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This instrument is the Health Insurance (Section 3C Cleft Lip and Cleft Palate Services) Determination 2020.
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Commonwealth legislation
This Act has been repealed and is no longer in force. It is retained for historical reference.
This Determination sets Medicare rules for dental and surgical care for people born with cleft lip, cleft palate and related congenital craniofacial conditions. It defines which orthodontic, oral/maxillofacial and general dental treatments attract Medicare benefits, which practitioners may claim them, and the fee levels and annual indexing that apply.
By specifying covered services and eligible providers, it ensures these complex reconstructive treatments are subsidised and reduces potentially large out‑of‑pocket costs for affected patients.
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Direct links to the current provisions in Health Insurance (Section 3C Cleft Lip and Cleft Palate Services) Determination 2020.
This instrument is the Health Insurance (Section 3C Cleft Lip and Cleft Palate Services) Determination 2020.
This instrument is made under subsection 3C(1) of the Health Insurance Act 1973.
(1) In this instrument:
Act means the Health Insurance Act 1973.
dental practitioner has the same meaning as subsection 3(1) of the Act.
eligible oral and maxillofacial surgeon means a practitioner described in subsection 7(6) of this instrument.
eligible orthodontist means a dental practitioner described in subsection 7(2) of this instrument.
GMST Regulations 2011 means the Health Insurance (General Medical Services Table) Regulations 2011.
Note The Health Insurance (General Medical Services Table) Regulations 2011 commenced on 1 November 2011.
medical practitioner has the same meaning as subsection 3(1) of the Act.
relevant provisions means all provisions, relating to professional services or to medical services, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under that Act.
relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in the Schedule.
Schedule means the Schedule to this instrument.
Note Unless the contrary intention appears, expressions used in this instrument have the same meanings as in the Act—see section 13 of the Legislation Act 2003. Terms defined in the Act include:
(2) Unless the contrary intention appears, a reference in this instrument to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.
For subsection 3C(1) of the Act, a relevant service provided in accordance with this instrument is to be treated, for the relevant provisions, as if:
(a) it were both a professional service and a medical service; and
(b) there were an item in the general medical services table that:
(i) related to the service; and
(ii) specified for the service a fee in relation to each State, being the fee specified in the Schedule in relation to the service.
(1) An item specified in the Schedule to this Determination only applies to a service provided to a patient diagnosed with an eligible cleft and craniofacial condition as specified in the table at section 9.
(2) Subject to subsection (5), items 75001 to 75006 or 75024 to 75051 that include the symbol (AO) apply only to a service provided:
(a) by a dental practitioner who is registered under a law of a State or Territory in the specialty of orthodontics; or
(b) by a dental practitioner:
(i) who is not registered under a law of a State or Territory in the specialty of orthodontics; and
(ii) whose qualifications or experience demonstrate to the Australian Society of Orthodontists, prior to 31 March 2013, his or her competence in the field of orthodontics that is applicable to the giving of:
(A) services mentioned in items 75001 to 75006 or 75024 to 75051; or
(B) services mentioned in at least 1 of these items; or
(c) a dental practitioner who, immediately prior to 1 November 2012, was an accredited orthodontist as defined in rule 2.59.2(3)(b) of the GMST Regulations 2011 or any equivalent provision of preceding regulations.
(3) Subject to subsection (5), items 75009 to 75023 that include the symbol (AO) and the symbol (AOS) apply only to a service provided by:
(a) a dental practitioner who is registered under a law of a State or Territory in the specialty of orthodontics; or
(b) a dental practitioner:
(i) who is not registered under a law of a State or Territory in the specialty of orthodontics; and
(ii) whose qualifications or experience demonstrate to the Australian Society of Orthodontists, prior to 31 March 2013, his or her competence in the field of orthodontics that is applicable to the giving of:
(A) services mentioned in items 75009 to 75023; or
(B) services mentioned in at least 1 of these items;
(c) a medical practitioner who is a specialist in the practice of his or her specialty of oral and maxillofacial surgery; or
(d) a dental practitioner who, immediately prior 1 November 2012, was an accredited orthodontist as defined in rule 2.59.2(3)(b) of the GMST Regulations 2011 or any equivalent provision of preceding regulations; or
(e) a dental practitioner who, immediately prior to 1 November 2012, held an approval granted by the Minister for the purposes of the definition of professional service in subsection 3(1) of the Act.
