Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)

I

GENERAL DENTAL PRACTITIONERS

Code

Procedure description

Rc

Fee

MP

Unclassified treatment

8131

Palliative [emergency] treatment for dental pain

This is typically reported on a per visit" basis for emergency treatment of dental pain where no other treatment item is applicable or applied for treatment of the same tooth

160.86

T

8221

Local treatment of post-extraction haemorrhage - initial visit

112.90

(Excluding treatment of bleeding in the case of blood dyscrasias, e.g. haemophilia)

8223

Local treatment of post-extraction haemorrhage - each additional visit

72.50

8225

Treatment of septic socket - initial visit

112.90

8227

Treatment of septic socket - each additional visit

72.50

Anaesthesia

8141

Inhalation sedation - first quarter-hour or part thereof

142.52

8143

Inhalation sedation - each additional quarter-hour or part thereof

No additional fee can be charged for gases used in the case of items 8141 and 8143

77.07

8144

Intravenous sedation

74.95

8145

Local anaesthetic, per visit

Code 8145 includes the use of the wand

35.19

8499

The relevant codes published in the Government Gazette for Medical Practitioners shall apply to general anaesthetics for dental procedures

Professional visits

8129

Additional fee for emergency treatment rendered outside normal working hours (including emergency treatment carried out at hospital). Not applicable where a practice offers extended service hours as the norm.

389.10

8140

Fee for treatment at a venue other than the surgery, inclusive of hospital visits, treatment under general anaesthetic and home visits; per visit

248.22

Code 8140 may be applied concurrent with codes 8101 or 8104, but in accordance with rule 001

Drugs, medication and materials

8183

Intra-muscular or sub-cutaneous injection therapy, per injection

(Not applicable to local anaesthetic)

67.09

8220

Use of suture material provided by practitioner

Rule 013

Miscellaneous services

8109

Infection control, per dentist, per hygienist, per dental assistant, per visit

23.73

Code 8109 includes the provision by the dentist of new rubber gloves, masks, etc. for each patient

8110

Provision of sterilized and wrapped instrumentation in consulting rooms

The use of this code is limited to heat, autoclave or vapour sterilised and wrapped instruments

66.93

8168

Behaviour management, by report

153.16

May be reported in addition to treatment provided. Should be reported in 15 minute increments

Notes:

If requested, the report must be made available at no charge

The use of this code is limited to general dental practitioners and specialists in community dentistry

Limitation

May be reported in addition to treatment provided, when the patient is developmentally disabled, mentally ill, or is especially uncooperative and difficult to manage, resulting in the dental staff utilising additional time, skill and/or assistance to render treatment.

The code can only be billed where treatment requires extraordinary effort and is the only alternative to general anaesthesia. The fee includes all pharmacological, psychological and physical management adjuncts required or utilized.

Notation and justification must be recorded in the patient record identifying the specific behavior problem and the technique used to manage it.

Billed in 15-minute units. (maximum 4 units per visit and allowed once per patient per day).

Limited to 12 units per year.

8304

Rubber dam, per arch

118.15

(Refer to the guidelines for the application of a rubber dam in the preamble to the category "Endodontics")