H3 Insurance Schedule of Procedures

Transcription

1 H3 Insurance Schedule of Procedures This schedule is based on the Schedule of Procedures published by the Clinical Classification and Schedule Development Group H3 Schedule of Procedures Version Effective for appointments from 1 st October 2014 H3 Insurance is a trading name of Insure I Limited, which is authorised and regulated by the Financial Conduct Authority

2 Index Guidance Notes.. 1 Abdomen excluding urinary / reproductive organs.. 3 Bones, joints & connective tissue / tendon muscle.. 13 Brain, cranium & other intracranial organs 29 Breasts.. 32 Consultations, simple investigations & general procedures 35 Ear, nose & throat 38 Endoscopic GIT procedures 45 Eye & orbital contents.. 47 Face, mouth, salivary & thyroid. 54 Female reproductive organs. 59 Nuclear medicine.. 63 Pathology 66 Radiology. 69 Radiotherapy 73 Skin & subcutaneous tissue 74 Spine, spinal cord & peripheral nerves.. 78 Thorax & intra thoracic organs 85 Urinary system & male reproductive organs. 95 Vascular system. 104

3 H3 Guidance notes H3 procedure coding is based on the CCSD Schedule of Procedures. Fees included in the H3 Schedule of Procedures should be invoiced in accordance with the guidance notes below. Where a suitable code does not exist, please contact our Claims Team who will assist you at claims@h3insurance.com or on Consultation fees Maximum consultation fees are as follows: Medical excluding dermatology (includes Cardiology, General Medical, Gastroenterology, Genetics, Genitourinary, Haematology, Mental health, Neurology, Paediatrics, Pain, Respiratory, and Rheumatology): o New Consultation maximum fee of 150 o Review Consultation maximum fee of 120 Surgical (including Breast, ENT, General surgery, Dermatology, Gynaecology, Maxillofacial, Neurosurgery, Ophthalmology, Orthopaedics, Paediatric surgery, Plastic surgery, Urology and Vascular surgery): o New Consultation maximum fee of CCSD Procedure Codes & H3 Tariff o Review Consultation maximum fee of 90 Please observe the following in addition to the fee schedule included in this document when invoicing: The published prices are the maximum payable fee by H3 for each procedure; Our fees encompass all pre and post-operative care associated with in-patient or day case surgery and include the management of all common complications related to the condition including bleeding, IV fluids, suction, catheterisation, uncomplicated sepsis and removal of sutures; Where a surgeon administers local anaesthetic or sedation then the H3 multiple coding criteria applies only in instances where the combination of procedures is allowable under CCSD coding rules (please refer to Section 3 Multiple Procedures); Bilateral procedures are allocated a specific code in most cases. Where no code exists for a specific bilateral procedure you intend to perform, please contact claims@h3insurance.com for guidance, quoting the patient s claim reference number; Where procedures are anticipated to be particularly complicated or a second surgeon will be required, please contact claims@h3insurance.com for preauthorization; Where procedures are not listed, please contact claims@h3insurance.com for guidance. 1

4 3. Multiple procedures H3 will only accept additional billing for multiple procedures when the additional procedure(s) are accepted as legitimate unbundled second or third procedures by CCSD coding criteria. Please refer to if further clarification is required. Multiple procedures must be billed as follows: 4. Anaesthesia Two Procedures: 100% of first procedure + 50% of second procedure Three or more Procedures: 100% of first procedure + 50% of second procedure + 25% of third procedure No additional benefit is payable for the application of local anaesthesia and/or sedation where H3 considers this to be an integral part of the procedure based on accepted, standard medical practice. These procedures are indicated by a * in the schedule and the published fee is the maximum payable by us, inclusive of any anaesthesia and/or sedation. The same anaesthetic criteria applies irrespective of whether general or regional anaesthesia has been administered and the benefit maxima includes routine preoperative assessment, induction, maintenance of anaesthesia and all support activities both intra and post-operative, pain control throughout the hospital stay and postoperative care including 72 hours Intensive Therapy; When an epidural is administered in addition to general anaesthesia during the subsequent in-patient stay, then H3 multiple procedure charging criteria apply; In certain instances below where co-morbidities exist and safe practice has required a separate pre-operative anaesthetic assessment in advance of surgery to determine choice of anaesthetic or to determine whether it is safe to proceed with surgery; a preoperative anaesthetic fee applies. A maximum fee of 90 per patient is allowable for this. 5. Invoicing and Payment Invoices should be submitted by or post within 60 days of the patient appointment to: invoices@h3insurance.com ; or H3 Insurance Finance Department 21 Old Channel Road Titanic Quarter Belfast BT3 9DE Please include your H3 registration number on all invoices as omission may lead to processing delays. Failure to submit invoices within 60 days of the patient appointment will result in non-payment. Please note that clients should not be pursued for outstanding balances or invoices submitted outside of these terms. 2

5 Abdomen - Excluding Urinary / Reproductive organs CCSD Code Description Procedure Fee ( ) Anaestheti c Fee ( ) Sub-Category T1640 Repair of congenital diaphragmatic hernia Abdominal Wall T1900 Simple excision of inguinal hernial sac (herniotomy) - unilateral Abdominal Wall T1910 Simple excision of inguinal hernial sac (herniotomy) - bilateral Abdominal Wall T2000 Primary repair of inguinal hernia Abdominal Wall T2002 Laparoscopic repair of inguinal hernia - unilateral Abdominal Wall T2010 Primary repair of inguinal hernia - bilateral Abdominal Wall T2012 Laparoscopic repair of inguinal hernia - bilateral Abdominal Wall T2080 Primary repair of strangulater inguinal hernia Abdominal Wall T2100 Repair of recurrent inguinal hernia Abdominal Wall T2102 Laparoscopic repair of recurrent inguinal hernia - unilateral Abdominal Wall T2110 Repair of recurrent inguinal hernia - bilateral Abdominal Wall T2112 Laparoscopic repair of recurrent inguinal hernia - bilateral Abdominal Wall T2200 Primary repair of femoral hernia Abdominal Wall T2280 Primary repair of strangulater femoral hernia Abdominal Wall T2300 Repair of recurrent femoral hernia Abdominal Wall T2400 Repair of umbilical hernia (irrespective of age) Abdominal Wall T2500 Primary repair of incisional hernia Abdominal Wall T2502 Laparoscopic repair of incisional hernia Abdominal Wall T2600 Repair of recurrent incisional hernia Abdominal Wall T2710 Repair of ventral hernia not requiring mesh Abdominal Wall 3

6 T2720 Repair of ventral hernia requiring mesh Abdominal Wall T2730 Repair of dorsal hernia including lumbar hernia Abdominal Wall T2740 Repair of perineal hernia including scrotal that are not inguinal Abdominal Wall T2750 Repair of sciatic hernias Abdominal Wall T2781 Repair epigastric hernia Abdominal Wall T2830 Resuture of previous incision in abdominal wall (burst abdomen) Abdominal Wall T7972 Exploration and repair of groin disruption (including repair of muscle, fascia and tendons) (Gilmore's groin repair) Abdominal Wall G5000 Open excision of lesion of duodenum Duodenum G5010 Open excision of congenital lesion of duodenum including malrotation Duodenum G5050 Endoscopic submucosal dissection of duodenal lesions Duodenum G5100 Bypass of duodenum Duodenum G5320 Closure of perforated ulcer of duodenum Duodenum H0210 Appendicectomy Large Intestine H0280 Laparoscopic appendicectomy Large Intestine H0310 Drainage of abscess of appendix or drainage of intra-abdominal abscess Large Intestine H0510 Total excision of colon and ileorectal anastomosis Large Intestine H0610 Extended excision of right hemicolon Large Intestine H0700 Right hemicolectomy Large Intestine H0750 Laparoscopically assisted right hemicolectomy Large Intestine H0800 Excision of transverse colon Large Intestine H0900 Excision of left hemicolon Large Intestine H1000 Excision of sigmoid colon Large Intestine 4

7 H1200 Excision of lesion of colon (transabdominal) Large Intestine H1300 Bypass of colon Large Intestine H1542 Closure of colostomy Large Intestine H1581 Laparoscopic colostomy and stoma formation (including revision) Large Intestine H1590 Open formation of colostomy Large Intestine H1700 Intra abdominal manipulation of colon for intussusception Large Intestine H1880 Laparoscopically assisted left colon resection Large Intestine L7040 Open cannulation of intra abdominal artery for infusion chemotherapy Major Vessels L7710 Creation of portocaval shunt Major Vessels L7920 Plication of vena cava Major Vessels L7980 Repair of wound of major artery or vein of abdomen (including aorta and vena cava) Major Vessels G0500 Bypass of oesophagus Oesophagus G0730 Repair of congenital oesophageal atresia (with or without fistula) Oesophagus G2312 Transthoracic repair of paraoesophageal hiatus hernia Oesophagus G2340 Transabdominal repair of diaphragmatic hernia Oesophagus G2400 Transthoracic fundoplication & gastroplasty Oesophagus B2222 Adrenalectomy - bilateral (open) Other organs (mainly digestive) B2223 Adrenalectomy - bilateral (laparoscopic) Other organs (mainly digestive) B2224 Robot assisted laparoscopic adrenalectomy - bilateral Other organs (mainly digestive) B2232 Adrenalectomy - unilateral (open) Other organs (mainly digestive) B2233 Adrenalectomy - unilateral (laparoscopic) Other organs (mainly digestive) B2234 robot assisted laparoscopic adrenalectomy Other organs (mainly digestive) 5

8 G0920 Oesophagocardiomyotomy (Heller's operation) Other organs (mainly digestive) G0980 Thorascopic oesophogastric myotomy Other organs (mainly digestive) G2330 Transabdominal repair of hiatus hernia Other organs (mainly digestive) J0200 Partial excision of liver Other organs (mainly digestive) J0210 Hemihepatectomy Other organs (mainly digestive) J0310 Resection of liver tumour(s) Other organs (mainly digestive) J0400 Repair of liver (including therapeutic laparoscopic operations on liver) Other organs (mainly digestive) J0510 Open drainage of liver Other organs (mainly digestive) J0740 Open liver resection and ablation Other organs (mainly digestive) J0780 Radiofrequency thermocoagulation of liver with scalpel liver resection Other organs (mainly digestive) J0900 Diagnostic laparoscopy (including any biopsy) Other organs (mainly digestive) J1300 Percutaneous biopsy of lesion of liver Other organs (mainly digestive) J1400 Open puncture of liver Other organs (mainly digestive) J1800 Cholecystectomy (including mini-cholecystectomy) Other organs (mainly digestive) J1820 Cholecystectomy with exploration of common bile duct Other organs (mainly digestive) J1830 Laparoscopic cholecystectomy Other organs (mainly digestive) J1880 Laparoscopic cholecystectomy with peri-operative cholangiogram Other organs (mainly digestive) J1900 Anastomosis of gall bladder (to another viscus) Other organs (mainly digestive) J2720 Partial excision of bile duct and anastomosis of bile duct to duodenum/jejunum Other organs (mainly digestive) J2800 Excision of lesion of bile duct Other organs (mainly digestive) J2900 Anastomosis of hepatic duct Other organs (mainly digestive) J3000 Anastomosis of common bile duct Other organs (mainly digestive) 6

9 J3100 Open introduction of prosthesis into bile duct Other organs (mainly digestive) J3200 Repair of bile duct Other organs (mainly digestive) J3300 Incision of bile duct (including exploration for calculus removal) Other organs (mainly digestive) J3500 Sphincterotomy of bile duct and pancreatic duct using duodenal approach Other organs (mainly digestive) J5000 Percutaneous examination of bile duct Other organs (mainly digestive) J5500 Total pancreatectomy and excision of surrounding tissue Other organs (mainly digestive) J5520 Total pancreatectomy Other organs (mainly digestive) J5610 Pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) Other organs (mainly digestive) J5700 Distal pancreatectomy Other organs (mainly digestive) J5750 Laparascopic distal pancreatectomy Other organs (mainly digestive) J5800 Excision of lesion of pancreas Other organs (mainly digestive) J5900 Anastomosis of pancreatic duct (to another viscus) Other organs (mainly digestive) J6100 Open drainage of lesion of pancreas Other organs (mainly digestive) J6180 Drainage of pancreatic abscess Other organs (mainly digestive) J6200 Incision of pancreas Other organs (mainly digestive) J6300 Open examination of pancreas Other organs (mainly digestive) J6600 Therapeutic percutaneous operations on pancreas Other organs (mainly digestive) J6900 Open splenectomy Other organs (mainly digestive) J6980 Laparoscopic splenectomy Other organs (mainly digestive) T3010 Laparotomy for post operative haemorrhage Peritoeum T3080 Laparotomy and repair of multiple visceral trauma Peritoeum T3410 Open drainage of subphrenic abscess Peritoeum 7

