TABLE of SURGICAL PROCEDURES (Updated As of 1 Feb 2021)

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Ministry of Health TABLE OF SURGICAL PROCEDURES (Updated as of 1 Feb 2021)

TABLE OF CONTENTS

Guiding Principles………………………………………………………...2 Guidance on Specific Procedures………………………………………3 SA - Integumentary ...... 4 SB - Musculoskeletal ...... 12 SC - Respiratory ...... 33 SD - Cardiovascular ...... 36 SE - Hemic & Lymphatic ...... 44 SF - Digestive ...... 46 SG - Urinary ...... 59 SH - Male Genital ...... 63 SI - Female Genital ...... 66 SJ - Endocrine ...... 74 SK - Nervous ...... 75 SL - Eye ...... 83 SM - ENT ...... 90 Annex…………………………………………………………………….95

GUIDING PRINCIPLES

The Table of Surgical Procedures (TOSP) is an exhaustive list of procedures with table ranking 1A to 7C, for which MediSave / MediShield Life can be claimed. TOSP codes focus on the intent and outcome of the surgical procedure, regardless of the surgical access route and/or technology used. Any procedures not listed or without a table ranking 1A to 7C are not claimable.

Specifically, Minor Surgical Procedures (procedures with table ranking “MSP”) are procedures which the TOSP review committee decided to be non-claimable. The list of MSPs is non-exhaustive, i.e. procedures not in the TOSP and not a MSP are still not claimable.

For a single episode of surgery/procedure, if a single TOSP code adequately describes the surgery/procedure performed, only one TOSP code should be utilised1. This is regardless of the number of primary surgeons involved in the surgery/procedure. For example, a revision total knee replacement should only be coded for by SB717K. Additional codes for the removal of screws or prostheses should not be included. The example stated is by no means exhaustive and serves as an illustration of the general principle which will be applied to all procedures. If the complexity of a procedure is not stipulated in the TOSP code description, the code should be interpreted as encompassing a range of complexities and not just the basic standard procedure.

For guidelines on MediSave claims for surgical procedures, please refer to Annex. Appeals will be assessed based on the prevailing guidelines at time of appeal.

1 A single surgical/procedural episode refers to the entire suite of services provided during the time the patient arrives to the operating theatre complex until the patient leaves. If the patient requires anesthesia, the continuous period under General Anesthesia/Sedation is also defined under the same surgical episode. 2

GUIDANCE ON SPECIFIC PROCEDURES

Pain procedures A therapeutic pain procedure performed in the same setting as a surgical procedure should not be charged separately from the surgical code. This would apply for all forms of anaesthesia: general, regional or local. Diagnostic anaesthetic blocks, unlike therapeutic anaesthetic blocks, can be coded as a standalone procedure.

A maximum of 1 pain procedure code, excluding those which are already done in the operating theatre complex (e.g. pre-emptive anaesthesia administered outside of the operating theatre complex), should be claimed throughout the entire admission for the same indication.

For multiple pain procedures performed at the same spinal level on the same side, only one code (of the highest table) should be claimed.

Spine – revision surgery Revision surgery codes apply to revision performed at the same level as primary operation. If procedure is performed for adjacent segment disease, the applicable code for non-revision surgery should be used (not to be combined with other codes). If procedure is performed to address a complication of the initial surgery, the revision surgery code can be used.

Cosmetic procedures MediSave use is not allowed for cosmetic surgeries, except those defined as cosmetic surgery to reconstruct a body part, particularly face and neck, where that part (physical appearance or function) has been affected by trauma, cancer, congential anomalies, nerve palsies and other disfiguring diseases (to be ascertained by pre-surgical photographs). Medical practitioners are expected to exercise good clinical judgement in determining if a procedure is cosmetic in nature. If audited, medical practitioners must be prepared to justify their decision. For consistency, the use of MediSave for complications arising from cosmetic surgery will follow the above principles i.e. MediSave claims will be disallowed for treatment of complications where the treatment itself is cosmetic in nature.

