H3 Insurance Schedule of Procedures This schedule is based on the Schedule of Procedures published by the Clinical Classification and Schedule Development Group 1999-2014. H3 Schedule of Procedures Version 2014.10 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
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
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 028 9046 9994. 1. 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 130 2. 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
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 http://www.ccsd.org.uk/ccsdschedule 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 email 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
Abdomen - Excluding Urinary / Reproductive organs CCSD Code Description Procedure Fee ( ) Anaestheti c Fee ( ) Sub-Category T1640 Repair of congenital diaphragmatic hernia 780 444 Abdominal Wall T1900 Simple excision of inguinal hernial sac (herniotomy) - unilateral 229 156 Abdominal Wall T1910 Simple excision of inguinal hernial sac (herniotomy) - bilateral 425 240 Abdominal Wall T2000 Primary repair of inguinal hernia 274 168 Abdominal Wall T2002 Laparoscopic repair of inguinal hernia - unilateral 318 160 Abdominal Wall T2010 Primary repair of inguinal hernia - bilateral 497 259 Abdominal Wall T2012 Laparoscopic repair of inguinal hernia - bilateral 559 259 Abdominal Wall T2080 Primary repair of strangulater inguinal hernia 318 198 Abdominal Wall T2100 Repair of recurrent inguinal hernia 318 215 Abdominal Wall T2102 Laparoscopic repair of recurrent inguinal hernia - unilateral 369 160 Abdominal Wall T2110 Repair of recurrent inguinal hernia - bilateral 559 312 Abdominal Wall T2112 Laparoscopic repair of recurrent inguinal hernia - bilateral 603 259 Abdominal Wall T2200 Primary repair of femoral hernia 274 160 Abdominal Wall T2280 Primary repair of strangulater femoral hernia 318 198 Abdominal Wall T2300 Repair of recurrent femoral hernia 318 182 Abdominal Wall T2400 Repair of umbilical hernia (irrespective of age) 229 168 Abdominal Wall T2500 Primary repair of incisional hernia 318 160 Abdominal Wall T2502 Laparoscopic repair of incisional hernia 369 182 Abdominal Wall T2600 Repair of recurrent incisional hernia 369 215 Abdominal Wall T2710 Repair of ventral hernia not requiring mesh 274 160 Abdominal Wall 3
T2720 Repair of ventral hernia requiring mesh 318 160 Abdominal Wall T2730 Repair of dorsal hernia including lumbar hernia 274 160 Abdominal Wall T2740 Repair of perineal hernia including scrotal that are not inguinal 274 160 Abdominal Wall T2750 Repair of sciatic hernias 274 160 Abdominal Wall T2781 Repair epigastric hernia 274 127 Abdominal Wall T2830 Resuture of previous incision in abdominal wall (burst abdomen) 318 180 Abdominal Wall T7972 Exploration and repair of groin disruption (including repair of muscle, fascia and tendons) (Gilmore's groin repair) 369 160 Abdominal Wall G5000 Open excision of lesion of duodenum 696 216 Duodenum G5010 Open excision of congenital lesion of duodenum including malrotation 732 242 Duodenum G5050 Endoscopic submucosal dissection of duodenal lesions 528 192 Duodenum G5100 Bypass of duodenum 588 192 Duodenum G5320 Closure of perforated ulcer of duodenum 552 192 Duodenum H0210 Appendicectomy 425 182 Large Intestine H0280 Laparoscopic appendicectomy 492 182 Large Intestine H0310 Drainage of abscess of appendix or drainage of intra-abdominal abscess 456 192 Large Intestine H0510 Total excision of colon and ileorectal anastomosis 1044 384 Large Intestine H0610 Extended excision of right hemicolon 708 276 Large Intestine H0700 Right hemicolectomy 708 240 Large Intestine H0750 Laparoscopically assisted right hemicolectomy 708 276 Large Intestine H0800 Excision of transverse colon 708 240 Large Intestine H0900 Excision of left hemicolon 708 240 Large Intestine H1000 Excision of sigmoid colon 708 240 Large Intestine 4
H1200 Excision of lesion of colon (transabdominal) 552 240 Large Intestine H1300 Bypass of colon 600 240 Large Intestine H1542 Closure of colostomy 552 240 Large Intestine H1581 Laparoscopic colostomy and stoma formation (including revision) 576 240 Large Intestine H1590 Open formation of colostomy 588 240 Large Intestine H1700 Intra abdominal manipulation of colon for intussusception 564 192 Large Intestine H1880 Laparoscopically assisted left colon resection 708 240 Large Intestine L7040 Open cannulation of intra abdominal artery for infusion chemotherapy 612 180 Major Vessels L7710 Creation of portocaval shunt 1356 384 Major Vessels L7920 Plication of vena cava 624 264 Major Vessels L7980 Repair of wound of major artery or vein of abdomen (including aorta and vena cava) 624 384 Major Vessels G0500 Bypass of oesophagus 720 468 Oesophagus G0730 Repair of congenital oesophageal atresia (with or without fistula) 1144 419 Oesophagus G2312 Transthoracic repair of paraoesophageal hiatus hernia 768 252 Oesophagus G2340 Transabdominal repair of diaphragmatic hernia 840 228 Oesophagus G2400 Transthoracic fundoplication & gastroplasty 768 252 Oesophagus B2222 Adrenalectomy - bilateral (open) 660 192 Other organs (mainly digestive) B2223 Adrenalectomy - bilateral (laparoscopic) 660 192 Other organs (mainly digestive) B2224 Robot assisted laparoscopic adrenalectomy - bilateral 660 192 Other organs (mainly digestive) B2232 Adrenalectomy - unilateral (open) 612 168 Other organs (mainly digestive) B2233 Adrenalectomy - unilateral (laparoscopic) 612 168 Other organs (mainly digestive) B2234 robot assisted laparoscopic adrenalectomy 612 168 Other organs (mainly digestive) 5
G0920 Oesophagocardiomyotomy (Heller's operation) 588 288 Other organs (mainly digestive) G0980 Thorascopic oesophogastric myotomy 588 288 Other organs (mainly digestive) G2330 Transabdominal repair of hiatus hernia 660 216 Other organs (mainly digestive) J0200 Partial excision of liver 1200 444 Other organs (mainly digestive) J0210 Hemihepatectomy 1507 670 Other organs (mainly digestive) J0310 Resection of liver tumour(s) 1200 324 Other organs (mainly digestive) J0400 Repair of liver (including therapeutic laparoscopic operations on liver) 696 288 Other organs (mainly digestive) J0510 Open drainage of liver 348 192 Other organs (mainly digestive) J0740 Open liver resection and ablation 696 288 Other organs (mainly digestive) J0780 Radiofrequency thermocoagulation of liver with scalpel liver resection 1507 492 Other organs (mainly digestive) J0900 Diagnostic laparoscopy (including any biopsy) 384 144 Other organs (mainly digestive) J1300 Percutaneous biopsy of lesion of liver 144 96 Other organs (mainly digestive) J1400 Open puncture of liver 456 156 Other organs (mainly digestive) J1800 Cholecystectomy (including mini-cholecystectomy) 564 216 Other organs (mainly digestive) J1820 Cholecystectomy with exploration of common bile duct 624 240 Other organs (mainly digestive) J1830 Laparoscopic cholecystectomy 648 396 Other organs (mainly digestive) J1880 Laparoscopic cholecystectomy with peri-operative cholangiogram 732 492 Other organs (mainly digestive) J1900 Anastomosis of gall bladder (to another viscus) 660 216 Other organs (mainly digestive) J2720 Partial excision of bile duct and anastomosis of bile duct to duodenum/jejunum 696 264 Other organs (mainly digestive) J2800 Excision of lesion of bile duct 624 264 Other organs (mainly digestive) J2900 Anastomosis of hepatic duct 840 264 Other organs (mainly digestive) J3000 Anastomosis of common bile duct 624 264 Other organs (mainly digestive) 6
J3100 Open introduction of prosthesis into bile duct 672 204 Other organs (mainly digestive) J3200 Repair of bile duct 696 288 Other organs (mainly digestive) J3300 Incision of bile duct (including exploration for calculus removal) 681 264 Other organs (mainly digestive) J3500 Sphincterotomy of bile duct and pancreatic duct using duodenal approach 624 228 Other organs (mainly digestive) J5000 Percutaneous examination of bile duct 288 144 Other organs (mainly digestive) J5500 Total pancreatectomy and excision of surrounding tissue 1680 528 Other organs (mainly digestive) J5520 Total pancreatectomy 1507 528 Other organs (mainly digestive) J5610 Pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) 2233 575 Other organs (mainly digestive) J5700 Distal pancreatectomy 780 288 Other organs (mainly digestive) J5750 Laparascopic distal pancreatectomy 780 288 Other organs (mainly digestive) J5800 Excision of lesion of pancreas 588 288 Other organs (mainly digestive) J5900 Anastomosis of pancreatic duct (to another viscus) 780 264 Other organs (mainly digestive) J6100 Open drainage of lesion of pancreas 612 216 Other organs (mainly digestive) J6180 Drainage of pancreatic abscess 588 204 Other organs (mainly digestive) J6200 Incision of pancreas 588 204 Other organs (mainly digestive) J6300 Open examination of pancreas 384 144 Other organs (mainly digestive) J6600 Therapeutic percutaneous operations on pancreas 456 180 Other organs (mainly digestive) J6900 Open splenectomy 456 204 Other organs (mainly digestive) J6980 Laparoscopic splenectomy 456 204 Other organs (mainly digestive) T3010 Laparotomy for post operative haemorrhage 504 228 Peritoeum T3080 Laparotomy and repair of multiple visceral trauma 1080 456 Peritoeum T3410 Open drainage of subphrenic abscess 504 215 Peritoeum 7