10 T3600 Wedge excision or removal of omentum (as sole procedure) Peritoeum T3910 Retroperitoneal tumour Peritoeum T3930 Retroperitoneal abscess Peritoeum T3980 Presacral tumour Peritoeum T3990 Excision of retroperitoneal neuro-endocrine lesion Peritoeum T4130 Freeing of adhesions of peritoneum Peritoeum T4300 Laparoscopic adhesiolysis (including biopsy) Peritoeum T4302 Open adhesiolysis (including biopsy) Peritoeum T4610 Paracentesis abdominis for ascites Peritoeum T4680 Suprapubic drainage of pelvic abscess Peritoeum BT252 Insertion and removal of radiopharmaceutical into rectal tumour (brachytherapy) Rectum / Anus H0410 Panproctocolectomy and ileostomy Rectum / Anus H0480 Abdominal revision of restorative proctocolectomy Rectum / Anus H1550 Abdominal operation for Hirschsprung's disease (e.g. Duhamel, Söave and Surcuson operations) Rectum / Anus H2510 Rigid sigmoidoscopy including proctoscopy and biopsy* Rectum / Anus H3310 Abdominoperineal pull through resection with colo-anal anastomosis +/- colonic pouch and associated stoma Rectum / Anus H3320 Abdominoperineal resection of rectum and anus Rectum / Anus H3322 Laparoscopic abdominoperineal resection Rectum / Anus H3332 H3334 Anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) Anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection) Rectum / Anus Rectum / Anus H3362 Hartmann's procedure Rectum / Anus H3363 Colectomy and colostomy and preservation of rectum Rectum / Anus 8

11 H3364 H3365 Laparoscopic anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) Laparoscopic anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection) Rectum / Anus Rectum / Anus H3380 Partial excision of rectum and sigmoid colon for prolapse Rectum / Anus H3381 Total Mesorectal Excision (TME) Rectum / Anus H3390 Reversal of Hartmann's procedure Rectum / Anus H3400 Open excision of lesion of rectum and colon Rectum / Anus H3500 Fixation of rectum for prolapse Rectum / Anus H3580 Laparoscopic rectopexy Rectum / Anus H3590 Stapled transanal rectal resection (STARR) for obstructed defaecation syndrome Rectum / Anus H4000 Transanal resection for rectal cancer Rectum / Anus H4122 Transanal endoscopic microsurgery Rectum / Anus H4130 Perianal excision of lesion of rectum (including sigmoidoscopy) Rectum / Anus H4180 Full or partial thickness rectal biopsy Rectum / Anus H4200 Perineal repair of prolapse of rectum Rectum / Anus H4420 Faecal disimpaction* 55 0 Rectum / Anus H4430 Examination of rectum under anaesthetic (as sole procedure) Rectum / Anus H4480 Dilation of stricture of rectum Rectum / Anus H4680 Repair of faecal fistula Rectum / Anus H4800 Excision of lesion of anus Rectum / Anus H4900 Destruction of lesion of anus Rectum / Anus H5020 Primary repair of high/intermediate congenital ano-rectal anomaly Rectum / Anus H5042 Primary repair of high/intermediate congenital ano-rectal anomaly Rectum / Anus 9

12 H5043 Primary repair of low congenital ano-rectal anomaly Rectum / Anus H5080 Repair of anal trauma Rectum / Anus H5100 Haemorrhoidectomy (including sigmoidoscopy) Rectum / Anus H5101 Laser haemorroidectomy (including sigmoidoscopy) Rectum / Anus H5230 Injection of sclerosing substance into haemorrhoids Rectum / Anus H5240 Banding of haemorrhoids Rectum / Anus H5250 Circular Stapling Haemorrhoidectomy Rectum / Anus H5400 Anorectal stretch Rectum / Anus H5510 Laying open of low anal fistula (including sigmoidoscopy) Rectum / Anus H5520 Laying open of high anal fistula (including sigmoidoscopy) Rectum / Anus H5530 Closure of anal fistula using a suturable bioprosthetic or synthetic plugs Rectum / Anus H5620 Lateral sphincterotomy of anus Rectum / Anus H5640 Excision of anal fissure Rectum / Anus H5800 Drainage through perineal region (including ischio-rectal abscess) (including sigmoidoscopy) Rectum / Anus H5940 Excision of pilonidal sinus and suture/skin graft Rectum / Anus H6020 Laying open of pilonidal sinus Rectum / Anus L7030 Haemorrhoidal artery ligation operation with or without recto-anal repair Rectum / Anus L7032 Ultrasound guided haemorrhoidal artery ligation Rectum / Anus G4020 Surgery for correction of congenital intestinal atresias Small Intestine G5810 Excision of jejunum Small Intestine G6000 Open formation of jejunostomy Small Intestine G6080 Laparoscopically assisted resection of small intestine Small Intestine 10

13 G6082 Open resection of small intestine tumour Small Intestine G6100 Bypass of jejunum Small Intestine G6710 Intubation of jejunum for decompression of intestine (without laparotomy)* Small Intestine G7100 Bypass of ileum Small Intestine G7250 Ileoanal anastomosis and creation of pouch Small Intestine G7402 Open formation of ileostomy Small Intestine G7403 Laparoscopic ileostomy Small Intestine G7512 Revision of ileostomy - local Small Intestine G7513 Revision of ileostomy - laparotomy Small Intestine G7530 Closure of ileostomy (as sole procedure) Small Intestine G7810 Open operations on ileum (including reduction of intussusception) Small Intestine G7880 Redo-operations on ileum/colon Small Intestine A2720 Proximal gastric vagotomy Stomach A2780 Vagotomy with pyloroplasty Stomach G2710 Total gastrectomy and excision of surrounding tissue Stomach G2800 Partial gastrectomy Stomach G2810 Partial gastrectomy and excision of surrounding tissue Stomach G3070 Sleeve gastrectomy (including laparoscopic) Stomach G3090 Gastric bypass eg. Roux en Y for morbid obesity (including laparoscopic) Stomach G3100 Laparoscopic biliary gastric bypass Stomach G3210 Gastro-jejunostomy Stomach G3220 Revision of gastro-jejunostomy Stomach 11

14 G3400 Gastrostomy Stomach G3440 Closure of gastrostomy Stomach G3520 Closure of perforated ulcer of stomach Stomach G3580 Laparoscopic closure of peptic ulcer Stomach G3800 Other open operation(s) on stomach Stomach G4010 Pyloromyotomy Stomach G4030 Pyloroplasty Stomach G4680 Endoscopic mucosal resection (EMR) Stomach G4690 Endoscopic submucosal dissection of gastric lesions Stomach 12

15 Bones, Joints & Connective Tissue / Tendon Muscle CCSD Code Description Procedure Fee ( ) Anaesthetic Fee ( ) Sub-Category W0700 Excision of ectopic bone Bone (Non-Specific) W0850 Partial excision of bone (including exostoses) Bone (Non-Specific) W1800 W2700 Drainage/debridement of bone(s), including sequestrectomy for osteomylitis Fixation of epiphysis, including epiphysiodesis, correction of angular deformity Bone (Non-Specific) Bone (Non-Specific) W3650 Diagnostic aspiration and / or trephine biopsy of bone marrow* Bone (Non-Specific) W3680 Harvesting of bone marrow for transplantation Bone (Non-Specific) A6530 Carpal tunnel release (endoscopic) Connective Tissue / Tendon Muscle A6570 Carpal tunnel release (endoscopic) - bilateral Connective Tissue / Tendon Muscle A6740 Cubital tunnel release (endoscopic) (without transposition) Connective Tissue / Tendon Muscle A6750 Cubital tunnel release (endoscopic) bilateral (without transposition) Connective Tissue / Tendon Muscle A8460 Static single measurement of muscle compartment pressures (including reporting)* 84 Connective Tissue / Tendon Muscle AA609 Peripheral bone density measurement performed by physician 84 Connective Tissue / Tendon Muscle T5780 Extracorporeal shockwave therapy for plantar fascitis 118 Connective Tissue / Tendon Muscle T5900 Excision of ganglion Connective Tissue / Tendon Muscle T6220 Excision of bursa Connective Tissue / Tendon Muscle T6800 Secondary repair of tendon (including graft, transfer and/or prosthesis) (not otherwise specified) Connective Tissue / Tendon Muscle T6910 Tenolysis, of extensor (not otherwise specified) Connective Tissue / Tendon Muscle T6980 Tenolysis, of flexor tendon (not otherwise specified) Connective Tissue / Tendon Muscle T7010 Percutaneous tenotomy Connective Tissue / Tendon Muscle T7050 Lengthening of tendon(s) or open tenotomy Connective Tissue / Tendon Muscle 13

16 T7110 Tenosynovectomy Connective Tissue / Tendon Muscle T7230 Release of constriction of sheath of tendon (e.g. trigger finger) Connective Tissue / Tendon Muscle T7440 T7481 T8002 T8003 Injection into cord for dupuytrens's contracture (including post injection finger extension)* Autologous blood injection for tendinopathy with/without dry needling and ultrasound guidance* Minor release of muscle for pain or contracture (involving small joint)* Major release of muscle for pain or contracture (e.g. Quadriceps) (involving large joint) 180 Connective Tissue / Tendon Muscle 120 Connective Tissue / Tendon Muscle Connective Tissue / Tendon Muscle Connective Tissue / Tendon Muscle W0640 Total excision of sesamoid bone Connective Tissue / Tendon Muscle W0960 Excision of benign tumour of bone with bone grafting Connective Tissue / Tendon Muscle W1080 Osteotomy of long bone, with/without fixation, including graft Connective Tissue / Tendon Muscle W2702 Epiphysiolysis (eg Langenskiold procedure) Connective Tissue / Tendon Muscle W3510 Introduction of therapeutic substance into bone) Connective Tissue / Tendon Muscle W3620 Open bone biopsy Connective Tissue / Tendon Muscle W3622 Needle biopsy of bone* 108 Connective Tissue / Tendon Muscle W3719 Hip resurfacing arthroplasty bilateral Connective Tissue / Tendon Muscle W5300 Bicompartmental knee resurfacing Connective Tissue / Tendon Muscle W5550 Excision of radial head (as sole procedure) Elbow T6782 Repair of distal biceps tendon Elbow T8050 Surgical release of humeral epicondylitis (lateral or medial) (e.g. 'Tennis Elbow' Elbow W5040 Replacement of elbow and shoulder (single operation) Elbow W5502 Interposition arthroplasty of elbow Elbow W5510 Total prosthetic replacement of elbow Elbow W5512 Prosthetic replacement of radial head Elbow 14

17 W5520 Revisional prosthetic replacement of elbow Elbow W5560 OK (Outerbridge and Kashiwagi) procedure Elbow W7850 Open arthrolysis of elbow Elbow W2910 Application of skeletal traction to bone External Fixation / Traction W2930 Removal of skeletal traction from bone External Fixation / Traction W3010 Application of external fixation to bone External Fixation / Traction W3030 Removal of external fixation from bone External Fixation / Traction T6720 Tendo Achilles lengthening percutaneous* 192 Foot - Ankle T6722 Tendo Achilles lengthening primary open Foot - Ankle T6723 Tendo Achilles lengthening repeat procedure Foot - Ankle T6770 Peroneal sling/groove reconstruction & replacement of dislocated peroneal tendons Foot - Ankle T6780 Primary repair of Achilles tendon Foot - Ankle T6810 Secondary repair of Achilles tendon Foot - Ankle T6822 Secondary repair of Achilles tendon with tendon or fascial graft Foot - Ankle T7250 Extracorporeal shockwave therapy for achilles tendonitis 118 Foot - Ankle W4410 Total prosthetic replacement of ankle joint Foot - Ankle W4420 W4430 Complex total replacement of ankle (i.e. including custom prosthesis, wedges, internal fixation of fractures) Complex total replacement of ankle (i.e. including custom prosthesis, wedges, internal fixation of fractures) Foot - Ankle Foot - Ankle W4441 Harvesting for autologous chondrocyte transplantation into ankle Foot - Ankle W4442 Implantation of autologous chondrocyte into ankle Foot - Ankle W6015 Ankle arthrodesis - open Foot - Ankle W6016 Ankle arthrodesis with autogenous graft Foot - Ankle 15

