Access Surgery Premier

Transcription

1 Access Surgery Premier Procedure Band Description A Hemispherotomy A Excision of abscess of brain A Excision of lesion of tissue of brain A Excision of arteriovenous malformation from vessels of brain A Awake craniotomy with ablation of lesion of brain +/- cortical mapping/stereotaxy A Stereotactic ablation of tissue of brain A Stereotactic biopsy of lesion or tissue of brain A Stereotactic radiotherapy (SRT) using GammaKnife or similar SRT technology A Biopsy of lesion of tissue of brain (including via a burr hole or stealth guided) A Deep brain stimulation A Stereotactic radiotherapy (SRT), first/sole session using Cyberknife or similar SRT technology A Stereotactic radiotherapy (SRT), second to fifth sessions, including adjustments, using Cyberknife or similar SRT technology A Creation of ventriculovascular anastomosis A Creation of ventriculoperitoneal shunt A Creation of subcutaneous cerebrospinal fluid reservoir A Maintenance of cerebroventricular shunt A Removal of cerebroventricular shunt A Irrigation of cerebroventricular shunt A Therapeutic endoscopic operations on ventricle of brain (including examination and biopsy of lesion) A Ventricular puncture (as sole procedure) A Drainage of subarachnoid space of brain A Puncture of cistern of brain A Cerebral angiogram A Intracranial transection of cranial nerve A Other intracranial destruction of cranial nerve A Proximal gastric vagotomy A Highly selective vagotomy A Vagotomy with pyloroplasty A Laparoscopic vagotomy/seromyotomy A Repair of cranial nerve (intracranial) A Decompression of cranial nerve (craniotomy) A Implantation of neurostimulator to cranial nerve A Removal of neurostimulator from cranial nerve A Operation for arachnoidal cyst A Repair of dura A Evacuation of extradural haematoma A Craniotomy - post-operative haemorrhage A Evacuation of subdural haematoma or abscess A Subdural haemorrhage - tap A Intracranial infection : burrhole A Partial excision of spinal cord A Open operations on spinal cord A Percutaneous cordotomy of spinal cord A Implantation of neurostimulator to spinal cord

2 A Implantation/removal of intrathecal drug delivery system A Implantation/removal of epidural delivery system A Epiduroplasty (Racz catheter or equivalent) A Drainage of spinal canal (including insertion of shunt) A Neurectomy (major nerve) A Graft to peripheral nerve A Graft to major nerve A Repair of peripheral nerve A Repair of major nerve A Carpal tunnel release (open) A Carpal tunnel release (open) - bilateral A Release of entrapment of deeply placed peripheral nerve A Release of entrapment of peripheral nerve A Cubital tunnel release (open) (without transposition) A Cubital tunnel release (open) bilateral (without transposition) A Neurolysis and transposition of peripheral nerve (excludes carpal tunnel release) A Revision of release of peripheral nerve A Implantation of neurostimulator to peripheral nerve A Trial of neurostimulator to peripheral nerve (as sole procedure) not at time of permanent implant A Radiofrequency (including pulsed denervation), cryoprobe or phenol for permanent lesion of major nerve trunk A Biopsy of peripheral nerve A Exploration and grafting of brachial plexus A Thorascopic cervical sympathectomy A Laparoscopic lumbar sympathectomy A VATS sympathectomy - unilateral A VATS sympathectomy - bilateral A Presacral sympathectomy - diagnostic A Presacral sympathectomy - therapeutic AA489 3 Transtympanic chemical labyrinthectomy B Open hypophysectomy (including total) B Cryotherapy to pituitary gland B Excision of pineal gland B Total thyroidectomy/near total thyroidectomy B Total thyroidectomy (including block dissection of lymph nodes) B Bilateral subtotal thyroidectomy B Total thyroid lobectomy & isthmectomy B Isthmectomy of thyroid gland B Partial thyroidectomy (not elsewhere classified) B Operations on aberrant thyroid tissue (including excision/removal of retrosternal goitre) B Excision of thyroglossal cyst/tract B Core biopsy of thyroid gland B Thyroid : re-operation B Parathyroidectomy B Parathyroid : re-operation B Mediastinal parathyroidectomy with sternotomy B Thymectomy for myasthenia gravis B Adrenalectomy - bilateral (open) B Adrenalectomy - bilateral (laparoscopic)

3 B Adrenalectomy - unilateral (open) B Adrenalectomy - unilateral (laparoscopic) B Drainage of breast abscess (including haematoma and seroma) B Microdochotomy C Exenteration of orbit C Enucleation/evisceration of eyeball C Enucleation/evisceration of eyeball (with implant) C Simple reconstruction of socket (not including implant or graft) C Reconstruction of socket with either implant or graft C Reconstruction of socket with implant and graft C Drainage of orbit C Decompression of orbit C Removal of foreign body from orbit C Exploration of orbit (as sole procedure) C Orbital injection C Suture of eyebrow C Correction of epicanthus C Correction of telecanthus C Graft of skin to canthus C Canthotomy C Blepharoplasty - one eyelid C Blepharoplasty - two eyelids C Blepharoplasty - three or four eyelids C Graft of skin to eyelid C Correction of lower lid ectropion without graft/flap C Correction of lower lid ectropion with graft/flap C Correction of entropion - lower lid, including graft/flap C Correction of entropion - upper lid (including graft/flap) C Correction of trichiasis by electrolysis/diathermy/cryotherapy/laser C Surgical correction of trichiasis /upper lid entropion (including graft/flap) C Tarsorrhaphy C Total reconstruction of eyelid - unilateral C Suture of eyelid (laceration) (as sole procedure) C Correction of ptosis of eyelid - simple (including tarsomullerectomy) C Correction of ptosis of eyelid - complex C Correction of ptosis of eyelid with autologous fascia lata C Canaliculo-dacryocysto-rhinostomy (including intubation) C Conjunctivo-dacryocysto-rhinostomy (including intubation) C Dacryocystorhinostomy (including insertion and later removal of tube) C Dacryocystorhinostomy (endoscopic/laser assisted) (including insertion and later removal of tube) C Lacrimal intubation (as sole procedure) C Excision/Biopsy of lacrimal sac C Incision of lacrimal sac C Probing of nasolacrimal system +/- syringing and/or irrigation C Puncto-canaliculoplasty C Excision of pterygium C Mucosal graft to conjunctiva C Suture of conjunctiva C Drainage of conjunctival cyst