T3600 Wedge excision or removal of omentum (as sole procedure) 540 192 Peritoeum T3910 Retroperitoneal tumour 860 264 Peritoeum T3930 Retroperitoneal abscess 336 180 Peritoeum T3980 Presacral tumour 384 264 Peritoeum T3990 Excision of retroperitoneal neuro-endocrine lesion 804 300 Peritoeum T4130 Freeing of adhesions of peritoneum 369 180 Peritoeum T4300 Laparoscopic adhesiolysis (including biopsy) 360 168 Peritoeum T4302 Open adhesiolysis (including biopsy) 360 168 Peritoeum T4610 Paracentesis abdominis for ascites 96 72 Peritoeum T4680 Suprapubic drainage of pelvic abscess 252 144 Peritoeum BT252 Insertion and removal of radiopharmaceutical into rectal tumour (brachytherapy) 1032 408 Rectum / Anus H0410 Panproctocolectomy and ileostomy 1452 575 Rectum / Anus H0480 Abdominal revision of restorative proctocolectomy 1452 575 Rectum / Anus H1550 Abdominal operation for Hirschsprung's disease (e.g. Duhamel, Söave and Surcuson operations) 860 492 Rectum / Anus H2510 Rigid sigmoidoscopy including proctoscopy and biopsy* 100 0 Rectum / Anus H3310 Abdominoperineal pull through resection with colo-anal anastomosis +/- colonic pouch and associated stoma 1524 575 Rectum / Anus H3320 Abdominoperineal resection of rectum and anus 1356 575 Rectum / Anus H3322 Laparoscopic abdominoperineal resection 1356 575 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) 1144 575 Rectum / Anus 1507 575 Rectum / Anus H3362 Hartmann's procedure 860 480 Rectum / Anus H3363 Colectomy and colostomy and preservation of rectum 860 480 Rectum / Anus 8
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) 1212 492 Rectum / Anus 1668 492 Rectum / Anus H3380 Partial excision of rectum and sigmoid colon for prolapse 780 264 Rectum / Anus H3381 Total Mesorectal Excision (TME) 1920 828 Rectum / Anus H3390 Reversal of Hartmann's procedure 1044 492 Rectum / Anus H3400 Open excision of lesion of rectum and colon 648 264 Rectum / Anus H3500 Fixation of rectum for prolapse 636 264 Rectum / Anus H3580 Laparoscopic rectopexy 564 264 Rectum / Anus H3590 Stapled transanal rectal resection (STARR) for obstructed defaecation syndrome 348 180 Rectum / Anus H4000 Transanal resection for rectal cancer 588 168 Rectum / Anus H4122 Transanal endoscopic microsurgery 648 420 Rectum / Anus H4130 Perianal excision of lesion of rectum (including sigmoidoscopy) 229 168 Rectum / Anus H4180 Full or partial thickness rectal biopsy 129 72 Rectum / Anus H4200 Perineal repair of prolapse of rectum 504 168 Rectum / Anus H4420 Faecal disimpaction* 55 0 Rectum / Anus H4430 Examination of rectum under anaesthetic (as sole procedure) 55 72 Rectum / Anus H4480 Dilation of stricture of rectum 108 72 Rectum / Anus H4680 Repair of faecal fistula 252 168 Rectum / Anus H4800 Excision of lesion of anus 120 96 Rectum / Anus H4900 Destruction of lesion of anus 118 96 Rectum / Anus H5020 Primary repair of high/intermediate congenital ano-rectal anomaly 497 168 Rectum / Anus H5042 Primary repair of high/intermediate congenital ano-rectal anomaly 1788 552 Rectum / Anus 9
H5043 Primary repair of low congenital ano-rectal anomaly 852 552 Rectum / Anus H5080 Repair of anal trauma 396 168 Rectum / Anus H5100 Haemorrhoidectomy (including sigmoidoscopy) 229 160 Rectum / Anus H5101 Laser haemorroidectomy (including sigmoidoscopy) 184 138 Rectum / Anus H5230 Injection of sclerosing substance into haemorrhoids 108 96 Rectum / Anus H5240 Banding of haemorrhoids 108 96 Rectum / Anus H5250 Circular Stapling Haemorrhoidectomy 184 127 Rectum / Anus H5400 Anorectal stretch 118 96 Rectum / Anus H5510 Laying open of low anal fistula (including sigmoidoscopy) 252 160 Rectum / Anus H5520 Laying open of high anal fistula (including sigmoidoscopy) 318 192 Rectum / Anus H5530 Closure of anal fistula using a suturable bioprosthetic or synthetic plugs 228 132 Rectum / Anus H5620 Lateral sphincterotomy of anus 144 160 Rectum / Anus H5640 Excision of anal fissure 129 120 Rectum / Anus H5800 Drainage through perineal region (including ischio-rectal abscess) (including sigmoidoscopy) 168 120 Rectum / Anus H5940 Excision of pilonidal sinus and suture/skin graft 274 180 Rectum / Anus H6020 Laying open of pilonidal sinus 168 72 Rectum / Anus L7030 Haemorrhoidal artery ligation operation with or without recto-anal repair 312 168 Rectum / Anus L7032 Ultrasound guided haemorrhoidal artery ligation 180 108 Rectum / Anus G4020 Surgery for correction of congenital intestinal atresias 497 182 Small Intestine G5810 Excision of jejunum 600 204 Small Intestine G6000 Open formation of jejunostomy 504 192 Small Intestine G6080 Laparoscopically assisted resection of small intestine 552 192 Small Intestine 10
G6082 Open resection of small intestine tumour 552 192 Small Intestine G6100 Bypass of jejunum 552 192 Small Intestine G6710 Intubation of jejunum for decompression of intestine (without laparotomy)* 288 0 Small Intestine G7100 Bypass of ileum 552 192 Small Intestine G7250 Ileoanal anastomosis and creation of pouch 1368 492 Small Intestine G7402 Open formation of ileostomy 588 192 Small Intestine G7403 Laparoscopic ileostomy 588 192 Small Intestine G7512 Revision of ileostomy - local 288 108 Small Intestine G7513 Revision of ileostomy - laparotomy 480 182 Small Intestine G7530 Closure of ileostomy (as sole procedure) 497 182 Small Intestine G7810 Open operations on ileum (including reduction of intussusception) 552 192 Small Intestine G7880 Redo-operations on ileum/colon 681 216 Small Intestine A2720 Proximal gastric vagotomy 588 180 Stomach A2780 Vagotomy with pyloroplasty 612 228 Stomach G2710 Total gastrectomy and excision of surrounding tissue 936 324 Stomach G2800 Partial gastrectomy 672 216 Stomach G2810 Partial gastrectomy and excision of surrounding tissue 768 216 Stomach G3070 Sleeve gastrectomy (including laparoscopic) 672 216 Stomach G3090 Gastric bypass eg. Roux en Y for morbid obesity (including laparoscopic) 936 348 Stomach G3100 Laparoscopic biliary gastric bypass 684 192 Stomach G3210 Gastro-jejunostomy 612 192 Stomach G3220 Revision of gastro-jejunostomy 732 192 Stomach 11
G3400 Gastrostomy 369 156 Stomach G3440 Closure of gastrostomy 456 156 Stomach G3520 Closure of perforated ulcer of stomach 504 192 Stomach G3580 Laparoscopic closure of peptic ulcer 576 192 Stomach G3800 Other open operation(s) on stomach 552 192 Stomach G4010 Pyloromyotomy 600 192 Stomach G4030 Pyloroplasty 576 192 Stomach G4680 Endoscopic mucosal resection (EMR) 274 127 Stomach G4690 Endoscopic submucosal dissection of gastric lesions 528 192 Stomach 12
Bones, Joints & Connective Tissue / Tendon Muscle CCSD Code Description Procedure Fee ( ) Anaesthetic Fee ( ) Sub-Category W0700 Excision of ectopic bone 168 120 Bone (Non-Specific) W0850 Partial excision of bone (including exostoses) 229 138 Bone (Non-Specific) W1800 W2700 Drainage/debridement of bone(s), including sequestrectomy for osteomylitis Fixation of epiphysis, including epiphysiodesis, correction of angular deformity 384 108 Bone (Non-Specific) 312 180 Bone (Non-Specific) W3650 Diagnostic aspiration and / or trephine biopsy of bone marrow* 180 0 Bone (Non-Specific) W3680 Harvesting of bone marrow for transplantation 384 156 Bone (Non-Specific) A6530 Carpal tunnel release (endoscopic) 274 132 Connective Tissue / Tendon Muscle A6570 Carpal tunnel release (endoscopic) - bilateral 369 204 Connective Tissue / Tendon Muscle A6740 Cubital tunnel release (endoscopic) (without transposition) 274 132 Connective Tissue / Tendon Muscle A6750 Cubital tunnel release (endoscopic) bilateral (without transposition) 369 204 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 184 132 Connective Tissue / Tendon Muscle T6220 Excision of bursa 216 120 Connective Tissue / Tendon Muscle T6800 Secondary repair of tendon (including graft, transfer and/or prosthesis) (not otherwise specified) 540 144 Connective Tissue / Tendon Muscle T6910 Tenolysis, of extensor (not otherwise specified) 288 138 Connective Tissue / Tendon Muscle T6980 Tenolysis, of flexor tendon (not otherwise specified) 408 138 Connective Tissue / Tendon Muscle T7010 Percutaneous tenotomy 108 72 Connective Tissue / Tendon Muscle T7050 Lengthening of tendon(s) or open tenotomy 336 120 Connective Tissue / Tendon Muscle 13
T7110 Tenosynovectomy 318 138 Connective Tissue / Tendon Muscle T7230 Release of constriction of sheath of tendon (e.g. trigger finger) 300 138 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 229 120 Connective Tissue / Tendon Muscle 369 182 Connective Tissue / Tendon Muscle W0640 Total excision of sesamoid bone 228 132 Connective Tissue / Tendon Muscle W0960 Excision of benign tumour of bone with bone grafting 744 216 Connective Tissue / Tendon Muscle W1080 Osteotomy of long bone, with/without fixation, including graft 588 180 Connective Tissue / Tendon Muscle W2702 Epiphysiolysis (eg Langenskiold procedure) 312 180 Connective Tissue / Tendon Muscle W3510 Introduction of therapeutic substance into bone) 180 72 Connective Tissue / Tendon Muscle W3620 Open bone biopsy 204 108 Connective Tissue / Tendon Muscle W3622 Needle biopsy of bone* 108 Connective Tissue / Tendon Muscle W3719 Hip resurfacing arthroplasty bilateral 1296 552 Connective Tissue / Tendon Muscle W5300 Bicompartmental knee resurfacing 876 348 Connective Tissue / Tendon Muscle W5550 Excision of radial head (as sole procedure) 612 204 Elbow T6782 Repair of distal biceps tendon 425 138 Elbow T8050 Surgical release of humeral epicondylitis (lateral or medial) (e.g. 'Tennis Elbow' 216 120 Elbow W5040 Replacement of elbow and shoulder (single operation) 1164 396 Elbow W5502 Interposition arthroplasty of elbow 600 240 Elbow W5510 Total prosthetic replacement of elbow 864 348 Elbow W5512 Prosthetic replacement of radial head 384 156 Elbow 14