18 W6017 Ankle arthrodesis with internal fixation - arthroscopic Foot - Ankle W6018 Ankle arthrodesis - revision, including conversion from total ankle replacement Foot - Ankle W6019 Ankle syndesmosis reconstruction Foot - Ankle W7430 Reconstruction of lateral collateral ligament complex Foot - Ankle W7530 Repair of lateral collateral ligament complex Foot - Ankle W7880 W8630 W8640 W8840 Open or arthroscopic release of ankle joint contracture (excluding Achilles tendon lengthening) Therapeutic arthroscopy of ankle with either soft tissue procedure or bony +/or joint surface procedure (as sole procedure) Complex therapeutic arthroscopy of ankle, with multiple bony, joint surface and soft tissue procedures Diagnostic arthroscopic examination of ankle, including anterior synovectomy to gain vision (as sole procedure) Foot - Ankle Foot - Ankle Foot - Ankle Foot - Ankle W0420 Triple fusion of joints of hindfoot without autogenous graft Foot - Hind Foot / Mid Foot W0422 Triple fusion of joints of hindfoot with autogenous graft Foot - Hind Foot / Mid Foot W0432 W0434 W0460 W0462 W0463 W0464 W8650 W8850 W0300 W0310 W1040 Isolated subtalar fusion or mid foot fusion with autogenous graft (adult) Isolated subtalar fusion or mid foot fusion without autogenous graft (adult) Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers) Complex procedure to mid foot or hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation) Complex procedure to mid foot and hindfoot without autogenous graft (osteotomy/fusion +/- tendon transfers/fixation) Complex procedure to mid foot and hindfoot with autogenous graft (osteotomy/fusion +/- tendon transfers, fixation) Therapeutic subtalar arthroscopy additional to synovectomy to gain vision Diagnostic subtalar arthroscopy including synovectomy to gain vision (as sole procedure) Multiple procedures on forefoot, distal to and including the tarsometatarsal joints Multiple procedures on forefoot, distal to and including, the tarsometatarsal joints - bilateral Osteotomy of small bone of foot (excluding hallax valgus and including internal fixation) Foot - Hind Foot / Mid Foot Foot - Hind Foot / Mid Foot Foot - Hind Foot / Mid Foot Foot - Hind Foot / Mid Foot Foot - Hind Foot / Mid Foot Foot - Hind Foot / Mid Foot Foot - Hind Foot / Mid Foot Foot - Hind Foot / Mid Foot Foot - Forefoot Foot - Forefoot Foot - Forefoot 16

19 W1590 W0321 W0322 Correction of retracted/dislocated metatarso-phalangeal joint including tendon transfer, division/realignment of bone and internal fixation Osteotomy/ies (eg Scarf and Akin) for Hallux Valgus correction with or without internal fixation and soft tissue correction Osteotomy/ies (eg Scarf and Akin) for Hallux Valgus correction with or without internal fixation and soft tissue correction - bilateral Foot - Forefoot Foot - Hallux Foot - Hallux W0330 Fusion of first metatarso-phalangeal joint Foot - Hallux W0380 Fusion of first metatarso-phalangeal joint - bilateral Foot - Hallux W0860 Metatarso-phalangeal cheilectomy - unilateral Foot - Hallux W0861 Metatarso-phalangeal cheilectomy - bilateral Foot - Hallux W5700 W5701 W5710 W5780 W7910 W7980 Excision arthroplasty of first metatarso-phalangeal joint with prosthetic implantation or interposition arthroplasty Excision arthroplasty of first metatarso-phalangeal joint with prosthetic implantation or interposition arthroplasty - bilateral Excision arthroplasty of first metatarso-phalangeal joint, including Keller's Excision arthroplasty of first metatarso-phalangeal joint, including Keller's - bilateral Metatarsal osteotomy (e.g. scarf) for hallux valgus, +/- internal fixation and soft tissue correction Metatarsal osteotomy (e.g. scarf) for hallux valgus, +/- internal fixation and soft tissue correction - bilateral Foot - Hallux Foot - Hallux Foot - Hallux Foot - Hallux Foot - Hallux Foot - Hallux T6460 Tendon transfer of toe - unilateral Foot - Toes T6461 Tendon transfer of toe - bilateral Foot - Toes T6462 W0881 W5940 Excision or partial excision of IP joint of lesser toe with tendon transfer Excision of joint of toe with release of contracture and soft tissue correction Excision or partial excision of IP joint of lesser toe with tendon transfer Foot - Toes Foot - Toes Foot - Toes W5980 Fusion of interphalangeal joint(s) of toe (including internal fixation) - bilateral Foot - Toes T6762 Repair of tendon of foot - flexor Foot - Other T6763 Repair of tendon of foot - extensor Foot - Other 17

20 W7900 Excision of medial eminence 1st/5th MT head with soft tissue repair (bunionectomy) Foot - Other X0822 Amputation of whole ray Foot - Other X0930 Amputation of leg/foot (including Symes Lisfranc & Chopart) Foot - Other X1110 Amputation of toe Foot - Other X2130 Release of joined/fused digit(s) Foot - Other W1920 Primary open reduction of long bone with fixation Fractures - Long Bones W2100 W2310 Primary open reduction of intra-articular fracture of long bone with internal fixation, eg proximal humerus or proximal tibia (with or without arthroscopic assistance) Secondary open reduction of fractured long bone-and intramedullary fixation or internal fixation for non-union/mal union - including intra articular (including bone graft) Fractures - Long Bones Fractures - Long Bones W2380 Locked intramedullary nailing of fractured long bone Fractures - Long Bones W2500 W2502 W1940 W2300 Closed reduction of fracture of long bone with external fixation (excluding fixation by cast or percutaneous K-wires) Closed reduction of fracture of long bone (including cast or percutaneous K-wires) Primary open reduction of small bone with fixation, including intraarticular Secondary open reduction of fracture of small bone, including intraarticular fracture for delayed/non-union (including bone graft) Fractures - Long Bones Fractures - Long Bones Fractures - Small Bones Fractures - Small Bones W2580 Closed reduction of fracture of small bone with external fixator Fractures - Small Bones W2582 Closed reduction of fracture of small bone, including cast or percutaneous K-wires Fractures - Small Bones W1320 Osteotomy of proximal femur Fractures - Pelvis / Acetabulum & Femur W1380 Arthroscopic femoro-acetabular surgery for hip impingement syndrome Fractures - Pelvis / Acetabulum & Femur W1390 Open femoro-acetabular surgery for hip impingement syndrome Fractures - Pelvis / Acetabulum & Femur W1642 Open reduction/internal fixation of posterior rim of acetabulum Fractures - Pelvis / Acetabulum & Femur W1643 Open reduction/internal fixation of either posterior wall/column of acetabulum or anterior column of acetabulum Fractures - Pelvis / Acetabulum & Femur W1644 Open reduction/internal fixation of both columns of acetabulum Fractures - Pelvis / Acetabulum & Femur 18

21 W1645 Open reduction/internal fixation plus bone graft symphysis pubis Fractures - Pelvis / Acetabulum & Femur W1646 Open reduction/internal fixation of sacro-iliac joint Fractures - Pelvis / Acetabulum & Femur W1647 Open reduction/internal fixation of fractures of the greater trochanter, including fixation of non-union of greater trochanter after trochanteric osteotomy Fractures - Pelvis / Acetabulum & Femur W1910 Primary reduction of fracture of neck of femur and internal fixation Fractures - Pelvis / Acetabulum & Femur W6522 Primary open reduction of dislocation of small joint Fractures - Joints W6523 Primary open reduction of dislocation of large joint Fractures - Joints W6630 Primary closed reduction of fracture or dislocation of joint, with or without fixation including cast application Fractures - Joints W6702 Secondary open reduction of dislocation of small joint Fractures - Joints W6703 Secondary open reduction of dislocation of small joint Fractures - Joints W2830 Removal of internal fixation from bone / joint, excluding K-wires Fractures - Fixation Devices W3020 Adjustments to IIizarov frame/rings Fractures - Fixation Devices W3032 Removal of fixator/frame/pins/wires and change of plaster Fractures - Fixation Devices W3040 Application of IIizarov frame for secondary non-union/mal-union including osteotomy Fractures - Fixation Devices W3050 Adjustments to pin sites secondary for non-union/mal-union Fractures - Fixation Devices W3530 Removal of percutaneous wire* Fractures - Fixation Devices S5730 Surgical toilet and debridement of deep wound, including traumatic or post-operative aeteology Fractures - Other T5540 Fasciotomy of limb Fractures - Other W3100 Bone graft (except where part of another procedure) Fractures - Other X4810 Change of cast without general anaesthetic 84 0 Fractures - Other X4822 Change of cast under general anaesthetic Fractures - Other T5202 Dupuytren's fasciectomy palm only Hand - Incision / Excision T5203 Dupuytren's fasciectomy single digit with proximal interphalangeal joint Hand - Incision / Excision 19

22 T5210 Dupuytren's fasciectomy multiple digits with proximal interphalangeal joints Hand - Incision / Excision T5222 Dupuytren's dermofasciectomy and graft, or for recurrent disease - single digit T5223 Dupuytren's dermofasciectomy and graft, or for recurrent disease - multiple digits Hand - Incision / Excision Hand - Incision / Excision T5410 Dupuytren's subcutaneous fasciotomy Hand - Incision / Excision W0282 Total excision of trapezium Hand - Incision / Excision W0283 Total excision of trapezium with spacer Hand - Incision / Excision W0284 Total excision of trapezium and ligament reconstruction Hand - Incision / Excision W0285 Trapezio-metacarpal joint Hand - Incision / Excision T6402 Tendon transfer of hand - single Hand - Repair / Reconstruction T6410 Tendon transfer of hand - multiple (e.g. for radial nerve injury) Hand - Repair / Reconstruction T6710 Primary repair of extensor of hand Hand - Repair / Reconstruction T6750 Primary repair of flexor of hand (excluding Zone II) Hand - Repair / Reconstruction T6752 Primary repair of flexor of hand in Zone II Hand - Repair / Reconstruction T6820 Secondary repair or reconstruction of extensor of hand/forearm Hand - Repair / Reconstruction T6830 Secondary repair or 1st stage reconstruction of flexor of hand Hand - Repair / Reconstruction T6832 Second stage reconstruction of flexor of hand Hand - Repair / Reconstruction T6914 Tenolysis of extensor tendon of hand Hand - Repair / Reconstruction T6982 Tenolysis of flexor tendon of hand Hand - Repair / Reconstruction T7981 W0110 Extensive, greater than 2cm tear repair of large muscle including arthroscopic (excluding rotator cuff) Toe to hand transfer (as sole procedure) including closure of secondary defect Hand - Repair / Reconstruction Hand - Repair / Reconstruction W0120 Pollicisation of finger for thumb reconstruction Hand - Repair / Reconstruction W0512 Interpositional silastic arthroplasty of MCP/PIP joint- single Hand - Repair / Reconstruction 20

23 W0514 W1641 Prosthetic surface arthroplasty of interphalangeal/ metacarpophalangeal joint - single joint (both cemented and uncemented) Osteotomy of small bone of hand including fixation and bone grafting Hand - Repair / Reconstruction Hand - Repair / Reconstruction W5310 Total prosthetic replacement of wrist joint Hand - Repair / Reconstruction W6230 Vascular implantation to carpal bone Hand - Repair / Reconstruction W7482 Scaphoid lunate ligament reconstruction Hand - Repair / Reconstruction W7483 Triquetrolunate ligament reconstruction Hand - Repair / Reconstruction W7484 Reconstruction of three or more ligaments not elsewhere specified Hand - Repair / Reconstruction W7485 Small joint (e.g. interphalangeal/ metacarpo-phalangeal joint) ligament reconstruction Hand - Repair / Reconstruction W7486 Carpo-metacarpal joint ligament reconstruction Hand - Repair / Reconstruction W7715 Coracoid bone block transfer for recurrent instability of shoulder (Bristow-Latarjet procedure) Hand - Repair / Reconstruction W8602 Therapeutic arthroscopy of wrist joint (as sole procedure) Hand - Repair / Reconstruction W8830 W3200 W3202 W3203 W5930 W6200 Diagnostic arthroscopic examination of wrist joint, with or without biopsy (as sole procedure) Open reduction and internal fixation of cancellous bone graft scaphoid non-union Open reduction and internal fixation wedge reconstruction bone graft scaphoid non-union Early open reduction and internal fixation of scaphoid fracture, i.e. within 6 weeks of fracture Fusion of digit joint(s) of hand with or without graft & with or without internal fixation Total fusion of all joints of wrist with or without graft & with or without internal fixation Hand - Repair / Reconstruction Hand - Fixation / Arthrodesis Hand - Fixation / Arthrodesis Hand - Fixation / Arthrodesis Hand - Fixation / Arthrodesis Hand - Fixation / Arthrodesis W6202 Partial fusion of wrist Hand - Fixation / Arthrodesis X0710 Forequarter amputation Hand - Other X0720 Disarticulation of shoulder Hand - Other X0750 Amputation of arm Hand - Other X0820 Partial amputation of digit Hand - Other 21

