3 minutes
min read

52375 - Complex Bilateral Osteotomy with Fixation (3+ Procedures Each)

MBS service description:

MANDIBLE and MAXILLA, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (H) (Anaes.) (Assist.)
Schedule Fee:
2467.25
@85% Benefit Fee:
@75% Benefit Fee:
Last updated on
March 29, 2025

When is item code 52375 (Complex Bilateral Osteotomy with Fixation (3+ Procedures Each)) typically used?

The need for complex bilateral osteotomies or osteectomies with three or more procedures on each jaw, including genioplasty and fixation, arises when a patient requires extensive correction of both mandible and maxilla—often for severe deformity or pathology—under anesthesia with assistance in a hospital, including nerve and vessel transposition, same-site grafts, and stabilization with wires, screws, plates, or pins to ensure symmetry and robust healing. This is indicated for the most intricate bilateral issues, critical where jaw and chin stability support maxillofacial function.

Specific scenarios include:

  • Extreme deformity: Severe misalignment needs multiple cuts and plating.
  • Tumours: Extensive osteectomies with screws rebuild bone.
  • Genioplasty: Chin correction enhances balance.
  • Stability: Ensures chewing or speech function.

For instance, a patient with a grossly misaligned jaw and chin might need this for alignment, with fixation for strength. In aged care, an elderly patient could benefit for function, given frailty. By cutting, grafting, fixing, and adjusting the chin extensively, this service restores structure, enhances stability, and supports recovery, making it essential for the most complex maxillofacial repairs.

Benefits to the patient

Surgeons performing extensive bilateral osteotomies or osteectomies on both the patient’s mandible and maxilla with fixation and genioplasty under anesthesia with assistance deliver comprehensive benefits. A key advantage is restoring severe structure. This procedure realigns and stabilizes both jaws with grafts, hardware, and chin adjustment—essential for 'fixed severe jaw surgery benefits.' It also ensures robust stability by securing the bones, supporting the patient’s long-term function. Additionally, it improves function and aesthetics by enhancing capabilities and appearance, aiding the patient’s quality of life. For surgeons exploring 'stabilized extensive osteotomy advantages,' this assisted service ensures patients benefit from structural restoration, lasting stability, and enhanced outcomes, providing a robust fix for severe jaw issues.

Recovery considerations

Recovery of 8-12 weeks with swelling and fixation care; extended healing time.

Email this page to yourself for later, and
You should receive the article link in your inbox shortly.
Oops! Something went wrong while submitting the form.
For Surgeons

Explore the full Medicare Benefits Schedule (MBS) Services and Item Codes

Not sure about what MBS Item Code you are looking for? Browse the full Schedule by treatment category.
View the full MBS Schedule
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.
This is some text inside of a div block.