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NHS Scotland Changes 1st February 2022
NHS Scotland Changes 1st February 2022

Update to NHS Scotland fees and changes to examinations.

Kevin Bell avatar
Written by Kevin Bell
Updated over a week ago

NHS Scotland have implemented the following changes to the current SDR which will be in effect from 1st February 2022.

See below for a brief summary of all the changes you can expect.

  • Item 1 examinations will be amended so that they are claimable for all age groups with alterations to how general and orthodontic exams are specified

  • Item 2(a)(1) X-Ray, will now be claimable for all age groups

  • Item 41 child smile element will be discontinued and replaced with a simpler set of fee codes under item 42 and will be claimable for all 0-17-year-olds

  • Item 44g (Application of Topical Fluoride) will be updated to be claimable for age group 2-12

  • Additional items requested by Dental Advisers

It is important to note that the below Examination codes must not be used on treatment plans started on or after the 1st of February 2022:

  • Item 1(a) (010101) which is available to General and Ortho will be discontinued effective from 1st February 2022 and not claimable on courses of treatment started on or after the 1st February 2022.

  • Item 1(b) (011101) which is available to General and Ortho will be discontinued effective from 1st February 2022 and not claimable on courses of treatment started on or after the 1st February 2022.

There will also be a series of new Exam codes which are now claimable for patients of all ages. There are no patient charges for these codes, the practice fees are stated below. These must be used in place of the previous Examination codes on treatment plans started on or after 1st February:

New Examination codes:


0151 - Extensive Clinical Examination - (Practice Fee £14.85)
0161 - Extensive Orthodontic Examination - (Practice Fee £14.85)
0171 - Orthodontic Follow up Examination - (Practice Fee £9.95)
0181 - Clinical Examination in Connection with Trauma - (Practice Fee £9.95)

Childsmile:

The Capitation treatment codes 4101 - 4111 must not be used on treatment plans started on or after 1st February 2022.

These have been replaced with the new codes:

4201 - Childsmile annual fee SIMD 1 - 2 - (Practice Fee £18.60)
4202 - Childsmile annual see SIMD 3 - 5 - (Practice Fee £6.10)

Item 44(G) Application of topical fluoride to all tooth surfaces

Extended age group where the patient is aged 2-12 years (inclusive). This is effective from 1st February 2022 and only claimable for courses of treatment started on or after the 1st February 2022

Additional New Service Items:

The following new item codes have been added and are applicable only to claims started on or after 1st February 2022.

Item

Description

Code

Practice Fee

Patient Charge

32 Incomplete (15)

Bite Plate - Made not fitted Upper

3290 32

£54.85

£43.88

32 Incomplete (16)

Bite Plate - Made and fitted Upper

3290 33

£73.25

£58.60

32 Incomplete (15) Lower

Bite Plate - Made not fitted Lower

3292 32

£54.85

£43.88

32 Incomplete (16) Lower

Bite Plate - Made and fitted Lower

3292 33

£73.25

£58.60

38 Discretionary (60)

Incomplete cast metal post and core

3860 01

£36.85

£29.48

38 Discretionary (62)

GIC Glass Ionomer Occlusal Blocks

3862 01

£36.05

£28.84

38 Discretionary (63)

Bite Turbos

3863 01

£36.05

£28.84

39 Discretionary (14)

Debonding Single Arch

3914 01

39 Discretionary (15)

Debonding Two Arches

3915 01

39 Discretionary (92)

Discretionary Fee for any other treatment not covered under occasional or extended occasional treatment

3992 01

39 Discretionary (94)

Balance fee for resumed treatments - where an incomplete fee has been claimed (Ortho)

3994 01

39 Discretionary (95)

Balance fee for resumed treatments - where an incomplete fee has been claimed (General)

3995 01

73 Discretionary (99)

Any other Incomplete Treatment

7301 99

90(A)

reapproval for change to treatment plan, not resulting in a change to the total of fees on the originally approved claim

9001 01


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