In composite operations such as repair of cystocoele and rectocoele and D & C, or cystocoele and rectocoele and cauterization of cervix and biopsy, the fee shall, unless otherwise mentioned below, be that of the major procedure. VULVA 97660 Hymenotomy... 32.56 4 4 Abscess of vulva, Bartholin or Skene s gland (IOP) 97662 - local anaesthetic... 10.61 11.79 97664 - general anaesthetic... 44.91 4 4 97668 Perineotomy (IOP)... 22.45 97674 Hymenectomy (with or without perineotomy)... 50.52 4 4 Vulvectomy 97676 - simple - partial or total... 32.68 148.20 4 4 97678 - radical - without gland dissection - partial or complete resection... 49.02 316.09 6 6 97680 - with complete dissection of glands - uni or bilateral... 49.02 546.75 7 7 97682 Cyst of Bartholin s gland... 24.51 89.82 4 4 97684 Marsupialization of cyst (IOP)... 40.42 44.91 4 4 Condylomata - single or multiple (IOP) 97686 Chemical - 1... 5.05 5.61 97688-2... 7.59 8.43 97690-3 or more... 10.11 11.23 Surgical excision or electrodesiccation 97692 - local anaesthetic... 22.50 25.00 97694 - general anaesthetic... 70.00 4 4 97696 Cryosurgery - initial or subsequent treatment... 13.50 15.00 Laser destruction of vulval lesions 97698 - local anaesthetic... 22.40 97700 - general anaesthetic... 94.50 4 4 97710 Non-obstetrical injury to vulva and/or vagina, and/or perineum... IC IC IC IC 97712 Ligation of varicose vein of labia - uni or bilateral... 44.91 4 4 VAGINA Endoscopy (IOP) 97716 Colpomicroscopy of vagina (includes cervix)... 60.00 4 4 97718 - with biopsy and/or endocervical curettage... 80.00 4 4 T-1
VAGINA (Cont d) 97720 Colpotomy, posterior, drainage or needle puncture... 41.54 4 4 97722 Culdotomy, incision and exploration... 24.51 81.96 4 4 97724 Culdoscopy including biopsy (IOP)... 61.75 4 4 97726 and drainage of cyst, abscess or haematoma... 28.30 31.44 4 4 Biopsy(s) - when sole procedure (IOP) 97730 - local anaesthetic... 12.13 13.47 97732 - general anaesthetic... 31.44 4 4 97734 Local excision of cyst... 24.51 89.82 4 4 97736 of congenital vaginal septum... 24.51 90.38 4 4 97738 Colpectomy, partial or complete, for non-malignant lesions (not to be used to claim for biopsy)... 32.68 255.98 6 6 97740 Colpectomy, radical for malignancy... 65.36 480.00 8 8 97742 Laser treatment of vagina under general anaesthesia... 150.00 4 4 97750 Cystocoele or rectocoele... 24.51 150.00 5 5 97752 Cystocoele and rectocoele... 24.51 225.00 5 5 97754 Cystocoele, rectocoele and enterocoele... 24.51 225.00 5 5 97756 Rectocoele and enterocoele... 24.51 210.00 5 5 97758 Cystocoele, rectocoele and prolapse (Fothergill)... 24.51 222.29 5 5 97760 Cystocoele, rectocoele and excision cervical stump... 24.51 224.54 6 6 97762 Vaginal vault prolapse (post hysterectomy) or enterocoele 24.51 254.00 6 6 97768 Rectocoele and repair of anal sphincter... 24.51 202.09 5 5 97770 Perineorrhaphy... 24.51 67.36 4 4 97772 Colpocleisis... 40.85 177.39 5 5 97774 Operation for artificial vagina... 32.68 235.77 6 6 Closure of fistula - vesico-vaginal 97776-1 surgeon... 32.68 263.83 6 6 97778-2 surgeons - vaginal surgeon... 32.68 196.47 6 6 97780 - abdominal surgeon... 196.47 97782 - recto-vaginal (any repair)... 32.68 362.89 6 6 97784 - uretero-vaginal... 49.02 280.68 6 6 97786 - urethro-vaginal... 32.68 129.11 4 4 97788 Urethral caruncle or prolapse of mucosa... 59.50 4 4 97790 Retropubic urethropexy for stress incontinence... 32.68 301.35 5 5 Combined abdominal - vaginal procedure for stress incontinence 97794-1 surgeon... 49.02 301.35 7 7 97796-2 surgeons - vaginal surgeon... 49.02 123.50 7 7 97798 - abdominal surgeon... 215.56 Manipulation 97808 Examination and/or dilation - general anaesthetic (IOP)... 28.07 4 4 T-2
