Changes to the DVA Dental Schedules from 1 November 2018 Key D – Dentist item S – Dental specialist item T – Dental prosthetist item FBN – Fee by Negotiation New (23) ADA item Type of change Detail of changes 016 Consultation by referral Adviser recommendation – new T item Change item description to include ‘from DVA’. Also, correction to note in Special Remarks for D016, S016. Add T016 and delete T014 D016, S016 already on schedule Fee - $95.40 Note correction to Special Remarks in DVA schedule for D/S016: Payable only when specifically requested by DVA. Includes report to referring practitioner DVA. Subject to GST. 223 Non-surgical treatment of disease – per implant 11th edition – new item Add *D223, *S223 D - $26.90; S - $37.10 Limit of 5 per visit, and 10 per 12 month period, no prior approval unless above these numbers. 233 Surgical treatment of peri-implant disease - per implant 11th edition – new item Add S233 (specialist only) Similar to 232 which is Prior Approval, FBN No limits (ie. Special Remarks 234 Application of biologically active material 11th edition – new item Add S234 (specialist only) Prior Approval and FBN 246 Maxillary sinus augmentation – technique – per sinus 11th edition – new item Add S246 (specialist only) $813.30 (based on MBS item 53019). Approval Include the following in Special Remarks: Will only be approved where applicable as part of an entire treatment plan that includes implants.
247 Maxillary sinus augmentation – Lateral wall approach – per sinus 11th edition – new item Add S247 (specialist only) $813.30 (based on MBS item 53019) Approval Include the following in Special Remarks: Will only be approved where applicable as part of an entire treatment plan that includes implants. 250 Active Non-surgical Periodontal Therapy - per quadrant 12th edition – new item Replacing old item 281 Add D250, S250 D - $152.25; S - $304.50 Only claim as per quadrants of teeth present/treated Limit of 4 per 12 month period 251 Supportive Periodontal Therapy - per appointment 12th edition – new item Replacing old item 282 Add D251, S251 D - $163.65; S - $284.05 Schedule A Limit of 3 per 12 month period 526 Adhesive restoration – veneer – anterior tooth – direct 11th edition – new item Replacing old item 582 Add D526, S526 D - $232.75, S - $276.65 Remain Schedule C (AML applies) 536 Adhesive restoration – veneer – posterior tooth – direct 11th edition – new item Replacing old item 582 Add D536, S536 D - $232.75, S - $276.65 Remain Schedule C (AML applies) 556 Tooth-coloured restoration – veneer – indirect 11th edition – new item Replacing old item 583 Add D556, S556 D - $858.85, D - $936.50 Remain Schedule C (AML applies) 586 Crown – metallic – with tooth preparation – preformed 11th edition – new item Replacing old item 576 Add *D586, *S586 Paediatric item D - $265.30; S - $358.90 No other crown item to be claimed on the same tooth within 6 months. Prior approval if treatment is above quantity and/or time limits in Schedule A.
985 Repair/addition – snoring or sleep apnoea device 11th edition – new item Add D985, S985 (not T item) D/S - $296.55 No GST item. If device is modified to make suitable to the wearer, rather than ‘repaired’, then no GST. i.e. If ‘repair’ is considered as integral to the provision of a device suitable for purpose, then no GST. Deleted items (8) Current DVA item Type of change Detail of changes 014 Consultation Adviser recommendation – delete T item (replaced with new item T016). Delete T014 281 - Course of periodontal treatment 11th edition – deletion Replaced with new item 250. Delete D281, S281 282 - Continuation of periodontal treatment or maintenance subsequent to item 281 11th edition – deletion Replaced with new item 251. Delete D282, S282 576 Metallic crown – preformed 11th edition – deletion Replaced with new item 586. Delete D576, S576 582 Veneer – direct 11th edition – deletion Replaced with new 526 or 536. Delete D582, S582 583 Veneer – indirect 11th edition – deletion Replaced with new item 556. Delete D583, S583 730 Provision of casting (DVA use only) Adviser recommendation – delete item because of new fee structure for partial dentures. Delete D730, S730, T730 862 Bonding of attachment for application of orthodontic force Adviser recommendation – delete item. Currently included 881. Delete S862
Amended (43) Current DVA item Type of change Detail of changes 011 Comprehensive oral examination Correct error in Special Remarks on DVA schedule. D011 Remove Note 1 from Special Remarks (only relevant for 014 and 015). 012 Periodic oral examination Correct error in Special Remarks on DVA schedule. D012, S012 Remove Note 1 from Special Remarks (only relevant for 014 and 015). 017 Consultation by referral – extended (30 minutes or more) Change the type of dental specialists that can claim this item. (not 11th or 12th edition change). S017 Currently all dental specialists can this item. Only oral medicine and special needs dentistry specialists should be able to claim this item. 022 Intraoral periapical or bitewing radiograph – per exposure. First exposure only Each subsequent exposure (on same day) Amend Special Remarks on DVA schedule Amend Note 9. D022, S022 Include the following: For use of radiographs in endodontics - refer to Note 9. Delete the following: “Limit of four (4) per tooth undergoing endodontic treatment (refer to Note 9)”. Include “See above”. Amend Note 9: A maximum of four (4) radiographs are payable per for each course of endodontic treatment. Item fees include all other radiographs. 039 Tomography of the skull or parts thereof 11th edition – change to item description. D039, S039 Computed tomography of the skull or parts thereof 061 Pulp testing – per appointment 11th edition – change to item description. D061, S061 Pulp testing – per visit appointment