W5520 Revisional prosthetic replacement of elbow 1152 552 Elbow W5560 OK (Outerbridge and Kashiwagi) procedure 600 240 Elbow W7850 Open arthrolysis of elbow 559 138 Elbow W2910 Application of skeletal traction to bone 168 144 External Fixation / Traction W2930 Removal of skeletal traction from bone 129 96 External Fixation / Traction W3010 Application of external fixation to bone 168 96 External Fixation / Traction W3030 Removal of external fixation from bone 168 96 External Fixation / Traction T6720 Tendo Achilles lengthening percutaneous* 192 Foot - Ankle T6722 Tendo Achilles lengthening primary open 288 138 Foot - Ankle T6723 Tendo Achilles lengthening repeat procedure 369 138 Foot - Ankle T6770 Peroneal sling/groove reconstruction & replacement of dislocated peroneal tendons 420 138 Foot - Ankle T6780 Primary repair of Achilles tendon 336 120 Foot - Ankle T6810 Secondary repair of Achilles tendon 552 120 Foot - Ankle T6822 Secondary repair of Achilles tendon with tendon or fascial graft 732 138 Foot - Ankle T7250 Extracorporeal shockwave therapy for achilles tendonitis 118 Foot - Ankle W4410 Total prosthetic replacement of ankle joint 900 297 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) 1144 297 Foot - Ankle 1152 396 Foot - Ankle W4441 Harvesting for autologous chondrocyte transplantation into ankle 336 156 Foot - Ankle W4442 Implantation of autologous chondrocyte into ankle 768 264 Foot - Ankle W6015 Ankle arthrodesis - open 600 204 Foot - Ankle W6016 Ankle arthrodesis with autogenous graft 636 215 Foot - Ankle 15
W6017 Ankle arthrodesis with internal fixation - arthroscopic 780 215 Foot - Ankle W6018 Ankle arthrodesis - revision, including conversion from total ankle replacement 804 242 Foot - Ankle W6019 Ankle syndesmosis reconstruction 720 252 Foot - Ankle W7430 Reconstruction of lateral collateral ligament complex 588 192 Foot - Ankle W7530 Repair of lateral collateral ligament complex 384 132 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) 552 144 Foot - Ankle 318 144 Foot - Ankle 425 168 Foot - Ankle 274 138 Foot - Ankle W0420 Triple fusion of joints of hindfoot without autogenous graft 759 215 Foot - Hind Foot / Mid Foot W0422 Triple fusion of joints of hindfoot with autogenous graft 815 215 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) 648 204 Foot - Hind Foot / Mid Foot 564 204 Foot - Hind Foot / Mid Foot 660 228 Foot - Hind Foot / Mid Foot 732 252 Foot - Hind Foot / Mid Foot 732 252 Foot - Hind Foot / Mid Foot 996 300 Foot - Hind Foot / Mid Foot 369 144 Foot - Hind Foot / Mid Foot 276 138 Foot - Hind Foot / Mid Foot 681 240 Foot - Forefoot 860 348 Foot - Forefoot 252 120 Foot - Forefoot 16
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 528 240 Foot - Forefoot 564 228 Foot - Hallux 948 360 Foot - Hallux W0330 Fusion of first metatarso-phalangeal joint 348 160 Foot - Hallux W0380 Fusion of first metatarso-phalangeal joint - bilateral 600 252 Foot - Hallux W0860 Metatarso-phalangeal cheilectomy - unilateral 264 156 Foot - Hallux W0861 Metatarso-phalangeal cheilectomy - bilateral 468 204 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 504 180 Foot - Hallux 660 288 Foot - Hallux 336 160 Foot - Hallux 552 228 Foot - Hallux 564 228 Foot - Hallux 681 312 Foot - Hallux T6460 Tendon transfer of toe - unilateral 144 108 Foot - Toes T6461 Tendon transfer of toe - bilateral 228 168 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 288 138 Foot - Toes 288 132 Foot - Toes 288 132 Foot - Toes W5980 Fusion of interphalangeal joint(s) of toe (including internal fixation) - bilateral 504 204 Foot - Toes T6762 Repair of tendon of foot - flexor 151 120 Foot - Other T6763 Repair of tendon of foot - extensor 132 120 Foot - Other 17
W7900 Excision of medial eminence 1st/5th MT head with soft tissue repair (bunionectomy) 204 108 Foot - Other X0822 Amputation of whole ray 288 132 Foot - Other X0930 Amputation of leg/foot (including Symes Lisfranc & Chopart) 612 192 Foot - Other X1110 Amputation of toe 288 120 Foot - Other X2130 Release of joined/fused digit(s) 156 108 Foot - Other W1920 Primary open reduction of long bone with fixation 600 240 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) 588 240 Fractures - Long Bones 576 204 Fractures - Long Bones W2380 Locked intramedullary nailing of fractured long bone 768 228 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) 552 204 Fractures - Long Bones 300 120 Fractures - Long Bones 384 182 Fractures - Small Bones 384 144 Fractures - Small Bones W2580 Closed reduction of fracture of small bone with external fixator 240 144 Fractures - Small Bones W2582 Closed reduction of fracture of small bone, including cast or percutaneous K-wires 204 120 Fractures - Small Bones W1320 Osteotomy of proximal femur 660 264 Fractures - Pelvis / Acetabulum & Femur W1380 Arthroscopic femoro-acetabular surgery for hip impingement syndrome 921 358 Fractures - Pelvis / Acetabulum & Femur W1390 Open femoro-acetabular surgery for hip impingement syndrome 864 348 Fractures - Pelvis / Acetabulum & Femur W1642 Open reduction/internal fixation of posterior rim of acetabulum 600 144 Fractures - Pelvis / Acetabulum & Femur W1643 Open reduction/internal fixation of either posterior wall/column of acetabulum or anterior column of acetabulum 612 228 Fractures - Pelvis / Acetabulum & Femur W1644 Open reduction/internal fixation of both columns of acetabulum 1080 408 Fractures - Pelvis / Acetabulum & Femur 18
W1645 Open reduction/internal fixation plus bone graft symphysis pubis 456 180 Fractures - Pelvis / Acetabulum & Femur W1646 Open reduction/internal fixation of sacro-iliac joint 696 264 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 384 144 Fractures - Pelvis / Acetabulum & Femur W1910 Primary reduction of fracture of neck of femur and internal fixation 660 240 Fractures - Pelvis / Acetabulum & Femur W6522 Primary open reduction of dislocation of small joint 204 120 Fractures - Joints W6523 Primary open reduction of dislocation of large joint 300 144 Fractures - Joints W6630 Primary closed reduction of fracture or dislocation of joint, with or without fixation including cast application 204 108 Fractures - Joints W6702 Secondary open reduction of dislocation of small joint 252 120 Fractures - Joints W6703 Secondary open reduction of dislocation of small joint 274 138 Fractures - Joints W2830 Removal of internal fixation from bone / joint, excluding K-wires 408 138 Fractures - Fixation Devices W3020 Adjustments to IIizarov frame/rings 504 144 Fractures - Fixation Devices W3032 Removal of fixator/frame/pins/wires and change of plaster 180 108 Fractures - Fixation Devices W3040 Application of IIizarov frame for secondary non-union/mal-union including osteotomy 1248 444 Fractures - Fixation Devices W3050 Adjustments to pin sites secondary for non-union/mal-union 168 0 Fractures - Fixation Devices W3530 Removal of percutaneous wire* 120 0 Fractures - Fixation Devices S5730 Surgical toilet and debridement of deep wound, including traumatic or post-operative aeteology 144 108 Fractures - Other T5540 Fasciotomy of limb 504 168 Fractures - Other W3100 Bone graft (except where part of another procedure) 456 156 Fractures - Other X4810 Change of cast without general anaesthetic 84 0 Fractures - Other X4822 Change of cast under general anaesthetic 84 72 Fractures - Other T5202 Dupuytren's fasciectomy palm only 360 138 Hand - Incision / Excision T5203 Dupuytren's fasciectomy single digit with proximal interphalangeal joint 420 138 Hand - Incision / Excision 19
T5210 Dupuytren's fasciectomy multiple digits with proximal interphalangeal joints 540 192 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 540 192 Hand - Incision / Excision 744 259 Hand - Incision / Excision T5410 Dupuytren's subcutaneous fasciotomy 180 96 Hand - Incision / Excision W0282 Total excision of trapezium 480 168 Hand - Incision / Excision W0283 Total excision of trapezium with spacer 540 192 Hand - Incision / Excision W0284 Total excision of trapezium and ligament reconstruction 720 252 Hand - Incision / Excision W0285 Trapezio-metacarpal joint 720 252 Hand - Incision / Excision T6402 Tendon transfer of hand - single 300 138 Hand - Repair / Reconstruction T6410 Tendon transfer of hand - multiple (e.g. for radial nerve injury) 660 180 Hand - Repair / Reconstruction T6710 Primary repair of extensor of hand 204 120 Hand - Repair / Reconstruction T6750 Primary repair of flexor of hand (excluding Zone II) 492 120 Hand - Repair / Reconstruction T6752 Primary repair of flexor of hand in Zone II 492 132 Hand - Repair / Reconstruction T6820 Secondary repair or reconstruction of extensor of hand/forearm 497 120 Hand - Repair / Reconstruction T6830 Secondary repair or 1st stage reconstruction of flexor of hand 552 156 Hand - Repair / Reconstruction T6832 Second stage reconstruction of flexor of hand 552 156 Hand - Repair / Reconstruction T6914 Tenolysis of extensor tendon of hand 360 138 Hand - Repair / Reconstruction T6982 Tenolysis of flexor tendon of hand 420 138 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 559 198 Hand - Repair / Reconstruction 1144 138 Hand - Repair / Reconstruction W0120 Pollicisation of finger for thumb reconstruction 1020 137.5 Hand - Repair / Reconstruction W0512 Interpositional silastic arthroplasty of MCP/PIP joint- single 264 132 Hand - Repair / Reconstruction 20
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 540 138 Hand - Repair / Reconstruction 288 138 Hand - Repair / Reconstruction W5310 Total prosthetic replacement of wrist joint 788 259 Hand - Repair / Reconstruction W6230 Vascular implantation to carpal bone 612 228 Hand - Repair / Reconstruction W7482 Scaphoid lunate ligament reconstruction 612 182 Hand - Repair / Reconstruction W7483 Triquetrolunate ligament reconstruction 612 182 Hand - Repair / Reconstruction W7484 Reconstruction of three or more ligaments not elsewhere specified 792 198 Hand - Repair / Reconstruction W7485 Small joint (e.g. interphalangeal/ metacarpo-phalangeal joint) ligament reconstruction 540 182 Hand - Repair / Reconstruction W7486 Carpo-metacarpal joint ligament reconstruction 540 198 Hand - Repair / Reconstruction W7715 Coracoid bone block transfer for recurrent instability of shoulder (Bristow-Latarjet procedure) 860 312 Hand - Repair / Reconstruction W8602 Therapeutic arthroscopy of wrist joint (as sole procedure) 384 108 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 240 108 Hand - Repair / Reconstruction 552 168 Hand - Fixation / Arthrodesis 603 198 Hand - Fixation / Arthrodesis 432 168 Hand - Fixation / Arthrodesis 288 156 Hand - Fixation / Arthrodesis 588 228 Hand - Fixation / Arthrodesis W6202 Partial fusion of wrist 528 204 Hand - Fixation / Arthrodesis X0710 Forequarter amputation 1020 336 Hand - Other X0720 Disarticulation of shoulder 660 216 Hand - Other X0750 Amputation of arm 384 192 Hand - Other X0820 Partial amputation of digit 288 132 Hand - Other 21
