FIXED RATE PACKAGES Dorsal root ganglion block (local anaesthetic or neurolytic)

Transcription

1 Insertion of implantable ECG loop recorder ,606 Paravertebral block up to two levels (under X-ray control) Dorsal root ganglion block (local anaesthetic or neurolytic) ,773 Dorsal root ganglion block (radiofrequency) ,853 Epidural injection (cervical) A5200 1,756 Epidural injection (lumbar/caudal) A5210 1,241 Facet or sacroiliac joint (RF) radiofrequency A5720 thermocoagulation including rhizolysis (under X-ray control) - up to 3 joints 2,389 Facet or sacroiliac joint (RF) radiofrequency A5730 thermocoagulation including rhizolysis (under X-ray control) - 4 to 6 joints 2,828 FACET JOINT INJECTION (UNDER X-RAY CONTROL) - 1 TO 2 A5751 JOINTS 1,381 MEDIAL BRANCH BLOCK (UNDER X-RAY CONTROL) 1 TO 2 A5752 LEVELS 1,381 FACET JOINT INJECTION (UNDER X-RAY CONTROL) - 3 TO 4 A5761 JOINTS 1,472 MEDIAL BRANCH BLOCK (UNDER X-RAY CONTROL) 3 TO 4 A5762 LEVELS 1,472

2 FACET JOINT INJECTION (UNDER X-RAY CONTROL) - 5 OR A5771 MORE JOINTS 1,729 MEDIAL BRANCH BLOCK (UNDER X-RAY CONTROL) 5 TO 6 A5772 LEVELS 1,729 Excision of lesion of peripheral nerve (e.g. neurilemoma) A6110 1,729 Carpal tunnel release, including endoscopic A6510 1,666 Cubital tunnel release including endoscopic (without A6710 transposition) 1,630 Neurolysis and transposition of peripheral nerve (includes A6810 ulnar at elbow) 2,644 Local anaesthetic blockade of major nerve trunk (including A7350 occipital block, spheno-palatine block, diagnostic block of trigeminal branch, intercostal nerve block & supra-scapular nerve block) 1,269 Lumbar sympathectomy : therapeutic (neurolytic under X- A7600 ray control) 2,114 Total thyroidectomy/near total thyroidectomy B0812 4,311 Total thyroid lobectomy & isthmectomy B0830 4,040 Partial thyroidectomy (not elsewhere classified) B0860 3,667 Parathyroidectomy B1450 5,339 Radical mastectomy including block dissection B2710 5,683 Modified radical mastectomy including lymph node clearance B2744 6,224 Simple mastectomy (including axillary node biopsy) B2780 6,680 Excision/biopsy of breast lump/fibroadenoma of breast B2800 2,191 Wide local excision of lesion of breast B2820 3,459 Repeat local excision to clear margins B2830 2,728 Excision biopsy of breast lesion after localisation B2880 2,237 Mastectomy and immediate reconstruction of breast using B2912 latissimus dorsi 10,001 Reconstruction of breast using latissimus dorsi (including delayed reconstruction) B2913 9,695

3 Mastectomy and immediate reconstruction of breast using B3012 expandable prosthesis 9,818 Reconstruction of breast using fixed prosthesis (including B3015 delayed reconstruction) 4,863 Core biopsy of lesion of breast B3220 1,001 Drainage of breast abscess B3310 1,177 Orbital injection C Excision of lesion of eyelid C Curettage/cryotherapy of lesion of eyelid C Correction of ptosis of eyelid - simple, including C1810 tarsomullerectomy 2,674 Correction of ptosis of eyelid - complex C1812 2,462 Biopsy of lesion of eyelid C Dacryocysto-rhinostomy, including insertion of tube C2540 2,800 Dacryocysto-rhinostomy (endoscopic/laser assisted), C2542 including insertion of tube 3,367 Probing of nasolacrimal system with/without syringing C2650 and/or irrigation 507 Puncto-canaliculoplasty C2910 1,103 Surgical correction of squint with adjustable sutures C3530 3,918 Surgical trabeculectomy or other penetrating glaucoma C6010 procedures 2,794 Injection into anterior chamber C6930 1,236 Phakoemulsification of lens with implant - unilateral C7122 2,122 Phakoemulsification of lens without implant - unilateral C7123 1,787 Phakoemulsification of lens without implant - bilateral C7124 3,022 Phakoemulsification of lens with implant - bilateral C7125 3,744 Extracapsular extraction with implant C7180 2,020 Yag laser photodisruption of posterior capsule of lens C7340 (including laser capsulotomy) 479 Intravitreal injection of pharmaceutical for neovascular age C7923 * related macular degeneration 2,104

