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Isapres, Fonasa and maxillofacial surgery

Fonasa codes, list for maxillofacial surgery by dentists

Important concepts:

Fonasa determines the benefits that the isapres must cover and writes them down as the Free Choice Modality tariff (MLE).

This list is published annually and within these benefits there are actions for maxillofacial surgery (in Chile only maxillofacial surgeons are dentists).

The fonasa list does not indicate that vouchers for dentists are sold. It only obliges the isapres to cover asrefunds the benefits. For this reason, if you have an Isapre, you must require the inclusion of the fonasa code on your ticket.

As there are so many benefits on the MLE list, we have left only those that can be covered by your isapre:

 

Important clarification. Fonasa does not sell vouchers for these procedures for the private system, it provides coverage but in public services.

FONASA Tariff of Health Benefits Year 2019 FREE CHOICE MODALITY book tariff mle 2019

** THESE BENEFITS ARE AUTHORIZED TO DENTAL SURGEONS SPECIALIZED IN ORAL AND MAXILLOFACIAL SURGERY 

ORBIT AND TRAUMA

12 02 072 6 **ORBITARY WALLS RECONSTRUCTION

13 01 025 **ANTERIOR NASAL PACKING (AUT. PROC.)

13 01 026 ** POSTERIOR NASAL PACKING

MOUTH AND PHARYNX

13 02 022 2 ** BUCO-PHARYNGEAL BIOPSY (AUTO PROC.)

13 02 023 2 ** SECTION AND/OR RESECTION OF BRACES IN THE ORAL CAVITY 

ABSCESS OR PHLEGMON OF, TREAT. QUIR.:

13 02 024 1 ** DRAINAGE OF ABSCESS OR PHLEGMON OF FLOOR OF MOUTH

13 02 025 1 ** DRAINAGE OF PERIAMIGDALIAN ABSCESS OR PHLEGMON 

13 02 027 ** DRAINAGE OF ABSCESS OR PHLEGMON OF THE BUCCAL VESTIBULE 

13 02 030 1 **EXTRACTION OF STONES OR SALIVARY PLUGS 

13 02 031 1 ** BENIGN TUMOR OF THE ORAL MUCOSA, REMOVED. C/S OROPHARYNGEAL BIOPSY

13 02 033 6 **REMOVAL OF A BENIGN TUMOR FROM THE BASE OF THE TONGUE 

13 02 045 5 **SURGICAL TREATMENT OF ORAL-SINUSA FISTULAS  

BUCO-NASAL AND/OR REMOVAL OF FOREIGN BODIES FROM THE MAXILLARY SINUS

14 02 017 5 **SUBLINGUAL SALIVARY GLAND REMOVAL 

14 02 019 3 ** SUBMAXILLARY AND/OR DEEP CERVICAL PAROTID ABSCESS, 

14 02 020 5 ** SALIVARY DUCTS OF EXCRETION, OROPHARYNGEAL REIMPLANTATION

14 02 021 3 **CLOSURE OF A SALIVARY FISTULA: REPAIR OF THE EXCRETION DUCT

14 02 022 2 ** REMOVAL OF CYST OR MUCOCELE OF MINOR SALIVARY GLAND OF LIPS

14 02 037 7 **PARTIAL MAXILLECTOMY AND PROSTHETIC REPAIR (INCLUDING BONE PALATE; REPAIR WITH FLAP)

14 02 038 7 **PARTIAL MAXILLECTOMY (INCLUDING BONE PALATE; REPAIR WITH FLAP)

14 02 042 6 ** PARTIAL GLOSSECTOMY, PRIMARY REPAIR 

14 02 044 7 ** HEMIMANDIBULECTOMY 

14 02 045 9 ** TOTAL MANDIBULECTOMY 

14 02 047 5 ** PARTIAL JAW RESECTION

14 02 051 6 **GENIOPLASTY

14 02 052 6 **SEGMENTAL OSTEOTOMIES OF THE MAXILLARY OR MANDIBULA 

14 02 053 7 **TOTAL OSTEOTOMIES OF THE MAXILLARY OR MANDIBULA (LE FORT IO SAGITAL RAMUS TYPE)

MAXILLOFACIAL TRAUMATOLOGY FRACTURES OF THE MALAR, UPPER MAXILLARY, MANDIBULA AND ORBITARY, SINGLE OR MULTIPLE, EXCLUDING NOSE. REDUCTION:

14 02 054 4 **CLOSED REDUCTION OF MAXILLOFACIAL FRACTURES

14 02 055 5 **OPEN REDUCTION OF MAXILLOFACIAL FRACTURES AND STABILIZATION WITH OSTEOSYNTHESIS ELEMENTS

14 02 056 4 **OPEN REDUCTION OF MAXILLOFACIAL FRACTURES WITH SINGLE OSTEOSYNTHESIS

14 02 059 4 **REMOVAL OF DENTAL ARCHES OR WIRE LIGATURES

14 02 060 3 ** SIMPLE REMOVAL (AUT.PROC.) 

15 02 031 5 ** SECONDARY SURGICAL CORRECTION OF CHEILOPLASTY 

15 02 032 5 ** PRIMARY CHEILOPLASTY, ONE SIDE (COMPLETE SURGICAL PROCEDURE BY ANY TECHNIQUE)

CONGENITAL ACTIONS

15 02 033 5 ** CLOSURE OF THE HARD PALATE AND/OR CLOSURE OF THE ORONASAL COMMUNICATION

15 02 034 5 ** MUCOUS CLOSURE OF THE ORAL OR GINGIVA VESTIBULE-PERIOSTEUM-PLASTY 

15 02 035 5 ** VEIL PLASTY (ANY TECHNIQUE) 

15 02 036 5 ** MACROSTOMY CLOSURE, ONE SIDE 

15 02 037 7 **SURGICAL TREATMENT OF SKULL FACIAL ABNORMALITIES 

ALVEOLAR RIDGES OSTEOPLASTIC RECONSTRUCTION

15 02 038 6 ** BILATERAL ALVEOLAR RIDGES OSTEOPLASTIC RECONSTRUCTION IN ONE TIME

15 02 039 5 **OSTEOPLASTIC RECONSTRUCTION UNILATERAL ALVEOLAR RIM

16 02 201 ** BIOPSY OF SKIN AND/OR MUCOSA BY CURETAGE OR SECTION

BONE INFECTIONS

21 04 012 5 ** OSTEITIS, SCRAPPING, C/S SEQUESTRECTOMY

21 04 013 6 ** ACUTE HEMATOGENOUS OSTEOMYELITIS, SURGICAL DRAINAGE

21 04 016 5 ** ARTHROTOMY OF ELBOW, WRIST, ANKLE OR TEMPOROMANDIBULAR, EACH BONE GRAFT

21 04 021 7 ** BONE TRANSPLANT (SELF OR HOMOTRANSPLANT)  PSEUDOTUMORAL, BONE OR MUSCLE

21 06 001  9  **REMOVAL OF INTERNAL ARTICULAR OR VERTEBRAL COLUMN ENDOPROSTHESIS OR OSTEOSYNTHESIS

21 06 002 5 ** REMOVAL OF STRAIGHT OR ANGLED PLATES.

21 07 003 3 ** DISLOCATIONS OF MINOR JOINTS (THE REST)

DISCHARGE

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