4 C Exploration of conjunctiva (including removal of foreign body) C Lamellar graft (keratoplasty) to cornea C Perforating graft (keratoplasty) to cornea C Descemets stripping endothelial keratoplasty (DSEK) C Revision of corneal graft C Implantation of Synthetic corneal rings for keratoconus (including INTACS) C Repair of corneal wound C Removal of corneal suture C Removal of superficial corneal foreign body C Tension sutures C Chelation of cornea/photo therapeutic keratectomy C Corneal scraping for culture C Insertion of tantalum marker ring C Conventional retinal surgery (may include scleral buckling, injection of gas, drainage and retinopexy) C Removal of silicone oil C Repair of scleral laceration C Scleral graft C Iridocyclectomy C Surgical iridectomy C Surgical trabeculectomy or other penetrating glaucoma procedures (including topical or local anaesthetic) C Canaloplasty (of Schlemm s Canal with microcatheter) (including topical or local anaesthetic) C6012 2?Canaloplasty (of Schlemm's Canal with microcatheter) combined with phakoemulsification of lens with implant "Phako-Canaloplasty" (including topical or local anaesthetic) C Laser trabeculoplasty (including topical or local anaesthetic) - bilateral C Goniotomy (surgical treatment of glaucoma) (including topical or local anaesthetic) C Revision of previous glaucoma surgery (including topical or local anaesthetic) C Complex glaucoma surgery (including anti-metabolites/insertion of seton devices) (including topical or local anaesthetic) C Goniosynechialysis or goniopuncture (with laser or operatively) (including topical or local anaesthetic) C Laser iridotomy C Repair of prolapsed iris C Removal of foreign body from iris C Ciliary body ablation C Cyclodialysis (separation of ciliary body) C Reformation of anterior chamber C Paracentesis C Irrigation/aspiration of anterior chamber C Removal of foreign body from anterior chamber C Insertion of valve into anterior chamber of eye C Extracapsular cataract extraction without implant - bilateral C Extracapsular cataract extraction without implant - unilateral C Ultrasound phacoemulsification of cataract, with lens implant - unilateral (including topical or local anaesthetic) C Phakoemulsification of cataract, without lens implant - unilateral (including topical or local anaesthetic) C Phakoemulsification of cataracts, without lens implant - bilateral (including topical or local anaesthetic)

5 C Ultrasound phacoemulsification of cataracts, with lens implant - bilateral (including topical or local anaesthetic) C Extracapsular cataract extraction with implant - unilateral C Extracapsular cataract extraction with implant - bilateral C Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy)-unilateral C Secondary insertion of lens implant C Lens implant/exchange C Removal of lens implant C Anterior vitrectomy C Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy C Pars plana vitrectomy/vitreous biopsy C Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy (including dissection or excision of epiretinal membrane/macular surgery) C Retinal examination under anaesthetic (including retinopexy if necessary) C Fluorescein angiography of eye (including ocular photography) C Insertion of radioactive plaque into eye (including later removal) D Total excision of pinna D Excision accessory auricle/preauricular appendage D Excision of preauricular sinus D Removal of multiple bony exostoses external auditory canal D Reconstruction of external ear for anotia/microtia using cartilage graft D Soft tissue meatoplasty of external auditory canal D Bony meatoplasty D Drainage of haematoma/abscess of pinna D Repair of pinna D Radical mastoidectomy (including meatoplasty) D Modified radical mastoidectomy (including meatoplasty) D Simple mastoidectomy D Revision of mastoidectomy (including meatoplasty) D Exploration of facial nerve, mastoid segment D Myringoplasty D Combined approach tympanoplasty - intact canal wall tympanoplasty D Myringotomy and insertion of tube through tympanic membrane (and bilateral) D Suction clearance of middle ear (as sole procedure) D Myringotomy (and bilateral) D Exploration of entire middle ear course of VII D Ossiculoplasty D Stapedectomy D Revision stapedectomy D Middle ear polypectomy D Removal of grommets D Diagnostic tympanotomy (as sole procedure) D Tympanic neurectomy D Insertion of cochlear implant D Insertion of bone anchored implant (BAHA) D Operation(s) on endolymphatic sac D Membranous labyrinthectomy D Osseous labyrinthectomy D Examination of ear under general anaesthetic (as sole procedure) E Total excision of nose

