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51803 - Surgical Assistance in Oral and Maxillofacial Surgery (Fee > $636.05)

MBS service description:

Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation mentioned in an item that includes “(Assist.)” for which the fee exceeds $636.05 or at a series or combination of operations mentioned in an item that include “(Assist.)” if the aggregate fee exceeds $636.05
Schedule Fee:
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 51803 (Surgical Assistance in Oral and Maxillofacial Surgery (Fee > $636.05)) typically used?

The need for assistance by an approved dental practitioner in oral and maxillofacial surgeries costing over $636.05 stems from the heightened complexity, duration, and risk associated with these advanced procedures. These operations—often involving extensive reconstructions, multiple fractures, or deep tissue interventions—demand a collaborative approach to ensure patient safety and surgical success. Performed in hospital settings, such procedures benefit from an assistant’s expertise in managing intricate tasks, allowing the primary surgeon to focus on critical steps while maintaining efficiency and precision under general anesthesia.

Specific conditions necessitating this assistance include:

  • Extensive surgery: Procedures like bilateral jaw osteotomies or large tumor resections require prolonged retraction, tissue manipulation, and graft placement, where an assistant’s role is indispensable.
  • Critical anatomy: Operations near vital structures (e.g., facial nerve, carotid artery) need an assistant to monitor and protect these areas, reducing the risk of permanent damage.
  • Intraoperative challenges: Unexpected bleeding, bone instability, or equipment adjustments benefit from immediate support, critical in high-stakes surgeries.
  • Patient complexity: Hospitalized or aged care patients with comorbidities (e.g., heart disease) require an assistant to help manage systemic responses during lengthy procedures.

For instance, in a maxilla reconstruction costing over $636.05, the assistant might prepare bone grafts, stabilize flaps, and assist with fixation devices while the surgeon shapes the jaw, ensuring seamless coordination. The higher fee reflects the increased resource use and skill level, making assistance vital to prevent fatigue-related errors and optimize outcomes. This service enhances the procedure’s safety profile, reduces operative time, and supports the surgeon in delivering complex care, particularly for patients whose conditions demand meticulous attention to detail and rapid response capabilities.

Benefits to the patient

For surgeons performing complex oral and maxillofacial surgeries with fees exceeding $636.05, the assistance of an approved dental practitioner offers substantial benefits for their patients. A key advantage is enhanced surgical accuracy. In intricate procedures like extensive jaw reconstructions or tumor excisions, the assistant’s role in managing tools and tissues allows surgeons to achieve pinpoint precision, essential in the facial region where small deviations can impact the patient’s speech or appearance. This accuracy boosts the procedure’s success rate significantly. Additionally, it minimizes complications for the patient. High-stakes surgeries carry risks like nerve damage or infections, but the assistant’s expertise helps maintain sterility and respond to challenges, reducing these threats—a critical factor for surgeons searching 'how to reduce oral surgery risks.' Furthermore, this support contributes to the success of complex procedures by improving coordination, potentially shortening operative time and enhancing the patient’s recovery speed. For surgeons looking into 'benefits of assisted complex dental surgery,' this service ensures patients benefit from safer, more effective outcomes, whether in a single high-cost operation or a combination from Groups O3 to O9, providing a reliable foundation for optimal care.

Recovery considerations

Recovery tied to the primary surgery; assistance adds no direct recovery impact.

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