X0880 Amputation through mid-carpal/transmetacarpal 288 132 Hand - Other X0910 Hindquater amputation 1140 419 Hand - Other W0702 Excision of ectopic bone around a total hip replacement 184 138 Hip, Leg & Pelvis - Incision / Excision T7930 Repair of abductor mechanism of hip 229 168 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W1648 Osteotomy/transfer of greater trochanter as sole procedure 432 180 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W1700 Shelf augmentation of acetabulum, e.g. Wainwright or Trillat 588 360 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W1911 Core decompression of hip 732 242 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3712 Primary total hip replacement with or without cement 860 348 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 921 358 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement 921 358 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3715 Hip resurfacing arthroplasty 864 348 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3716 Minimally invasive hip replacement (2 incisions) 1008 408 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3717 Minimally invasive hip replacement (one incision) 864 348 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3718 Minimally invasive hip resurfacing 864 348 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 1144 600 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement 1507 600 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement 1507 600 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement 1296 516 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3942 Removal of total hip replacement and creating a pseudarthrosis 660 264 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3943 Removal of total hip replacement and complete clearance of cement 1296 516 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W3944 Acetabular liner and head changes 1296 192 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement 22
W4600 Acetabular liner and head changes 516 192 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W6540 Open reduction of dislocated hip prosthesis 564 204 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement W6600 Closed reduction of dislocated hip prosthesis 204 120 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) 732 264 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement 276 192 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement 696 264 Hip, Leg & Pelvis - Fixation / Arthrodesis 1296 552 Hip, Leg & Pelvis - Fixation / Arthrodesis 516 204 Hip, Leg & Pelvis - Fixation / Arthrodesis W1913 Pinning for bilateral slipped upper femoral epiphysis 588 264 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) 660 242 Hip, Leg & Pelvis - Fixation / Arthrodesis 860 215 Hip, Leg & Pelvis - Fixation / Arthrodesis 660 215 Hip, Leg & Pelvis - Fixation / Arthrodesis 229 138 Hip, Leg & Pelvis - Other 118 Hip, Leg & Pelvis - Other 708 192 Hip, Leg & Pelvis - Other 924 264 Hip, Leg & Pelvis - Other 1020 300 Hip, Leg & Pelvis - Other X2280 Manipulation of hip and casting 168 120 Hip, Leg & Pelvis - Other W5540 Debridement of infected total joint replacement 516 192 Joints - not listed elsewhere W5722 Excision reconstruction of small joint 252 120 Joints - not listed elsewhere W5723 Excision reconstruction of large joint 504 180 Joints - not listed elsewhere W6912 Total synovectomy of small joint 300 120 Joints - not listed elsewhere 23
W6913 Total synovectomy of large joint 456 168 Joints - not listed elsewhere W7400 Reconstruction of one or two ligaments not elsewhere specified 456 160 Joints - not listed elsewhere W7500 Prosthetic open repair of ligament 456 144 Joints - not listed elsewhere W7881 Release of contracture of inter-phalangeal joint of finger (excluding trigger finger or dupytrens disease) 312 120 Joints - not listed elsewhere W8150 Arthrotomy of large joint, including removal of loose body from joint 336 120 Joints - not listed elsewhere W8180 Arthrotomy of small joint, including removal of loose body from joint 229 108 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) 369 132 Joints - not listed elsewhere 588 228 Joints - not listed elsewhere 318 240 Joints - not listed elsewhere 603 276 Joints - not listed elsewhere 274 192 Joints - not listed elsewhere 420 242 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
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* 96 72 Joints - not listed elsewhere 100 Joints - not listed elsewhere W1660 Tibial osteotomy 648 215 Knee - Incision / Excision W0630 Patellectomy 444 144 Knee - Repair / Reconstruction W0632 Prosthetic patello-femoral replacement (as sole procedure) 768 297 Knee - Repair / Reconstruction W3090 Core decompression of knee 732 242 Knee - Repair / Reconstruction W3110 Osteochondal grafting as a single stage procedure 816 264 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 336 144 Knee - Repair / Reconstruction 816 264 Knee - Repair / Reconstruction 1144 358 Knee - Repair / Reconstruction 864 348 Knee - Repair / Reconstruction W4212 Minimally invasive knee replacement 948 358 Knee - Repair / Reconstruction W4230 Revision of total replacement of knee joint 1507 552 Knee - Repair / Reconstruction W4240 2 stage revision of total knee replacement for infection - first stage 864 348 Knee - Repair / Reconstruction W4242 2 stage revision of total knee replacement for infection - second stage 948 396 Knee - Repair / Reconstruction W4280 Total prosthetic replacement of knee joint - bilateral 1296 516 Knee - Repair / Reconstruction W5200 Unicompartmental knee replacement 804 297 Knee - Repair / Reconstruction W7410 Mutiple ligament reconstruction of knee always including posterior cruciate ligament 1144 358 Knee - Repair / Reconstruction W7420 Autograft anterior cruciate ligament reconstruction 780 297 Knee - Repair / Reconstruction W7440 Allograft anterior cruciate ligament reconstruction 780 336 Knee - Repair / Reconstruction W7470 Revision of anterior cruciate ligament reconstruction 876 358 Knee - Repair / Reconstruction W7490 Reconstruction of posterior lateral corner of knee 444 156 Knee - Repair / Reconstruction 25
W7492 Arthroscopic lateral release 204 120 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) 600 264 Knee - Repair / Reconstruction 720 264 Knee - Repair / Reconstruction W7583 Repair of patellar/quadricep tendon 497 198 Knee - Repair / Reconstruction W8200 Arthroscopic meniscectomy (including debridement) 318 240 Knee - Repair / Reconstruction W8230 Arthroscopic meniscal repair 369 240 Knee - Repair / Reconstruction W8280 Arthroscopic meniscectomy (including debridement) - bilateral 603 336 Knee - Repair / Reconstruction W8400 Repair of knee ligaments (open or arthroscopic) 552 156 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 369 240 Knee - Repair / Reconstruction 274 192 Knee - Repair / Reconstruction 681 336 Knee - Repair / Reconstruction W8880 Arthroscopy of elbow (as sole procedure) 274 138 Knee - Repair / Reconstruction W6014 Primary arthrodesis of knee joint with or without graft & with or without internal fixation 504 216 Knee - Fixation / Arthrodesis A6030 Transection of peripheral nerve for neuroma 252 120 Nerves A6080 Neurectomy (major nerve) 384 144 Nerves A6110 Excision of lesion of peripheral nerve (e.g. neurilemoma) 300 132 Nerves A6300 Graft to peripheral nerve 468 216 Nerves A6580 Carpal tunnel release (open) - bilateral 318 204 Nerves A6600 Release of entrapment of deeply placed peripheral nerve 274 120 Nerves A6710 Cubital tunnel release (open) (without transposition) 229 132 Nerves A6711 Cubital tunnel release (open) bilateral (without transposition) 318 204 Nerves A6810 Neurolysis and transposition of peripheral nerve (includes ulnar at elbow) 312 144 Nerves 26
A6900 Revision of release of peripheral nerve 456 144 Nerves A7310 Biopsy of peripheral nerve 252 108 Nerves W0610 Total excision of cervical rib 660 228 Shoulder - Incision / Excision W0890 Excision distal clavicle, as sole procedure 456 168 Shoulder - Incision / Excision A7340 Exploration and grafting of brachial plexus 1020 612 Shoulder - Repair / Reconstruction T6450 Tenodesis of biceps tendon (as sole procedure) 168 120 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 118 0 Shoulder - Repair / Reconstruction 636 204 Shoulder - Repair / Reconstruction T7915 Arthroscopic rotator cuff repair greater than 2cm (as sole procedure) 636 204 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) 588 168 Shoulder - Repair / Reconstruction 588 168 Shoulder - Repair / Reconstruction T7990 Revision rotator cuff repair 612 198 Shoulder - Repair / Reconstruction T8052 Extracorporeal shockwave therapy of lateral epicondylitis 118 0 Shoulder - Repair / Reconstruction W4900 Shoulder hemiarthroplasty, as sole procedure 660 192 Shoulder - Repair / Reconstruction W4902 Shoulder hemiarthroplasty with reconstruction for fracture 780 215 Shoulder - Repair / Reconstruction W4920 Conversion of hemiarthroplasty to total shoulder replacement 921 215 Shoulder - Repair / Reconstruction W4930 Revisional shoulder hemiarthroplasty 815 215 Shoulder - Repair / Reconstruction W5000 Primary total shoulder replacement 864 297 Shoulder - Repair / Reconstruction W5030 Revision total shoulder replacement 1152 492 Shoulder - Repair / Reconstruction W5060 Resurfacing arthroplasty of shoulder 860 297 Shoulder - Repair / Reconstruction W5201 Unicompartmental knee replacement - bilateral 1212 456 Shoulder - Repair / Reconstruction W5600 Primary repair of rupture of acromioclavicular or sternoclavicular joint including internal fixation 759 192 Shoulder - Repair / Reconstruction 27
