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51700 - Initial Referred Consultation by Approved Dental Practitioner

MBS service description:

APPROVED DENTAL PRACTITIONER, REFERRED CONSULTATION - SURGERY, HOSPITAL OR RESIDENTIAL AGED CARE FACILITY Professional attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner, at consulting rooms, hospital or residential aged care facility where the patient is referred to him or her

Sub-category:

O1 - Consultations
Schedule Fee:
97.4
@85% Benefit Fee:
82.8
@75% Benefit Fee:
82.8
Last updated on
March 29, 2025

When is item code 51700 (Initial Referred Consultation by Approved Dental Practitioner) typically used?

The need for an initial referred consultation by an approved dental practitioner specializing in oral and maxillofacial surgery arises when a patient presents with complex conditions that exceed the scope of general dental care, necessitating expert evaluation and intervention. This service is critical for individuals referred by other healthcare providers, such as general dentists or physicians, who recognize symptoms or conditions requiring advanced surgical expertise. Such conditions often include facial trauma, severe infections, jaw deformities, or suspected oral pathology that may demand procedures under general anesthesia—capabilities unique to oral and maxillofacial surgeons. This initial consultation establishes the foundation for diagnosis, treatment planning, and coordination of care, particularly in settings like hospitals or residential aged care facilities where patients may have limited mobility or complex medical histories.

Several scenarios underscore the necessity of this consultation:

  • Facial trauma: Patients with fractures of the jaw, cheekbones, or orbits from accidents or falls require immediate assessment to determine the extent of injury and plan surgical repair.
  • Oral pathology: Suspicion of tumors, cysts, or premalignant lesions prompts referral for diagnostic workup, potentially involving biopsies or imaging, to prevent progression.
  • Infections: Severe odontogenic infections or abscesses that risk spreading to deeper tissues or the airway necessitate urgent evaluation, especially in immunocompromised patients common in aged care settings.
  • Functional impairments: Conditions like temporomandibular joint (TMJ) disorders or severe malocclusion affecting chewing or speech require specialized assessment for surgical correction.

In hospital or aged care environments, this consultation is vital for patients with comorbidities—such as diabetes, cardiovascular disease, or dementia—that complicate treatment. For example, an elderly patient in a residential facility with a suspected jaw cyst may need this initial visit to assess surgical feasibility under anesthesia, considering their frailty or medication interactions. The consultation also addresses logistical challenges, such as coordinating care with other specialists or ensuring the patient’s comfort during procedures that general dentists cannot perform. By providing a thorough evaluation, this service prevents delays in treatment, reduces the risk of complications, and ensures that patients receive tailored, high-level care suited to their specific oral and maxillofacial needs.

Benefits to the patient

When surgeons refer a patient to an approved dental practitioner for an initial consultation in a surgery, hospital, or residential aged care facility, the process delivers exceptional care tailored to the patient’s unique oral health needs. This professional attendance provides surgeons with several key benefits for their patients. Firstly, it ensures an accurate diagnosis by harnessing the specialist’s expertise to assess complex conditions—such as jaw misalignment, oral infections, or precancerous lesions—that might elude general practitioners. This precision helps surgeons pinpoint the root cause of the patient’s symptoms, like chronic pain or swelling, avoiding unnecessary interventions. Additionally, it initiates effective treatment planning, offering surgeons a clear strategy to guide the patient’s recovery. The practitioner collaborates with the surgical team to devise a personalized plan—whether it involves surgery, medication, or monitoring—enhancing outcomes and reducing risks for patients with intricate maxillofacial issues. Furthermore, it enables timely intervention, preventing minor conditions from escalating into severe complications, such as jawbone infections or systemic issues, particularly in vulnerable elderly patients in aged care settings. For surgeons seeking 'oral surgery consultation benefits' or 'specialist dental care options,' this service ensures patients receive expert insight across diverse settings—hospitals, clinics, or residential facilities—improving accessibility. Whether the patient faces trauma, chronic disease, or a dentist’s referral, this initial visit equips surgeons with the tools to restore the patient’s oral health efficiently and effectively, offering peace of mind and a proactive approach.

Recovery considerations

Minimal recovery; primarily involves follow-up planning based on consultation findings.

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