4 Pars plana vitrectomy with internal tamponade, scleral C7982 buckling and retinopexy, including dissection or excision of epiretinal membrane/macular surgery 4,698 Laser photocoagulation/cryotherapy of lesion of retina C Excision of lesion of pinna D0210 1,736 Modified radical mastoidectomy (including meatoplasty) D1020 5,596 Myringoplasty D1420 2,705 Myringotomy and insertion of tube through tympanic D1510 membrane (and bilateral) 1,615 Suction clearance of middle ear (as sole procedure) D Myringotomy (and bilateral) D1530 1,410 Ossiculoplasty D1610 5,340 Septorhinoplasty +/- graft/implant following trauma or E0230 excision of tumour 3,009 Septoplasty of nose E0360 1,902 Nasal septum cauterisation (and bilateral) E Antral puncture and wash-out (and bilateral) E1310 1,549 Intranasal antrostomy including endoscopic (and bilateral) E1330 2,283 Endoscopic balloon dilation frontal sinuplasty E1360 2,626 Endoscopic balloon dilation maxillary sinuplasty E1370 2,626 Endoscopic balloon dilation sphenoid sinuplasty E1380 2,626 FESS Endoscopic uncinectomy, anterior and posterior E1432 ethmoidectomy (and bilateral) 3,406 Endoscopic exploration frontal sinus beyond frontoethmoid E1480 recess 5,341 Diagnostic endoscopy of sinus (as sole procedure) E Diagnostic endoscopic examination of pharynx/larynx E2500 (including biopsy) (as sole procedure) 665 Microlaryngoscopy/laryngoscopy +/- endoscopic excision of E3520 lesion of larynx 1,838 Diagnostic bronchoscopy +/- biopsy E5180 1,961

5 Pulmonary lobectomy including segmental resection E ,093 Open excision of lesion of lung E ,334 Excision of lesion of lip F0200 1,574 Surgical removal of impacted/buried tooth/teeth F0910 1,568 Surgical removal of complicated buried roots F0950 1,644 Enucleation of cyst of jaw F1810 1,947 Excision/destruction of lesion of tongue F2310 1,738 Tonsillectomy - child (and bilateral) F3400 2,293 Tonsillectomy - adult (and bilateral) F3440 2,067 Adenotonsillectomy (and bilateral) F3480 2,260 Partial excision of parotid gland and preservation of facial F4430 nerve 4,567 Rigid oesophagoscopy including any biopsy, laser or G1900 diathermy destruction of lesions 2,012 Laparoscopic repair of hiatus hernia with anti-reflux G2331 procedure (e.g. fundoplication) 5,220 Transabdominal anti-reflux operations G2430 6,705 Revision of anti-reflux operations G2590 8,997 Laparoscopic gastric banding G3080 8,312 Therapeutic gastroscopy with insertion of prosthesis, G4410 therapy for acutely bleeding ulcer or banding of varices 2,895 Therapeutic oesophago-gastro-duodenoscopy (OGD) with G4430 bougie dilatation 1,332 Therapeutic gastroscopy with insertion percutaneous G4440 endoscopic gastrostomy/percutaneous endoscopic jejunostomy 3,085 Diagnostic oesophago-gastro-duodenoscopy (OGD) includes G6500 forceps biopsy, biopsy urease test and dye spray 1,211 Closure of ileostomy (as sole procedure) G7530 4,803 Capsule endoscopy including interpretation and evaluation G8080 1,686