24 X0880 Amputation through mid-carpal/transmetacarpal Hand - Other X0910 Hindquater amputation Hand - Other W0702 Excision of ectopic bone around a total hip replacement Hip, Leg & Pelvis - Incision / Excision T7930 Repair of abductor mechanism of hip Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W1648 Osteotomy/transfer of greater trochanter as sole procedure Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W1700 Shelf augmentation of acetabulum, e.g. Wainwright or Trillat Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W1911 Core decompression of hip Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3712 Primary total hip replacement with or without cement Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3713 W3714 Complex primary total hip replacement including bone grafting or femoral osteotomy Total hip replacement, with or without cement, after excision arthroplasty or arthrodesis, including conversion of hemiarthroplasty or revision of other previous hip surgery which involved internal fixation Hip, Leg & Pelvis - Repair / Reconstruction / Replacement Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3715 Hip resurfacing arthroplasty Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3716 Minimally invasive hip replacement (2 incisions) Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3717 Minimally invasive hip replacement (one incision) Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3718 Minimally invasive hip resurfacing Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3732 W3733 W3734 W3780 Revision of uncemented or cemented total hip replacement without adjunctive procedures Revision of total hip replacement including insertion of reconstruction rings, plates, screws, etc., and/or impaction bone grafting to acetabulum and/or femur Second, third or further revision total hip replacement or proximal femoral replacement (excluding acetabular liner and head changes) Total prosthetic replacement of the hip, with or without cement, bilateral Hip, Leg & Pelvis - Repair / Reconstruction / Replacement Hip, Leg & Pelvis - Repair / Reconstruction / Replacement Hip, Leg & Pelvis - Repair / Reconstruction / Replacement Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3942 Removal of total hip replacement and creating a pseudarthrosis Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3943 Removal of total hip replacement and complete clearance of cement Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3944 Acetabular liner and head changes Hip, Leg & Pelvis - Repair / Reconstruction / Replacement 22

25 W4600 Acetabular liner and head changes Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W6540 Open reduction of dislocated hip prosthesis Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W6600 Closed reduction of dislocated hip prosthesis Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W8620 W8800 W1640 W1649 W1912 Therapeautic arthroscopic examination of hip joint, with or without biopsy Diagnostic arthroscopic examination of hip joint including wash-out, with or without biopsy (as sole procedure) Simple pelvic osteotomy and fixation, e.g. Salter or Chiari osteotomies Complex pelvic osteotomies and fixation, e.g. triple osteotomy, periacetabular osteotomy Pinning of head of femur - open or percutaneous (e.g. slipped femoral epiphysis, undisplaced neck fracture) Hip, Leg & Pelvis - Repair / Reconstruction / Replacement Hip, Leg & Pelvis - Repair / Reconstruction / Replacement Hip, Leg & Pelvis - Fixation / Arthrodesis Hip, Leg & Pelvis - Fixation / Arthrodesis Hip, Leg & Pelvis - Fixation / Arthrodesis W1913 Pinning for bilateral slipped upper femoral epiphysis Hip, Leg & Pelvis - Fixation / Arthrodesis W3945 W4542 W4543 T6213 W9018 X2200 X2260 X2262 Open reduction and internal fixation for periprosthetic fracture around hip Open reduction, internal fixation and revision of femoral component for periprosthetic fracture Primary arthrodesis of hip joint with or without graft & with or without internal fixation - hip Soft tissue operations in the region of the greater trochanter (trochanteric bursitis, snapping hip) Percutaneous biopsy/arthrography/aspiration in assessment of total hip replacement* Closed reduction and Frog POP for congenital dislocation of hip (including dynamic arthrogram, traction and soft tissue release) Open reduction and Frog POP for congenital dislocation of hip (including traction and innominate/femoral ostetotomy) Complex open reduction for congenital dislocation of hip (i.e. pelvic & femoral or Pemberton osteotomy or revision of open reduction) Hip, Leg & Pelvis - Fixation / Arthrodesis Hip, Leg & Pelvis - Fixation / Arthrodesis Hip, Leg & Pelvis - Fixation / Arthrodesis Hip, Leg & Pelvis - Other 118 Hip, Leg & Pelvis - Other Hip, Leg & Pelvis - Other Hip, Leg & Pelvis - Other Hip, Leg & Pelvis - Other X2280 Manipulation of hip and casting Hip, Leg & Pelvis - Other W5540 Debridement of infected total joint replacement Joints - not listed elsewhere W5722 Excision reconstruction of small joint Joints - not listed elsewhere W5723 Excision reconstruction of large joint Joints - not listed elsewhere W6912 Total synovectomy of small joint Joints - not listed elsewhere 23

26 W6913 Total synovectomy of large joint Joints - not listed elsewhere W7400 Reconstruction of one or two ligaments not elsewhere specified Joints - not listed elsewhere W7500 Prosthetic open repair of ligament Joints - not listed elsewhere W7881 Release of contracture of inter-phalangeal joint of finger (excluding trigger finger or dupytrens disease) Joints - not listed elsewhere W8150 Arthrotomy of large joint, including removal of loose body from joint Joints - not listed elsewhere W8180 Arthrotomy of small joint, including removal of loose body from joint Joints - not listed elsewhere W8300 W8380 W8600 W8680 W8700 W8780 Therapeutic arthroscopic operation on articular cartilage (other than W8200 and W8230) (as sole procedure) Therapeutic arthroscopic operation on articular cartilage (other than W8200) - bilateral (as sole procedure) Therapeutic arthroscopic operation on cavity of joint (not otherwise specified) (as sole procedure) Therapeutic arthroscopic operation on cavity of joint - bilateral (not otherwise specified) (as sole procedure) Diagnostic arthroscopic examination of joint, with or without biopsy (not otherwise specified) (as sole procedure) Diagnostic arthroscopic examination of joint, with or without biopsy - bilateral (not otherwise specified) (as sole procedure) Joints - not listed elsewhere Joints - not listed elsewhere Joints - not listed elsewhere Joints - not listed elsewhere Joints - not listed elsewhere Joints - not listed elsewhere W8782 Flexible arthroscopy, +/- biopsy (as sole procedure) * 180 Joints - not listed elsewhere W9012 Therapeutic local anaesthetic/aspiration - large joint - single* 108 Joints - not listed elsewhere W9013 Therapeutic local anaesthetic/aspiration - large joint - more than 1 joint* 129 Joints - not listed elsewhere W9014 Therapeutic local anaesthetic/aspiration - small joint - single* 118 Joints - not listed elsewhere W9015 Therapeutic local anaesthetic/aspiration - small joint - more than 1 joint* 129 Joints - not listed elsewhere W9016 W9017 Therapeutic local anaesthetic/aspiration of joint under imaging control* Therapeutic local anaesthetic/aspiration of joint under imaging control* 129 Joints - not listed elsewhere 144 Joints - not listed elsewhere W9020 Dynamic arthrogram of joint* 100 Joints - not listed elsewhere W9030 Image guided injection(s) into joint(s), cysts, bursa or soft tissue, +/- aspiration* 129 Joints - not listed elsewhere W9040 Injection(s) into joint(s) without X-ray control* 100 Joints - not listed elsewhere 24

27 W9240 W9282 Examination/manipulation of joint under anaesthetic +/- injection (as sole procedure) Joint fluid examination (e.g. polarising microscopy) performed by consultant including tapping of fluid* Joints - not listed elsewhere 100 Joints - not listed elsewhere W1660 Tibial osteotomy Knee - Incision / Excision W0630 Patellectomy Knee - Repair / Reconstruction W0632 Prosthetic patello-femoral replacement (as sole procedure) Knee - Repair / Reconstruction W3090 Core decompression of knee Knee - Repair / Reconstruction W3110 Osteochondal grafting as a single stage procedure Knee - Repair / Reconstruction W3122 W3123 W4200 W4210 Harvesting for autologous chondrocyte transplantation into knee including arthroscopy Implantation of autologous chondrocyte into knee (including knee surgery, debridement and periosteal flap or membrane cover) Complex primary total knee replacement (i.e. including bone graft, augmentation or osteotomy) Total prosthetic replacement of knee joint, cemented or uncemented, +/- patella Knee - Repair / Reconstruction Knee - Repair / Reconstruction Knee - Repair / Reconstruction Knee - Repair / Reconstruction W4212 Minimally invasive knee replacement Knee - Repair / Reconstruction W4230 Revision of total replacement of knee joint Knee - Repair / Reconstruction W stage revision of total knee replacement for infection - first stage Knee - Repair / Reconstruction W stage revision of total knee replacement for infection - second stage Knee - Repair / Reconstruction W4280 Total prosthetic replacement of knee joint - bilateral Knee - Repair / Reconstruction W5200 Unicompartmental knee replacement Knee - Repair / Reconstruction W7410 Mutiple ligament reconstruction of knee always including posterior cruciate ligament Knee - Repair / Reconstruction W7420 Autograft anterior cruciate ligament reconstruction Knee - Repair / Reconstruction W7440 Allograft anterior cruciate ligament reconstruction Knee - Repair / Reconstruction W7470 Revision of anterior cruciate ligament reconstruction Knee - Repair / Reconstruction W7490 Reconstruction of posterior lateral corner of knee Knee - Repair / Reconstruction 25

28 W7492 Arthroscopic lateral release Knee - Repair / Reconstruction W7580 W7582 Open surgical stabilisation of patella, including application of cast (adult) Open surgical stabilisation of patella, including application of cast (child) Knee - Repair / Reconstruction Knee - Repair / Reconstruction W7583 Repair of patellar/quadricep tendon Knee - Repair / Reconstruction W8200 Arthroscopic meniscectomy (including debridement) Knee - Repair / Reconstruction W8230 Arthroscopic meniscal repair Knee - Repair / Reconstruction W8280 Arthroscopic meniscectomy (including debridement) - bilateral Knee - Repair / Reconstruction W8400 Repair of knee ligaments (open or arthroscopic) Knee - Repair / Reconstruction W8500 W8520 W8580 Multiple arthroscopic operation on knee (including meniscectomy, chondroplasty, drilling or microfracture) Arthroscopy of knee (including examination under anaesthetic, washout and biopsy) (as sole procedure) Multiple arthroscopic operation on knee (including meniscectomy, chondroplasty, drilling or microfracture) - bilateral Knee - Repair / Reconstruction Knee - Repair / Reconstruction Knee - Repair / Reconstruction W8880 Arthroscopy of elbow (as sole procedure) Knee - Repair / Reconstruction W6014 Primary arthrodesis of knee joint with or without graft & with or without internal fixation Knee - Fixation / Arthrodesis A6030 Transection of peripheral nerve for neuroma Nerves A6080 Neurectomy (major nerve) Nerves A6110 Excision of lesion of peripheral nerve (e.g. neurilemoma) Nerves A6300 Graft to peripheral nerve Nerves A6580 Carpal tunnel release (open) - bilateral Nerves A6600 Release of entrapment of deeply placed peripheral nerve Nerves A6710 Cubital tunnel release (open) (without transposition) Nerves A6711 Cubital tunnel release (open) bilateral (without transposition) Nerves A6810 Neurolysis and transposition of peripheral nerve (includes ulnar at elbow) Nerves 26