Frequency-Limited TOSP codes For TOSP codes with restrictions on the frequency at which these procedures can be claimed (i.e. only one claim allowed within a specified timeframe), medical practitioners and institutions should ensure that the frequency of claims adhere to the period specified in the respective code descriptions. MOH will be monitoring the use of the following three frequency-limited TOSP codes from 1 Feb 2021:

TOSP code Description SA902S / 1B (New) Skin, pre-malignant lesions, Excision/Vaporisation by laser and other ablative modalities, therapeutic, up to 4 sessions in 12 months (To provide histopathology report if audited) SM839E / 2A (New) Ear, Tympanic Membrane, Unilateral, transtympanic perfusion of drugs, with injections/myringotomy including repeat procedures during a 90-day period in the same ear SM700N / 1A Nose, Nasoendoscopy/Nasopharyngolaryngoscopy (single or (Revised) repeat examinations, during a 90 day global period)

SA - INTEGUMENTARY

S/N Code Description Table Classification BOTULINUM TOXIN THERAPY FOR MOVEMENT 1 SA700B MSP Existing DISORDERS BREAST, DUCTAL LESIONS, MICRODOCHECTOMY 2 SA701B 3A Existing (BILATERAL) BREAST, DUCTAL LESIONS, MICRODOCHECTOMY 3 SA702B 2C Existing (UNILATERAL) BREAST, LUMPS, IMAGING GUIDED VACUUM ASSISTED 4 SA704B 2B Existing BIOPSY, SINGLE LESION BREAST, LUMP (REMOVAL) WITH PARENCHYMAL FLAP Descriptor 5 SA705B 4A CLOSURE (UNILATERAL/BILATERAL) change BREAST, LUMPS, IMAGING GUIDED VACUUM ASSISTED 6 SA706B 2C Existing BIOPSY, > 1 LESIONS BREAST, TUMOR (MALIGNANT), WIDE EXCISION/ LUMPECTOMY/SEGMENTAL MASTECTOMY/ PARTIAL 7 SA707B 4A Uptable MASTECTOMY, WITH SENTINEL NODE BIOPSY/ AXILIARY NODE SAMPLING BREAST, VARIOUS LESIONS, PERCUTANEOUS 8 SA708B MSP Existing ASPIRATION UNDER ULTRASOUND BREAST, VARIOUS LESIONS, TRUCUT BIOPSY, 9 SA709B 1C Existing ULTRASOUND GUIDED OR STEREOTACTIC (MULTIPLE) BREAST, VARIOUS LESIONS, TRUCUT BIOPSY, 10 SA710B 1B Existing ULTRASOUND GUIDED OR STEREOTACTIC (SINGLE) BREAST, VARIOUS LESIONS, WIRE LOCALISATION, 11 SA711B 3B Existing EXCISION (MULTIPLE) BREAST, VARIOUS LESIONS, WIRE LOCALISATION, 12 SA712B 3A Existing EXCISION (SINGLE) BREAST, POST MASTECTOMY, RECONSTRUCTION USING 13 SA713B PEDICLED TRANSVERSE RECTUS ABDOMINIS 6A Existing MUSCULOCUTANEOUS FLAP (UNILATERAL) BREAST (NIPPLE), VARIOUS LESIONS, GRAFT AND/OR 14 SA800B 4B Existing FLAP RECONSTRUCTION (BILATERAL) BREAST (NIPPLE), VARIOUS LESIONS, GRAFT AND/OR 15 SA801B 4A Existing FLAP RECONSTRUCTION (UNILATERAL) BREAST, DIFFUSE HYPERTROPHY, REDUCTION 16 SA802B 6A Existing MAMMOPLASTY >500G (BILATERAL) BREAST, DIFFUSE HYPERTROPHY, REDUCTION >250G 17 SA803B 4B Existing (UNILATERAL) BREAST, DROOPING, MASTOPEXY/REDUCTION 18 SA804B 5B Existing (BILATERAL) BREAST, DROOPING, MASTOPEXY/REDUCTION 19 SA805B 4A Existing (UNILATERAL) 20 SA806B BREAST, GYNECOMASTIA, REDUCTION (BILATERAL) 4A Existing 21 SA807B BREAST, GYNECOMASTIA, REDUCTION (UNILATERAL) 3A Existing BREAST, HYPOPLASIA, AUGMENTATION MAMMOPLASTY 22 SA808B 4A Existing (PROSTHETIC AND BILATERAL) BREAST, HYPOPLASIA, AUGMENTATION MAMMOPLASTY 23 SA809B 3A Existing (PROSTHETIC AND UNILATERAL) BREAST, INVERTED NIPPLES, SURGICAL EVERSION 24 SA810B 3A Existing (BILATERAL) BREAST, INVERTED NIPPLE, SURGICAL EVERSION 25 SA811B 2C Existing (UNILATERAL) 26 SA812B BREAST, LUMP (SINGLE), EXCISION BIOPSY 2C Existing BREAST, LUMPS (MULTIPLE/BILATERAL), EXCISION 27 SA813B 3A Existing BIOPSY