071 Diagnostic – per model Adviser recommendation - change business rule. D071, S071, T071 Currently no limit. Change business rule to 2 models per visit (ie. one upper and one lower) 113 Recontouring and polishing of pre-existing restoration(s) 11th edition – change to item description. D113, S113 Recontouring and polishing of pre-existing restoration(s) – per appointment 114 Removal of calculus - first visit 11th edition – change to item description. D114, S114 Removal of calculus – visit appointment 115 Removal of calculus - subsequent visit 11th edition – change to item description. D115, S115 Removal of calculus - subsequent visit appointment 131 Dietary advice 11th edition – change to item description. D131, S131 Dietary analysis and advice 165 Desensitising procedure - per visit 11th edition – change to item description. D165, S165 Desensitising procedure - per visit appointment 171 Odontoplasty – per tooth Adviser recommendation – change business rule. D171, S171 Fee is too high to allow for claiming 2 per visit. Change business rule to be 1 per visit. 213 Treatment of acute periodontal infection – per visit 11th edition – change to item description. D213, S213 Treatment of periodontal infection – per visit appointment 222 Root planing and subgingival curettage – per tooth 12th edition – change to item description D222, S222 Root planing and subgingival curettage – per tooth Periodontal Debridement - per tooth 231 Gingivectomy – per tooth or implant 11th edition – change to item description. D231, S231 Gingivectomy – per tooth or implant 232 Periodontal flap surgery – per tooth or implant 11th edition – change to item description. D232, S232 Periodontal Flap Surgery - per tooth or implant
245 Periodontal surgery involving one tooth or implant 11th edition – change to item description. D245, S245 Periodontal surgery involving one tooth or an implant 352 Fracture of maxilla or mandible – not requiring splinting 11th edition – change to item description. S352 Fracture of maxilla or mandible – not requiring splinting fixation 381 Surgical exposure of unerupted 11th edition – change to item description. D381, S381 Surgical exposure of unerupted tooth – per tooth 385 Surgical repositioning of unerupted tooth 11th edition – change to item description. S385 Surgical repositioning of unerupted tooth – per tooth 387 Replantation and splinting of a 11th edition – change to item description. D387, S387 Replantation and splinting of a tooth – per tooth 393 Surgery involving the maxillary antrum Decrease fee to match DVA fee for MBS item 53019. S393 Reduce fee from $874.75 to $813.30. 445 Exploration for a calcified canal – per canal 11th edition – change to item description. D445, S445 Exploration and/or negotiation of for a calcified root canal – per canal, per appointment 521 Adhesive restoration - one surface - anterior tooth Delete Special Remarks from DVA schedule D521, S521 Delete: Limit of five (5) adhesive restorations (521/531) per day. 531 Adhesive restoration - one surface - posterior tooth Delete Special Remarks from DVA schedule D521, S521 Delete: Limit of five (5) adhesive restorations (521/531) per day. 631 Provisional crown Change to item description to match ADA (not 11th or 12th edition change). D631, S631 Provisional crown – per tooth 690 Provisional retention device 11th edition – change to item description. S690 Provisional retention or anchorage device
721 Partial maxillary denture – base New fee structure (to align with ADA fee structure; not an edition change). This item now refers to denture base only and the number of are specified in new item 733. D721, S721, T721 D/S - $450.65, T – $405.60 722 Partial mandibular denture – resin base New fee structure (to align with ADA fee structure; not an edition change). This item now refers to denture base only and the number of teeth are specified in new item 733. D722,S722,T722 D/S - $450.65, T – $405.60 727 Partial maxillary denture – cast metal framework New fee structure (to align with ADA fee structure; not an edition change). This item now refers to denture base only and the number of teeth are specified in new item 733. D727, S727, T727 D/S - $1319.50, T – $1187.55 728 Partial mandibular denture – cast metal framework New fee structure (to with ADA fee structure; not an edition change). This item now refers to denture base only and the number of teeth are specified in new item 733. D728, S728, T728 D/S - $1319.50, T – $1187.55 731 Retainer – per tooth Remove remarks because of new fee structure. D731, S731, T731 Leave Special Remarks blank. 732 Occlusal rest – per rest Remove remarks because of new fee structure. D732, T732 Leave Special Remarks blank.
771 Tissue conditioning treatment prior to impressions Change to item description to match ADA (not 11th or 12th edition change). Adviser recommendation – change business rule. D771, S771, T771 Tissue conditioning treatment to preparatory to impressions – per application Include the following in Special Remarks: Limit of one per denture per appointment. 776 Impression where required for denture repair/modification Change to item description to ADA (not 11th or 12th edition change). D776, S776, T776 Impression – dental appliance where required for denture repair/modification 823 Functional orthopaedic appliance 11th edition – change to item description. D823, S823 Functional orthopaedic appliance – custom fabrication 916 Travel to provide services Include Special Remarks on DVA schedule. D916, S916, T916 Include the following: One per client per day. One per location per day, for example, only pay once per day for travel to retirement home regardless of how many patients are seen. Note a provider operating a mobile dental clinic is not entitled to this item. Can be claimed without a dental item if it is part of dental treatment that is not billable at the time, such as adjustment, repair to dentures. Reasons for the travel should be requested from the provider. 961 occlusal adjustment – per visit 11th edition – change to item description. D961, S961 Minor occlusal adjustment – per visit appointment
966 Adjustment of occlusal splint – per 11th edition – change to item description. D966, S966 Adjustment of pre-existing occlusal splint – per visit appointment 968 Occlusal adjustment following occlusal analysis – per visit 11th edition – change to item description. D968, S968 Occlusal adjustment following occlusal analysis – per appointment 971 Adjunctive physical therapy for temporomandibular joint and associated structures 11th edition – change to item description. D971, S971 Adjunctive physical therapy for temporomandibular joint and associated structures - per appointment 982 Enamel stripping – per visit 11th edition – change to item description. D982, S982 Enamel stripping – per appointment