29 A6900 Revision of release of peripheral nerve Nerves A7310 Biopsy of peripheral nerve Nerves W0610 Total excision of cervical rib Shoulder - Incision / Excision W0890 Excision distal clavicle, as sole procedure Shoulder - Incision / Excision A7340 Exploration and grafting of brachial plexus Shoulder - Repair / Reconstruction T6450 Tenodesis of biceps tendon (as sole procedure) Shoulder - Repair / Reconstruction T7480 T7910 Extracorporeal shockwave therapy of calcific tendonitis of the shoulder Extensive (i.e. greater than 2cm tear) repair of rotator cuff muscle including sub-acromial decompression +/- excision of distal clavicle Shoulder - Repair / Reconstruction Shoulder - Repair / Reconstruction T7915 Arthroscopic rotator cuff repair greater than 2cm (as sole procedure) Shoulder - Repair / Reconstruction T7982 T7983 Arthroscopic sub-acromial decompression and limited, less than 2cm tear rotator cuff repair (including arthroscopic procedures in glenohumeral joint) Open sub-acromial decompression and limited (i.e. less than 2cm tear) rotator cuff repair (open or closed) Shoulder - Repair / Reconstruction Shoulder - Repair / Reconstruction T7990 Revision rotator cuff repair Shoulder - Repair / Reconstruction T8052 Extracorporeal shockwave therapy of lateral epicondylitis Shoulder - Repair / Reconstruction W4900 Shoulder hemiarthroplasty, as sole procedure Shoulder - Repair / Reconstruction W4902 Shoulder hemiarthroplasty with reconstruction for fracture Shoulder - Repair / Reconstruction W4920 Conversion of hemiarthroplasty to total shoulder replacement Shoulder - Repair / Reconstruction W4930 Revisional shoulder hemiarthroplasty Shoulder - Repair / Reconstruction W5000 Primary total shoulder replacement Shoulder - Repair / Reconstruction W5030 Revision total shoulder replacement Shoulder - Repair / Reconstruction W5060 Resurfacing arthroplasty of shoulder Shoulder - Repair / Reconstruction W5201 Unicompartmental knee replacement - bilateral Shoulder - Repair / Reconstruction W5600 Primary repair of rupture of acromioclavicular or sternoclavicular joint including internal fixation Shoulder - Repair / Reconstruction 27

30 W5630 Secondary repair of acromioclavicular or sternoclavicular joint +/- internal fixation Shoulder - Repair / Reconstruction W7712 Stabilisation of unidirectional instability of shoulder joint, including anterior, posterior and arthroscopic Shoulder - Repair / Reconstruction W7713 Stabilisation of multi-directional instability of shoulder joint Shoulder - Repair / Reconstruction W7760 Labral Repair (shoulder stabilisation) Shoulder - Repair / Reconstruction W7780 Revision stabilisation of shoulder joint Shoulder - Repair / Reconstruction W7810 Open arthrolysis of shoulder contracture Shoulder - Repair / Reconstruction W7872 Arthroscopic arthrolysis of shoulder contracture Shoulder - Repair / Reconstruction W8192 Open sub-acromial decompression, as sole procedure Shoulder - Repair / Reconstruction W8193 Arthroscopic sub-acromial decompression as sole procedure Shoulder - Repair / Reconstruction W8194 Arthroscopic sub-acromial decompression and excision of distal clavicle (including arthroscopic procedures in glenohumeral joint) Shoulder - Repair / Reconstruction W8603 Therapeutic arthroscopy of shoulder (as sole procedure) Shoulder - Repair / Reconstruction W8820 Diagnostic arthroscopic examination of shoulder joint, with or without biopsy (as sole procedure) Shoulder - Repair / Reconstruction W2810 Plating and bone grafting for non-union of clavicle Shoulder - Fixation / Arthrodesis W4940 Scapulo-thoracic fusion Shoulder - Fixation / Arthrodesis W6012 Primary arthrodesis of joint with or without graft & with or without internal fixation - shoulder Shoulder - Fixation / Arthrodesis W6030 Revision or conversion to arthrodesis of shoulder Shoulder - Fixation / Arthrodesis W9112 Manipulation of joint (including intra-articular injection) for 'Frozen Shoulder' (as sole procedure) Shoulder - Other 28

31 Brain, Cranium & Other Intracranial Organs CCSD Code Description Procedure Fee ( ) Anaesthet ic Fee ( ) Sub-Category A0110 Hemispherectomy Brain A0180 Excision of abscess of brain Brain A0200 Excision of lesion of tissue of brain Brain A0280 Awake craniotomy with ablation of lesion of brain with or without cortical mapping/stereotaxy Brain A0300 Stereotactic ablation of tissue of brain Brain A0310 Stereotactic biopsy of lesion or tissue of brain Brain A0380 Stereotactic radiosurgery (gamma knife surgery) Brain A0400 Open biopsy of lesion of tissue of brain Brain A0900 Implantation/removal of neurostimulator from brain (any route) Brain A1060 Fiducial placement 318 Brain A1070 A1080 Robotic stereotactic radiosurgery, first/sole session using Cyberknife Robotic stereotactic radiosurgery, second to fifth sessions per course of treatment, including adjustments using Cyberknife 1507 Brain 184 Brain A1220 Creation of ventriculovascular anastomosis Brain A1240 Creation of ventriculoperitoneal shunt Brain A1250 Creation of subcutaneous cerebrospinal fluid reservoir Brain A1300 Maintenance of cerebroventricular shunt (including revision) Brain A1430 Removal of cerebroventricular shunt Brain A1440 Irrigation of cerebroventricular shunt Brain A1700 Therapeutic endoscopic operations on ventricle of brain Brain 29

32 (including examination and biopsy of lesion) A2080 Ventricular puncture (as sole procedure) Brain A2220 Puncture of cistern of brain Brain A2223 Cerebral angiogram* 229 Brain A4280 Intracranial infection : burrhole Cranium V0110 Reconstructive cranioplasty Cranium V0130 Surgery for craniostenosis (single suture) Cranium V0180 Surgery for craniostenosis (more than one suture) Cranium V0310 Exploratory open craniotomy Cranium V0330 Exploratory burrhole of cranium Cranium V0382 Total petrosectomy (for tumour) Cranium V0383 Lateral petrosectomy (for tumour) Cranium V0390 Foramen magnum decompression Cranium V0510 Excision of lesion of cranium Cranium V0530 Elevation of depressed fracture of cranium Cranium V0580 Repair of compound fracture of cranium Cranium A2210 Drainage of subarachnoid space of brain Meninges A3810 Excision of lesion of meninges of brain Meninges A3830 Operation for arachnoidal cyst Meninges A3900 Repair of dura Meninges A4010 Evacuation of extradural haematoma Meninges A4110 Evacuation of subdural haematoma or abscess Meninges 30

33 A4180 Subdural haemorrhage tap Meninges A2500 Intracranial transection of cranial nerve Nerves A2600 Other intracranial destruction of cranial nerve Nerves A2900 Excision of lesion of cranial nerve (intracranial) Nerves A2953 Acoustic and cerebellopontine angle neuroma surgery tumours more than 2.5 cms or compressing brain stem (performed by single surgeon) Nerves A3000 Repair of cranial nerve (intracranial) Nerves A3200 Decompression of cranial nerve (craniotomy) Nerves A3300 Neurostimulation of cranial nerve (intracranial) Nerves A3330 Removal of neurostimulator from cranial nerve Nerves A3680 Excision of cerebellopontine angle tumour Nerves A8300 Electro convulsive therapy Other B0100 Open hypophysectomy (including total) Other B0210 Cryotherapy to pituitary gland Other B0410 Transsphenoidal hypophysectomy (including total) Other B0610 Excision of pineal gland Other A0260 Excision of arteriovenous malformation from vessels of brain Vessels A4080 Craniotomy postoperative haemorrhage Vessels L3320 Ligation/clipping of aneurysm of cerebral artery Vessels L3380 Reinforcement of aneurysm of cerebral artery Vessels L3400 Open operations on cerebral artery Vessels 31

34 Breasts CCSD Code Description Procedure Fee ( ) Anaesthet ic Fee ( ) Sub-Category B2800 Excision of breast lump/fibroadenoma Excision / Biopsy B2820 Wide local excision of lesion of breast Excision / Biopsy B2830 Re-excision of lesion of breast if resection margins are not clear (as sole procedure) Excision / Biopsy B2880 Excision biopsy of breast lesion after localisation Excision / Biopsy B2890 Ultrasound guided interstitial laser ablation of breast lesion Excision / Biopsy B3212 Percutaneous suction core biopsy* 118 Excision / Biopsy B3220 Core biopsy of lesion of breast* 108 Excision / Biopsy T9000 Sentinel node mapping for breast cancer with blue dye or radioactive probe alone Excision / Biopsy B2710 Radical mastectomy including block dissection Mastectomy (excl implant / reconstruction) B2742 B2743 B2744 Modified radical mastectomy including lymph node sampling Modified radical mastectomy excluding lymph node sampling Modified radical mastectomy including lymph node clearance Mastectomy (excl implant / reconstruction) Mastectomy (excl implant / reconstruction) Mastectomy (excl implant / reconstruction) B2752 Subcutaneous mastectomy Mastectomy (excl implant / reconstruction) B2760 Skin/nipple sparing mastectomy (including axillary node biopsy) Mastectomy (excl implant / reconstruction) B2780 Simple mastectomy (including axillary node biopsy) - unilateral Mastectomy (excl implant / reconstruction) B2782 Prophylactic mastectomy - unilateral Mastectomy (excl implant / reconstruction) B3100 Reduction mammoplasty unilateral Other B3120 Augmentation mammoplasty unilateral Other 32

35 B3130 Unilateral mastopexy (following reconstruction) Other B3140 Therapeutic mammoplasty for breast cancer Other B3310 Drainage of breast abscess including haematoma and seroma* Other B3440 Microdochotomy Other B3592 Tattooing of nipple* Other B3593 Microdochectomy or mammodochectomy (Hadfield's procedure) Other B3594 Plastic procedures on nipple Other B3595 Excision of mammary fistula Other S4760 Fine needle aspiration cytology* 96 0 Other B2700 Subcutaneous mastectomy with immediate implant Reconstruction B2912 B2913 B2915 B2916 B2981 B2985 B2986 B2987 B2988 B2991 Mastectomy and immediate reconstruction of breast using latissimus dorsi Reconstruction of breast using latissimus dorsi including implantation of prosthesis (including delayed reconstruction) Reconstruction of breast using extended latissimus dorsi flap (delayed reconstruction) Mastectomy and immediate reconstruction of breast using extended latissimus dorsi flap Local mobilisation of glandular breast tissue to fill surgical cavity Reconstruction of breast using free TRAM (including delayed reconstruction) Reconstruction of breast using Deep Inferior Epigastric Perforator Flap (DIEP) (including delayed reconstruction) Reconstruction of breast using transverse upper gracillis (TUG) flap (including delayed reconstruction and nipple reconstruction) Reconstruction of breast using ALT (anteriolateral thigh) flap including delayed reconstruction Laparoscopic mobilisation of the greater omentum for reconstruction of breast (including delayed Reconstruction Reconstruction Reconstruction Reconstruction Reconstruction Reconstruction Reconstruction Reconstruction Reconstruction Reconstruction 33

36 reconstruction) B3012 B3013 B3014 B3015 B3016 B3017 Mastectomy and immediate reconstruction of breast using expandable prosthesis Mastectomy and immediate reconstruction of breast using fixed prosthesis Reconstruction of breast using expandable prosthesis (including delayed reconstruction) Reconstruction of breast using fixed prosthesis (including delayed reconstruction) Mastectomy and immediate reconstruction of breast using fat transfer Reconstruction of breast using fat transfer (including delayed reconstruction) Reconstruction Reconstruction Reconstruction Reconstruction Reconstruction Reconstruction B3018 Redo reconstruction of breast using fat transfer Reconstruction B3020 B3032 Fat transfer, including extraction and transfer for volume adjustment following mastectomy and reconstruction (as sole procedure) Removal of prosthesis from breast, including capsulectomy Reconstruction Reconstruction B3033 Simple removal of prosthesis from breast Reconstruction B3034 B3035 Removal and/or reinsertion or prosthesis into breast, including capsulectomy - unilateral Removal and/or reinsertion or prosthesis into breast, including capsulectomy - bilateral Reconstruction Reconstruction B3180 Implantation of prosthesis into breast (as sole procedure) Reconstruction B3580 B3810 Nipple reconstruction with or without liposuction and fat transfer Reconstruction of breast using SGAP (superior gluteal artery perforator) flap including delayed reconstruction Reconstruction Reconstruction 34