(4) In this section, an equivalent provision of preceding regulations means a provision of regulations prescribed pursuant to section 4 of the Act in force at any time prior to the commencement of the GMST Regulations 2011, being a provision concerning the accreditation of a dental practitioner who was not registered or licensed as an orthodontist under a law of a State or Territory that provided for the registration or licensing of orthodontists.
(5) If a service described in an item mentioned in subsection (2) or (3) is performed by a dental practitioner described in paragraph (2)(b), (2)(c), (3)(b) or (3)(d), the item for the service applies only if the dental practitioner’s experience or qualifications demonstrated his or her competence in the field of orthodontics applicable to the giving of the service mentioned in that item.
(6) Items 75150 to 75156 or 75400 to 75621 that include the symbol (AOS) apply only to a service provided by:
(a) a medical practitioner who is a specialist in the practice of his or her specialty of oral and maxillofacial surgery; or
(b) a dental practitioner who, immediately prior to 1 November 2012, held an approval granted by the Minister for the purposes of the definition of professional service in subsection 3(1) of the Act.
(7) Items 75200 to 75206 or 75800 to 75854 that include the symbol (AD) apply only to a service provided by a dental practitioner.
(1) At the start of 1 November 2023 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula: Start formula 1.005 times the amount immediately before the indexation time end formula
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
<table cellspacing="0" cellpadding="0" style="width:397.9pt; margin-left:63.3pt; border-collapse:collapse"><tbody><tr><td colspan="3" style="width:386.1pt; border-top:0.75pt solid #000000; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">Table 9–</span><span> </span><span style="font-weight:bold">Eligible cleft and craniofacial conditions</span></p></td></tr><tr><td colspan="3" style="width:386.1pt; border-top:0.75pt solid #000000; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">1. Oral and/or facial clefting</span></p></td></tr><tr style="height:16.3pt"><td colspan="2" rowspan="2" style="width:69.55pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-style:italic">Limited to</span></p><p class="Item"><span style="font-weight:bold"></span></p></td><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Cleft lip, alveolus and/or palate</span></p></td></tr><tr style="height:11.25pt"><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Tessier facial cleft</span></p></td></tr><tr><td colspan="3" style="width:386.1pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">2. Congenital or hereditary craniofacial malformation, deformation or disruption</span></p></td></tr><tr style="height:10.55pt"><td colspan="2" rowspan="19" style="width:69.55pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-style:italic">Limited to</span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p></td><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Achondroplasia</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Branchial arch disorders including:</span></p><p class="Item" style="margin-left:0pt"><span>Hemifacial/craniofacial microsomia, Goldenhar syndrome, DiGeorge syndrome, Velocardiofacial syndrome</span></p></td></tr><tr style="height:10.7pt"><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>CHARGE syndrome</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Congenital hemifacial hyperplasia</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Congenital</span><span> </span><span>lymphatic and/or vascular malformations of the head & neck, cystic hygroma, Sturge-Weber syndrome,</span><span> </span><span style="font-style:italic">excluding haemangiomas, birthmarks, and naevi.</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Craniofacial Neurofibromatosis Type 1</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Craniometaphyseal dysplasia</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Ectodermal dysplasia</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Hemifacial atrophy (Parry Romberg syndrome)</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Mandibulofacial dysostosis (Treacher Collins syndrome)</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Maxillonasal dysplasia (Binder syndrome)</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Oral-facial digital syndrome Type 1</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Pierre Robin sequence</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Rubinstein-Taybi syndrome</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Shprintzen-Goldberg syndrome</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Solitary median maxillary central incisor syndrome</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Stickler syndrome</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Syndromic craniosynostoses including:</span></p><p class="Item" style="margin-left:0pt"><span>Apert, Crouzon, Pfeiffer, Saethre Chotzen, and Muenke syndromes</span></p></td></tr><tr style="height:26.05pt"><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Trichorhinophalangeal syndrome Type 1</span></p></td></tr><tr style="height:15.05pt"><td colspan="3" style="width:386.1pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">3. Hereditary conditions</span><span style="font-weight:bold"> </span><span>presenting with the absence of</span><span> </span><span>6 (six) or more permanent teeth, excluding 3</span><span style="font-size:7.33pt; vertical-align:super">rd</span><span> </span><span>molars</span></p></td></tr><tr style="height:17.45pt"><td colspan="3" style="width:386.1pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">4. Hereditary conditions</span><span style="font-weight:bold"> </span><span>where the presence of supernumerary teeth is a major feature</span></p></td></tr><tr style="height:15.8pt"><td rowspan="2" style="width:69.1pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-style:italic">Limited to</span></p></td><td colspan="2" style="width:306.2pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Cleidocranial dysplasia</span></p></td></tr><tr style="height:11.75pt"><td colspan="2" style="width:306.2pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Gardner’s syndrome</span></p></td></tr><tr style="height:14.4pt"><td colspan="3" style="width:386.1pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">5. Hereditary conditions</span><span style="font-weight:bold"> </span><span>affecting the formation of enamel and/or dentine of all teeth</span></p></td></tr><tr style="height:13.4pt"><td rowspan="3" style="width:69.1pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-style:italic">Limited to</span></p><p class="Item"><span></span></p></td><td colspan="2" style="width:306.2pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:6.9pt"><span>Amelogenesis imperfecta</span></p></td></tr><tr style="height:12.95pt"><td colspan="2" style="width:306.2pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:6.9pt"><span>Dentinogenesis imperfecta</span></p></td></tr><tr style="height:12.4pt"><td colspan="2" style="width:306.2pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:6.9pt"><span>Regional odontodysplasia</span></p></td></tr><tr style="height:0pt"><td style="width:79.9pt"></td><td style="width:0.45pt"></td><td style="width:316.55pt"></td></tr></tbody></table>
