rendered in a hospital, shall be paid at the rate prescribed in section 22 of this Regulation for the unit values listed in this subsection as follows:
Surgical dental procedures
Units
Abscess of dental origin, incision and drainage..............
38
Intraoral cysts
Diameter up to 1.5 cm..............
97
Diameter greater than 1.5 cm up to 2.5 cm..............
122
Diameter greater than 2.5 cm..............
246
Intraoral biopsy
Soft tissue..............
31
Bone..............
77
Benign intraoral tumours, excision
Diameter up to 1 cm..............
54
Diameter greater than 1 cm up to 2.5 cm..............
109
Diameter greater than 2.5 cm..............
214
Gingivoplasty
First quadrant..............
91
Each additional..............
91
Sulcus deepening and ridge reconstruction
First quadrant..............
149
Additional quadrants: 50% of listed fee..............
149
Antro-oral fistula, repair and closure..............
231
Avulsion of nerve..............
92
Incision
Sialolithotomy, under general anaesthesia
Simple..............
46
Complicated..............
139
Submandibular gland, excision..............
185
Lacerations, facial and intraoral - total care
First 5 cm in extent..............
46
More than 5 cm up to 10 cm..............
72
Complicated (add 5 units per cm)
Sinusotomy for removal of foreign body..............
92
Mandible - fractures
Interdental and intermaxillary wiring..............
154
Simple or compound, unilateral or bilateral,
reduction and fixation..............
269
Operative reduction and intermaxillary
wiring..............
357
Bilateral..............
500

Skeletal pinning, circumferential wiring of
mandible, wiring of Gunning splints or
dentures..............
231
Removal of fracture fixation
devices
Facial suspension..............
100
Intermaxillary..............
38
Preauricular sinus simple..............
77
Repair of palate fistula..............
231
Arthroscopy (+/- biopsy)
Diagnostic arthroscopy..............
139
Plication of Meniscus..............
204
Mandible - resection
Prognathism and micrognathia - double resection
mandible or maxilla - one or more stages..............
616
Tumours - enucleation, resection, partial resection
of mandible..............
231
With bone graft..............
346
Hemimandibulectomy..............
308
Bone graft to jaw or face
Autologous..............
308
Non-autologous..............
231
Mandibular osteotomy (not payable in addition to
prognathism or micrognathia)..............
308
Osteomyelitis of mandible - sequestrectomy
only..............
154

Exposure, excision of soft tissue, saucerization
sequestrectomy, including muscle flap..............
231
Plus bone graft..............
308
Osteotomies - facial bones (not applicable to
fractures)
Malar (maxillary)..............
582
Low maxillary osteotomy and advancement
(LeFort I), including bone grafts..............
582
Two segments..............
769
Three or more segments..............
910
Maxillary osteotomy and advancement
(LeFort II), including bone grafts..............
910
Total maxillary advancement (LeFort III),
including bone grafts..............
1219
Temporomandibular joint
Dislocation - closed reduction..............
23
Meniscectomy..............
154
Condylectomy or arthroplasty..............
231
- add with fixation..............
46
- with prosthesis..............
448
Maxilla - fractures
LeFort type I
Reduction and dental wiring including
circumferential wiring..............
154
External craniofacial fixation..............
385
LeFort types II and III facial suspension..............
385
LeFort type III complicated, i.e. antral packing,
suspension, etc...............
462
Malar fractures - simple elevation..............
115
Operative reduction with pinning, interosseous
or Kirshner wires..............
231
Maxillo-orbital fractures - operative reduction with
antrostomy and packing..............
269
1(2)The procedural fee includes all care within the postoperative period of forty-two days.
1(3)Prostheses used by a dental practitioner in the course of rendering an entitled service are to be billed to the hospital in which the service is provided.
99-29; 2003-51
Surgical assistance by a dentist on an entitled procedure performed by another dentist
2(1)Where the services of a dentist are necessary in addition to those of another dentist in connection with any of the procedures listed in subsection 1(1), such services will be treated as a surgical assistance.
2(2)The fee applicable to a surgical assistance by a dentist in connection with any of the major procedures listed in subsection 1(1) shall be thirty-three per cent of the fee for the procedure.
2(3)A dentist claiming a surgical assistance fee may not claim additional fees for services rendered to that patient during the specified postoperative period.
2003-51
Consultation
3Where a consultation and report on a hospital in-patient is requested in writing by a medical practitioner, oral surgeon or an oral and maxillofacial surgeon, such consultation is payable, subject to the assessment rules of the agreement, at a fee of forty-five units.
96-111; 97-23; 98-52; 2003-51