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

Fee Code   Description D.D.S. Fee Specialist Fee
T547 77180 Sagittal split osteotomy – intraoral --- 1,270.37
T548 77190 Sagittal split osteotomy – extraoral --- 1,270.37
T550 77210 Inverted Losteotomy --- 1,270.37
T551 77220 C osteotomy --- 1,270.37
T553   Posterior Segmental osteotomy maxilla - unilateral --- 762.22
T554 77320 LeFort II osteotomy --- 1,435.66
T555 77400 Anterior segmental osteotomy maxilla       --- 1,133.46
T556 77410 Posterior segmental osteotomy maxilla              --- 1,270.37
T558 77440 Anterior segmental osteotomy, mandible --- 1,133.46
T559 77450 Anterior segmental osteotomy, with transfer of mental eminence --- 1,270.37
T560 77451 Anterior segmental osteotomy, without transfer of mental eminence --- 1,270.37
T561 77460 Posterior segmental osteotomy of the mandible --- 1,270.37
T562 77461 Full arch dentoalveolar osteotomy of the mandible --- 1,270.37
T565 77530 Genioplasty (including alloplast) --- 531.31
T567 77550 Lower border osteotomy of the mandible (unilateral) --- 634.05
T579   Posterior segmental osteotomy of the mandible – unilateral --- 762.22
T589 74303 Removal of intraosseous prosthesis (not to include dental implants) --- 697.41
T740   Subcondylar osteotomy – unilateral – closed --- 762.22
T741   Subcondylar osteotomy – unilateral – extraoral --- 762.22
T742   Oblique osteotomy of ramus – unilateral - extraoral --- 762.22
T743   Oblique osteotomy of ramus – unilateral - intraoral --- 762.22
T744   Body osteotomy or ostectomy – unilateral --- 762.22
T747   Sagittal split osteotomy – unilateral – intraoral --- 762.22
T748   Sagittal split osteotomy – unilateral - extraoral --- 762.22
T750   Inverted L osteotomy – unilateral --- 762.22
T751   C osteotomy – unilateral --- 762.22
T901 71101 Removal of single erupted tooth  - per quadrant 33.46 40.15
T902 71111 Removal of each additional erupted tooth in the same quadrant 17.30 20.76
T903 72100 Removal of each erupted tooth, complicated 78.78 94.52
T904 72210 Removal of each tooth covered by soft tissue 78.78 94.52
T905 72220 Removal of each impacted tooth, partial bony impaction 118.81 142.51
T906 72230 Removal of each impacted tooth, complete bony impaction 157.62 189.17
T907 72240 Removal of each impacted tooth, unusual position, age factor  (incl. super-numerary) 180.40 216.39
T908 72310 With soft tissue coverage 68.06 81.55
T909 72320 With bone tissue coverage 78.78 94.52
T910 72410 Uncomplicated soft tissue coverage 33.46 40.15
T911 72411 Complicated hard tissue coverage 118.81 142.51
T912 72412 With orthodontic attachment 236.46 283.75
T925 77800 Maxillary labial frenectomy 63.78 76.52
T926 77810 Mandibular labial frenectomy 63.78 76.52
T927 77820 Maxillary Z frenoplasty 63.78 76.52
T928 77830 Mandibular Z frenoplasty 63.78 76.52
T936 73110 Alveoloplasty independent of tooth extraction - per quadrant 39.91 47.98

Ontario Ministry of Health and Long-Term Care
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