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Category 7 – Cleft Lip and Cleft Palate Services</span></p></td></tr><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Group C1 – Orthodontic Services</span></p></td></tr><tr><td style="width:9.16%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Item</span></p></td><td style="width:80.26%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Service</span></p></td><td style="width:10.58%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:9.16%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75001</span></p></td><td style="width:80.26%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Initial professional attendance in a single course of treatment by an eligible orthodontist (AO)</span></p></td><td style="width:10.58%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">89.00</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75004</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Professional attendance by an eligible orthodontist after the first professional attendance by the orthodontist in a single course of treatment (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">44.75</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75006</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Production of dental study models (other than a service associated with a service to which item 75004 applies) before provision of a service to which:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.3pt; text-indent:0pt; display:inline-block"></span><span style="font-size:10pt">(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span style="font-size:10pt">item 75030, 75033, 75034, 75036, 75037, 75039, 75045 or 75051 applies; or</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.74pt; text-indent:0pt; display:inline-block"></span><span style="font-size:10pt">(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span style="font-size:10pt">an item in Group T8 or Groups O3 to O9 applies;</span></p><p style="margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">in a single course of treatment (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">79.30</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75009</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Orthodontic radiography</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— orthopantomography (panoramic radiography), including any consultation on the same occasion (AOS) (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">70.95</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75012</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Orthodontic radiography</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings including any consultation on the same occasion (AOS) (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">112.45</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75015</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Orthodontic radiography</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— anteroposterior and lateral cephalometric radiography, with cephalometric tracings including any consultation on the same occasion (AOS)</span><span style="font-size:10pt"> </span><span style="font-size:10pt">(AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">154.60</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75018</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Orthodontic radiography</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— anteroposterior and lateral cephalometric radiography, with cephalometric tracings and orthopantomography including any consultation on the same occasion (AOS) (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">196.95</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75021</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Orthodontic radiography</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— hand</span><span style="font-size:10pt">‑</span><span style="font-size:10pt">wrist studies (including growth prediction) including any consultation on the same occasion (AOS) (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">241.45</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75023</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Intraoral radiography</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— single area, periapical or bitewing film (AOS) (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">48.35</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75024</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Pre</span><span style="font-size:10pt">‑</span><span style="font-size:10pt">surgical infant maxillary arch repositioning, including supply of appliances and all adjustments of appliances and supervision</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— if 1 appliance is used (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">624.40</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75027</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Pre</span><span style="font-size:10pt">‑</span><span style="font-size:10pt">surgical infant maxillary arch repositioning, including supply of appliances and all adjustments of appliances and supervision</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— if 2 appliances are used (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">856.25</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75030</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Maxillary ach expansion other than a service associated with a service to which item 75039, 75042, 75045 or</span><span style="font-size:10pt"> </span><span style="font-size:10pt">75048 applies, including supply of appliances, all adjustments of the appliances, removal of the appliances and retention (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">762.35</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75033</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Mixed dentition treatment</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— incisor alignment using fixed appliances in maxillary arch, including supply of appliances, all adjustments of appliances, removal of the appliances and retention (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">1,249.60</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75034</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Mixed dentition treatment</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— incisor alignment