6 Appendicectomy H0210 5,064 Laparoscopic appendicectomy H0280 4,846 Extended excision of right hemicolon H ,598 Other excision of right hemicolon H ,930 Laparoscopically assisted right hemicolectomy H ,962 Diagnostic colonoscopy, includes forceps biopsy of colon and H2002 ileum 1,614 Therapeutic colonoscopy with snare loop biopsy or excision H2003 of lesion 1,846 Diagnostic flexible sigmoidoscopy, includes forceps biopsy H2502 1,269 Therapeutic sigmoidoscopy with snare loop biopsy or excision of lesion H2503 1,713 Rigid sigmoidoscopy including biopsy H Anterior resection - high (i.e. colorectal anastomosis above H3332 the peritoneal reflection) 15,443 Anterior resection - low (i.e. colorectal anastomosis at or H3334 below the peritoneal reflection) 18,161 Laparoscopic anterior resection - high (i.e. colorectal H3364 anastomosis above the peritoneal reflection) 11,239 Partial excision of rectum and sigmoid colon for prolapse H3380 5,226 Perineal repair of prolapse of rectum H4200 3,975 Examination of rectum under anaesthetic (as sole H4430 procedure) 1,902 Excision of lesion of anus H4800 1,773 Haemorrhoidectomy (including sigmoidoscopy) H5100 2,075 Injection of sclerosing substance into haemorrhoids H Banding of haemorrhoids H Circular Stapling Haemorrhoidectomy H5250 2,652 Laying open of low anal fistula (including sigmoidoscopy) H5510 2,244 Laying open of high anal fistula (including sigmoidoscopy) H5520 3,028

7 Lateral sphincterotomy of anus H5620 1,691 Excision of pilonidal sinus and suture/skin graft H5940 2,373 Hemihepatectomy J ,400 Diagnostic laparoscopy (including any biopsy) J0900 3,253 Cholecystectomy (including mini-cholecystectomy) J1800 6,208 Laparoscopic cholecystectomy J1830 5,340 Laparoscopic cholecystectomy with peri-operative J1880 cholangiogram 4,497 Therapeutic ERCP (inc insertion of biliary/pancreatic J3900 4,845 Diagnostic ERCP ( includes forceps biopsy) J4300 4,517 Repair of mitral valve K ,391 Replacement or repair of aortic valve K ,172 Plastic repair of tricuspid valve OS K ,135 Bypass for coronary artery(ies) including harvesting of grafts K4100 and endarterectomy 21,080 Percutaneous transluminal angioplasty of coronary K4910 artery(ies) with stent insertion 13,862 Percutaneous transluminal ablation of atrio K ,676 Ablation of atrial arrhythmia K ,135 Percutaneous pulmonary vein isolation K ,135 Percutaneous transluminal ablation of accessory pathway or K5780 selected modification of AV node (including mapping) 16,135 Mapping of conducting system (in isolation) K5810 8,592 Cardiac pacemaker system introduced through vein (single K6000 * chamber) 11,674 Cardiac pacemaker system introduced through vein (dual K6010 * chamber) 14,953 Replacement of generator for intravenous cardiac pacemaker K6030 system (without lead change) 14,998 Ligation/stripping of long or short saphenous vein (including L8510 local excision/multiple phlebectomy) 1,672

8 Endovenous laser treatment (EVLT) of single vein includimg L8512 local excision / phlebectomy - unilateral 2,435 Endovenous laser treatment (EVLT) of single vein includimg L8513 local excision / phlebectomy - bilateral 3,722 Endovenous laser treatment (EVLT) of multiple veins L8514 includimg local excision / phlebectomy - unilateral 3,067 Ligation/stripping of long or short saphenous vein (including L8520 local excision/multiple phlebectomy) - bilateral 1,902 Operations for recurrent varicose veins with re-exploration L8530 of groin - unilateral 3,218 Radiofrequency ablation of varicose vein s (VNUS) - L8540 unilateral 3,036 Radiofrequency ablation of varicose veins (VNUS) - bilateral L8541 3,986 Operations for recurrent varicose veins with re-exploration of groin - bilateral L8580 4,006 Operations for recurrent varicose veins without reexploration of groin or popliteal fossa - bilateral L8582 3,216 Unilateral varicose vein injection sclerotherapy L Bilateral varicose vein injection sclerotherapy L Ligation/stripping of long and short saphenous veins L8700 3,032 Subfascial endoscopic perforator surgery (SEPS) - unilateral L8770 3,375 Ligation/stripping of long and short saphenous veins (including local excision/multiple phlebectomy) - bilateral L8780 3,416 Insertion of Hickman line, tunnelled central line etc L9110 4,907 Insertion of Portacath/Port-a-cath/Vasoport Unit L9180 5,304 Nephrectomy and excision of perirenal tissue M0210 9,376 Laparoscopic nephrectomy M0280 8,113 Percutaneous nephrolithotomy (including cystoscopy and retrograde catheterisation) M0940 8,820

