Special Procedures Blackrock Clinic

Transcription

1 181A 182A 183A Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (I.P.) Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (e.g. Gastric band and subcutaneous port component) benefits include all subsequent restrictive device adjustment(s) Laparoscopy, Gastric Sleeve procedure benefits include all subsequent restrictive device adjustment(s) 384 Laparoscopic resection and anastomosis of jejunum or ileum 391 Laparoscopic, low anterior resection with coloanal anastomosis 392 Laparoscopic, mid/high anterior resection with coloanal anastomosis 430 Colectomy, partial 431 Laparoscopic colectomy, partial 432 Laparoscopic colectomy, total 433 Laparoscopic colectomy, total with ileal pouch reconstruction 435 Colectomy, total 436 Total colectomy and ileal pouch construction with temporary ileostomy 437 Closure of ileostomy 545 Prolapse of rectum, abdominal approach involving laparotomy, colostomy or intestinal anastomosis, including laparoscopic approach 577 Rectum, excision of (all forms including perineoabdominal, perineal anterior resection and laparoscopic approach) 701 Radical retropubic nerve sparing prostatectomy (includes bilateral pelvic lymph adenectomy with bladder neck reconstruction and anastomosis to the urethra) 921 Radical nephrectomy (includes adrenalectomy and para-aortic lymph nodes) 925 Simple nephrectomy 1404 Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, using aorto-aortic tube prosthesis 1409 Aorta bi-iliac bypass for atherosclerosis or aneurysm; endovascular (using prosthesis) (I.P.) 1419 Transluminal dilation of iliac vessels with or without stent or graft 1421 Transluminal dilation with or without stent of carotid vessels 1422 Transluminal dilation with or without stent or graft of femoral vessels 1423 Transluminal dilation with or without stent of distal vessels 1424 Transluminal dilation of distal vessels 1427 Supra-renal aneurysm repair 1428 Repair of supra-renal aortic aneurysm rupture 1429 Tube graft repair of abdominal aorta 1431 Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; with or without the involvement of other vessels; for other vessels not specified in the above codes 1432 Aorto bi-iliac bypass for atherosclerosis or aneurysm 1434 Endarterectomy of abdominal aorta and iliac vessels

2 1436 Repair of ruptured iliac artery aneurysm 1437 Endarterectomy of iliac vessels alone 1442 Removal of infected aortic prosthesis 1443 Obturator bypass from aorta or iliac to profunda or distal femoral bypass 1447 Endarterectomy of internal/external common carotid artery with or without shunt 1467 Femoral to popliteal bypass, above knee vein 1468 Femoral to popliteal bypass, above knee synthetic 1469 Femoral to popliteal bypass, below knee vein 1471 Femoral to popliteal bypass, below knee synthetic 1619 Initial consultation for a new patient or major reassessment of a patient commencing a new cycle of cytotoxic chemotherapy (day one, administration of cytotoxic chemotherapy) 2152 Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s) (I.P.) 2281 Laparoscopy, Surgical, myomectomy (multiple) (I.P.) 2286 Laparoscopy, surgical, myomectomy (single) (I.P.) 2288 Laparoscopy, surgical; with partial or total oophorectomy and/or salpingectomy (include biopsy, and peritoneal wall sampling or brushings) unilateral or bilateral (I.P.) 2411 Laparoscopy, surgical, sacrocolpopexy (I.P.) 2481 Laparoscopy, surgical, with total hysterectomy, with or without removal of tube(s) and/or ovary(s) (I.P.) 2482 Laparoscopy, surgical, radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed (I.P.) 2529 Intravitreal injection for the treatmemt of wet age related macular degeneration (AMD) 2537 Bilateral injection for wet AMD 2675 Repair of retinal detachment, retinopexy with scleral buckling, scleral resection or scleral implant, etc Vitrectomy - including Prophylaxis of retinal detachment (eg retinal break, lattice degeneration), one or more sessions cryotherapy, diathermy, or photocoagulation/laser 2677 Complex repair of retinal detachment, retionopexy with scleral buckling, scleral resection or scleral implant, includes vitrectomy, claimable only when membrane dissection is also involved - including Prophylaxis of retinal detachment (eg retinal break, lattice degeneration), one or more sessions cryotherapy, diathermy, or photocoagulation/laser 2801 Corneal Cross Linking 2802 Cataract extraction plus insertion of artificial lens (includes phacoemulsification, etc.) 2807/08 Photodynamic Therapy (Visudyne) 3300* Arthroplasty 3409 Shoulder replacement, total shoulder (includes reverse total shoulder Arthroplasty) (I.P.) 3521 Anterior release and fusion for scoliosis/kyphosis 3560 Intervertebral disc, removal of 3571 Posterior spinal fusion with instrumentation for scoliosis