37 Consultations, Simple Investigations & General Procedures CCSD Code Description Procedure Fee ( ) Anaesthet ic Fee ( ) Sub-Category Initial Consultation Refer to Guidance Notes Consultation (exceeding 40 minutes) Refer to Guidance Notes Follow up Consultation Refer to Guidance Notes Consultations Consultations Consultations X0001 X0002 X0003 X0004 Clinical supervision and planning for the delivery of chemotherapy regimens 0 to 7 days (include all planned in-patient, out-patient and day-patient care (e.g. / consultations / routine diagnostics / dosage adjustments relating to the administration of the chemotherapy) during the specified number of days for the chemotherapy regimen.) Clinical supervision and planning for delivery of chemotherapy cycle 1-14 days (include all planned inpatient, out-patient and day-patient care (e.g. / consultations / routine diagnostics / dosage adjustments relating to the administration of the chemotherapy) during the specified number of days for the chemotherapy regimen.) Supervision and planning for delivery of chemotherapy cycle 1-21 days (include all planned in-patient, outpatient and day-patient care (e.g. / consultations / routine diagnostics / dosage adjustments relating to the administration of the chemotherapy) during the specified number of days for the chemotherapy regimen.) Clinical supervision and planning for delivery of chemotherapy cycle 1 to 28 days (include all planned inpatient, out-patient and day-patient care (e.g. / consultations / routine diagnostics / dosage adjustments relating to the administration of the chemotherapy) during the specified number of days for the chemotherapy regimen.) 120 Consultations 240 Consultations 360 Consultations 480 Consultations Professional attendance on (initiation of care of) patient requiring intensive care in an emergency up to 3 hours Professional attendance on patient in serious condition whether or not in intensive care, per day 360 Medical Care 84 Medical Care 35

38 18110 Professional attendance on patient in intermediate condition per day Professional attendance on patient in less serious condition or admission for investigation, per day Professional attendance on (initiation of care of) patient requiring intensive care in an emergency up to 2 hours Professional attendance on (initiation of care of) patient requiring intensive care in an emergency over 3 hours 60 Medical Care 36 Medical Care 240 Simple Investigations 480 Simple Investigations ECG (including reporting) 96 Simple Investigations Patch testing (inclusive of application, reading and reporting) Blind challenge test for food allergy under medical supervision 96 Simple Investigations 120 Simple Investigations Pure tone audiogram (air conduction) 50 Simple Investigations Pure tone audiogram (air and bone conduction) 50 Simple Investigations Impedance audiogram 50 Simple Investigations IV regional anaesthesia (Bier s block) administered by operator Planning for introduction of radio-active implant into prostate (Brachytherapy Stage 1) 120 Simple Investigations Simple Investigations G2180 Ambulatory 24h ph and impedance monitoring* 252 Simple Investigations X3800 Ophthalmic local anaesthetic injection administered by operator 84 Simple Investigations Exercise ECG (including reporting) 132 General Procedures Exercise or Dobutamine stress echocardiography (including reporting) 360 General Procedures hour ECG Holter monitoring (including reporting) 144 General Procedures Long term ambulatory ECG monitoring (event recording) (including reporting) Insertion of implantable ECG loop recorder (including reporting) Removal of implantable ECG loop recorder (including reporting)* 144 General Procedures General Procedures 108 General Procedures 36

39 25000 Incision and drainage (not elsewhere covered) 84 General Procedures Echocardiography (including reporting) as sole procedure 120 General Procedures S4780 Aspiration of subcutaneous haematoma* 108 General Procedures S5210 S5300 Injection into subcutaneous tissue/painful trigger point under local anaesthetic* Introduction of substance into skin (including hormone pellet)* 108 General Procedures 108 General Procedures V4800 Injection around apophyseal facet(s) of vertebrae* 108 General Procedures X3770 Intramuscular injection with XRC (e.g. piriformis block) 168 General Procedures 37

40 Ear, Nose & Throat CCSD Code Description Procedure Fee ( ) Anaesthet ic Fee ( ) Sub-Category D0110 Total excision of pinna External ear D0132 Excision accessory auricle/preauricular appendage External ear D0140 Excision of preauricular sinus External ear D0210 Excision of lesion of pinna External ear D0280 D0310 Removal of multiple bony exostoses external auditory canal Reconstruction of external ear for anotia/microtia using cartilage graft External ear External ear D0330 Pinnaplasty (including bilateral) External ear D0340 Soft tissue meatoplasty of external auditory canal External ear D0342 Bony meatoplasty External ear D0410 Drainage of haematoma/abcess of pinna External ear D0610 Biopsy of lesion of pinna (as sole procedure)* 100 External ear D0630 Repair of pinna External ear D0702 D0730 Aural toilet - including microsuction and/or suction of exteriorised mastoid cavity* Removal of foreign body from external auditory canal (and bilateral) 60 External ear External ear D0810 Excision of lesion of external auditory canal External ear D0812 Removal of solitary osteoma of external auditory canal External ear D0820 Reconstruction of external auditory canal External ear E4850 Therapeutic bronchoscopy for removal of foreign body Fibreoptic Endoscopic Procedures E4990 Panendoscopy +/- incisional biopsy* 300 Fibreoptic Endoscopic Procedures 38

41 E4991 Therapeutic panendoscopy +/- excision or destruction of lesions Fibreoptic Endoscopic Procedures A2952 Acoustic and cerebello pontine angle neuroma surgery - tumours less than 2.5 cms (performed by single surgeon) A2954 Acoustic and cerebello pontine angle neuroma surgery - tumours managed by combined oto neurosurgical team irrespective of tumour size Inner ear Inner ear A8480 Transtympanic electro cochleography 204 Inner ear AA489 Transtympanic chemical labyrinthectomy Inner ear D2610 Operation(s) on endolymphatic sac Inner ear D2620 Membranous labyrinthectomy Inner ear D2630 Osseous labyrinthectomy Inner ear E2140 E2150 Reconstruction using stomach pull up following pharyngolaryngectomy Reconstruction free jejunal graft following pharyngolaryngectomy Larynx and trachea Larynx and trachea E2300 Pharyngeal myotomy Larynx and trachea E2910 Total laryngectomy Larynx and trachea E2920 Horizontal supra glottic laryngectomy Larynx and trachea E2930 Vertical hemi laryngectomy Larynx and trachea E2940 Partial laryngectomy Larynx and trachea E2950 Laryngofissure and cordectomy of vocal cord Larynx and trachea E2952 Laryngofissure Larynx and trachea E2970 Sub total laryngectomy Larynx and trachea E3010 Glottoplasty Larynx and trachea E3100 Reconstruction of larynx with graft Larynx and trachea E3400 Cordectomy (endoscopic) Larynx and trachea 39

42 E3410 Laser surgery to vocal cord (including microlaryngoscopy) Larynx and trachea E3520 Microlaryngoscopy/laryngoscopy +/ endoscopic excision of lesion of larynx Larynx and trachea E3810 Injection into larynx Larynx and trachea E3900 Partial excision of trachea with reconstruction Larynx and trachea E4100 Insertion of voice prosthesis (TOF) Larynx and trachea E4210 Tracheostomy Larynx and trachea E4230 Mini tracheostomy (percutaneous) Larynx and trachea D1010 Radical mastoidectomy (including meatoplasty) Middle ear and mastoid D1020 Modified radical mastoidectomy (including meatoplasty) Middle ear and mastoid D1040 Simple mastoidectomy Middle ear and mastoid D1060 Revision of mastoidectomy (including meatoplasty) Middle ear and mastoid D1240 Exploration of facial nerve, mastoid segment Middle ear and mastoid D1420 Myringoplasty Middle ear and mastoid D1440 D1510 Combined approach tympanoplasty - intact canal wall tympanoplasty Myringotomy and insertion of tube through tympanic membrane (and bilateral) Middle ear and mastoid Middle ear and mastoid D1520 Suction clearance of middle ear (as sole procedure) Middle ear and mastoid D1530 Myringotomy (and bilateral) Middle ear and mastoid D1540 Exploration of entire middle ear course of VII Middle ear and mastoid D1610 Ossiculoplasty Middle ear and mastoid D1710 Stapedectomy Middle ear and mastoid D1720 Revision stapedectomy Middle ear and mastoid D1900 Middle ear tumour excision Middle ear and mastoid 40

43 D1910 Middle ear polypectomy Middle ear and mastoid D2030 Removal of grommets Middle ear and mastoid D2040 Diagnostic tympanotomy (as sole procedure) Middle ear and mastoid D2050 Tympanic neurectomy Middle ear and mastoid D2822 Examination of ear under general anaesthetic (as sole procedure) Middle ear and mastoid T8950 Repair of peri lymph fistula Middle ear and mastoid W1870 Drainage of petrous apex for sepsis Middle ear and mastoid C2542 Dacryocysto-rhinostomy (endoscopic/laser assisted), including insertion and later removal of tube Nasal Sinuses E1220 Caldwell-Luc approach to maxillary sinus Nasal Sinuses E1240 Vidian neurectomy (including endoscopic) Nasal Sinuses E1260 Image guided endoscopic frontal, sphenoid and/or ethmoid sinus surgery (FESS) Nasal Sinuses E1310 Antral puncture and wash out (and bilateral) Nasal Sinuses E1330 Intranasal antrostomy including endoscopic and washout (including bilateral) Nasal Sinuses E1350 Closure of oro antral fistula Nasal Sinuses E1360 E1370 E1380 Endoscopic balloon dilation frontal sinuplasty (as sole procedure) Endoscopic balloon dilation maxillary sinuplasty (as sole procedure) Endoscopic balloon dilation sphenoid sinuplasty (as sole procedure) Nasal Sinuses Nasal Sinuses Nasal Sinuses E1410 External frontoethmoidectomy Nasal Sinuses E1420 Intranasal ethmoidectomy (and bilateral) Nasal Sinuses E1432 FESS: excision uncinate process and anterior ethmoid bulla, antrostomy/antral puncture, simple polypectomy and attention to turbinates (bilateral) Nasal Sinuses 41

44 E1450 Bone flap to frontal sinus (and bilateral) Nasal Sinuses E1460 Trephining of frontal sinus Nasal Sinuses E1470 E1480 Median drainage of frontal sinus (modified Lothrop procedure) Endoscopic exploration frontal sinus beyond frontoethmoid recess Nasal Sinuses Nasal Sinuses E1500 Operation(s) on sphenoid sinus (including endoscopic) Nasal Sinuses E1742 Lateral rhinotomy into sinuses Nasal Sinuses E1750 Transnasal repair of leaking CSF (including endoscopic) Nasal Sinuses E1780 Diagnostic endoscopy of sinus (as sole procedure) Nasal Sinuses V0700 Cranio facial resection Nasal Sinuses W2620 Manipulation under anaesthesia of fractured nose (as sole procedure) Nasal Sinuses E0110 Total excision of nose Nose and nasal cavity E0230 Septorhinoplasty +/ graft/implant following trauma or excision of tumour Nose and nasal cavity E0260 Rhinoplasty following trauma or excision of tumour Nose and nasal cavity E0310 Submucous resection of nasal septum Nose and nasal cavity E0330 Biopsy of septum of nose Nose and nasal cavity E0340 Closure of perforation of septum of nose Nose and nasal cavity E0360 Septoplasty of nose (including attention to turbinates) Nose and nasal cavity E0380 Nasal septum cauterisation (and bilateral) Nose and nasal cavity E0390 Extracorporeal septoplasty Nose and nasal cavity E0412 Reduction turbinates of nose (laser, diathermy, out fracture etc) Nose and nasal cavity E0420 Reduction turbinates of nose (trim,radical excision) Nose and nasal cavity 42

45 E0440 Division of adhesions of turbinate of nose (and bilateral) Nose and nasal cavity E0520 Ligation of artery of internal nose (including endoscopic, as sole procedure) Nose and nasal cavity E0610 Packing of cavity of nose (as sole procedure) Nose and nasal cavity E0810 Polypectomy of internal nose (and bilateral, including endoscopic) Nose and nasal cavity E0820 Excision of lesion of internal nose Nose and nasal cavity E0830 Correction of congenital atresia of choana (including endoscopic) Nose and nasal cavity E0850 Removal of foreign body from cavity of nose Nose and nasal cavity E0910 Excision of lesion of external nose Nose and nasal cavity E1910 Total pharyngectomy Throat E1920 Partial pharyngectomy Throat E2010 Adenoidectomy Throat E2100 Repair of pharynx Throat E2320 Operation(s) on pharyngeal pouch (exterior approach) Throat E2330 Removal of lesion of para pharyngeal space Throat E2400 Therapeutic endoscopic operation on pharynx Throat E2480 Pharyngeal pouch endoscopic procedures Throat E2500 E3680 Diagnostic endoscopic examination of pharynx/larynx (including biopsy) (as sole procedure) Endoscopic laryngo-pharyngoscopy as sole outpatient procedure* Throat 118 Throat F3400 Tonsillectomy child (and bilateral) Throat F3430 Laser assisted serial tonsillectomy - first stage* 300 Throat F3431 Laser assisted serial tonsillectomy - subsequent stages* 300 Throat 43