W5630 Secondary repair of acromioclavicular or sternoclavicular joint +/- internal fixation 780 204 Shoulder - Repair / Reconstruction W7712 Stabilisation of unidirectional instability of shoulder joint, including anterior, posterior and arthroscopic 504 215 Shoulder - Repair / Reconstruction W7713 Stabilisation of multi-directional instability of shoulder joint 552 215 Shoulder - Repair / Reconstruction W7760 Labral Repair (shoulder stabilisation) 552 180 Shoulder - Repair / Reconstruction W7780 Revision stabilisation of shoulder joint 684 216 Shoulder - Repair / Reconstruction W7810 Open arthrolysis of shoulder contracture 612 192 Shoulder - Repair / Reconstruction W7872 Arthroscopic arthrolysis of shoulder contracture 612 138 Shoulder - Repair / Reconstruction W8192 Open sub-acromial decompression, as sole procedure 456 204 Shoulder - Repair / Reconstruction W8193 Arthroscopic sub-acromial decompression as sole procedure 588 228 Shoulder - Repair / Reconstruction W8194 Arthroscopic sub-acromial decompression and excision of distal clavicle (including arthroscopic procedures in glenohumeral joint) 504 240 Shoulder - Repair / Reconstruction W8603 Therapeutic arthroscopy of shoulder (as sole procedure) 318 180 Shoulder - Repair / Reconstruction W8820 Diagnostic arthroscopic examination of shoulder joint, with or without biopsy (as sole procedure) 240 108 Shoulder - Repair / Reconstruction W2810 Plating and bone grafting for non-union of clavicle 588 192 Shoulder - Fixation / Arthrodesis W4940 Scapulo-thoracic fusion 696 242 Shoulder - Fixation / Arthrodesis W6012 Primary arthrodesis of joint with or without graft & with or without internal fixation - shoulder 660 216 Shoulder - Fixation / Arthrodesis W6030 Revision or conversion to arthrodesis of shoulder 660 216 Shoulder - Fixation / Arthrodesis W9112 Manipulation of joint (including intra-articular injection) for 'Frozen Shoulder' (as sole procedure) 108 108 Shoulder - Other 28
Brain, Cranium & Other Intracranial Organs CCSD Code Description Procedure Fee ( ) Anaesthet ic Fee ( ) Sub-Category A0110 Hemispherectomy 2004 840 Brain A0180 Excision of abscess of brain 1356 600 Brain A0200 Excision of lesion of tissue of brain 1898 720 Brain A0280 Awake craniotomy with ablation of lesion of brain with or without cortical mapping/stereotaxy 2040 720 Brain A0300 Stereotactic ablation of tissue of brain 1356 516 Brain A0310 Stereotactic biopsy of lesion or tissue of brain 1144 444 Brain A0380 Stereotactic radiosurgery (gamma knife surgery) 1356 516 Brain A0400 Open biopsy of lesion of tissue of brain 1020 384 Brain A0900 Implantation/removal of neurostimulator from brain (any route) 624 228 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 588 228 Brain A1240 Creation of ventriculoperitoneal shunt 588 228 Brain A1250 Creation of subcutaneous cerebrospinal fluid reservoir 588 228 Brain A1300 Maintenance of cerebroventricular shunt (including revision) 444 180 Brain A1430 Removal of cerebroventricular shunt 384 160 Brain A1440 Irrigation of cerebroventricular shunt 168 180 Brain A1700 Therapeutic endoscopic operations on ventricle of brain 744 228 Brain 29
(including examination and biopsy of lesion) A2080 Ventricular puncture (as sole procedure) 156 144 Brain A2220 Puncture of cistern of brain 156 144 Brain A2223 Cerebral angiogram* 229 Brain A4280 Intracranial infection : burrhole 528 192 Cranium V0110 Reconstructive cranioplasty 780 264 Cranium V0130 Surgery for craniostenosis (single suture) 612 204 Cranium V0180 Surgery for craniostenosis (more than one suture) 860 264 Cranium V0310 Exploratory open craniotomy 780 384 Cranium V0330 Exploratory burrhole of cranium 480 180 Cranium V0382 Total petrosectomy (for tumour) 1044 612 Cranium V0383 Lateral petrosectomy (for tumour) 1044 612 Cranium V0390 Foramen magnum decompression 1368 444 Cranium V0510 Excision of lesion of cranium 681 228 Cranium V0530 Elevation of depressed fracture of cranium 492 204 Cranium V0580 Repair of compound fracture of cranium 860 384 Cranium A2210 Drainage of subarachnoid space of brain 456 168 Meninges A3810 Excision of lesion of meninges of brain 2040 720 Meninges A3830 Operation for arachnoidal cyst 804 264 Meninges A3900 Repair of dura 1020 324 Meninges A4010 Evacuation of extradural haematoma 1020 324 Meninges A4110 Evacuation of subdural haematoma or abscess 1020 324 Meninges 30
A4180 Subdural haemorrhage tap 100 120 Meninges A2500 Intracranial transection of cranial nerve 1728 528 Nerves A2600 Other intracranial destruction of cranial nerve 1728 528 Nerves A2900 Excision of lesion of cranial nerve (intracranial) 2004 840 Nerves A2953 Acoustic and cerebellopontine angle neuroma surgery tumours more than 2.5 cms or compressing brain stem (performed by single surgeon) 2233 840 Nerves A3000 Repair of cranial nerve (intracranial) 852 528 Nerves A3200 Decompression of cranial nerve (craniotomy) 1704 516 Nerves A3300 Neurostimulation of cranial nerve (intracranial) 624 228 Nerves A3330 Removal of neurostimulator from cranial nerve 552 144 Nerves A3680 Excision of cerebellopontine angle tumour 2028 840 Nerves A8300 Electro convulsive therapy 100 72 Other B0100 Open hypophysectomy (including total) 1728 540 Other B0210 Cryotherapy to pituitary gland 744 168 Other B0410 Transsphenoidal hypophysectomy (including total) 1728 540 Other B0610 Excision of pineal gland 1728 540 Other A0260 Excision of arteriovenous malformation from vessels of brain 2040 670 Vessels A4080 Craniotomy postoperative haemorrhage 804 384 Vessels L3320 Ligation/clipping of aneurysm of cerebral artery 1728 540 Vessels L3380 Reinforcement of aneurysm of cerebral artery 1728 540 Vessels L3400 Open operations on cerebral artery 1728 612 Vessels 31
Breasts CCSD Code Description Procedure Fee ( ) Anaesthet ic Fee ( ) Sub-Category B2800 Excision of breast lump/fibroadenoma 300 156 Excision / Biopsy B2820 Wide local excision of lesion of breast 369 160 Excision / Biopsy B2830 Re-excision of lesion of breast if resection margins are not clear (as sole procedure) 312 160 Excision / Biopsy B2880 Excision biopsy of breast lesion after localisation 318 156 Excision / Biopsy B2890 Ultrasound guided interstitial laser ablation of breast lesion 504 168 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 274 60 Excision / Biopsy B2710 Radical mastectomy including block dissection 636 240 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 576 214.5 Mastectomy (excl implant / reconstruction) 504 214.5 Mastectomy (excl implant / reconstruction) 600 214.5 Mastectomy (excl implant / reconstruction) B2752 Subcutaneous mastectomy 456 181.5 Mastectomy (excl implant / reconstruction) B2760 Skin/nipple sparing mastectomy (including axillary node biopsy) 720 240 Mastectomy (excl implant / reconstruction) B2780 Simple mastectomy (including axillary node biopsy) - unilateral 468 214.5 Mastectomy (excl implant / reconstruction) B2782 Prophylactic mastectomy - unilateral 468 216 Mastectomy (excl implant / reconstruction) B3100 Reduction mammoplasty unilateral 497 192 Other B3120 Augmentation mammoplasty unilateral 468 192 Other 32
B3130 Unilateral mastopexy (following reconstruction) 408 192 Other B3140 Therapeutic mammoplasty for breast cancer 528 192 Other B3310 Drainage of breast abscess including haematoma and seroma* 168 0 Other B3440 Microdochotomy 312 120 Other B3592 Tattooing of nipple* 144 0 Other B3593 Microdochectomy or mammodochectomy (Hadfield's procedure) 312 120 Other B3594 Plastic procedures on nipple 274 127 Other B3595 Excision of mammary fistula 216 137.5 Other S4760 Fine needle aspiration cytology* 96 0 Other B2700 Subcutaneous mastectomy with immediate implant 588 240 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 1128 372 Reconstruction 912 264 Reconstruction 912 264 Reconstruction 1128 372 Reconstruction 336 159.5 Reconstruction 1507 456 Reconstruction 2556 1044 Reconstruction 1608 456 Reconstruction 2004 1008 Reconstruction 336 180 Reconstruction 33
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) 648 240 Reconstruction 648 240 Reconstruction 384 192 Reconstruction 384 192 Reconstruction 768 240 Reconstruction 425 215 Reconstruction B3018 Redo reconstruction of breast using fat transfer 336 180 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 425 215 Reconstruction 274 132 Reconstruction B3033 Simple removal of prosthesis from breast 184 120 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 369 160 Reconstruction 516 258.5 Reconstruction B3180 Implantation of prosthesis into breast (as sole procedure) 384 192 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 264 120 Reconstruction 2004 1008 Reconstruction 34
Consultations, Simple Investigations & General Procedures CCSD Code Description Procedure Fee ( ) Anaesthet ic Fee ( ) Sub-Category 11300 Initial Consultation Refer to Guidance Notes 11320 Consultation (exceeding 40 minutes) Refer to Guidance Notes 12760 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 17180 Professional attendance on (initiation of care of) patient requiring intensive care in an emergency up to 3 hours 18100 Professional attendance on patient in serious condition whether or not in intensive care, per day 360 Medical Care 84 Medical Care 35