6 E Septorhinoplasty including graft/implant following trauma or excision of tumour (including attention to turbinates) E Rhinoplasty following trauma or excision of tumour (including attention to turbinates) E Submucous resection of nasal septum E Biopsy of septum of nose E Closure of perforation of septum of nose E Septoplasty of nose (including attention to turbinates) E Reduction turbinates of nose (laser, diathermy, out fracture etc) E Reduction turbinates of nose (trim, radical excision) E Division of adhesions of turbinate of nose (and bilateral) E Ligation of artery of internal nose (including endoscopic, as sole procedure) E Polypectomy of internal nose (and bilateral, including endoscopic) E Caldwell-Luc approach to maxillary sinus E Vidian neurectomy (including endoscopic) E Image guided endoscopic frontal, sphenoid and/or ethmoid sinus surgery (FESS) E Antral puncture and washout (and bilateral) E Intranasal antrostomy including endoscopic and antral washout (including bilateral) E Closure of oro-antral fistula with local flap E Endoscopic balloon dilation frontal sinuplasty E Endoscopic balloon dilation maxillary sinuplasty E Endoscopic balloon dilation sphenoid sinuplasty E External frontoethmoidectomy E FESS: excision uncinate process and anterior ethmoid bulla, antrostomy/antral puncture, simple polypectomy and attention to turbinates (bilateral) E Bone flap to frontal sinus (and bilateral) E Trephining of frontal sinus E Median drainage of frontal sinus (modified Lothrop procedure) E Endoscopic exploration frontal sinus beyond frontoethmoid recess E Operation(s) on sphenoid sinus (including endoscopic) E Lateral rhinotomy into sinuses E Transnasal repair of leaking CSF (including endoscopic) E Diagnostic endoscopy of sinus and bilateral (as sole procedure) E Total pharyngectomy E Partial pharyngectomy E Adenoidectomy E Repair of pharynx E Reconstruction using stomach pull up following pharyngolaryngectomy E Reconstruction free jejunal graft following pharyngolaryngectomy E Pharyngeal myotomy E Open operation(s) on pharyngeal pouch E Therapeutic endoscopic operation on pharynx E Endoscopic operation(s) on pharyngeal pouch (e.g. Dohlman s procedure) E Diagnostic nasolaryngopharyngoscopy (including biopsy) as sole procedure E Total laryngectomy E Horizontal supra-glottic laryngectomy E Vertical hemi-laryngectomy E Partial laryngectomy E Laryngofissure and cordectomy of vocal cord E Laryngofissure E Sub-total laryngectomy

7 E Glottoplasty E Reconstruction of larynx with graft E Thyroplasty (Isshiki Type 1) E Cordectomy (endoscopic) E Laser surgery to vocal cord (including microlaryngoscopy) E Endoscopic laryngo-pharyngoscopy as sole outpatient procedure +/- stroboscopy E Partial excision of trachea with reconstruction E Tracheoplasty E Insertion of voice prosthesis (TOF) E Tracheostomy E Mini-tracheostomy (percutaneous) E Carinal resection +/- pneumonectomy E Fibreoptic examination of trachea (including biopsy/removal of foreign body) E Sleeve resection of bronchus or pulmonary artery with pulmonary resection E Thoracotomy and closure of bronchopleural fistula E Therapeutic bronchoscopy (including laser, cryotherapy, lavage, snare, dilatation of stricture, insertion of stent) E Dilatation of tracheal stricture (including insertion of stent) E Therapeutic bronchoscopy for removal of foreign body E Panendoscopy +/- incisional biopsy E Therapeutic Panendoscopy +/- excision biopsy, excision or destruction of lesions E Diagnostic bronchoscopy +/- biopsy E Pneumonectomy E Pulmonary lobectomy (including segmental resection) E VATS lobectomy E VATS wedge resection of lung E Lung resection with resection of chest wall E Thoracotomy and lung biopsy (as sole procedure) E VATS bullectomy - unilateral E VATS bullectomy - bilateral E VATS lung volume reduction - unilateral E VATS lung volume reduction - bilateral E VATS debridement of empyema E Thoracotomy lung volume reduction - bilateral E Thoracotomy lung volume reduction - unilateral E Thoracotomy bullectomy - bilateral E Thoracotomy bullectomy - unilateral +/- pleurodesis in presence of emphysema E Thoracotomy pleurectomy/pleurodesis +/- ligation of bullae for pneumothorax E VATS lung biopsy F Excision of vermilion border of lip and advance of mucosa of lip F Reconstruction of lip using skin flap F Suture of lip F Vestibuloplasty F Enucleation of cyst of jaw F Total glossectomy F Frenotomy /frenectomy of tongue under general anaesthetic F Freeing of adhesions of tongue F Suture of tongue F Tongue flap - first stage and second stage F Suture of palate