with or without lateral arch expansion using a removable appliance in the maxillary arch, including supply of appliances, associated adjustments and retention (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">636.00</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75036</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Mixed dentition treatment</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— lateral arch expansion and incisor alignment using fixed appliances in maxillary arch, including supply of appliances, all adjustments of appliances, removal of appliances and retention (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">1,726.00</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75037</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Mixed dentition treatment</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— lateral arch expansion and incisor correction</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 2 arch (maxillary and mandibular) using fixed appliances in both maxillary and mandibular arches, including supply of appliances, all adjustments of appliances, removal of appliances and retention (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">2,173.85</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75039</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Permanent dentition treatment</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— single arch (mandibular or maxillary) treatment (correction and alignment) using fixed appliances, including supply of appliances</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— initial 3</span><span style="font-size:10pt"> </span><span style="font-size:10pt">months of active treatment (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">577.75</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75042</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Permanent dentition treatment</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— single arch (mandibular or maxillary) treatment (correction and alignment) using fixed appliances, including supply of appliances</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— each 3</span><span style="font-size:10pt"> </span><span style="font-size:10pt">months of active treatment (including all adjustments and maintenance and removal of the appliances) after the first for a maximum of a further 33 months (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">215.95</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75045</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Permanent dentition treatment</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 2 arch (mandibular and maxillary) treatment (correction and alignment) using fixed appliances, including supply of appliances</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— initial 3</span><span style="font-size:10pt"> </span><span style="font-size:10pt">months of active treatment (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">1,156.60</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75048</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Permanent dentition treatment</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 2 arch (mandibular and maxillary) treatment (correction and alignment) using fixed appliances, including supply of appliances</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— each subsequent 3 months of active treatment (including all adjustments and maintenance, and removal of the appliances) after the first for a maximum of a further 33</span><span style="font-size:10pt"> </span><span style="font-size:10pt">months (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">296.60</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75049</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Retention, fixed or removable, single arch (mandibular or maxillary)</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— supply of retainer and supervision of retention (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">347.15</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75050</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Retention, fixed or removable, 2</span><span style="font-size:10pt">‑</span><span style="font-size:10pt">arch (mandibular and maxillary)</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— supply of retainers and supervision of retention (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">670.15</span></p></td></tr><tr><td style="width:9.16%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75051</span></p></td><td style="width:80.26%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Jaw growth guidance using removable or functional appliances, including supply of appliances and all adjustments to appliances (AO)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top; background-color:#ffffff"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">1,028.70</span></p></td></tr></tbody></table>
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Category 7 – Cleft Lip and Cleft Palate Services</span></p></td></tr><tr><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Group C2 – Oral and Maxillofacial Services</span></p></td></tr><tr><td style="width:8.76%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Item</span></p></td><td style="width:80.66%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Service</span></p></td><td style="width:10.58%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:8.76%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><a id="CU_414609"></a><span style="font-size:10pt">75150</span></p></td><td style="width:80.66%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Initial professional attendance in a single course of treatment by an eligible oral and maxillofacial surgeon if the patient is referred to the surgeon by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">89.00</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75153</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Professional attendance by an eligible oral and maxillofacial surgeon after the first professional attendance by the surgeon in a single course of treatment if the patient is referred to the surgeon by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">44.75</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75156</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Production of dental study models (other than a service associated with a service to which item 75153 applies) before provision of a service:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.3pt; text-indent:0pt; display:inline-block"></span><span style="font-size:10pt">(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span style="font-size:10pt">to which item 52321, 53212 or 75618 applies; or</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.74pt; text-indent:0pt; display:inline-block"></span><span style="font-size:10pt">(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span