18110 Professional attendance on patient in intermediate condition per day 18120 Professional attendance on patient in less serious condition or admission for investigation, per day 17170 Professional attendance on (initiation of care of) patient requiring intensive care in an emergency up to 2 hours 17190 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 20110 ECG (including reporting) 96 Simple Investigations 20150 Patch testing (inclusive of application, reading and reporting) 20170 Blind challenge test for food allergy under medical supervision 96 Simple Investigations 120 Simple Investigations 20210 Pure tone audiogram (air conduction) 50 Simple Investigations 20220 Pure tone audiogram (air and bone conduction) 50 Simple Investigations 20230 Impedance audiogram 50 Simple Investigations 25040 IV regional anaesthesia (Bier s block) administered by operator 26000 Planning for introduction of radio-active implant into prostate (Brachytherapy Stage 1) 120 Simple Investigations 204 168 Simple Investigations G2180 Ambulatory 24h ph and impedance monitoring* 252 Simple Investigations X3800 Ophthalmic local anaesthetic injection administered by operator 84 Simple Investigations 20130 Exercise ECG (including reporting) 132 General Procedures 20132 Exercise or Dobutamine stress echocardiography (including reporting) 360 General Procedures 20140 24 hour ECG Holter monitoring (including reporting) 144 General Procedures 20141 Long term ambulatory ECG monitoring (event recording) (including reporting) 20142 Insertion of implantable ECG loop recorder (including reporting) 20143 Removal of implantable ECG loop recorder (including reporting)* 144 General Procedures 240 180 General Procedures 108 General Procedures 36
25000 Incision and drainage (not elsewhere covered) 84 General Procedures 64300 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
Ear, Nose & Throat CCSD Code Description Procedure Fee ( ) Anaesthet ic Fee ( ) Sub-Category D0110 Total excision of pinna 480 240 External ear D0132 Excision accessory auricle/preauricular appendage 274 108 External ear D0140 Excision of preauricular sinus 288 108 External ear D0210 Excision of lesion of pinna 228 120 External ear D0280 D0310 Removal of multiple bony exostoses external auditory canal Reconstruction of external ear for anotia/microtia using cartilage graft 559 144 External ear 816 192 External ear D0330 Pinnaplasty (including bilateral) 600 120 External ear D0340 Soft tissue meatoplasty of external auditory canal 468 144 External ear D0342 Bony meatoplasty 672 144 External ear D0410 Drainage of haematoma/abcess of pinna 129 108 External ear D0610 Biopsy of lesion of pinna (as sole procedure)* 100 External ear D0630 Repair of pinna 129 108 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 108 72 External ear D0810 Excision of lesion of external auditory canal 132 120 External ear D0812 Removal of solitary osteoma of external auditory canal 132 120 External ear D0820 Reconstruction of external auditory canal 780 324 External ear E4850 Therapeutic bronchoscopy for removal of foreign body 229 144 Fibreoptic Endoscopic Procedures E4990 Panendoscopy +/- incisional biopsy* 300 Fibreoptic Endoscopic Procedures 38
E4991 Therapeutic panendoscopy +/- excision or destruction of lesions 318 156 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 2112 840 Inner ear 2112 840 Inner ear A8480 Transtympanic electro cochleography 204 Inner ear AA489 Transtympanic chemical labyrinthectomy 612 264 Inner ear D2610 Operation(s) on endolymphatic sac 681 264 Inner ear D2620 Membranous labyrinthectomy 636 264 Inner ear D2630 Osseous labyrinthectomy 732 264 Inner ear E2140 E2150 Reconstruction using stomach pull up following pharyngolaryngectomy Reconstruction free jejunal graft following pharyngolaryngectomy 1716 684 Larynx and trachea 1776 552 Larynx and trachea E2300 Pharyngeal myotomy 229 160 Larynx and trachea E2910 Total laryngectomy 1140 552 Larynx and trachea E2920 Horizontal supra glottic laryngectomy 756 312 Larynx and trachea E2930 Vertical hemi laryngectomy 708 312 Larynx and trachea E2940 Partial laryngectomy 624 288 Larynx and trachea E2950 Laryngofissure and cordectomy of vocal cord 492 168 Larynx and trachea E2952 Laryngofissure 408 168 Larynx and trachea E2970 Sub total laryngectomy 624 288 Larynx and trachea E3010 Glottoplasty 504 180 Larynx and trachea E3100 Reconstruction of larynx with graft 1140 552 Larynx and trachea E3400 Cordectomy (endoscopic) 384 168 Larynx and trachea 39
E3410 Laser surgery to vocal cord (including microlaryngoscopy) 492 120 Larynx and trachea E3520 Microlaryngoscopy/laryngoscopy +/ endoscopic excision of lesion of larynx 384 180 Larynx and trachea E3810 Injection into larynx 348 144 Larynx and trachea E3900 Partial excision of trachea with reconstruction 1044 612 Larynx and trachea E4100 Insertion of voice prosthesis (TOF) 504 144 Larynx and trachea E4210 Tracheostomy 288 156 Larynx and trachea E4230 Mini tracheostomy (percutaneous) 168 120 Larynx and trachea D1010 Radical mastoidectomy (including meatoplasty) 756 264 Middle ear and mastoid D1020 Modified radical mastoidectomy (including meatoplasty) 756 264 Middle ear and mastoid D1040 Simple mastoidectomy 576 168 Middle ear and mastoid D1060 Revision of mastoidectomy (including meatoplasty) 648 264 Middle ear and mastoid D1240 Exploration of facial nerve, mastoid segment 756 264 Middle ear and mastoid D1420 Myringoplasty 588 216 Middle ear and mastoid D1440 D1510 Combined approach tympanoplasty - intact canal wall tympanoplasty Myringotomy and insertion of tube through tympanic membrane (and bilateral) 756 264 Middle ear and mastoid 151 156 Middle ear and mastoid D1520 Suction clearance of middle ear (as sole procedure) 108 96 Middle ear and mastoid D1530 Myringotomy (and bilateral) 118 96 Middle ear and mastoid D1540 Exploration of entire middle ear course of VII 1144 372 Middle ear and mastoid D1610 Ossiculoplasty 816 264 Middle ear and mastoid D1710 Stapedectomy 588 216 Middle ear and mastoid D1720 Revision stapedectomy 648 242 Middle ear and mastoid D1900 Middle ear tumour excision 588 216 Middle ear and mastoid 40
D1910 Middle ear polypectomy 168 72 Middle ear and mastoid D2030 Removal of grommets 108 72 Middle ear and mastoid D2040 Diagnostic tympanotomy (as sole procedure) 300 120 Middle ear and mastoid D2050 Tympanic neurectomy 425 160 Middle ear and mastoid D2822 Examination of ear under general anaesthetic (as sole procedure) 108 72 Middle ear and mastoid T8950 Repair of peri lymph fistula 540 108 Middle ear and mastoid W1870 Drainage of petrous apex for sepsis 1140 180 Middle ear and mastoid C2542 Dacryocysto-rhinostomy (endoscopic/laser assisted), including insertion and later removal of tube 648 264 Nasal Sinuses E1220 Caldwell-Luc approach to maxillary sinus 276 120 Nasal Sinuses E1240 Vidian neurectomy (including endoscopic) 528 192 Nasal Sinuses E1260 Image guided endoscopic frontal, sphenoid and/or ethmoid sinus surgery (FESS) 600 259 Nasal Sinuses E1310 Antral puncture and wash out (and bilateral) 144 72 Nasal Sinuses E1330 Intranasal antrostomy including endoscopic and washout (including bilateral) 252 132 Nasal Sinuses E1350 Closure of oro antral fistula 384 120 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) 156 72 Nasal Sinuses 156 72 Nasal Sinuses 156 72 Nasal Sinuses E1410 External frontoethmoidectomy 636 216 Nasal Sinuses E1420 Intranasal ethmoidectomy (and bilateral) 360 144 Nasal Sinuses E1432 FESS: excision uncinate process and anterior ethmoid bulla, antrostomy/antral puncture, simple polypectomy and attention to turbinates (bilateral) 552 215 Nasal Sinuses 41
E1450 Bone flap to frontal sinus (and bilateral) 744 180 Nasal Sinuses E1460 Trephining of frontal sinus 184 72 Nasal Sinuses E1470 E1480 Median drainage of frontal sinus (modified Lothrop procedure) Endoscopic exploration frontal sinus beyond frontoethmoid recess 1416 575 Nasal Sinuses 720 264 Nasal Sinuses E1500 Operation(s) on sphenoid sinus (including endoscopic) 252 144 Nasal Sinuses E1742 Lateral rhinotomy into sinuses 559 198 Nasal Sinuses E1750 Transnasal repair of leaking CSF (including endoscopic) 1144 138 Nasal Sinuses E1780 Diagnostic endoscopy of sinus (as sole procedure) 96 108 Nasal Sinuses V0700 Cranio facial resection 1728 744 Nasal Sinuses W2620 Manipulation under anaesthesia of fractured nose (as sole procedure) 144 108 Nasal Sinuses E0110 Total excision of nose 456 216 Nose and nasal cavity E0230 Septorhinoplasty +/ graft/implant following trauma or excision of tumour 612 198 Nose and nasal cavity E0260 Rhinoplasty following trauma or excision of tumour 588 168 Nose and nasal cavity E0310 Submucous resection of nasal septum 369 120 Nose and nasal cavity E0330 Biopsy of septum of nose 108 72 Nose and nasal cavity E0340 Closure of perforation of septum of nose 425 120 Nose and nasal cavity E0360 Septoplasty of nose (including attention to turbinates) 468 156 Nose and nasal cavity E0380 Nasal septum cauterisation (and bilateral) 108 84 Nose and nasal cavity E0390 Extracorporeal septoplasty 876 312 Nose and nasal cavity E0412 Reduction turbinates of nose (laser, diathermy, out fracture etc) 132 84 Nose and nasal cavity E0420 Reduction turbinates of nose (trim,radical excision) 216 108 Nose and nasal cavity 42