8 F Operations on uvula F Tonsillectomy - child (and bilateral) F Tonsillectomy - adult (and bilateral) F Adenotonsillectomy (and bilateral) F Drainage of peritonsillar abscess ("quinsy") F Arrest of haemorrhage following tonsillectomy/adenoidectomy F Suture of mouth (as sole procedure) F Graft of skin or mucosa to mouth F Removal of excess mucosa from mouth F Excision of parotid gland (other than F4410/F4430) F Total excision of parotid gland and preservation of facial nerve F Partial excision of parotid gland and preservation of facial nerve F Excision of submandibular gland F Excision of sublingual gland F Incision or drainage of abscess or haematoma of salivary glands (i.e. including submandibular, parotid and sublingual glands) F Therapeutic sialendoscopy F Transposition of parotid duct (including bilateral) F Transposition of submandibular duct (including bilateral) F Open extraction of calculus from parotid duct F Open extraction of calculus from submandibular duct F Dilatation of parotid duct F Manipulative removal of calculus from parotid duct G Oesophagectomy/Oesophagogastrectomy with anastomosis in chest G Total oesophagectomy and interposition of intestine G Endoscopically assisted oesophagectomy G Sub-total oesophagectomy with anastomosis in neck G Bypass of oesophagus G Closure of bypass of oesophagus G Repair of ruptured oesophagus G Oesophagocardiomyotomy (Heller's operation) G VATS oesophageal/oesophagogastric myotomy G Thorascopic oesophagogastric myotomy G Endoscopic ablation of high-grade dysplasia in Barrett's oesophagus G Endoscopic mucosal resection of high-grade dysplasia in Barrett's oesophagus G Rigid oesophagoscopy (including biopsy, laser or diathermy destruction of lesions) G Transthoracic repair of paraoesophageal hiatus hernia G Transthoracic repair of diaphragmatic hernia (acquired) G Transabdominal repair of hiatus hernia G Laparoscopic repair of hiatus hernia with anti-reflux procedure (e.g. fundoplication) G Transabdominal repair of diaphragmatic hernia G Transthoracic fundoplication & gastroplasty G Transthoracic fundoplication G Transabdominal anti-reflux operations G Revision of anti-reflux operations G Total gastrectomy and excision of surrounding tissue G Partial gastrectomy G Partial gastrectomy and excision of surrounding tissue G Laparoscopic biliary gastric bypass G Gastro-jejunostomy

9 G Revision of gastro-jejunostomy G Gastrostomy G Closure of gastrostomy G Closure of perforated ulcer of stomach G Laparoscopic closure of peptic ulcer G Gastropexy (for reflux) G Open operations on stomach not elsewhere classified G Pyloromyotomy G Pyloroplasty G Therapeutic oesophago-gastro-duodenoscopy (OGD) with insertion of prosthesis G Therapeutic oesophago-gastro-duodenoscopy (OGD) with dilatation G Therapeutic oesophago-gastro-duodenoscopy (OGD) with insertion percutaneous endoscopic gastrostomy/percutaneous endoscopic jejunostomy G Gastroscopic balloon insertion G Gastroscopic balloon removal G Therapeutic enteroscopy G Diagnostic enteroscopy G Transoral incisionless fundoplication (TIF) G Bypass of duodenum G Closure of perforated ulcer of duodenum G Excision of jejunum G Open formation of jejunostomy G Laparoscopically assisted resection of small intestine G Bypass of jejunum G Diagnostic oesophago-gastro-duodenoscopy (OGD) includes forceps biopsy, biopsy urease test and dye spray G Intubation of jejunum for decompression of intestine (without laparotomy) G Bypass of ileum G Ileoanal anastomosis and creation of pouch G Open formation of ileostomy G Laparoscopic ileostomy G Revision of ileostomy - local G Revision of ileostomy - laparotomy G Closure of ileostomy (as sole procedure) G Ileoscopy via stoma with therapy G Capsule endoscopy (including interpretation and evaluation) G Diagnostic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) G Therapeutic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) H Appendicectomy H Laparoscopic appendicectomy H Drainage of abscess of appendix or drainage of intra-abdominal abscess H Panproctocolectomy and ileostomy H Abdominal revision of restorative proctocolectomy H Total excision of colon and ileorectal anastomosis H Extended excision of right hemicolon H Right hemicolectomy H Laparoscopically assisted right hemicolectomy H Excision of transverse colon

10 H Excision of left hemicolon H Excision of sigmoid colon H Excision of lesion of colon (transabdominal) H Bypass of colon H Closure of colostomy H Abdominal operation for Hirschsprung s disease (e.g. Duhamel, Söave and Surcuson operations) H Laparoscopic colostomy and stoma formation (including revision) H Open formation of colostomy H Intra abdominal manipulation of colon for intussusception (as sole procedure) H Laparoscopically assisted left colon resection H Diagnostic colonoscopy, includes forceps biopsy of colon and ileum H Diagnostic flexible sigmoidoscopy (including forceps biopsy and proctoscopy) H Rigid sigmoidoscopy (including proctoscopy and biopsy) H Abdominoperineal pull through resection with colo-anal anastomosis +/- colonic pouch and associated stoma H Abdominoperineal resection of rectum and anus H Laparoscopic abdominoperineal resection H Anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) H Anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection) H Hartmann s procedure H Colectomy and colostomy and preservation of rectum H Laparoscopic anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) H Laparoscopic anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection) H Partial excision of rectum and sigmoid colon for prolapse H Reversal of Hartmann's procedure H Fixation of rectum for prolapse H Laparoscopic rectopexy H Full or partial thickness rectal biopsy H Perineal repair of prolapse of rectum H Examination of rectum under anaesthetic (as sole procedure) H Dilation of stricture of rectum H Repair of faecal fistula H Repair of anal sphincter (including sigmoidoscopy) H Repair of anal trauma H Haemorrhoidectomy (including sigmoidoscopy) H Banding of haemorrhoids H Circular Stapling Haemorrhoidectomy H Anorectal stretch H Laying open of low anal fistula (fistulotomy) +/- insertion of stitch (including sigmoidoscopy) H Laying open of high anal fistula (fistulotomy) +/- insertion of stitch (including sigmoidoscopy) H Lateral sphincterotomy of anus H Excision of anal fissure H Excision of pressure sore excluding repair H Drainage through perineal region (including ischio-rectal abscess) (including sigmoidoscopy) H Excision of pilonidal sinus and suture/skin graft H Laying open of pilonidal sinus J Partial hepatectomy

