I recemented a bridge for a patient NHS emergency. Code 1861.
Historically, I thought a bridge recement was free of charge to the patient (as with a denture repair)
If I specify 'urgent' course of treatment, R4 manages it as 1.2 UDA but with a patient charge of £23.80.
If I specify 'normal' course of treatment R4 manages it as zero UDA and no charge to patient.
Can someone clarify what is correct here.
All recement codes (1781 Inlay recement, 1782 crown recement & 1861 Bridge recement) come under the Urgent NHS Treatment Category (Band 4), therefore when added to an Urgent Course of Treatment, they trigger the 1.2 UDAs and a patient charge of £23.80 (unless the patient is exempt).
If these codes are added to a normal course of treatment, they will not trigger any UDAs or patient charges as they are not Band 1, Band 2 or Band 3 treatment items.
Regarding Denture Repairs (2811 Denture repair upper & 2812 Denture repair lower) come under the Repair Denture NHS treatment category, therefore when added to a course of treatment will trigger the 1 UDA and no patient charge.
If Bridge Repair (1871 Bridge Repair) is added to a course of treatment, this comes under the Bridge Repair NHS treatment category and will trigger 1.2 UDAs and no patient charge.
I hope that his clarifies this for you. If not then I would advise that you speak to your local NHS commissioner who should be able to provide you with further information.