9 Diagnostic endoscopic examination of kidney (including M1110 biopsy) 5,160 Extracorporeal fragmentation of calculus of kidney M1400 (lithotripsy) - single treatment 1,554 Ureterolysis - bilateral M2580 9,199 Ureteroscopic extraction of calculus of ureter M2730 3,116 Endoscopic insertion of prosthesis into ureter M2920 4,558 Removal of prosthesis from ureter M2930 1,210 Endoscopic examination of ureter M3000 2,321 Endoscopic retrograde pyelography M3010 3,228 Endoscopic resection of lesion of bladder (including M4210 cystoscopy) 3,773 Endoscopic destruction of lesion of bladder (including M4230 cystoscopy) 1,729 Litholapaxy M4410 3,388 Diagnostic endoscopic examination of bladder (including any M4510 biopsy) 1,216 Bladder instillation of pharmacologic agent M4712 1,212 Urodynamic studies/urodynamic assessment M Combined abdominal and vaginal operations to support M5100 outlet of female bladder (including sling procedures) 4,275 Vaginal operations to support outlet of female bladder M5300 4,232 Dilatation of outlet of female bladder (with cystoscopy) M5820 1,463 Radical prostatectomy, reconstruction of bladder neck M6180 including bilateral pelvic lymphadenectomy 11,300 Laparoscopic radical prostatectomy M6182 9,224 Endoscopic resection of prostate (TUR) (including M6530 cystoscopy) 5,112 Holmium laser resection of prostate (HoLRP) M6532 5,341 Endoscopic biopsy of prostate M6580 2,569 Endoscopic incision of outlet of male bladder (with cystoscopy) M6620 2,538

10 Prostatic cryotherapy M ,289 Photoselective vaporisation of prostate (GreenLight / M6760 Niagara laser PVP) 5,515 High intensity focused ultrasound of prostate M ,496 Prostate, needle biopsy M7020 1,466 Tension-free urethropexy, including administration of local M7590 anaesthetic by operating surgeon 3,844 Internal urethrotomy (including cystoscopy) M7940 2,523 Orchidectomy and excision of spermatic cord N0680 2,943 Correction of hydrocele N1100 2,109 Excision of epididymal cyst N1580 1,858 Circumcision N3030 1,972 Marsupialisation of Bartholin cyst P0320 2,074 Excision of lesion of vulva P0600 1,482 Excision of lesion of vagina (e.g. warts and cysts) P2000 1,672 Anterior +/- posterior colporrhaphy and amputation of cervix P2210 uteri (including primary repair of enterocele) 4,936 Posterior colporrhaphy P2230 3,294 Anterior +/- posterior colporrhaphy (including primary repair P2310 of enterocele) 4,521 Repair of enterocele (+/- posterior colporrhaphy) (as sole P2340 procedure) 5,005 Anterior (+/- posterior) colporrhaphy with vaginal P2380 hysterectomy (including primary repair of enterocele) 6,678 Sacrocolpopexy P2420 6,029 Colposcopy (+/- biopsy) P Cauterisation of lesion of cervix uteri (including loop Q0230 diathermy) 1,077 Cone biopsy of cervix uteri (including laser) Q0330 2,036 Punch biopsy of cervix uteri Q Radical hysterectomy and lymphadenectomy (Wertheim's) Q ,317

11 Total abdominal hysterectomy (+/- oopherectomy) Q0740 6,387 Subtotal abdominal hysterectomy (+/- oopherectomy) Q0750 5,707 Vaginal hysterectomy (including laparoscopically assisted) Q0800 6,102 Hysterectomy with excision / biopsy and or removal of omentum and uterine adnexa for ovarian malignancy Q ,372 Myomectomy (including laparoscopically) Q0920 5,939 Dilation of cervix uteri and curettage of retained products of Q1010 conception following spontaneous abortion 1,688 Dilatation of cervix uteri and curettage of uterus including Q1030 polypectomy and diathermy of cervix 1,640 Therapeutic endoscopic operations on uterus (including Q1700 endometrial ablation excluding microwave or radiofrequency ablation) 2,767 Microwave endometrial ablation Q1702 3,568 Impedance controlled bipolar radiofrequency ablation for Q1703 menorrhagia 4,064 Hysteroscopy including biopsy, dilatation, curettage and Q1800 polypectomy with/without mirena coil insertion 1,960 Endometrial biopsy or aspiration Q Oophorectomy and salpingectomy (as sole procedure) Q2230 (including bilateral) 5,535 Laparoscopy and therapeutic procedures including Q3800 laser,diathermy and destruction e.g.endometriosis,adhesiolysis,tubal surgery 2,652 Laparoscopy (including e.g. puncture of ovarian cysts, +/- Q3900 biopsy, minor endometriosis) 2,306 Ovarian cystectomy (as sole procedure) (and bilateral) Q4400 5,157 Primary excision of malignant lesion - Head & Neck S0602 1,473 Primary excision of malignant lesion - Trunk & Limbs S0603 1,846 Secondary excision of malignant lesion - Head & Neck S0604 1,193 Secondary excision of malignant lesion - Trunk & Limbs S0605 1,851