FALLOPIAN TUBE (unilateral or bilateral) 97820 Salpingectomy and salpingo - oophorectomy... 49.02 262.41 6 6 97822 Partial salpingectomy for sterilization... 49.02 112.27 6 6 Tubal plastic operation 97830 - fimbriolysis - unilateral... 49.02 132.48 6 6 97832 - salpingostomy - unilateral... 49.02 188.61 6 6 97834 - resection with reanastomosis... 49.02 246.99 6 6 97838 of extensive tubal and peritubal disease using operating microscope (not to be charged for reconstruction following previous sterilization procedures) uni or bilateral)... 65.36 509.60 8 8 Suture 97844 Ligation of tubes, all methods, all approaches... 181.59 49.02 201.77 6 6 OVARY (uni or bilateral) 97850 Biopsy of ovaries by laparotomy... 40.85 257.05 6 6 97852 Wedge resection of ovaries (e.g. Stein-Leventhal)... 40.85 257.05 6 6 97854 Oophorectomy... 49.02 305.90 6 6 97856 Oophorectomy with omentectomy for malignant disease... 49.02 410.40 6 6 97858 Oophorocystectomy... 49.02 305.90 6 6 97860 Para ovarian cyst... 49.02 305.90 6 6 97862 Oophorectomy with or without omentectomy for malignant disease and with pelvic and/or perioaortic lymphadenectomy... 49.02 884.85 6 6 97864 Second look exploratory laparotomy including biopsies, when done as part of chemotherapy protocol for ovarian carcinoma with or without total omentectomy.. 49.02 431.45 6 6 97866 Culdectomy (extensive removal of pelvic peritoneum required for evacuation of malignancy extension of secondaries)... 49.02 200.00 6 6 UTERUS AND CERVIX UTERI Endoscopy (IOP) 97870 Colpomicroscopy (includes vagina)... 60.00 4 4 97872 - with biopsy and/or endocervical curettage... 80.00 4 4 97874 Hysteroscopy... 111.02 97876 - with biopsy... 124.89 97878 - with cannulization of tubes... 131.55 T-3
UTERUS AND CERVIX UTERI (Cont d) 97890 Endometrial biopsy (IOP)... 26.10 29.00 97892 Biopsy, cervix (IOP)... 9.80 10.89 4 4 97910 Hysterotomy... 49.02 185.25 6 6 97914 Cryoconization, electroconization with or without endocervical curettage (IOP)... 25.82 4 4 97916 CO 2 laser therapy with or without curettage for CIN (Cervical Intra-epithelial Neoplasia) (IOP)... 51.64 4 4 NOTE: D & Cs are not billable in addition to code 97926 or 97928. Diagnostic curettage 97920 - (with or without cauterization biopsy of cervix, removal of polypi or Rubin s test) (IOP)... 58.50 65.00 4 4 97922 - and hystero-salpingography (IOP)... 65.00 4 4 97924 - with knife conization of cervix (includes additional biopsies)... 24.51 132.35 4 4 Therapeutic hysteroscopy/endometrial ablation 97926 - initial... 207.00 6 6 97928 - repeat procedure within 1 year... 145.00 6 6 Hysterectomy (with or without adnexa or enterocoele) 97930 Total, abdominal or vaginal... 49.02 355.30 6 6 97932 - with cystocoele and rectocoele... 49.02 473.73 6 6 97934 - with cystocoele or rectocoele... 49.02 414.52 6 6 97938 Partial or subtotal... 49.02 266.41 6 6 97940 - with cystocoele and rectocoele... 49.02 334.91 6 6 97942 - with cystocoele or rectocoele... 49.02 289.24 6 6 97948 Radical (total hysterectomy plus lymphadenectomy)... 65.36 620.70 8 8 97950 Myomectomy... 49.02 185.25 6 6 97952 Amputation of cervix... 32.68 123.50 4 4 97954 Cervical stump - abdominal... 49.02 157.18 6 6 97956 - vaginal... 32.68 166.16 4 4 Introduction (IOP) 97960 Insufflation - Rubin s test... 26.94 4 4 97962 Insufflation and endometrial biopsy... 43.19 4 4 97964 Insertion of IUCD... 26.27 29.19 97970 Hysteropexy (uterine suspension)... 49.02 145.95 6 6 97972 - with anterior and posterior repair... 49.02 235.77 6 6 97974 - with anterior or posterior repair... 49.02 190.86 6 6 97976 Cervix, incompetent... 24.51 80.83 4 4 97978 Trachelorrhaphy (plastic repair of cervix) - not immediately following delivery... 24.51 61.75 4 4 97982 Hysteroplasty - excision of septum (Strassman)... 49.02 196.47 6 6 97984 Unification of double uteri... 32.68 255.98 4 4 97986 Uterine inversion - manual... 85.89 95.43 4 4 97988 - operative... 32.68 196.47 6 6 97990 Presacral neurectomy... 49.02 196.47 6 6 T-4
UTERUS AND CERVIX UTERI (Cont d) Cautery of Cervix (IOP) Office - chemical cautery... VF VF 97994 - electro-cautery or cryocautery... 4.04 4.49 97996 Hospital, general anaesthetic, dilation and cauterization or conization, single procedure... 24.25 26.94 4 4 T-5