11 J Hemihepatectomy J Repair of liver (including therapeutic laparoscopic operations on liver) J Open drainage of liver J Open hepatectomy and ablation J Radiofrequency thermocoagulation of liver with scalpel liver resection J Diagnostic laparoscopy (including any biopsy) J Open puncture of liver J Cholecystectomy (including mini-cholecystectomy) J Cholecystectomy with exploration of common bile duct J Laparoscopic cholecystectomy J Laparoscopic cholecystectomy with peri-operative cholangiogram J Anastomosis of gall bladder (to another viscus) J Partial excision of bile duct and anastomosis of bile duct to duodenum/jejunum J Anastomosis of hepatic duct J Anastomosis of common bile duct J Open introduction of prosthesis into bile duct J Repair of bile duct J Incision of bile duct (including exploration for calculus removal) J Sphincterotomy of bile duct and pancreatic duct using duodenal approach J Therapeutic ERCP with insertion of biliary or pancreatic stent(s), sphincterotomy or stone extraction J Diagnostic ERCP ( includes forceps biopsy) J Percutaneous examination of bile duct J Total pancreatectomy and excision of surrounding tissue J Total pancreatectomy J Pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) J Distal pancreatectomy J Pancreatectomy with autologous islet cell transplantation J Laparoscopic distal pancreatectomy J Anastomosis of pancreatic duct (to another viscus) J Drainage of pancreatic abscess J Incision of pancreas J Open examination of pancreas J Therapeutic percutaneous operations on pancreas J Endoscopic upper gastrointestinal ultrasound, e.g. for pancreatico-biliary diagnosis/transmucosal biopsy J Open splenectomy J Laparoscopic splenectomy L Axillo-unifemoral bypass L Axillo-bifemoral bypass L Repair of leaking aneurysm of ascending aorta L Repair of leaking aneurysm of arch of aorta L Repair of leaking aneurysm of thoracic aorta L Immediate repair of aortic dissection (i.e. within two weeks of happening) L Elective repair of aneurysm of ascending aorta L Open infrarenal abdominal aortic aneurysm tube graft L Open infrarenal abdominal aortic aneurysm bifurcation graft L Elective repair of aneurysm of arch of aorta L Elective repair of aneurysm of thoracic aorta L Delayed repair of aortic dissection (i.e. more than two weeks after happening)

12 L Replacement of graft of thoraco-abdominal aneurysm L Revision of prosthesis of abdominal aorta L Excision of infected aortic graft with bypass L Revision operation on ascending aorta and proximal descending aorta L Repair of interrupted aortic arch L Aortic root replacement with valve conduit or homograft and/or remodelling L Percutaneous or open placement of intra-aortic balloon (including subsequent removal) L Percutaneous transluminal balloon operations on aorta L Bypass of carotid artery from the arch L Carotid endarterectomy L Clipping of cerebral artery aneurysm L Reinforcement of aneurysm of cerebral artery L Open operations on cerebral artery L Bypass of subclavian artery from the arch L Bypass of subclavian artery - extra-thoracic L Endarterectomy and patch repair of subclavian artery L Endarterectomy of renal artery L Reconstruction of renal artery(ies) L Transluminal operations on renal artery L Endarterectomy and patch repair of visceral branch of abdominal aorta L Other open operations on other visceral branch of abdominal aorta L Aorto-iliac, aorto-femoral, ilio-femoral bypass L Aorto-bifemoral bypass L Endarterectomy and patch repair of iliac artery L Open operations on iliac artery L Transluminal operations on iliac artery L Femoro-femoral bypass L Femoro-popliteal bypass using prosthesis L Femoro-popliteal bypass using vein L Femoro-popliteal bypass using vein cuff/patch L Femoro-distal calf bypass using prosthesis +/- vein cuff/patch L Femoro-distal calf bypass using vein L Endarterectomy of femoral artery L Reconstruction/bypass for popliteal aneurysm L Transluminal procedures on femoral artery L Revision of femoral bypass graft L Biopsy of artery (including temporal) (as sole procedure) L Repair of limb artery L Repair of limb artery using vein graft L Open embolectomy of artery L Haemorrhoidal artery ligation operation (including image-guided) +/- recto anal prolapse repair L Percutaneous transluminal angioplasty of artery, +/- insertion of stent L Creation of arteriovenous shunt (synthetic graft) L Creation of arteriovenous fistula (including subsequent closure) L Creation of arteriovenous fistula for dialysis L Ligation of arteriovenous fistula for dialysis L Removal of arteriovenous shunt (synthetic graft) L Repair of acquired arteriovenous fistula L Repair of arteriovenous fistula