E0440 Division of adhesions of turbinate of nose (and bilateral) 118 108 Nose and nasal cavity E0520 Ligation of artery of internal nose (including endoscopic, as sole procedure) 384 144 Nose and nasal cavity E0610 Packing of cavity of nose (as sole procedure) 96 96 Nose and nasal cavity E0810 Polypectomy of internal nose (and bilateral, including endoscopic) 132 120 Nose and nasal cavity E0820 Excision of lesion of internal nose 129 120 Nose and nasal cavity E0830 Correction of congenital atresia of choana (including endoscopic) 456 180 Nose and nasal cavity E0850 Removal of foreign body from cavity of nose 96 96 Nose and nasal cavity E0910 Excision of lesion of external nose 108 120 Nose and nasal cavity E1910 Total pharyngectomy 1716 552 Throat E1920 Partial pharyngectomy 660 552 Throat E2010 Adenoidectomy 108 72 Throat E2100 Repair of pharynx 660 240 Throat E2320 Operation(s) on pharyngeal pouch (exterior approach) 552 192 Throat E2330 Removal of lesion of para pharyngeal space 660 138 Throat E2400 Therapeutic endoscopic operation on pharynx 180 120 Throat E2480 Pharyngeal pouch endoscopic procedures 504 144 Throat E2500 E3680 Diagnostic endoscopic examination of pharynx/larynx (including biopsy) (as sole procedure) Endoscopic laryngo-pharyngoscopy as sole outpatient procedure* 168 120 Throat 118 Throat F3400 Tonsillectomy child (and bilateral) 300 168 Throat F3430 Laser assisted serial tonsillectomy - first stage* 300 Throat F3431 Laser assisted serial tonsillectomy - subsequent stages* 300 Throat 43
F3440 Tonsillectomy adult (and bilateral) 360 168 Throat F3480 Adenotonsillectomy (and bilateral) 372 180 Throat F3620 Drainage of peritonsillar abscess (""quinsy"")* 96 Throat 44
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)* 252 120 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 184 120 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
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)* 118 120 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
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 84 144 Conjunctiva C3950 Radiotherapy to conjunctival lesion 168 144 Conjunctiva C4010 Mucosal graft to conjunctiva 336 144 Conjunctiva C4050 Suture of conjunctiva 144 144 Conjunctiva C4100 Drainage of conjunctival cyst 96 120 Conjunctiva C4340 Subconjunctival injection 96 120 Conjunctiva C4350 Exploration of conjunctiva (including removal of foreign body) 108 120 Conjunctiva C3960 Excision of pterygium 151 138 Cornea C4520 Excision of lesion of cornea 151 120 Cornea C4620 Lamellar graft (keratoplasty) to cornea 720 264 Cornea C4630 Perforating graft (keratoplasty) to cornea 720 264 Cornea C4640 Descemets stripping endothelial keratoplasty (DSEK) 720 264 Cornea C4650 Revision of corneal graft 720 264 Cornea C4690 Implantation of synthetic corneal rings for keratoconus (including INTACS)* 228 Cornea C4710 Repair of corneal wound 180 144 Cornea C4730 Removal of corneal suture 96 120 Cornea C4810 Removal of superficial corneal foreign body 120 120 Cornea C4980 Tension sutures 516 180 Cornea C5122 Chelation of cornea/photo therapeutic keratectomy 229 138 Cornea 47
C5180 Corneal scraping for culture 120 120 Cornea C1010 Excision of lesion of eyebrow* 118 Eyebrow & Lid C1040 Suture of eyebrow* 96 Eyebrow & Lid C1110 Excision of lesion of canthus 151 144 Eyebrow & Lid C1130 Correction of epicanthus 204 144 Eyebrow & Lid C1140 Correction of telecanthus 336 144 Eyebrow & Lid C1150 Graft of skin to canthus 288 144 Eyebrow & Lid C1160 Canthotomy 129 144 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 425 168 Eyebrow & Lid C1340 Blepharoplasty - two eyelids 603 168 Eyebrow & Lid C1341 Blepharoplasty - three or four eyelids 708 192 Eyebrow & Lid C1420 Graft of skin to eyelid 288 144 Eyebrow & Lid C1512 Correction of lower lid ectropion without graft/flap 300 120 Eyebrow & Lid C1513 Correction of lower lid ectropion with graft/flap 425 138 Eyebrow & Lid C1522 Correction of entropion - lower lid, including graft/flap 300 120 Eyebrow & Lid C1523 Correction of entropion upper lid, including graft/flap 425 138 Eyebrow & Lid C1532 C1540 Correction of trichiasis by electrolysis/diathermy/cryotherapy/laser Surgical correction of trichiasis /upper lid entropion, including graft/flap 120 120 Eyebrow & Lid 240 120 Eyebrow & Lid C1640 Tarsorrhaphy 240 120 Eyebrow & Lid C1700 Total reconstruction of eyelid unilateral 540 144 Eyebrow & Lid 48
C1710 Suture of eyelid (laceration) (as sole procedure) 120 120 Eyebrow & Lid C1810 Correction of ptosis of eyelid simple, including tarsomullerectomy 369 168 Eyebrow & Lid C1812 Correction of ptosis of eyelid complex 425 198 Eyebrow & Lid C1813 Correction of ptosis of eyelid with autologous fascia lata 559 198 Eyebrow & Lid C2220 Biopsy of lesion of eyelid 118 96 Eyebrow & Lid S0140 Browlift (following nerve damage) 504 168 Eyebrow & Lid C2920 Insertion of canalicular or punctal plugs 96 General C8650 Fluorescein angiography of eye (including occular photography) 96 72 General C8652 Occular photography (as sole procedure) 55 General C8654 Insertion of radioactive plaque into eye (including later removal) 603 360 General C0110 Exenteration of orbit 612 204 Globe & Orbit C0120 Enucleation/evisceration of eyeball 600 180 Globe & Orbit C0122 Enucleation/evisceration of eyeball (with implant) 600 180 Globe & Orbit C0212 Excision of lesion of orbit anterior approach 552 180 Globe & Orbit C0213 Excision of lesion of orbit lateral orbitomy 600 180 Globe & Orbit C0512 Simple reconstruction of socket (not including implant or graft) 276 144 Globe & Orbit C0513 Reconstruction of socket with either implant or graft 552 180 Globe & Orbit C0514 Reconstruction of socket with implant and graft 660 204 Globe & Orbit C0610 Biopsy of lesion of orbit 336 144 Globe & Orbit C0620 Drainage of orbit 420 126.5 Globe & Orbit C0630 Decompression of orbit 624 214.5 Globe & Orbit C0640 Removal of foreign body from orbit 564 192 Globe & Orbit 49
C0650 Exploration of orbit (as sole procedure) 497 180 Globe & Orbit C0840 Orbital injection 96 72 Globe & Orbit C5910 Iridocyclectomy 660 264 Iris and anterior chamber C5920 Surgical iridectomy 348 180 Iris and anterior chamber C6010 Surgical trabeculectomy or other penetrating glaucoma procedures 624 228 Iris and anterior chamber C6110 Laser trabeculoplasty 318 182 Iris and anterior chamber C6130 Goniotomy (surgical treatment of glaucoma) 576 156 Iris and anterior chamber C6150 Revision of previous glaucoma surgery 624 156 Iris and anterior chamber C6160 C6170 Complex glaucoma surgery (including anti metabolites/insertion of seton devices) Goniosynechialysis or goniopuncture (with laser or operatively) 648 182 Iris and anterior chamber 348 Iris and anterior chamber C6230 Laser iridotomy 336 144 Iris and anterior chamber C6410 Repair of prolapsed iris 552 180 Iris and anterior chamber C6420 Excision of lesion of iris 552 192 Iris and anterior chamber C6450 Removal of foreign body from iris 552 180 Iris and anterior chamber C6610 Ciliary body ablation 369 160 Iris and anterior chamber C6710 Cyclodialysis (separation of ciliary body) 504 192 Iris and anterior chamber C6910 Reformation of anterior chamber 420 156 Iris and anterior chamber C6920 Paracentesis 129 132 Iris and anterior chamber C6930 Injection into anterior chamber 129 132 Iris and anterior chamber C6940 Irrigation/aspiration of anterior chamber 151 132 Iris and anterior chamber C6980 Removal of foreign body from anterior chamber 336 132 Iris and anterior chamber C6990 Insertion of valve into anterior chamber of eye 603 182 Iris and anterior chamber 50
C2510 Canaliculo-dacryocysto-rhinostomy (including intubation) 684 264 Lacrimal system C2520 Conjunctivo-dacryocysto-rhinostomy (including tubation) 684 264 Lacrimal system C2540 Dacryocysto rhinostomy, including insertion of tube 603 264 Lacrimal system C2550 Lacrimal intubation (as sole procedure) 180 108 Lacrimal system C2610 Excision/Biopsy of lacrimal sac 151 144 Lacrimal system C2640 Incision of lacrimal sac 118 120 Lacrimal system C2650 Probing of nasolacrimal system with/without syringing and/or irrigation 96 72 Lacrimal system C2910 Puncto canaliculoplasty 312 72 Lacrimal system C7100 Extracapsular extraction without implant bilateral 559 384 Lens C7110 Extracapsular extraction without implant unilateral 318 228 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 369 252 Lens C7190 Extracapsular extraction with implant bilateral 603 444 Lens 51
C7340 Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy) 151 144 Lens C7510 Secondary insertion of lens implant 497 180 Lens C7520 Lens implant/exchange 504 180 Lens C7530 Removal of lens implant 384 144 Lens C3112 Surgical correction of squint horizontal 1 muscle 300 120 Muscles C3113 Surgical correction of squint horizontal 2 muscles (in one eye, or one muscle in each of two eyes) 600 198 Muscles C3114 Surgical correction of squint inferior oblique surgery 252 120 Muscles C3115 Surgical correction of squint other vertical muscles 252 120 Muscles C3180 Revision of squint surgery 681 156 Muscles C3530 Surgical correction of squint with adjustable sutures 681 180 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 612 228 Retina C5480 Removal of silicone oil 240 108 Retina C8200 Laser photocoagulation/cryotherapy of lesion of retina 151 120 Retina C8440 Retinal examination under anaesthetic including retinopexy if necessary* 132 Retina C5300 Excision of lesion of sclera 228 156 Sclera C5340 Insertion of tantalum marker ring 600 252 Sclera C5720 Repair of scleral laceration 228 156 Sclera C5730 Scleral graft 312 120 Sclera C7910 Anterior vitrectomy 274 180 Vitreous C7920 Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy 780 396 Vitreous 52
C7922 Pars plana vitrectomy/vitreous biopsy 559 180 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 1044 516 Vitreous 53