46 F3440 Tonsillectomy adult (and bilateral) Throat F3480 Adenotonsillectomy (and bilateral) Throat F3620 Drainage of peritonsillar abscess (""quinsy"")* 96 Throat 44

47 Endoscopic GIT Procedures CCSD Code Description Procedure Fee ( ) Anaesthet ic Fee ( ) Sub-Category G1900 G2110 Rigid oesophagoscopy +/ biopsy/removal/laser or diathermy destruction of lesions Oesophageal physiology studies (including ph measurement)* Endoscopic GIT Procedures 100 Endoscopic GIT Procedures G2140 Oesphageal manometry* 120 Endoscopic GIT Procedures G4410 G4430 G4440 Therapeutic gastroscopy with insertion of prosthesis, therapy for acutely bleeding ulcer or banding of varices* Therapeutic oesophago-gastro-duodenoscopy (OGD) with dilatation* Therapeutic gastroscopy with insertion percutaneous endoscopic gastrostomy/percutaneous endoscopic jejunostomy* 318 Endoscopic GIT Procedures Endoscopic GIT Procedures 229 Endoscopic GIT Procedures G4480 Therapeutic enteroscopy* 184 Endoscopic GIT Procedures G4520 Diagnostic enteroscopy* 151 Endoscopic GIT Procedures G4530 Catheterless oesophageal ph monitoring (e.g. Bravo)* 151 Endoscopic GIT Procedures G6500 Diagnostic gastroscopy includes forceps biopsy, biopsy urease test and dye spray* 120 Endoscopic GIT Procedures G7900 Ileoscopy via stoma with therapy* 168 Endoscopic GIT Procedures G8080 G8082 G8083 Capsule endoscopy including interpretation and evaluation Diagnostic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forcep biopies, biopsy test and dye spray (as sole procedure)* Therapeutic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forcep biopies, biopsy test and dye spray (as sole procedure)* 300 Endoscopic GIT Procedures 360 Endoscopic GIT Procedures 420 Endoscopic GIT Procedures G8090 Small bowel physiology studies including manometry* 151 Endoscopic GIT Procedures H2001 Double Balloon Enteroscopy* 492 Endoscopic GIT Procedures H2002 Diagnostic colonoscopy, includes forceps biopsy of colon and ileum* 274 Endoscopic GIT Procedures 45

48 H2003 Therapeutic colonoscopy with snare loop biopsy or excision of lesion* 318 Endoscopic GIT Procedures H2180 Fibreoptic colonscopy and recanalisation of tumour* 444 Endoscopic GIT Procedures H2220 Endoscopic ultrasound for tumour staging* 369 Endoscopic GIT Procedures H2502 H2503 H4190 Diagnostic flexible sigmoidoscopy, includes forceps biopsy and proctoscopy* Therapeutic sigmoidoscopy with snare loop biopsy or excision of lesion* Therapeutic high resolution anoscopy (HRA) in symptomatic patients (+/- biopsy or ablation of lesion of anus)* Endoscopic GIT Procedures 180 Endoscopic GIT Procedures 132 Endoscopic GIT Procedures H6260 Proctoscopy (+/- biopsy)* 55 Endoscopic GIT Procedures J3900 Therapeutic ERCP with insertion of biliary or pancreatic stent(s), spincterotomy or stone extraction* 559 Endoscopic GIT Procedures J4300 Diagnostic ERCP ( includes forceps biopsy)* 369 Endoscopic GIT Procedures J6730 Endoscopic upper gastrointestinal ultrasound, e.g. for pancreatico biliary diagnosis/transmucosal biopsy* 369 Endoscopic GIT Procedures 46

49 Eye & Orbital Contents CCSD Code Description Procedure Fee ( ) Anaesthet ic Fee ( ) Sub-Category C3910 Excision/biopsy of conjunctival lesion* 129 Conjunctiva C3920 Cauterisation including cryotherapy to conjunctival lesion Conjunctiva C3950 Radiotherapy to conjunctival lesion Conjunctiva C4010 Mucosal graft to conjunctiva Conjunctiva C4050 Suture of conjunctiva Conjunctiva C4100 Drainage of conjunctival cyst Conjunctiva C4340 Subconjunctival injection Conjunctiva C4350 Exploration of conjunctiva (including removal of foreign body) Conjunctiva C3960 Excision of pterygium Cornea C4520 Excision of lesion of cornea Cornea C4620 Lamellar graft (keratoplasty) to cornea Cornea C4630 Perforating graft (keratoplasty) to cornea Cornea C4640 Descemets stripping endothelial keratoplasty (DSEK) Cornea C4650 Revision of corneal graft Cornea C4690 Implantation of synthetic corneal rings for keratoconus (including INTACS)* 228 Cornea C4710 Repair of corneal wound Cornea C4730 Removal of corneal suture Cornea C4810 Removal of superficial corneal foreign body Cornea C4980 Tension sutures Cornea C5122 Chelation of cornea/photo therapeutic keratectomy Cornea 47

50 C5180 Corneal scraping for culture Cornea C1010 Excision of lesion of eyebrow* 118 Eyebrow & Lid C1040 Suture of eyebrow* 96 Eyebrow & Lid C1110 Excision of lesion of canthus Eyebrow & Lid C1130 Correction of epicanthus Eyebrow & Lid C1140 Correction of telecanthus Eyebrow & Lid C1150 Graft of skin to canthus Eyebrow & Lid C1160 Canthotomy Eyebrow & Lid C1210 Excision of lesion of eyelid* 129 Eyebrow & Lid C1230 Curettage/cryotherapy of lesion of eyelid* 100 Eyebrow & Lid C1320 Blepharoplasty - one eyelid Eyebrow & Lid C1340 Blepharoplasty - two eyelids Eyebrow & Lid C1341 Blepharoplasty - three or four eyelids Eyebrow & Lid C1420 Graft of skin to eyelid Eyebrow & Lid C1512 Correction of lower lid ectropion without graft/flap Eyebrow & Lid C1513 Correction of lower lid ectropion with graft/flap Eyebrow & Lid C1522 Correction of entropion - lower lid, including graft/flap Eyebrow & Lid C1523 Correction of entropion upper lid, including graft/flap Eyebrow & Lid C1532 C1540 Correction of trichiasis by electrolysis/diathermy/cryotherapy/laser Surgical correction of trichiasis /upper lid entropion, including graft/flap Eyebrow & Lid Eyebrow & Lid C1640 Tarsorrhaphy Eyebrow & Lid C1700 Total reconstruction of eyelid unilateral Eyebrow & Lid 48

51 C1710 Suture of eyelid (laceration) (as sole procedure) Eyebrow & Lid C1810 Correction of ptosis of eyelid simple, including tarsomullerectomy Eyebrow & Lid C1812 Correction of ptosis of eyelid complex Eyebrow & Lid C1813 Correction of ptosis of eyelid with autologous fascia lata Eyebrow & Lid C2220 Biopsy of lesion of eyelid Eyebrow & Lid S0140 Browlift (following nerve damage) Eyebrow & Lid C2920 Insertion of canalicular or punctal plugs 96 General C8650 Fluorescein angiography of eye (including occular photography) General C8652 Occular photography (as sole procedure) 55 General C8654 Insertion of radioactive plaque into eye (including later removal) General C0110 Exenteration of orbit Globe & Orbit C0120 Enucleation/evisceration of eyeball Globe & Orbit C0122 Enucleation/evisceration of eyeball (with implant) Globe & Orbit C0212 Excision of lesion of orbit anterior approach Globe & Orbit C0213 Excision of lesion of orbit lateral orbitomy Globe & Orbit C0512 Simple reconstruction of socket (not including implant or graft) Globe & Orbit C0513 Reconstruction of socket with either implant or graft Globe & Orbit C0514 Reconstruction of socket with implant and graft Globe & Orbit C0610 Biopsy of lesion of orbit Globe & Orbit C0620 Drainage of orbit Globe & Orbit C0630 Decompression of orbit Globe & Orbit C0640 Removal of foreign body from orbit Globe & Orbit 49

52 C0650 Exploration of orbit (as sole procedure) Globe & Orbit C0840 Orbital injection Globe & Orbit C5910 Iridocyclectomy Iris and anterior chamber C5920 Surgical iridectomy Iris and anterior chamber C6010 Surgical trabeculectomy or other penetrating glaucoma procedures Iris and anterior chamber C6110 Laser trabeculoplasty Iris and anterior chamber C6130 Goniotomy (surgical treatment of glaucoma) Iris and anterior chamber C6150 Revision of previous glaucoma surgery Iris and anterior chamber C6160 C6170 Complex glaucoma surgery (including anti metabolites/insertion of seton devices) Goniosynechialysis or goniopuncture (with laser or operatively) Iris and anterior chamber 348 Iris and anterior chamber C6230 Laser iridotomy Iris and anterior chamber C6410 Repair of prolapsed iris Iris and anterior chamber C6420 Excision of lesion of iris Iris and anterior chamber C6450 Removal of foreign body from iris Iris and anterior chamber C6610 Ciliary body ablation Iris and anterior chamber C6710 Cyclodialysis (separation of ciliary body) Iris and anterior chamber C6910 Reformation of anterior chamber Iris and anterior chamber C6920 Paracentesis Iris and anterior chamber C6930 Injection into anterior chamber Iris and anterior chamber C6940 Irrigation/aspiration of anterior chamber Iris and anterior chamber C6980 Removal of foreign body from anterior chamber Iris and anterior chamber C6990 Insertion of valve into anterior chamber of eye Iris and anterior chamber 50

53 C2510 Canaliculo-dacryocysto-rhinostomy (including intubation) Lacrimal system C2520 Conjunctivo-dacryocysto-rhinostomy (including tubation) Lacrimal system C2540 Dacryocysto rhinostomy, including insertion of tube Lacrimal system C2550 Lacrimal intubation (as sole procedure) Lacrimal system C2610 Excision/Biopsy of lacrimal sac Lacrimal system C2640 Incision of lacrimal sac Lacrimal system C2650 Probing of nasolacrimal system with/without syringing and/or irrigation Lacrimal system C2910 Puncto canaliculoplasty Lacrimal system C7100 Extracapsular extraction without implant bilateral Lens C7110 Extracapsular extraction without implant unilateral Lens C7122 Phakoemulsification of lens with implant unilateral 318 anaestheti st LA and/or sedation fee 108 C7123 Phakoemulsification of lens without implant unilateral 274 anaestheti st LA and/or sedation fee 108 C7124 Phakoemulsification of lens without implant bilateral 497 anaestheti st LA and/or sedation fee 168 C7125 Phakoemulsification of lens with implant bilateral 559 anaestheti st LA and/or sedation fee 168 Lens Lens Lens Lens C7180 Extracapsular extraction with implant unilateral Lens C7190 Extracapsular extraction with implant bilateral Lens 51

54 C7340 Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy) Lens C7510 Secondary insertion of lens implant Lens C7520 Lens implant/exchange Lens C7530 Removal of lens implant Lens C3112 Surgical correction of squint horizontal 1 muscle Muscles C3113 Surgical correction of squint horizontal 2 muscles (in one eye, or one muscle in each of two eyes) Muscles C3114 Surgical correction of squint inferior oblique surgery Muscles C3115 Surgical correction of squint other vertical muscles Muscles C3180 Revision of squint surgery Muscles C3530 Surgical correction of squint with adjustable sutures Muscles C3780 C5432 Injection of botulinum toxin into extraocular or periocular musles Conventional retinal surgery (may include scleral buckling, injection of gas, drainage and retinopexy) 84 Muscles Retina C5480 Removal of silicone oil Retina C8200 Laser photocoagulation/cryotherapy of lesion of retina Retina C8440 Retinal examination under anaesthetic including retinopexy if necessary* 132 Retina C5300 Excision of lesion of sclera Sclera C5340 Insertion of tantalum marker ring Sclera C5720 Repair of scleral laceration Sclera C5730 Scleral graft Sclera C7910 Anterior vitrectomy Vitreous C7920 Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy Vitreous 52