3 3586 Spinal fusion, simultaneous combined anterior and posterior fusion, one level, with instrumentation 3587 Spinal fusion, simultaneous combined anterior and posterior fusion, multiple level, with instrumentation 3588 Spinal fusion, simultaneous combined anterior and posterior fusion, one level, without instrumentation 3589 Spinal fusion, simultaneous combined anterior and posterior fusion, multiple level, without instrumentation 3593 Synthetic fusion (GRAF) one level 3594 Synthetic fusion (GRAF) two levels 3595 Spinal fusion 3596 Spinal fusion, in scoliosis spine, anterior and posterior 3597 Spinal fusion involving two or more levels 3598 Spinal fusion, multiple level, with internal fixation 3601 Spinal fusion, one level with instrumentation 3602 Removal of instrumentation 3603 Spinal stenosis decompression, one level 3604 Spinal stenosis decompression, two levels 3606 Percutaneous vertebroplasty, single thoracic vertebra 3607 Percutaneous vertebroplasty, single lumbar vertebra 3609 Percutaneous vertebral augmentation, including cavity creation, using mechanical device, e.g. kyphoplasty, one level (unilateral or bilateral), lumbar 3611 Percutaneous vertebral augmentation, including cavity creation, using mechanical device, e.g. kyphoplasty, one level (unilateral or bilateral), thoracic 3660* Arthroplasty of hip using prosthesis 3661* Revision of total hip arthroplasty, acetablar and femoral components with or without autograft or allograft 3666* Arthroplasty of hip using Hip Resurfacing prosthesis prosthesis 3910* Prosthetic replacement (total) of knee joint 3911* Revision of arthroplasty of knee joint,with or without allograft,one or more components 4301 Limb lenghtening (upper or lower limb) including osteotomy procedure and application of fixator devices 4305 Long bones, sequestrectomy, decortication or bone graft 4307 Application of multiplane external fixation system for the treatment of complex peri-articular and intra-articular fractures, or non unions and correcting deformity following malunited fractures, unilateral (e.g. extremity, pelvis) 4308 Adjustment or revision of (uniplane or multiplane) external fixation system requiring general anaesthetic 4309 External fixation system (uniplaneor multiplane as in codes 4306 and 4307), removal under general anaesthetic 4315 Osteomyelitis, marsupialisation and bone grafting 5056 Insertion of neurostimulator pulse generator and electrodes: sacral nerve for bladder muscle control: trial stage 5057 Insertion of neurostimulator pulse generator and electrodes: sacral nerve for bladder muscle control: permanent stage