Face, Mouth, Salivary & Thyroid CCSD Code Description Procedure Fee ( ) Anaesthet ic Fee ( ) Sub-Category S0120 Facelift following disease or trauma 504 168 Face & Jaws V0820 Open reduction and fixation of fractured jaw 452 192 Face & Jaws V0830 Closed reduction and fixation of fractured jaw 216 168 Face & Jaws V0910 Open reduction and fixation of nasal ethmoidal fracture 708 264 Face & Jaws V0930 V0980 Closed reduction of fracture of zygomatic complex of bones Open reduction of fracture of zygomatic complex of bones 288 144 Face & Jaws 456 156 Face & Jaws V1040 Osteotomy of maxilla (and bilateral) 840 264 Face & Jaws V1082 Partial maxillectomy for malignancy 516 264 Face & Jaws V1083 Hemi maxillectomy for malignancy 815 297 Face & Jaws V1150 Removal of internal fixation and/or intermaxillary fixation from jaw 180 156 Face & Jaws V1330 Biopsy of lesion of facial bone 120 108 Face & Jaws V1422 Extensive segmental excision of mandible 696 288 Face & Jaws V1423 Extensive excision of mandible with disarticulation 1,040 288 Face & Jaws V1440 Excision of lesion of jaw 665 137.5 Face & Jaws V1622 Backward / forward sliding mandibular osteotomy 660 252 Face & Jaws V1730 Extra oral fixation of mandible 276 192 Face & Jaws V1910 Reconstruction of jaw (non vascularised reconstruction) 840 264 Face & Jaws V1930 Alveolar bone graft unilateral 452 168 Face & Jaws V1931 Alveolar bone graft bilateral 516 264 Face & Jaws 54
V2020 Prosthetic replacement of temporomandibular joint 660 168 Face & Jaws V2030 Arthroplasty of temporomandibular bone joint 552 180 Face & Jaws V2110 Temporomandibular menisectomy 336 144 Face & Jaws V2120 Reduction of dislocation of temporomandibular joint 204 108 Face & Jaws F0110 Excision of vermilion border of lip and advance of mucosa of lip 288 132 Lips F0200 Excision of lesion of lip 274 108 Lips F0312 Primary closure of cleft lip - unilateral 480 204 Lips F0313 Primary closure of cleft lip bilateral 552 240 Lips F0314 F0315 Primary closure of cleft lip - unilateral including anterior palate Primary closure of cleft lip - bilateral including anterior palate 716 240 Lips 741 264 Lips F0320 Revision of primary closure of cleft lip 480 204 Lips F0420 Reconstruction of lip using skin flap 600 216 Lips F0530 Suture of lip 144 120 Lips F1140 Vestibuloplasty 336 120 Mouth Cavity F3810 Excision/destruction of lesion of mouth 168 108 Mouth Cavity F4040 Suture of mouth (as sole procedure) 180 156 Mouth Cavity F4050 Graft of skin or mucosa to mouth 300 168 Mouth Cavity F4210 Biopsy of lesion of mouth* 118 Mouth Cavity F4230 Removal of excess mucosa from mouth 252 120 Mouth Cavity T8610 Biopsy/Sampling of cervical lymph nodes 120 144 Neck T8722 Selective dissection of cervical lymph nodes, levels 1 to 4 732 228 Neck T9400 Operations on branchial cyst 384 240 Neck 55
T9420 Operations on branchial fistula 576 240 Neck F2810 Excision/destruction of lesion of palate 240 144 Palate F2910 Primary repair of cleft palate 588 240 Palate F2920 Revision of repair of cleft palate 690 180 Palate F3070 Suture of palate 168 132 Palate F3240 Operations on uvula 204 120 Palate F4400 Excision of parotid gland (other than F4410/F4430) 552 192 Salivary Glands F4410 F4430 Total excision of parotid gland and preservation of facial nerve Partial excision of parotid gland and preservation of facial nerve 1056 288 Salivary Glands 840 288 Salivary Glands F4440 Excision of submandibular gland 396 168 Salivary Glands F4450 Excision of sublingual gland 276 159.5 Salivary Glands F4600 Incision or drainage of abscess or haematoma of salivary glands (i.e. including submandibular, parotid and sublingual glands) 120 120 Salivary Glands F4640 Fine needle aspiration of parotid gland* 100 Salivary Glands F4810 Open biopsy of lesion of salivary gland 168 120 Salivary Glands F4830 Therapeutic Sialendoscopy * 216 Salivary Glands F5010 Transposition of parotid duct (inc. bilateral) 324 120 Salivary Glands F5020 Transposition of submandibular duct (inc bilateral) 324 120 Salivary Glands F5110 Open extraction of calculus from parotid duct 252 108 Salivary Glands F5120 Open extraction of calculus from submandibular duct 216 120 Salivary Glands F5510 Dilatation of parotid duct 120 72 Salivary Glands F5610 Manipulative removal of calculus from parotid duct 216 108 Salivary Glands 56
F0830 Replantation of natural tooth/teeth following trauma 240 126.5 Teeth F0910 Surgical removal of impacted/buried tooth/teeth 312 156 Teeth F0950 Surgical removal of complicated buried roots 228 137.5 Teeth F1210 Apicectomy 204 156 Teeth F1450 Exposure of buried tooth 204 156 Teeth F1810 Enucleation of cyst of jaw 264 137.5 Teeth B0812 Total thyroidectomy/near total thyroidectomy 600 252 Thyroid & parathyroid glands B0813 Total thyroidectomy including block dissection of lymph nodes 660 252 Thyroid & parathyroid glands B0820 Bilateral subtotal thyroidectomy 600 242 Thyroid & parathyroid glands B0830 Total thyroid lobectomy & isthmectomy 600 242 Thyroid & parathyroid glands B0850 Isthmectomy of thyroid gland 300 168 Thyroid & parathyroid glands B0860 Partial thyroidectomy (not elsewhere classified) 588 242 Thyroid & parathyroid glands B0900 Operations on aberrant thyroid tissue (including excision/removal of retrosternal goitre) 660 192 Thyroid & parathyroid glands B1012 Excision of thyroglossal cyst/tract 384 180 Thyroid & parathyroid glands B1220 Fine needle aspiration of thyroid gland 100 84 Thyroid & parathyroid glands B1230 Core biopsy of thyroid gland 184 96 Thyroid & parathyroid glands B1250 Thyroid : re operation 600 242 Thyroid & parathyroid glands B1450 Parathyroidectomy 732 264 Thyroid & parathyroid glands B1680 Parathyroid : re operation 759 264 Thyroid & parathyroid glands BT210 Oral introduction of liquid radiopharmaceutical for thyroid tumour ablation (brachytherapy) 312 Thyroid & parathyroid glands E3180 Thyroplasty (Isshiki Type 1) 504 180 Thyroid & parathyroid glands F2210 Total glossectomy 696 216 Tongue 57
F2220 Partial glossectomy for malignancy 624 156 Tongue F2310 Excision/destruction of lesion of tongue 252 144 Tongue F2620 Frenotomy/frenectomy of tongue 144 120 Tongue F2640 Freeing of adhesions of tongue 96 120 Tongue F2650 Suture of tongue 144 120 Tongue F2660 Tongue flap first stage and second stage 504 228 Tongue 58
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) 204 168 Cervix Uteri 921 408 Cervix Uteri P2730 Colposcopy (+/- biopsy or polypectomy)* 132 0 Cervix Uteri Q0100 Amputation of cervix uteri 336 132 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) 168 84 Cervix Uteri 118 84 Cervix Uteri 252 156 Cervix Uteri Q0340 Punch biopsy of cervix uteri 100 84 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) 144 108 Cervix Uteri 151 84 Cervix Uteri 552 240 Suspension 603 259 Suspension 552 215 Suspension 552 215 Suspension Q2080 Ventro suspension of uterus including laparoscopic 396 168 Suspension Q0710 Q0712 Radical hysterectomy and lymphadenectomy (Wertheim's) Radical trachelectomy including laparoscopic and removal of lymph nodes 1368 492 Uterus/Adnexa 1188 312 Uterus/Adnexa 59
Q0740 Total abdominal hysterectomy (+/ oopherectomy) 648 288 Uterus/Adnexa Q0750 Subtotal abdominal hysterectomy (+/ oopherectomy) 636 288 Uterus/Adnexa Q0751 Laparoscopic subtotal hysterectomy (+/- oophorectomy) 636 288 Uterus/Adnexa Q0752 Robot assisted laparoscopic subtotal hysterectomy (+/- oophorectomy) 636 288 Uterus/Adnexa Q0790 Laparoscopic total hysterectomy (+/- oophorectomy) 648 288 Uterus/Adnexa Q0791 Robot assisted laparoscopic total hysterectomy (+/- oophorectomy) 648 288 Uterus/Adnexa Q0800 Vaginal hysterectomy without laparoscopic assistance 636 288 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) 876 297 Uterus/Adnexa 756 312 Uterus/Adnexa Q0920 Myomectomy (including laparoscopically) 600 240 Uterus/Adnexa Q0950 Plastic reconstruction of uterus 648 192 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) 264 215 Uterus/Adnexa Q1701 Laparoscopic excision of endometriosis 780 324 Uterus/Adnexa Q1702 Microwave Endometrial Ablation including hysteroscopy 384 144 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 384 144 Uterus/Adnexa 229 144 Uterus/Adnexa Q1802 Hysteroscopy with resection of fibroid 497 204 Uterus/Adnexa Q2020 Endometrial biopsy or aspiration 120 84 Uterus/Adnexa Q2230 Oophorectomy and salpingectomy (in isolation) (including bilateral) 600 215 Uterus/Adnexa 60
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 516 216 Uterus/Adnexa 485 240 Uterus/Adnexa Q3900 Laparoscopy (including e.g. puncture of ovarian cysts, +/ biopsy, minor endometriosis) 360 204 Uterus/Adnexa Q3980 Hysterosalpingo contrast echo sonography * 151 Uterus/Adnexa Q4130 Hydrotubation of fallopian tubes 264 120 Uterus/Adnexa Q4400 Ovarian cystectomy +/- omental biopsy (as sole procedure and including bilateral) 576 215 Uterus/Adnexa R1820 Caesarean Delivery 540 228 Uterus/Adnexa X1410 Total exenteration of pelvis 1728 552 Uterus/Adnexa X1420 Anterior exenteration of pelvis 1368 528 Uterus/Adnexa X1430 Posterior exenteration of pelvis 1368 528 Uterus/Adnexa BT281 BT282 Planning for insertion and removal of radiopharmaceutical into vaginal tumour (brachytherapy) Insertion and removal of radiopharmaceutical into vaginal tumour (brachytherapy) 204 168 Vagina/Perineum 1032 408 Vagina/Perineum M3710 Cystourethroplasty (including cystoscopy) 504 192 Vagina/Perineum M5582 Diathermy of urethral caruncle 108 72 Vagina/Perineum P1300 Operations on female perineum 144 84 Vagina/Perineum P1400 Incision of introitus of vagina 144 144 Vagina/Perineum P1800 Other obliteration of vagina 576 204 Vagina/Perineum P1920 Excision of septum of vagina 216 144 Vagina/Perineum P2000 Excision of lesion of vagina (e.g. warts and cysts) 252 144 Vagina/Perineum P2100 Reconstruction of vagina 816 228 Vagina/Perineum P2210 Anterior +/ posterior colporrhaphy and amputation of cervix uteri (including primary repair of enterocele) 660 215 Vagina/Perineum 61