Z240

Two arch bars

Fee

ComponentValue
Provider fee$204.80
Assistant, listing; PDF p. 6126 basic units
Anaesthesia, listing; PDF p. 6127 basic units
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 612 / N32

- two arch bars...................................................................... 6 204.80 7
Passages mentioning Z240

PDF page 612 / N32

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
SKULL AND MANDIBLE
                                                                                                     Asst         Surg          Anae
    Application of dental arch bars, or splint, for facial osteotomy
# Z239 - one arch bar .......................................................................           6         133.00          6
# Z240 - two arch bars......................................................................            6         204.80          7
# R354 Interdental wiring for temporomandibular joint disorder..........                                6         154.00          7
# R652 - Removal intermaxillary fixation devices under general
           anaesthesia - as sole procedure ........................................                               102.35          6
     Note:
     * Includes harvesting and grafting of bone or cartilage grafts.

PDF page 615 / N35

Payment rules:
         1.E828 is limited to one service for each major fracture line (e.g. infraorbital, malar zygomatic,
           nasal-frontal, LeFort I, LeFort II and III) when a mini-plate is used.
         2.Z239, Z240, R652 or D062 are not eligible for payment in addition to F138 or F139.
# F140 - removal of intermaxillary fixation device(s) ........................                      100.00
      Payment rules:
      1.A maximum of one F140 is eligible for payment per patient per day.
         2.F140 is not eligible for payment in addition to F138 or F139.
Fee master record

Master, record 7051. Record Layout PDF, page 1.

Z24020260401999999990000204800000000774600000000000000000111720000001117200

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00002048000 / 204.8
assistant00000774600 / 77.46
specialist00000000000 / 0
anaesthetist00001117200 / 111.72
non anaesthetist00001117200 / 111.72
Explanation

AI-generated. Unreviewed.

Application of two dental arch bars, or splint, for facial osteotomy, listed under Skull and Mandible in the musculoskeletal surgical procedures. It is part of the Application of dental arch bars, or splint, heading.

Watch out for

Z239, Z240, R652 or D062 are not eligible for payment in addition to F138 or F139.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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