style="font-size:10pt">to which an item in the series 52330 to 52382, 52600 to 52630, 53400 to 53409 or 53415 to</span><span style="font-size:10pt"> </span><span style="font-size:10pt">53429 applies;</span></p><p style="margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">in a single course of treatment, if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">79.30</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75200</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Removal of tooth or tooth fragment (other than treatment to which item 75400, 75403, 75406, 75409, 75412 or</span><span style="font-size:10pt"> </span><span style="font-size:10pt">75415 applies), if the patient is referred by an eligible orthodontist (AD)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">57.15</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75203</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Removal of tooth or tooth fragment under general anaesthesia, if the patient is referred by an eligible orthodontist (AD)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">85.75</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75206</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Removal of each additional tooth or tooth fragment at the same attendance at which a service to which item</span><span style="font-size:10pt"> </span><span style="font-size:10pt">75200 or 75203 applies is rendered, if the patient is referred by an eligible orthodontist (AD)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">28.45</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75400</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Surgical removal of erupted tooth, if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">171.45</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75403</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Surgical removal of tooth with soft tissue impaction, if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">196.95</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75406</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Surgical removal of tooth with partial bone impaction, if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">224.40</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75409</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Surgical removal of tooth with complete bone impaction, if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">254.10</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75412</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Surgical removal of tooth fragment requiring incision of soft tissue only, if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">141.95</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75415</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Surgical removal of tooth fragment requiring removal of bone, if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">171.45</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75600</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Surgical exposure, stimulation and packing of unerupted tooth, if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">241.45</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75603</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Surgical exposure of unerupted tooth for the purpose of fitting a traction device, if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">283.80</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75606</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Surgical repositioning of unerupted tooth, if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">283.80</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75609</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Transplantation of tooth bud, if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">423.65</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><a id="CU_2017320"></a><span style="font-size:10pt">75612</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Surgical procedure for intra oral implantation of osseointegrated fixture (first stage), if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">524.30</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75615</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Surgical procedure for fixation of trans</span><span style="font-size:10pt">‑</span><span style="font-size:10pt">mucosal abutment (second stage of osseointegrated implant), if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">194.10</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75618</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Provision and fitting of a bite rising appliance or dental splint for the management of temporomandibular joint dysfunction syndrome, if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">241.00</span></p></td></tr><tr><td style="width:8.76%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75621</span></p></td><td style="width:80.66%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">The provision and fitting of surgical template in conjunction with orthognathic surgical procedures in association with:</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:9.3pt; text-indent:0pt; display:inline-block"></span><span style="font-size:10pt">(a)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span style="font-size:10pt">an item in the series:</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:26.86pt; text-indent:0pt; display:inline-block"></span><span style="font-size:10pt">(i)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span style="font-size:10pt">46150 to 46161; or</span></p><p style="margin-left:43.4pt; margin-bottom:3pt; text-indent:-43.4pt; line-height:12pt"><span style="width:24.08pt; text-indent:0pt; display:inline-block"></span><span style="font-size:10pt">(ii)</span><span style="width:7.1pt; text-indent:0pt; display:inline-block"> </span><span style="font-size:10pt">52342 to 52375; or</span></p><p style="margin-left:26.65pt; margin-bottom:3pt; text-indent:-26.65pt; line-height:12pt"><span style="width:8.74pt; text-indent:0pt; display:inline-block"></span><span style="font-size:10pt">(b)</span><span style="width:6.25pt; text-indent:0pt; display:inline-block"> </span><span style="font-size:10pt">item 52380 or 52382;</span></p><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">if the patient is referred by an eligible orthodontist (AOS)</span></p></td><td style="width:10.58%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">253.65</span></p></td></tr></tbody></table>
