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21 New fee codes for Year 3 – Effective April 1, 2004

Fee Code   Description D.D.S. Fee Specialist Fee
T022   In two segments – add --- 288.36
T023   In three or more segments – add --- 577.63
T024   In two segments - add  --- 288.36
T025   In three or more segments – add --- 577.63
T026   In two segments - add  --- 288.36
T027   In three or more segments – add --- 577.63
T028   In two segments - add  --- 248.73
T029   In three or more segments – add --- 497.53
T030   With SMR – add --- 199.01
T031   With pharyngoplasty – add --- 298.58
T040   With closure alveolar fistula – add --- 372.94
T041   With bone graft – add --- 236.14
T042   With closure hard palate fistula – add --- 497.53
T043   With bone graft – add --- 236.14
T121   Application of arch bar, and/or splint and/or wiring of dentures – one add 117.92 147.42
T122   Application of arch bar(s), and/or splint(s) and/or wiring of dentures – two add 189.34 236.66
T125   Application of arch bar(s), and/or splint(s) and/or wiring of dentures – three or more add 255.22 307.90
T126   Rigid internal Fixation – add per side per site --- 96.55
T200 77330 LeFort III osteotomy --- 1,980.02
T212   Cranioplasty --- 1,326.25
T213   Cranial vault reshaping --- 1,803.70
T214   Nasal reconstruction --- 1,697.60
T407 75531 Partial mandibulectomy – up to 3 cm --- 615.60
T408 75532 Partial mandibulectomy – over 3 cm --- 923.60
T409 75540 Total mandibulectomy --- 1,385.20
T423 76197 Removal of fixation screw(s) and/or plate(s) – per operative site --- 168.08
T427 75551 Partial maxillectomy – up to 3 cm --- 615.60
T428 75552 partial maxillectomy – over 3 cm --- 923.60
T429 75560 Total maxillectomy --- 1,385.20
T532 77300 In one segment --- 1,270.37
T534   In one segment --- 1,270.37
T536   In one segment --- 1,345.97
T538   In one segment --- 1,482.43
T540 77100 Subcondylar osteotomy – closed --- 878.02
T541 77120 Subcondylar osteotomy – extraoral --- 1,270.37
T542 77130 Oblique osteotomy of ramus – extraoral --- 1,270.37
T543 77140 Oblique osteotomy of ramus – intraoral --- 1,270.37
T544 77150 Body osteotomy or ostectomy --- 1,270.37
T545 77160 Coronoidectomy – unilateral --- 543.12
T546 77170 Osteotomy of the condylar neck – unilateral --- 543.12

Ontario Ministry of Health and Long-Term Care
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