55 C7922 Pars plana vitrectomy/vitreous biopsy Vitreous C7923 C7924 C7982 Intravitreal injection of pharmaceutical for neovascular age related macular degeneration Intravitreal injection of pharmaceutical for central retinal vein occlusion Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy, including dissection or excision of epiretinal membrane/macular surgery 129 Vitreous 129 Vitreous Vitreous 53

56 Face, Mouth, Salivary & Thyroid CCSD Code Description Procedure Fee ( ) Anaesthet ic Fee ( ) Sub-Category S0120 Facelift following disease or trauma Face & Jaws V0820 Open reduction and fixation of fractured jaw Face & Jaws V0830 Closed reduction and fixation of fractured jaw Face & Jaws V0910 Open reduction and fixation of nasal ethmoidal fracture Face & Jaws V0930 V0980 Closed reduction of fracture of zygomatic complex of bones Open reduction of fracture of zygomatic complex of bones Face & Jaws Face & Jaws V1040 Osteotomy of maxilla (and bilateral) Face & Jaws V1082 Partial maxillectomy for malignancy Face & Jaws V1083 Hemi maxillectomy for malignancy Face & Jaws V1150 Removal of internal fixation and/or intermaxillary fixation from jaw Face & Jaws V1330 Biopsy of lesion of facial bone Face & Jaws V1422 Extensive segmental excision of mandible Face & Jaws V1423 Extensive excision of mandible with disarticulation 1, Face & Jaws V1440 Excision of lesion of jaw Face & Jaws V1622 Backward / forward sliding mandibular osteotomy Face & Jaws V1730 Extra oral fixation of mandible Face & Jaws V1910 Reconstruction of jaw (non vascularised reconstruction) Face & Jaws V1930 Alveolar bone graft unilateral Face & Jaws V1931 Alveolar bone graft bilateral Face & Jaws 54

57 V2020 Prosthetic replacement of temporomandibular joint Face & Jaws V2030 Arthroplasty of temporomandibular bone joint Face & Jaws V2110 Temporomandibular menisectomy Face & Jaws V2120 Reduction of dislocation of temporomandibular joint Face & Jaws F0110 Excision of vermilion border of lip and advance of mucosa of lip Lips F0200 Excision of lesion of lip Lips F0312 Primary closure of cleft lip - unilateral Lips F0313 Primary closure of cleft lip bilateral Lips F0314 F0315 Primary closure of cleft lip - unilateral including anterior palate Primary closure of cleft lip - bilateral including anterior palate Lips Lips F0320 Revision of primary closure of cleft lip Lips F0420 Reconstruction of lip using skin flap Lips F0530 Suture of lip Lips F1140 Vestibuloplasty Mouth Cavity F3810 Excision/destruction of lesion of mouth Mouth Cavity F4040 Suture of mouth (as sole procedure) Mouth Cavity F4050 Graft of skin or mucosa to mouth Mouth Cavity F4210 Biopsy of lesion of mouth* 118 Mouth Cavity F4230 Removal of excess mucosa from mouth Mouth Cavity T8610 Biopsy/Sampling of cervical lymph nodes Neck T8722 Selective dissection of cervical lymph nodes, levels 1 to Neck T9400 Operations on branchial cyst Neck 55

58 T9420 Operations on branchial fistula Neck F2810 Excision/destruction of lesion of palate Palate F2910 Primary repair of cleft palate Palate F2920 Revision of repair of cleft palate Palate F3070 Suture of palate Palate F3240 Operations on uvula Palate F4400 Excision of parotid gland (other than F4410/F4430) Salivary Glands F4410 F4430 Total excision of parotid gland and preservation of facial nerve Partial excision of parotid gland and preservation of facial nerve Salivary Glands Salivary Glands F4440 Excision of submandibular gland Salivary Glands F4450 Excision of sublingual gland Salivary Glands F4600 Incision or drainage of abscess or haematoma of salivary glands (i.e. including submandibular, parotid and sublingual glands) Salivary Glands F4640 Fine needle aspiration of parotid gland* 100 Salivary Glands F4810 Open biopsy of lesion of salivary gland Salivary Glands F4830 Therapeutic Sialendoscopy * 216 Salivary Glands F5010 Transposition of parotid duct (inc. bilateral) Salivary Glands F5020 Transposition of submandibular duct (inc bilateral) Salivary Glands F5110 Open extraction of calculus from parotid duct Salivary Glands F5120 Open extraction of calculus from submandibular duct Salivary Glands F5510 Dilatation of parotid duct Salivary Glands F5610 Manipulative removal of calculus from parotid duct Salivary Glands 56

59 F0830 Replantation of natural tooth/teeth following trauma Teeth F0910 Surgical removal of impacted/buried tooth/teeth Teeth F0950 Surgical removal of complicated buried roots Teeth F1210 Apicectomy Teeth F1450 Exposure of buried tooth Teeth F1810 Enucleation of cyst of jaw Teeth B0812 Total thyroidectomy/near total thyroidectomy Thyroid & parathyroid glands B0813 Total thyroidectomy including block dissection of lymph nodes Thyroid & parathyroid glands B0820 Bilateral subtotal thyroidectomy Thyroid & parathyroid glands B0830 Total thyroid lobectomy & isthmectomy Thyroid & parathyroid glands B0850 Isthmectomy of thyroid gland Thyroid & parathyroid glands B0860 Partial thyroidectomy (not elsewhere classified) Thyroid & parathyroid glands B0900 Operations on aberrant thyroid tissue (including excision/removal of retrosternal goitre) Thyroid & parathyroid glands B1012 Excision of thyroglossal cyst/tract Thyroid & parathyroid glands B1220 Fine needle aspiration of thyroid gland Thyroid & parathyroid glands B1230 Core biopsy of thyroid gland Thyroid & parathyroid glands B1250 Thyroid : re operation Thyroid & parathyroid glands B1450 Parathyroidectomy Thyroid & parathyroid glands B1680 Parathyroid : re operation Thyroid & parathyroid glands BT210 Oral introduction of liquid radiopharmaceutical for thyroid tumour ablation (brachytherapy) 312 Thyroid & parathyroid glands E3180 Thyroplasty (Isshiki Type 1) Thyroid & parathyroid glands F2210 Total glossectomy Tongue 57

60 F2220 Partial glossectomy for malignancy Tongue F2310 Excision/destruction of lesion of tongue Tongue F2620 Frenotomy/frenectomy of tongue Tongue F2640 Freeing of adhesions of tongue Tongue F2650 Suture of tongue Tongue F2660 Tongue flap first stage and second stage Tongue 58

61 Female Reproductive Organs CCSD Code Description Procedure Fee ( ) Anaesthet ic Fee ( ) Sub-Category BT341 BT342 Planning insertion and removal of radiopharmaceutical into carcinoma of the cervix (brachytherapy) Insertion and removal of radiopharmaceutical into carcinoma of the cervix (brachytherapy) Cervix Uteri Cervix Uteri P2730 Colposcopy (+/- biopsy or polypectomy)* Cervix Uteri Q0100 Amputation of cervix uteri Cervix Uteri Q0220 Q0230 Q0330 Laser destruction of lesion of cervix uteri (+/- colposcopy or polypectomy) Cauterisation of lesion of cervix uteri (+/- loop diathermy, colposcopy or polypectomy) Cone biopsy of cervix uteri and/or (+/- laser, colposcopy or polypectomy) Cervix Uteri Cervix Uteri Cervix Uteri Q0340 Punch biopsy of cervix uteri Cervix Uteri Q1010 Q1030 M5100 M5180 M5220 M5300 Dilatation of cervix uteri and curettage of retained products of conception Dilatation of cervix uteri and curettage of uterus including polypectomy and diathermy of cervix Combined abdominal and vaginal operations to support outlet of female bladder (including sling procedures) (including cystoscopy) Combined abdominal and vaginal operations to support outlet of female bladder (including sling procedures) - redo operation (including cystoscopy) Retropubic suspension of neck of bladder (including colposuspension and cystoscopy) Vaginal operations to support outlet of female bladder (including cystoscopy) Cervix Uteri Cervix Uteri Suspension Suspension Suspension Suspension Q2080 Ventro suspension of uterus including laparoscopic Suspension Q0710 Q0712 Radical hysterectomy and lymphadenectomy (Wertheim's) Radical trachelectomy including laparoscopic and removal of lymph nodes Uterus/Adnexa Uterus/Adnexa 59

62 Q0740 Total abdominal hysterectomy (+/ oopherectomy) Uterus/Adnexa Q0750 Subtotal abdominal hysterectomy (+/ oopherectomy) Uterus/Adnexa Q0751 Laparoscopic subtotal hysterectomy (+/- oophorectomy) Uterus/Adnexa Q0752 Robot assisted laparoscopic subtotal hysterectomy (+/- oophorectomy) Uterus/Adnexa Q0790 Laparoscopic total hysterectomy (+/- oophorectomy) Uterus/Adnexa Q0791 Robot assisted laparoscopic total hysterectomy (+/- oophorectomy) Uterus/Adnexa Q0800 Vaginal hysterectomy without laparoscopic assistance Uterus/Adnexa Q0880 Q0890 Hysterectomy with excision / biopsy and/or removal of omentum and uterine adnexa for ovarian malignancy Vaginal hysterectomy including salpingo-oophorectomy (including laparoscopically assisted) Uterus/Adnexa Uterus/Adnexa Q0920 Myomectomy (including laparoscopically) Uterus/Adnexa Q0950 Plastic reconstruction of uterus Uterus/Adnexa Q1280 Introduction of a mirena coil 48 0 Uterus/Adnexa Q1700 Therapeutic endoscopic operations on uterus (including endometrial ablation excluding microwave or radiofrequency ablation) Uterus/Adnexa Q1701 Laparoscopic excision of endometriosis Uterus/Adnexa Q1702 Microwave Endometrial Ablation including hysteroscopy Uterus/Adnexa Q1703 Q1800 Impedance controlled bipolar radiofrequency ablation for menorraghia including hysteroscopy Hysteroscopy including biopsy, dilatation, curettage and polypectomy with/without mirena coil insertion Uterus/Adnexa Uterus/Adnexa Q1802 Hysteroscopy with resection of fibroid Uterus/Adnexa Q2020 Endometrial biopsy or aspiration Uterus/Adnexa Q2230 Oophorectomy and salpingectomy (in isolation) (including bilateral) Uterus/Adnexa 60

63 Q3110 Q3800 Removal of products of conception from fallopian tube (ectopic pregnancy) including laparoscopically Laparoscopy and therapeutic procedures including laser, diathermy and destruction e.g. endometriosis, adhesiolysis, tubal and ovarian surgery Uterus/Adnexa Uterus/Adnexa Q3900 Laparoscopy (including e.g. puncture of ovarian cysts, +/ biopsy, minor endometriosis) Uterus/Adnexa Q3980 Hysterosalpingo contrast echo sonography * 151 Uterus/Adnexa Q4130 Hydrotubation of fallopian tubes Uterus/Adnexa Q4400 Ovarian cystectomy +/- omental biopsy (as sole procedure and including bilateral) Uterus/Adnexa R1820 Caesarean Delivery Uterus/Adnexa X1410 Total exenteration of pelvis Uterus/Adnexa X1420 Anterior exenteration of pelvis Uterus/Adnexa X1430 Posterior exenteration of pelvis Uterus/Adnexa BT281 BT282 Planning for insertion and removal of radiopharmaceutical into vaginal tumour (brachytherapy) Insertion and removal of radiopharmaceutical into vaginal tumour (brachytherapy) Vagina/Perineum Vagina/Perineum M3710 Cystourethroplasty (including cystoscopy) Vagina/Perineum M5582 Diathermy of urethral caruncle Vagina/Perineum P1300 Operations on female perineum Vagina/Perineum P1400 Incision of introitus of vagina Vagina/Perineum P1800 Other obliteration of vagina Vagina/Perineum P1920 Excision of septum of vagina Vagina/Perineum P2000 Excision of lesion of vagina (e.g. warts and cysts) Vagina/Perineum P2100 Reconstruction of vagina Vagina/Perineum P2210 Anterior +/ posterior colporrhaphy and amputation of cervix uteri (including primary repair of enterocele) Vagina/Perineum 61