13 L Creation of portocaval shunt L Plication of vena cava L Repair of wound of major artery or vein of abdomen (including aorta and vena cava) L Creation of peritoneo-venous shunt (Levine/Denver) L Ligation/stripping of long or short saphenous vein (including local excision/multiple phlebectomy) L Endovenous laser treatment (EVLT) of single venous trunk +/- phlebectomies - unilateral L Endovenous laser treatment (EVLT) of single venous trunk +/- phlebectomies - bilateral L Endovenous laser treatment (EVLT) of more than one venous trunk +/- phlebectomies - unilateral L Endovenous laser treatment (EVLT) of more than one venous trunk +/- phlebectomies - bilateral L L Ligation/stripping of long or short saphenous vein (including local excision/multiple phlebectomy) - bilateral Operations for recurrent varicose veins with re-exploration of groin and / or popliteal fossa - unilateral L Operations for recurrent varicose veins without re-exploration of groin or popliteal fossa - unilateral L Operations for recurrent varicose veins with re-exploration of groin and /or popliteal fossa - bilateral L Operations for recurrent varicose veins without re-exploration of groin or popliteal fossa - bilateral L Ligation/stripping of long and short saphenous veins (including local excision/multiple phlebectomy) L Local excision (multiple phlebectomy) of varicose vein(s) of leg - unilateral L Local excision (multiple phlebectomy) of varicose vein(s) of leg - bilateral L Subfascial endoscopic perforator surgery (SEPS) - unilateral L Subfascial endoscopic perforator surgery (SEPS) - bilateral L Ligation/stripping of long and short saphenous veins (including local excision/multiple phlebectomy) - bilateral L Open removal of thrombus from vein L Insertion of tunnelled central venous catheter (Hickman line) L Surgical insertion of central venous dialysis line L Percutaneous insertion of central venous dialysis line L Removal of central venous dialysis line L Implantation of port device (PowerPort) L Insertion of implantable central venous port (portacath) e.g Port-a-Cath under image guidance L Basilic vein transposition L Venography (and bilateral) L Varicography for recurrent varicose veins L Isolated limb perfusion L Enhanced external counter pulsation M Nephrectomy and excision of perirenal tissue M Nephro-ureterectomy - unilateral M Nephro-ureterectomy - bilateral M Nephro-ureterectomy for live donor transplantation M Nephrectomy - unilateral M Nephrectomy - bilateral M Laparoscopic nephrectomy M Laparoscopic nephroureterectomy

14 M Open partial nephrectomy M Laparoscopic partial nephrectomy M Laparoscopic renal cryotherapy or cryoablation (including endoscopic catheter insertion and retrograde pyelography) M Laparoscopic upper or lower pole heminephrectomy M De-roofing and aspiration of renal para pelvic cyst M Open pyeloplasty M Repair of kidney wound M Open removal of calculi from kidney M Drainage of pyonephrosis M Other open operations on kidney M Open biopsy of renal transplant M Percutaneous biopsy of renal transplant M Open biopsy of native kidney M Exploration of renal transplant for bleeding M Open drainage of perinephric abscess M Endoscopic fragmentation of calculi of kidney (including cystoscopy and insertion/removal of stent) M Percutaneous nephrolithotomy (including cystoscopy and retrograde catheterisation) M Therapeutic endoscopic operations on kidney (include cystoscopy and retrograde catheterisation) M Laparoscopic pyeloplasty M Robotic assisted laparoscopic pyeloplasty M Diagnostic endoscopic examination of kidney (including biopsy) M Percutaneous insertion of nephrostomy tube M Excision of segment of ureter M Construction of ileal conduit (including ureteric implantation) M Replantation of ureter into bowel (including bilateral) M Bilateral replantation of ureter into bladder M Unilateral replantation of ureter into bladder (including cystoscopy) M Other connection of ureter M Ileal or colonic replacement of ureter M Ureterostomy - closure M Ureterostomy - formation M Open correction vesico-ureteric reflux - unilateral M Open correction vesico-ureteric reflux - bilateral M Open ureterolithotomy (including cystoscopy) M Excision of ureterocele (+/- ureteric reimplantation) - unilateral M Excision of ureterocele (+/- ureteric reimplantation) - bilateral M Ureterolysis - unilateral M Ureterolysis - bilateral M Therapeutic nephroscopic operations on ureter (including cystoscopy) M Ureteroscopic extraction of calculus of ureter (including cystoscopy and insertion/removal of stent) M Endoscopic insertion/removal of prosthesis into ureter (including bilateral and cystoscopy, +/- pyelography) M Removal of prosthesis from ureter (including cystoscopy) M Cystoscopy and removal of transplant stent M Endoscopic vesico-ureteric anti-reflux procedure (and bilateral) (including cystoscopy) M Endoscopic examination of ureter (+/- cystoscopy and insertion/removal of stent)

15 M Endoscopic retrograde pyelography (including bilateral and cystoscopy) M Operations on ureteric orifice (including endoscopic) M Open total cystectomy (with construction of intestinal conduit or bladder) M Robotic assisted laparoscopic cystectomy without prostatectomy M Laparoscopic cystectomy (including cystoscopy) M Partial cystectomy (including cystoscopy) M Diverticulectomy of bladder M Enlargement of bladder (including cystoscopy) M Enterocystoplasty (including cystoscopy) M Repair of bladder exstrophy M Repair of bladder (including cystoscopy) M Cystourethroplasty (including cystoscopy) M Repair of vesicocolic fistula M Repair of cutaneous vesical fistula M Cystostomy and insertion of suprapubic tube into bladder (including cystoscopy) M Stab cystostomy M Open removal of calculus from bladder (including cystoscopy) M Urethral sphincterotomy (including cystoscopy) M Litholapaxy (including cystoscopy) M Endoscopic extraction of calculus of bladder (including cystoscopy) M Endoscopic removal of foreign body from bladder (including cystoscopy) M Resection of bladder neck (including cystoscopy) M Diagnostic endoscopic examination of bladder (flexible cystoscopy) including any biopsy M Examination of bladder using hexaminolevulinate blue-light fluorescence cystoscopy +/- resection of lesions M Bladder instillation of pharmacologic agent (including cystoscopy) M Closure of cystostomy M Removal suprapubic catheter (as sole procedure) M Combined abdominal and vaginal operations to support outlet of female bladder (including sling procedures) (including cystoscopy) M Revision combined abdominal and vaginal operations to support outlet of female bladder (including sling procedures and cystoscopy) M Retropubic suspension of neck of bladder (including colposuspension) (including cystoscopy) M Laparoscopic colposuspension M Needle suspension of bladder neck (including cystoscopy) M Revision retropubic suspension of neck of bladder (including colposuspension and cystoscopy) M Vaginal operations to support outlet of female bladder (including cystoscopy) M Implantation of artificial urinary sphincter at bladder neck and/or removal (including cystoscopy) M Excision of urethral caruncle M Diathermy of urethral caruncle M Therapeutic endoscopic operations on outlet of female bladder (including cystoscopy) M Therapeutic injection into bladder neck for treatment of stress incontinence (peri-urethral bulking agents) (including cystoscopy) M Dilatation of outlet of female bladder (including cystoscopy) M Open excision of prostatic adenoma M Operation to support outlet of male bladder (including sling procedures) (including cystoscopy) M Endoscopic resection of prostate (TUR) (including cystoscopy) M Holmium laser resection of prostate (HoLRP) (including cystoscopy) M Holmium Laser Enucleation of Prostatic Adenoma (HoLEP)