4 5080 Cardiac catheterisation (left, right or both side) 5090 Cardiac catheterisation and coronary angiography with or without ventriculography 5124 Mediastinoscopy, with or without biopsy (I.P.) 5135 Mediastinoscopy with biopsy 5265 Thoracoscopy with intrapleural procedure 5270 Thoracotomy including lung or pleural biopsy 5295 Craniectomy or craniotomy for cerebellar haematoma 5320 Craniectomy for excision of brain tumour, supratentorial 5365 Craniectomy for meningioma, supratentorial 5420 Craniectomy or craniotomy for abscess 5470 Pituitary gland, hypophysectomy, all approaches 5480 Posterior fossa tumours, removal of 5502 Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, HIS bundle recording, including insertion and repositioning of multiple electrode catheters Shunt insertion 5525 Shunt revision 5555 Acoustic neuroma, removal of 5665 Elevation depressed skull fracture 5721 Microneurosurgical subarticular fenestration and foramanal decompression including microdisectomy surgery using a microscope; with dynamic stablisation interspinous implant; more than one level (unilateral or bilateral) 5722 Microneurosergical subarticular fenestration and foraminal decompression including microdisectemy surgery using a microscope with dynamic stablisation interspinous implant; re-exploration following previous surgery at the same interspace site(s), one or more levels (unilateral or bilateral) 5724 Microneurosurgical subarticular fenestration and foraminal decompression including microdiscectomy surgery using a microscope with dynamice stabilisation interspinous implant; one level (unilateral or bilateral) 5728 Microneurosurgical subarticular fenestration and foraminal decompression including microdisectomy surgery using a microscope; more than one level (unilateral or bilateral) 5729 Microneurosurgical subarticular fenestration and foraminal decompression including microdisectomy surgery using a microscope; re-exploration following previous surgery at the same interspace site(s), one or more levels (unilateral or bilateral) 5730 Cervical disc, partial excision of or fusion 5731 Cervical disc, excision of two or more levels 5732 Microneurosurgical subarticular fenestration and foraminal decompression including microdiscectomy surgery: on one or more levels, unilateral or bilateral 5751 Craniectomy for foramen magnum decompression (A-C; syringo) 5752 Craniectomy for nerve section/decompression 5753 Craniectomy for bone tumour, supratentorial 5754 Craniectomy for excision of brain tumour, infratentorial

5 5757 Craniectomy for meningioma, infratentorial 5758 Craniectomy for CP angle tumour 5761 Cervical sympathectomy, unilateral 5762 Cervical sympathectomy, bilateral 5768 Craniectomy for excision/fenestration cyst 5793 Percutaneous implantation of neurostimulator pulse generator and electrodes: faecal incontinence: trial stage 5793 Percutaneous implantation of neurostimulator pulse generator and electrodes: faecal incontinence: permanent stage 5798 Costovertebral approach with decompression of spinal cord or nerve root(s); thoracic 5799 Arthrodesis, anterior interbody fusion (ALIF) 5875* Shoulder replacement prosthesis 5918 Plication of paralysed diaphragm 5929 Arthrodesis, posterior interbody fusion (PLIF) 5941 Total pneumonectomy 5942 Lobectomy of lung (including excision of segment) 5943 Thoracoscopic lung resections 5946 Decortication of pleura or lung 5948 Removal of lung, with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy) 5969 Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic 5976 Laminectomy for removal/biopsy extramedullary tumour 5982 Total pneumonectomy with lymphadenectomy 5983 Lobectomy of lung (including excision of segment) with lymphadenectomy 5984 Insertion of a spinal cord stimulator trial stage 5999 Insertion of a spinal cord stimulator implantation stage 6675 Angiogram (direct puncture, single vessel study, branchial, femoral) includes introduction of needles or catheter injection of contrast media and necessary pre and post injection care specifically related to the injection procedure 6680 Angiogram (selective catheter, single or multiple vessel study, celiac, mesentric, renal, subclavian) includes introduction of needles or catheter injection of contrast media and necessary pre and post injection care specifically related to the injection procedure 6681 Single selective carotid angiography and/or vertebral study 6682 Bilateral carotid angiography study 6683 Bilateral carotid angiography and vertebral study * may be subject to an excess and/or co-payment. Please check your table of cover. Irish Life Health, P.O. Box 764, Togher, Cork Irish Life Health dac is regulated by the Central Bank of Ireland. Terms and Conditions apply. Registered in Ireland No Registered Office: Irish Life Centre, Lower Abbey Street, Dublin 1 Q