<table cellspacing="0" cellpadding="0" style="width:100%; border-collapse:collapse"><thead><tr style="height:15.25pt"><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Category 7 – Cleft Lip and Cleft Palate Services</span></p></td></tr><tr style="height:19pt"><td colspan="3" style="border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Group C3 – General and Prosthodontic Services</span></p></td></tr><tr><td style="width:9.38%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Item</span></p></td><td style="width:80.16%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Service</span></p></td><td style="width:10.46%; border-top:1.5pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-right:1.95pt; margin-bottom:3pt; text-indent:18pt; text-align:right; page-break-after:avoid; line-height:10pt"><span style="font-size:10pt; font-weight:bold">Fee ($)</span></p></td></tr></thead><tbody><tr><td style="width:9.38%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75800</span></p></td><td style="width:80.16%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Attendance comprising consultation, preventive treatment and prophylaxis, of not less than 30</span><span style="font-size:10pt"> </span><span style="font-size:10pt">minutes in duration</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— each attendance to a maximum of 3</span><span style="font-size:10pt"> </span><span style="font-size:10pt">attendances in any period of 12</span><span style="font-size:10pt"> </span><span style="font-size:10pt">months (AD)</span></p></td><td style="width:10.46%; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">85.75</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75803</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Provision and fitting of acrylic base partial denture, including retainers</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 1 tooth (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">343.15</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75806</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Provision and fitting of acrylic base partial denture, including retainers</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 2 teeth (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">402.45</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75809</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Provision and fitting of acrylic base partial denture, including retainers</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 3 teeth (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">476.55</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75812</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Provision and fitting of acrylic base partial denture, including retainers</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 4 teeth (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">529.45</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75815</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Provision and fitting of acrylic base partial denture, including retainers</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 5 to 9 teeth (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">646.05</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75818</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Provision and fitting of acrylic base partial denture, including retainers</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 10 to 12 teeth (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">762.35</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75821</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 1</span><span style="font-size:10pt"> </span><span style="font-size:10pt">tooth (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">614.10</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75824</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 2</span><span style="font-size:10pt"> </span><span style="font-size:10pt">teeth (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">709.45</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75827</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 3</span><span style="font-size:10pt"> </span><span style="font-size:10pt">teeth (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">815.50</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75830</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 4</span><span style="font-size:10pt"> </span><span style="font-size:10pt">teeth (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">900.20</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75833</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 5</span><span style="font-size:10pt"> </span><span style="font-size:10pt">to 9 teeth (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">1,101.25</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75836</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 10</span><span style="font-size:10pt"> </span><span style="font-size:10pt">to 12 teeth (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">1,260.15</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75839</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Provision and fitting of retainers (other than treatment associated with treatment to which item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836 applies)</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— each retainer (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">28.45</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75842</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Adjustment of partial denture (other than treatment associated with treatment to which item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836 applies) (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">42.40</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75845</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Relining of partial denture by laboratory process and associated fitting (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">211.90</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75848</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Remodelling and fitting of partial denture of more than 4</span><span style="font-size:10pt"> </span><span style="font-size:10pt">teeth</span><span style="font-size:10pt"> </span><span style="font-size:10pt">(AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">254.10</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75851</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Repair to cast metal base of partial denture</span><span style="font-size:10pt"> </span><span style="font-size:10pt">— 1 or more points (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">127.10</span></p></td></tr><tr><td style="width:9.38%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">75854</span></p></td><td style="width:80.16%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; line-height:12pt"><span style="font-size:10pt">Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression (AD)</span></p></td><td style="width:10.46%; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:12pt"><span style="font-size:10pt">127.10</span></p></td></tr></tbody></table>
Sourced from the Federal Register of Legislation (legislation.gov.au), CC BY 4.0.