16 M Endoscopic biopsy of prostate (including cystoscopy) M Endoscopic incision of outlet of male bladder (including cystoscopy) M Prostatic cryotherapy M Transurethral microwave therapy M Drainage of prostatic abscess M Prostatic hyperthermia (up to six courses) M Insertion of urethral stent for relief of prostatic obstruction (including cystoscopy) M Urethrectomy M Urethral valve resection M Repair of penile/perineal hypospadias M Repair of penile shaft hypospadias M Repair of distal hypospadias M Secondary adjustment of penile skin following hypospadias repair M Complex secondary repair of hypospadias M Repair of epispadias M Closure of fistula of urethra (including cystoscopy) M Closure of fistula of urethra after hypospadias M Repair of urethrorectal fistula M Simple urethroplasty, eg primary repair, anterior urethra (including cystoscopy) M Complex urethroplasty, eg revision surgery of the anterior urethra, posterior urethra, +/- grafting (including cystoscopy) M Repair of rupture of urethra (including cystoscopy) M Excision of diverticulum of urethra (including cystoscopy) M Insertion of suburethral tape sling (e.g. TOT or TVT) +/- administration of local anaesthetic by operating surgeon (including cystoscopy) M Removal of foreign body from urethra M Diagnostic endoscopic examination of urethra (as sole procedure) (including cystoscopy) M Dilatation of urethra (including cystoscopy) M Internal urethrotomy (including cystoscopy +/- dilatation) M Meatoplasty M External meatotomy of urethral orifice N Bilateral excision of testes N Laparoscopic orchidectomy N Orchidectomy and excision of spermatic cord (+/- insertion of prosthesis) N Orchiopexy - bilateral N Orchiopexy N Prosthesis of testis (insertion or removal) N Correction of hydrocele(s) unilateral N Fixation of testis N Biopsy of testis N Exploration of testis (including biopsy) N Laparoscopy for impalpable testis N Bilateral fixation of testes N Bilateral epididymectomy N Unilateral epididymectomy N Excision of epididymal cyst N Operation(s) on varicocele N Laparoscopic varicocelectomy N Operation(s) on seminal vesicle N Total amputation of penis

17 N Partial amputation of penis N Lue s procedure for Peyronie s disease N Reconstruction of penis N Repair of avulsion of penis N Frenuloplasty of penis N Repair of injury to penis N Preputioplasty N Division of preputial adhesions N Circumcision N Circumcision with Plastibell P Excision of Bartholin gland P Marsupialisation of Bartholin cyst P Simple vulvectomy P Excision of excess labial tissue P Radical vulvectomy (including block dissection of inguinal gland) P Operations on female perineum P Incision of introitus of vagina P Other obliteration of vagina P Excision of septum of vagina P Excision of lesion of vagina (e.g. warts and cysts) P Reconstruction of vagina P Anterior +/- posterior colporrhaphy and amputation of cervix uteri (including primary repair of enterocele) P Posterior colporrhaphy P Anterior +/- posterior colporrhaphy (including primary repair of enterocele) (including cystoscopy) P Repair of enterocele (+/- posterior colporrhaphy) P Anterior (+/- posterior) colporrhaphy with vaginal hysterectomy (including primary repair of enterocele and cystoscopy) P Sacrocolpopexy (including laparoscopic) P Sacrospinous fixation P Posterior infracoccygeal sacropexy for vaginal vault prolapse P Repair of vesicovaginal fistula (including cystoscopy) P Repair of urethrovaginal fistula (including cystoscopy) P Repair of rectovaginal fistula P Examination of vagina under anaesthetic (as sole procedure) Q Amputation of cervix uteri Q Cone biopsy of cervix uteri and/or (+/- laser, colposcopy or polypectomy) Q Radical hysterectomy and lymphadenectomy (Wertheim's) +/- ureterolysis Q Radical trachelectomy including laparoscopic and removal of lymph nodes +/- ureterolysis Q Total abdominal hysterectomy (+/- oophorectomy) +/- ureterolysis Q Subtotal abdominal hysterectomy (+/- oophorectomy) +/- ureterolysis Q Laparoscopic subtotal hysterectomy (+/- oophorectomy) +/- ureterolysis Q Laparoscopic total hysterectomy (+/- oophorectomy) +/- ureterolysis Q Vaginal hysterectomy without laparoscopic assistance Q Myomectomy (including laparoscopically) +/- ureterolysis Q Plastic reconstruction of uterus Q Dilatation of cervix uteri and curettage of uterus (including polypectomy and diathermy of cervix)