12 Photodynamic therapy to malignant lesion of skin - up to S0606 three 1,195 Photodynamic therapy to malignant lesion of skin - four or S0607 more 1,495 Excision of lesion of skin or subcutaneous tissue - up to S0632 three, Head & Neck 738 Excision of lesion of skin or subcutaneous tissue - up to S0633 three, Trunk & Limbs 864 Excision of lesion of skin or subcutaneous tissue - four or S0642 more, Head & Neck 1,145 Excision of lesion of skin or subcutaneous tissue - four or S0643 more, Trunk & Limbs 1,761 Curettage/cryotherapy of lesions of skin including S0820 cauterisation - four or more 701 Photodynamic therapy to non malignant lesions of skin S0940 1,426 Curettage/cryotherapy of lesion of skin including S1110 cauterisation - up to three 365 Shave biopsy of lesion of skin S Biopsy of skin or subcutaneous tissue S Local flap - less than 9cm2 S2500 2,814 Full thickness graft, head, neck, hands & genitalia - up to S3624 9cm2 in area 3,423 Debridement and primary suture of wound with involvement S4183 of deeper tissue - Trunk & Limbs 2,180 Debridement and primary suture of wound without S4213 involvement of deeper tissue (skin & subcutaneous fat only) - Trunk & Limbs 2,313 Secondary suture of skin S4230 1,148 Removal of foreign body in deeper tissue S4480 1,733 Drainage of lesion of skin including abscess S4720 1,472 Drainage of large subcutaneous abscess/haematoma S4740 1,770 Fine needle aspiration cytology S

13 Aspiration of subcutaneous haematoma S Introduction of substance into skin (including hormone S5300 pellet) 281 Excision of nail bed (Zadeks) S6400 1,379 Wedge excision or avulsion of nail including chemical S7010 ablation of nail bed 1,078 Primary repair of inguinal hernia T2000 2,258 Laparoscopic repair of inguinal hernia - unilateral T2002 2,191 Primary repair of inguinal hernia - bilateral T2010 3,353 Laparoscopic repair of inguinal hernia - bilateral T2012 2,652 Repair of recurrent inguinal hernia T2100 3,106 Repair of umbilical hernia (irrespective of age) T2400 2,251 Primary repair of incisional hernia T2500 2,639 Repair of recurrent incisional hernia T2600 4,290 Repair of other hernia of of abdominal wall T2700 2,850 Operations on omentum T3600 4,880 Freeing of adhesions of peritoneum T4130 6,581 Dupuytren's fasciectomy single digit with proximal T5203 interphalangeal joint 1,931 Dupuytren's fasciectomy multiple digits with proximal T5210 interphalangeal joints 2,518 Dupuytren's dermofasciectomy and graft, or for recurrent T5222 disease - single digit 2,518 Dupuytren's dermofasciectomy and graft, or for recurrent T5223 disease - multiple digits 3,059 Fasciotomy of limb T5540 2,857 Excision of ganglion T5900 1,929 Excision of bursa T6220 2,352 Primary repair of Achilles tendon T6780 2,340 Secondary repair of tendon (including graft,transfer and/or T6800 prosthesis) (not otherwise specified) 3,391 Secondary repair of Achilles tendon T6810 3,651