SA - INTEGUMENTARY

BREAST, POST MASTECTOMY, IMPLANT/EXPANDER 28 SA814B 5A Existing RECONSTRUCTION (BILATERAL) BREAST, POST MASTECTOMY, IMPLANT/EXPANDER 29 SA815B 4A Existing RECONSTRUCTION (UNILATERAL) BREAST, POST MASTECTOMY, LATISSMUS DORSI 30 SA816B PEDICLED FLAP WITH OR WITHOUT IMPLANT 6C Existing RECONSTRUCTION (BILATERAL) BREAST, POST MASTECTOMY, LATISSMUS DORSI 31 SA817B PEDICLED FLAP WITH OR WITHOUT IMPLANT 5C Existing RECONSTRUCTION (UNILATERAL) BREAST, POST MASTECTOMY, RECONSTRUCTION USING 32 SA818B PEDICLED TRANSVERSE RECTUS ABDOMINIS 7A Existing MUSCULOCUTANEOUS FLAP (BILATERAL) BREAST, POST MASTECTOMY, RECONSTRUCTION USING 33 SA819B 7C Existing FREE FLAP (UNILATERAL) BREAST, POST PROSTHETIC CONTRACTION, 34 SA820B 3A Existing CAPSULOTOMY (BILATERAL) BREAST, POST PROSTHETIC CONTRACTION, 35 SA821B 2C Existing CAPSULOTOMY (UNILATERAL) BREAST, TUMOR (MALIGNANT), WIDE EXCISION/ 36 SA822B LUMPECTOMY/SEGMENTAL MASTECTOMY/ PARTIAL 3C Uptable MASTECTOMY BREAST, TUMOR (MALIGNANT), WIDE EXCISION/ LUMPECTOMY/SEGMENTAL MASTECTOMY/ PARTIAL 37 SA823B 4C Uptable MASTECTOMY, WITH AXILIARY CLEARANCE, WITH/WITHOUT SENTINEL NODE BIOPSY BREAST, TUMOR (MALIGNANT), SIMPLE MASTECTOMY 38 SA824B WITH AXILIARY CLEARANCE, WITH/WITHOUT SENTINEL 5A Existing NODE BIOPSY BREAST, TUMOR (MALIGNANT), RADICAL MASTECTOMY 39 SA825B 5C Existing WITH/WITHOUT AXILIARY CLEARANCE 40 SA826B BREAST, TUMOR (MALIGNANT), SIMPLE MASTECTOMY 4A Existing BREAST, TUMOR (MALIGNANT), SIMPLE MASTECTOMY 41 SA827B 4C Existing WITH SENTINEL NODE BIOPSY/ AXILIARY NODE SAMPLING BREAST, VARIOUS LESIONS, SUBCUTANEOUS 42 SA828B 4A Existing MASTECTOMY BILATERAL, EXCLUDING GYNAECOMASTIA 43 SA829B BREAST, VARIOUS LESIONS, TRUCUT BIOPSY 1A Existing BREAST, VARIOUS LESIONS, SUBCUTANEOUS 44 SA830B MASTECTOMY UNILATERAL, EXCLUDING 3C Existing GYNAECOMASTIA CONTRALATERAL MASTOPEXY/REDUCTION FOLLOWING BREAST, TUMOUR (MALIGNANT) WIDE 45 SA831B EXCISION/LUMPECTOMY/SEGMENTAL OR PARTIAL 4A New MASTECTOMY, WITH OR WITHOUT SENTINEL NODE BIOPSY AND/OR AXILLARY CLEARANCE IPSILATERAL MASTOPEXY/REDUCTION FOLLOWING BREAST, TUMOUR (MALIGNANT) WIDE 46 SA832B EXCISION/LUMPECTOMY/SEGMENTAL OR PARTIAL 4A New MASTECTOMY, WITH OR WITHOUT SENTINEL NODE BIOPSY AND/OR AXILLARY CLEARANCE BREAST, TUMOR (MALIGNANT), NIPPLE/SKIN SPARING 47 SA833B 4C New MASTECTOMY BREAST, TUMOR (MALIGNANT), NIPPLE/SKIN SPARING 48 SA834B MASTECTOMY WITH SENTINEL NODE BIOPSY/AXILIARY 5A New NODE SAMPLING