This instrument is the Health Insurance (Section 3C Cleft Lip and Cleft Palate Services) Determination 2020.
This instrument is made under subsection 3C(1) of the Health Insurance Act 1973.
(1) In this instrument:
Act means the Health Insurance Act 1973.
dental practitioner has the same meaning as subsection 3(1) of the Act.
eligible oral and maxillofacial surgeon means a practitioner described in subsection 7(6) of this instrument.
eligible orthodontist means a dental practitioner described in subsection 7(2) of this instrument.
GMST Regulations 2011 means the Health Insurance (General Medical Services Table) Regulations 2011.
Note The Health Insurance (General Medical Services Table) Regulations 2011 commenced on 1 November 2011.
medical practitioner has the same meaning as subsection 3(1) of the Act.
relevant provisions means all provisions, relating to professional services or to medical services, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under that Act.
relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in the Schedule.
Schedule means the Schedule to this instrument.
Note Unless the contrary intention appears, expressions used in this instrument have the same meanings as in the Act—see section 13 of the Legislation Act 2003. Terms defined in the Act include:
(2) Unless the contrary intention appears, a reference in this instrument to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.
For subsection 3C(1) of the Act, a relevant service provided in accordance with this instrument is to be treated, for the relevant provisions, as if:
(a) it were both a professional service and a medical service; and
(b) there were an item in the general medical services table that:
(i) related to the service; and
(ii) specified for the service a fee in relation to each State, being the fee specified in the Schedule in relation to the service.
(1) An item specified in the Schedule to this Determination only applies to a service provided to a patient diagnosed with an eligible cleft and craniofacial condition as specified in the table at section 9.
(2) Subject to subsection (5), items 75001 to 75006 or 75024 to 75051 that include the symbol (AO) apply only to a service provided:
(a) by a dental practitioner who is registered under a law of a State or Territory in the specialty of orthodontics; or
(b) by a dental practitioner:
(i) who is not registered under a law of a State or Territory in the specialty of orthodontics; and
(ii) whose qualifications or experience demonstrate to the Australian Society of Orthodontists, prior to 31 March 2013, his or her competence in the field of orthodontics that is applicable to the giving of:
(A) services mentioned in items 75001 to 75006 or 75024 to 75051; or
(B) services mentioned in at least 1 of these items; or
(c) a dental practitioner who, immediately prior to 1 November 2012, was an accredited orthodontist as defined in rule 2.59.2(3)(b) of the GMST Regulations 2011 or any equivalent provision of preceding regulations.
(3) Subject to subsection (5), items 75009 to 75023 that include the symbol (AO) and the symbol (AOS) apply only to a service provided by:
(a) a dental practitioner who is registered under a law of a State or Territory in the specialty of orthodontics; or
(b) a dental practitioner:
(i) who is not registered under a law of a State or Territory in the specialty of orthodontics; and
(ii) whose qualifications or experience demonstrate to the Australian Society of Orthodontists, prior to 31 March 2013, his or her competence in the field of orthodontics that is applicable to the giving of:
(A) services mentioned in items 75009 to 75023; or
(B) services mentioned in at least 1 of these items;
(c) a medical practitioner who is a specialist in the practice of his or her specialty of oral and maxillofacial surgery; or
(d) a dental practitioner who, immediately prior 1 November 2012, was an accredited orthodontist as defined in rule 2.59.2(3)(b) of the GMST Regulations 2011 or any equivalent provision of preceding regulations; or
(e) a dental practitioner who, immediately prior to 1 November 2012, held an approval granted by the Minister for the purposes of the definition of professional service in subsection 3(1) of the Act.