14 Secondary repair of Achilles tendon with tendon or fascial T6822 graft 4,548 Tenolysis, of flexor tendon (not otherwise specified) T6980 3,729 Open sub acromial decompression and extensive, greater T7910 than 2cm tear rotator cuff repair with excision of distal clavicle 4,941 Surgical release of humeral epicondylitis (lateral or medial) T8050 (e.g. "Tennis Elbow") 2,029 Block dissection of axillary lymph nodes (axilliary clearance) T8520 levels 1 to 3 5,476 Excision biopsy of lymph node for diagnosis (cervical, T8700 inguinal, axillary) 2,134 Sentinel node mapping with blue dye or radioactive probe T9000 for breast cancer 2,775 Posterior decompression +/- foraminotomy (cervical region) V2200 8,541 Prosthetic intervertebral disc replacement in the cervical V2282 spine 17,998 Primary posterior fusion +/- decompression +/- discectomy V2500 (lumbar region) 7,990 Posterior excision of disc prolapse including microdiscectomy V2540 (lumbar region) 6,049 Posterior excision of disc prolapse with undercutting V2542 facetectomy (lumbar region) 6,437 Revision of posterior excision of disc prolapse with V2543 undercutting facetectomy (lumbar region) 5,691 Revision of posterior excision of disc prolapse (lumbar V2544 region) 5,878 Decompression for central spinal stenosis (1 or 2 levels) V2560 6,604 Decompression for central spinal stenosis (3 or more levels) V2562 8,821

15 Revision posterior fusion +/- instrumentation (lumbar V2652 region) 15,384 Revision of decompression for central spinal stenosis V2660 8,833 Anterior discectomy, decompression and fusion (including V2950 bone grafting / multiple levels) (cervical region) 10,741 Combined anterior and posterior fusion of cervical spine V ,802 Combined anterior discectomy and fusion and posterior V3350 fusion (lumbar region) 21,250 Primary posterior fusion with instrumentation +/- V3362 decompression +/- discectomy (including Graf Stabilisation) (lumbar region) 16,465 Prosthetic replacement of lumbar disc V ,846 Posterior correction of scoliosis with instrumentation and V4100 fusion 21,463 Manipulation of spine under GA/IV sedation (as sole V5002 procedure) 1,726 Manipulation of spine without GA/IV sedation (as sole V5003 procedure) 1,451 Discogram/Diagnostic intervertebral disc injection under X- V5230 ray control 1,640 Spinal dynamic stabilisation devices (Interspinous V5484 distraction devices e.g. X-stop) 10,623 Total excision of trapezium W0282 4,053 Total excision of trapezium and ligament reconstruction W0284 4,688 Multiple procedures on forefoot W0300 4,936 Multiple procedures on forefoot - bilateral W0310 7,556 Fusion of first metatarso-phalangeal joint W0330 2,717 Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers) W0460 5,880

16 Complex procedure to mid foot or hindfoot with autogenous W0462 bone graft (osteotomy/fusion +/- tendon transfers/fixation) 6,057 Complex procedure to mid foot and hindfoot without W0463 autogenous graft (osteotomy/fusion +/- tendon transfers/fixation) 8,583 Complex procedure to mid foot and hindfoot with W0464 autogenous graft (osteotomy/fusion +/- tendon transfers, fixation) 8,896 Prosthetic patello-femoral replacement (as sole procedure) W0632 9,619 Partial excision of bone (including exostoses) W0850 2,303 Metatarso-phalangeal cheilectomy - unilateral W0860 3,275 Metatarso-phalangeal cheilectomy - bilateral W0861 4,182 Radical clearance of malignant tumour of soft tissue or bone W0950 (not otherwise specified) 6,884 Excision of benign tumour of bone with bone grafting W0960 4,709 Osteotomy of long bone, with/without fixation, including W1080 graft 4,722 Correction of retracted/dislocated metatarso-phangeal joint W1590 including tendon transfer, division/realignment of bone and internal fixation 3,889 Drainage/debridement of bone(s), including sequestrectomy W1800 for osteomyelitis 4,637 Primary open reduction of long bone with fixation W1920 5,278 Primary open reduction of intra-articular fracture of long W2100 bone with internal fixation, eg proximal humerus or proximal tibia (with or without arthroscopic assistance) 6,496 Secondary open reduction of fractured long bone-and intramedullary fixation or internal fixation for non-union/mal union - including intra-articular (including bone graft) W2310 7,454