18 Q Therapeutic hysteroscopic operations on uterus (including endometrial ablation excluding microwave or radiofrequency ablation) Q Laparoscopic excision of endometriosis, +/-ureterolysis Q Microwave endometrial ablation (including hysteroscopy) Q Impedance controlled bipolar radiofrequency ablation for menorrhagia (including hysteroscopy) Q Hysteroscopy (including biopsy, dilatation, curettage and resection of polyp(s) +/- Mirena coil insertion) Q Hysteroscopy with resection of fibroids +/- insertion of Mirena coil Q Endometrial biopsy or aspiration Q Ventro-suspension of uterus (including laparoscopic) Q Oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) (including bilateral) Q Laparoscopy and therapeutic procedures (including laser, diathermy and destruction e.g. endometriosis, adhesiolysis, tubal and ovarian surgery, +/-ureterolysis) Q Laparoscopy (including e.g. puncture of ovarian cysts, +/- biopsy, minor endometriosis, +/- ureterolysis) Q Ovarian cystectomy +/- omental biopsy (as sole procedure and including bilateral) S Wide excision of sweat glands - bilateral axillae S Microscopically controlled excision of lesion of skin or subcutaneous tissue (Mohs micrographic surgery) with immediate reconstruction S Needle/tru-cut biopsy of muscle S Distant flap - delay/division/inset S Large myocutaneous (muscular/cutaneous) flap (9cm2 or more) (including closure of secondary defect) S Large muscle flap (9cm2 or more) (including skin graft and closure of secondary defect) S Distant pedicle flap - elevation including transfer (including closure/grafting to secondary defect) S Large island skin flap (9cm2 or more) (e.g. radial forearm) (including closure of secondary defect) S Small island flap (less than 9cm2) S Neurovascular island flap S Local flap - less than 9cm2 S Local flap - 9cm2 or more (excluding graft/flap to secondary defect) S Local flap - 9cm2 or more (including graft/flap to secondary defect) S Re-exploration of free flap S Thinning of skin graft flap S Split autograft of skin, trunk and limbs - up to 25cm2 S Split autograft of skin, trunk and limbs - over 25cm2 and up to 5% of body surface area S Split autograft of skin, trunk and limbs - each additional 5% of body surface area S Full thickness graft, trunk and limbs - up to 9cm2 in area S Full thickness graft, trunk and limbs - each additional 25cm2 in area S Full thickness graft, head, neck, hands & genitalia - up to 9cm2 in area S Full thickness graft, head, neck, hands & genitalia - each additional 16cm2 in area S Debridement and primary suture of wound with involvement of deeper tissue - Head & Neck S Debridement and primary suture of wound with involvement of deeper tissue - Trunk & Limbs S Debridement and primary suture of wound without involvement of deeper tissue (skin & subcutaneous fat only) - Head & Neck S Debridement and primary suture of wound without involvement of deeper tissue (skin & subcutaneous fat only) - Trunk & Limbs S Secondary suture of skin

19 S Removal of foreign body in deeper tissue S Drainage of lesion of skin (including abscess) S Drainage of large subcutaneous abscess/haematoma S Insertion of skin expander into tissue S Removal of skin expander or valve S Excision of nail bed (Zadik's) (including anaesthetic) S Wedge excision or avulsion of nail (including chemical ablation of nail bed) T Thoracoplasty T Exploratory thoracotomy T Decortication of pleura of lung T Resection of rib and open drainage of pleural cavity T Open pleural biopsy as sole procedure T VATS pleurodesis/pleurectomy T Thoracoscopy and drainage and chemical pleurodesis T Diagnostic thoracoscopy (+/- biopsy) T Drainage of pleural cavity T Insertion of tube drain into pleural cavity T Introduction of substance into pleural cavity with chest drain T Insertion of pleuro-peritoneal shunt T Repair of rupture of diaphragm T Plication of paralysed diaphragm T Simple excision of inguinal hernial sac (herniotomy) - unilateral T Simple excision of inguinal hernial sac (herniotomy) - bilateral T Primary repair of inguinal hernia T Laparoscopic repair of inguinal hernia - unilateral T Primary repair of inguinal hernia - bilateral T Laparoscopic repair of inguinal hernia - bilateral T Primary repair of strangulated inguinal hernia T Repair of recurrent inguinal hernia T Laparoscopic repair of recurrent inguinal hernia - unilateral T Repair of recurrent inguinal hernia - bilateral T Laparoscopic repair of recurrent inguinal hernia - bilateral T Primary repair of femoral hernia T Primary repair of strangulated femoral hernia T Repair of recurrent femoral hernia T Repair of umbilical hernia (irrespective of age) T Open repair of incisional or ventral hernia not requiring mesh T Laparoscopic repair of incisional hernia T Repair of recurrent incisional or ventral hernia not requiring mesh T Primary repair of ventral hernia not requiring mesh T Laparoscopic repair of incisional or ventral hernia requiring mesh T Repair of dorsal hernia (including lumbar hernia) T Repair of perineal hernia (including scrotal that are not inguinal) T Repair of sciatic hernias T Resuture of previous incision in abdominal wall (burst abdomen) T Laparotomy for post-operative haemorrhage T Laparotomy and repair of multiple visceral trauma T Open drainage of subphrenic abscess T Wedge excision or removal of omentum (as sole procedure) T Excision of retroperitoneal tumour, +/-ureterolysis