(4) In this section, an equivalent provision of preceding regulations means a provision of regulations prescribed pursuant to section 4 of the Act in force at any time prior to the commencement of the GMST Regulations 2011, being a provision concerning the accreditation of a dental practitioner who was not registered or licensed as an orthodontist under a law of a State or Territory that provided for the registration or licensing of orthodontists.
(5) If a service described in an item mentioned in subsection (2) or (3) is performed by a dental practitioner described in paragraph (2)(b), (2)(c), (3)(b) or (3)(d), the item for the service applies only if the dental practitioner’s experience or qualifications demonstrated his or her competence in the field of orthodontics applicable to the giving of the service mentioned in that item.
(6) Items 75150 to 75156 or 75400 to 75621 that include the symbol (AOS) apply only to a service provided by:
(a) a medical practitioner who is a specialist in the practice of his or her specialty of oral and maxillofacial surgery; or
(b) a dental practitioner who, immediately prior to 1 November 2012, held an approval granted by the Minister for the purposes of the definition of professional service in subsection 3(1) of the Act.
(7) Items 75200 to 75206 or 75800 to 75854 that include the symbol (AD) apply only to a service provided by a dental practitioner.
(1) At the start of 1 November 2023 (the indexation day), each amount covered by subsection (2) is replaced by the amount worked out using the following formula:
(2) The amounts covered by this subsection are the fee for each item in a Schedule of this Determination.
(3) An amount worked out under subsection (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).
<table cellspacing="0" cellpadding="0" style="width:397.9pt; margin-left:63.3pt; border-collapse:collapse"><tbody><tr><td colspan="3" style="width:386.1pt; border-top:0.75pt solid #000000; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">Table 9–</span><span> </span><span style="font-weight:bold">Eligible cleft and craniofacial conditions</span></p></td></tr><tr><td colspan="3" style="width:386.1pt; border-top:0.75pt solid #000000; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">1. Oral and/or facial clefting</span></p></td></tr><tr style="height:16.3pt"><td colspan="2" rowspan="2" style="width:69.55pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-style:italic">Limited to</span></p><p class="Item"><span style="font-weight:bold"></span></p></td><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Cleft lip, alveolus and/or palate</span></p></td></tr><tr style="height:11.25pt"><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Tessier facial cleft</span></p></td></tr><tr><td colspan="3" style="width:386.1pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-weight:bold">2. Congenital or hereditary craniofacial malformation, deformation or disruption</span></p></td></tr><tr style="height:10.55pt"><td colspan="2" rowspan="19" style="width:69.55pt; border-right:1pt solid #000000; border-left:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:4.9pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span style="font-style:italic">Limited to</span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p><p class="Item"><span style="font-style:italic"></span></p></td><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Achondroplasia</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Branchial arch disorders including:</span></p><p class="Item" style="margin-left:0pt"><span>Hemifacial/craniofacial microsomia, Goldenhar syndrome, DiGeorge syndrome, Velocardiofacial syndrome</span></p></td></tr><tr style="height:10.7pt"><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>CHARGE syndrome</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Congenital hemifacial hyperplasia</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Congenital</span><span> </span><span>lymphatic and/or vascular malformations of the head & neck, cystic hygroma, Sturge-Weber syndrome,</span><span> </span><span style="font-style:italic">excluding haemangiomas, birthmarks, and naevi.</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Craniofacial Neurofibromatosis Type 1</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Craniometaphyseal dysplasia</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Ectodermal dysplasia</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Hemifacial atrophy (Parry Romberg syndrome)</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Mandibulofacial dysostosis (Treacher Collins syndrome)</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Maxillonasal dysplasia (Binder syndrome)</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Oral-facial digital syndrome Type 1</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Pierre Robin sequence</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Rubinstein-Taybi syndrome</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Shprintzen-Goldberg syndrome</span></p></td></tr><tr><td style="width:305.75pt; border-right:1pt solid #000000; border-bottom:1pt solid #000000; padding-right:4.9pt; padding-left:5.4pt; vertical-align:top; background-color:#ffffff"><p class="Item" style="margin-left:0pt"><span>Solitary median maxi
This is an opening excerpt, not the complete document.