17 Locked intramedullary nailing of fractured long bone W2380 7,800 Plating and bone grafting for non-union of clavicle W2810 4,469 Removal of internal fixation from bone / joint, excluding K- W2830 wires 2,191 Removal of fixator/frame/pins/wires and change of plaster W3032 1,342 Osteochrondral grafting W3110 8,372 Removal of percutaneous wire W Diagnostic aspiration and / or trephine biopsy of bone W3650 marrow 1,608 Primary total hip replacement with or without cement W ,400 Complex primary total hip replacement requiring bone W3713 grafting or femoral osteotomy 14,741 Total hip replacement, with or without cement, after W3714 excision arthroplasty or arthrodesis, including conversion of hemiarthroplasty or revision of other previous hip surgery which involved internal fixation 14,981 Metal on metal hip resurfacing arthroplasty W ,019 Minimally invasive hip resurfacing W ,559 Revision of uncemented or cemented total hip replacement W3732 without adjunctive procedures 16,835 Revision of total hip replacement including insertion of W3733 reconstruction rings, plates, screws, etc., and/or impaction bone grafting to acetabulum and/or femur 22,226 Second, third or further revision total hip replacement or proxw ,766 Total prosthetic replacement of the hip, with or without W3780 cement, bilateral 25,010 Complex primary total knee replacement (i.e. including bone W4200 graft, augmentation or osteotomy) 14,849 Total prosthetic replacement of knee joint, with or without W4210 cement, +/- patella 15,303 Revision of total replacement of knee joint W ,117

18 Total prosthetic replacement of knee joint - bilateral W ,141 Shoulder hemiarthroplasty, as sole procedure W ,229 Primary total shoulder replacement W ,409 Unicompartmental knee replacement W ,239 Primary repair of rupture of acromioclavicular or W5600 sternoclavicular joint including internal fixation 5,993 Secondary repair of acromioclavicular or sternoclavicular W5630 joint +/- internal fixation 5,531 Excision arthroplasty of first metatarso-phalangeal joint with W5700 prosthetic implantation or interposition arthroplasty 3,969 Fusion of interphalangeal joint(s) of toe (including internal W5940 fixation) 2,332 Total synovectomy of large joint W6913 4,141 Mutiple ligament reconstruction of knee including posterior W7410 cruciate ligament 8,694 Autograft anterior cruciate ligament reconstruction (as sole W7420 procdure) 5,761 Reconstruction of lateral collateral ligament complex W7430 4,200 Revision of anterior cruciate ligament reconstruction W7470 5,948 Multiple ligament reconstruction W7484 4,948 Open surgical stabilisation of patella, including application of W7580 cast (adult) 5,514 Stabilisation of multi-directional instability of shoulder joint W7713 4,815 Revision stabilisation of shoulder joint W7780 5,934 Arthroscopic arthrolysis of shoulder contracture W7872 3,949 Metatarsal osteotomy for Hallux valgus, with or without W7910 internal fixation and soft tissue correction 3,981 Metatarsal osteotomy for Hallux valgus, with or without W7980 internal fixation and soft tissue correction-bilateral 4,983 Arthrotomy of large joint, including removal of loose body from joint W8150 3,216

19 Arthroscopic sub-acromial decompression as sole procedure W8193 3,071 Arthroscopic sub-acromial decompression and excision of W8194 distal clavicle (including arthroscopic procedures in glenohumeral joint) 3,574 Arthroscopic meniscectomy (including debridement) W8200 2,625 Arthroscopic meniscal repair W8230 2,856 Arthroscopic meniscectomy (including debridement) - W8280 bilateral 4,172 Multiple arthroscopic operation on knee (including W8500 meniscectomy, chondroplasty, drilling or microfracture) 2,679 Arthroscopy of knee (including examination under W8520 anaesthetic, washout and biopsy) (as sole procedure) 1,556 Multiple arthroscopic operation on knee (including W8580 meniscectomy, chondroplasty, drilling or microfracture) - bilateral 4,345 Therapeutic arthroscopic operation on cavity of joint (not W8600 otherwise specified) (as sole procedure) 2,707 Therapeutic arthroscopy of wrist joint (as sole procedure) W8602 2,632 Therapeutic arthroscopy of shoulder (as sole procedure) W8603 3,455 Therapeautic arthroscopic examination of hip joint, with or W8620 without biopsy 6,912 Simple therapeutic arthroscopy of ankle with either soft W8630 tissue procedures or bony procedures +/- or joint surface procedures (as sole procedure) 3,430 Complex therapeutic arthroscopy of ankle, with multiple W8640 bony, joint surface and soft tissue procedures (as sole procedure) 3,560 Therapeutic arthroscopic operation on cavity of joint - bilateral (not otherwise specified) (as sole procedure) W8680 3,572

