NHS Scotland SDR 154
NHS Scotland released a new SDR on 1st February 2022, SDR 154.
EXACT V13.535 or above is required to be able to claim these new services, any versions prior to V13.535 will not include them in a claim. If a new service has been charted and transmitted on a version earlier than V13.535, you will need to:
A brief overview of some of theses changes include;
Examination Codes
- Examination codes 0101 and 0111 are no longer claimable
- Examination codes 0151, 0161, 0171 or 0181 are to be used from 1st February 2022
- Recalls have been updated to include the above services to allow recall advances to function
|
Code |
Description |
Applicable |
Practice Fee / Patient Charge |
|
0101 |
Examination |
Not claimable as of 01/02/2022 |
|
|
0111 |
Extensive Examination |
Not claimable as of 01/02/2022 |
|
|
0151 |
Extensive Clinical Examination |
COTs starting from 01/02/22 (One per course, adults & children) |
£14.85 / £0.00 |
|
0161 |
Extensive Orthodontic Examination |
COTs starting from 01/02/22 (One per course, adults & children) |
£14.85 / £0.00 |
|
0171 |
Orthodontic Follow up Examination |
COTs starting from 01/02/22 (One per course, adults & children) |
£9.95 / £0.00 |
|
0181 |
Clinical Examination in Connection with Trauma |
COTs starting from 01/02/22 (One per course, adults & children, where treatment due to trauma is selected) |
£9.95 / £0.00 |
X-rays are now claimable for children
Changes to Childsmile codes with the removal of several codes being replaced by 2 codes to simplify charting for practices.
- 4101, 4102, 4103, 4104, 4105, 4106, 4107, 4108, 4109, 4110, 4111 are no longer claimable
- 4201 and 4202 have replaced previous 41 codes
|
Code |
Description |
Applicable |
Practice Fee / Patient Charge |
| 4101 | SIMD 1-3 Per Child | Not claimable as of 01/02/2022 | |
|
4102 |
SIMD 4+5 Per Child | Not claimable as of 01/02/2022 | |
| 4103 | Toothbrush Instruct By Dentist 0-2 Years | Not claimable as of 01/02/2022 | |
| 4104 | Toothbrush Instruct By DCP 0-2 Years | Not claimable as of 01/02/2022 | |
| 4105 | Dietry Advice By Dentist 0-2 Years | Not claimable as of 01/02/2022 | |
|
4106 |
Dietry Advice By DCP 0-2 Years | Not claimable as of 01/02/2022 | |
| 4107 | Toothbrush Instruct By Dentist 3-5 Years | Not claimable as of 01/02/2022 | |
| 4108 | Toothbrush Instruct By DCP 3-5 Years | Not claimable as of 01/02/2022 | |
| 4109 | Dietry Advice By Dentist 3-5 Years | Not claimable as of 01/02/2022 | |
| 4110 | Dietry Advice By DCP 3-5 Years | Not claimable as of 01/02/2022 | |
| 4111 | SIMD 1-3 Per Child 3-5 Years | Not claimable as of 01/02/2022 | |
| 4201 | Childsmile annual fee SIMD 1-2 |
COT's starting from 01/02/22 one per course, children in SIMD 1-2 |
£18.60 / £0.00 |
| 4202 | Childsmile annual fee SIMD 3-5 | COT's starting from 01/02/22 one per course, children in SIMD 3-5 |
£18.60 / £0.00 |
Changes to the age range of code 44g to be applicable to 2-12 years of age.
A new service has been created to be charted to display this change in EXACT.
|
Code |
Description |
Applicable |
Practice Fee / Patient Charge |
| 4407 | Application Of Fissure Sealant 2-5 Years | Change of age range, use A-FISS-12 | |
|
4407 / A-FISS-12 |
Application Of Fluoride 2-12 Years | COT's starting from 01/02/22 |
New Discretionary and Incomplete treatment codes
|
Code |
Description |
Practice Fee / Patient Charge |
|
3290 32 |
Bite Plate - Made not fitted Upper |
£54.85 / £43.88 |
|
3290 33 |
Bite Plate - Made and fitted Upper |
£73.25 / £58.60 |
|
3292 32 |
Bite Plate - Made not fitted Lower |
£54.85 / £43.88 |
|
3292 33 |
Bite Plate - Made and fitted Lower |
£73.25 / £58.60 |
|
3860 01 |
Incomplete cast metal post and core |
£36.85 / £29.48 |
|
3862 01 |
GIC Glass Ionomer Occlusal Blocks |
£36.05 / £28.84 |
|
3863 01 |
Bite Turbos |
£36.05 / £28.84 |
|
3914 01 |
Debonding Single Arch |
£0.00 / £0.00 |
|
3915 01 |
Debonding Two Arches |
£0.00 / £0.00 |
|
3992 01 |
Discretionary Fee for any other treatment not covered under occasional or extended occasional treatment |
£0.00 / £0.00 |
|
3994 01 |
Balance fee for resumed treatments - where an incomplete fee has been claimed (Ortho) |
£0.00 / £0.00 |
|
3995 01 |
Balance fee for resumed treatments - where an incomplete fee has been claimed (General) |
£0.00 / £0.00 |
|
7301 99 |
Any other Incomplete Treatment |
£0.00 / £0.00 |
|
9001 01 |
reapproval for change to treatment plan, not resulting in a change to the total of fees on the originally approved claim |
£0.00 / £0.00 |
These are the key changes that will be visible within EXACT, the full SDR 154 can be viewed here.
All SDR's are viewable via the Scottish SDR Website.
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