20 W8700 Diagnostic arthroscopic examination of joint, with or without biopsy (not otherwise specified) (as sole procedure) 1,949 Diagnostic arthroscopic examination of hip joint including W8800 wash-out, with or without biopsy (as sole procedure) 2,744 Diagnostic arthroscopic examination of shoulder joint, with W8820 or without biopsy (as sole procedure) 2,031 Diagnostic arthroscopic examination of wrist joint, with or W8830 without biopsy (as sole procedure) 1,658 Diagnostic arthroscopic examination of ankle, including W8840 anterior synovectomy to gain vision (as sole procedure) 1,852 Dynamic arthrogram of joint W9020 2,206 Injection(s) into joint(s) under X-ray control W Injection(s) into joint(s) without X-ray control W Manipulation of joint (including intra-articular injection) for W9112 "Frozen Shoulder" (as sole procedure) 1,548 Examination/ manipulation of joint under anaesthetic +/- W9240 injection (as sole procedure) 1,730 Joint fluid examination (e.g. polarising microscopy) W9282 performed by consultant including aspiration of fluid 378 Change of cast without general anaesthetic X External cardioversion X5020 1,532 Ultrasound guided biopsy(ies) XR110 1,153 CT/MRI guided biopsy(ies) XR120 1,173 Ultrasound guided drainage of fluid collection XR180 1,987 Embolisation of vascular mass (including uterine XR360 embolisation) 4,988 Insertion of central venous catheter - non-tunnelled (X-ray XR910 guided) 2,747 Insertion of central venous catheter - tunnelled (X-ray guided) XR915 4,466

21 ITEMISED STANDARD RATES ACCOMMODATION In-patient Day-patient Out-patient OvOvernight - All patients 620 DaDay patients - Surgical 486 Day patients - Medical 477 ICITU 1,513 HDHDU 1,344 PaParent and Child Supplement 186 THEATRE FEES M MINOR ININTER M MAJ M MAJ+ 1,264 1,264 1,264 CMCMO 1 1,512 1,512 1,512 CMCMO 2 1,600 1,600 1,600 CMCMO 3 1,973 1,973 1,973 CMCMO 4 2,551 2,551 2,551 CMCMO 5 3,091 3,091 3,091

22 THEATRE PACKS In-patient Day-patient Out-patient M MINOR ININTER M MAJ 1,324 1,324 1,324 M MAJ+ 2,462 2,462 2,462 CMCMO 1 4,164 4,164 4,164 CMCMO 2 4,164 4,164 4,164 CMCMO 3 4,164 4,164 4,164 CMCMO 4 4,856 4,856 4,856 CMCMO 5 7,625 7,625 7,625 THEATRE PACK EXCEPTIONS CCSD Code In-patient Day-patient Out-patient LaLaparoscopic repair of recurrent inguinal hernia - unilateral T2102 4,365 4,365 LaLaparoscopic repair of recurrent inguinal hernia - bilateral T2112 4,353 4,353 PePercutaneous transluminal angioplasty of coronary artery(ies) (including laser) K4900 6,158 6,158 ReRedo of bypass for coronary artery(ies) including harvesting of grafts K4410 8,257 8,257 ReReplacement of mitral valve (including valvuloplasty) K2540 8,257 8,257 ReReplacement of tricuspid valve K2700 8,257 8,257 ReReplacement of pulmonary valve (including valvuloplasty/valvotomy) K2800 8,257 8,257 ReReplacement of mitral valve - redo operation K ,169 10,169 ReReplacement of aorticv valve with homograft or stentless porcine K ,169 10,169 ReReplacement of aioric valve - redo operation K ,169 10,169 Percutaneous transluminal angioplasty of coronary artery(ies) with Peintravascular ultrasound (including laser) K4902 6,407 6,407 Percutaneous transluminal angioplasty of coronary artery(ies) with stent Peinsertion and intravascular ultrasound K4912 7,940 7,940 AbAblation of ventricular arrhythmia K5740 9,778 9,778 LILITHOTRIPSY In-patient Day-patient Out-patient 1.1. Kidney 4,198 4,198 4, Kidney-mutiple 5,606 5,606 5, Kidneys 4,475 4,475 4, Kidney-mutiple 6,142 6,142 6,142

23 DIAGNOSTIC AND NON SURGICAL PROCEDURES* In-patient Day-patient Out-patient MRI 1 Area Scan CT 1 Area Scan Chest Xray ECG (reported) Histology Test - Minor Liver Function Test Physiotherapy Treatment *NB-other non-surgical treatments and diagnostic prices are available on request OTHER ITEMS SpSpecial Dispense Fee prhigh Cost Items - markup (Drugs, Prosthesis and Consumables) 45% (Inc 20% VAT)