SA - INTEGUMENTARY

BREAST, TUMOR (MALIGNANT), NIPPLE/SKIN SPARING 49 SA835B MASTECTOMY WITH AXILIARY CLEARANCE, 5C New WITH/WITHOUT SENTINEL NODE BIOPSY FASCIA (DEEP), RUPTURE WITH HERNIATED MUSCLE, 50 SA800F 1B Existing REPAIR FAT TRANSFER, CORRECTION OF CONTOURS/CONGENITAL DEFORMITIES, 51 SA812F 2A Existing RECONSTRUCTION POST ABLATIVE SURGERY/TRAUMA, <=50CC FAT TRANSFER, CORRECTION OF CONTOURS/CONGENITAL DEFORMITIES, 52 SA813F 3A Existing RECONSTRUCTION POST ABLATIVE SURGERY/TRAUMA, 50 - 100CC FAT TRANSFER, CORRECTION OF CONTOURS/CONGENITAL DEFORMITIES, 53 SA814F 3B Existing RECONSTRUCTION POST ABLATIVE SURGERY/TRAUMA, >= 100CC 54 SA800H HAND, BURNS (MAJOR), EXCISION AND SPLIT SKIN GRAFT 4A Existing MUCOUS MEMBRANE (EAR/NOSE/EYELID) 55 SA800M AVULSION/COMPLEX LACERATION, FULL THICKNESS 3A Existing REPAIR MUCOUS MEMBRANE, DEEP LACERATION/MULTIPLE 56 SA801M 3A Existing LACERATIONS, REPAIR MUCOUS MEMBRANE, SUPERFICIAL LACERATION 57 SA802M 1B Existing EQUAL/LESS THAN 7CM, REPAIR MUCOUS MEMBRANE, SUPERFICIAL LACERATION(S) 58 SA803M 2B Existing MORE THAN 7 CM, REPAIR MUCOUS MEMBRANE, TUMOR/CYST/ULCER/SCAR, 59 SA804M 2B Existing EXCISION 60 SA805M MUSCLE AND DEEP TISSUE, FOREIGN BODY, REMOVAL 2C Existing RADIOTHERAPY, ENDOLUMINAL BRACHYTHERAPY: 61 SA700R OESOPHAGUS, NASOPHARYNGEAL CARCINOMA (NPC), 2B Existing HEPATOBILIARY, CARDIAC, LUNG, OTHERS RADIOTHERAPY, INTERSTITIAL BRACHYTHERAPY 62 SA701R 4B Existing (WITH/WITHOUT OPEN SURGERY) RADIOTHERAPY, INTERSTITIAL BRACHYTHERAPY 63 SA702R 5A Existing (WITHOUT OPEN SURGERY): PROSTATE RADIOTHERAPY, INTRACAVITARY BRACHYTHERAPY 64 SA703R 2C Existing (MULTI-CHANNEL): CERVIX, OTHERS RADIOTHERAPY, INTRACAVITARY BRACHYTHERAPY 65 SA704R 2A Existing (SINGLE CHANNEL): ENDOMETRIUM, OTHERS RADIOTHERAPY, INTRA-OPERATIVE RADIOTHERAPY 66 SA705R (ELECTRONS OR KILOVOLTAGE): BREAST, SARCOMA, 3A Existing UPPER GI, LOWER GI, OTHER SITES SKIN (UPPER LIMB), OPEN WOUND, MAJOR 67 SA700S 2A Existing DESLOUGHING SKIN AND SUBCUTANEOUS TISSUE, TUMOR/CYST/ULCER/SCAR, EXCISION BIOPSY, REMOVAL 68 SA701S 2A Existing OF 2 OR MORE OR RECURRENT OR COMPLICATED (ADHERENT), EXCISION SKIN AND SUBCUTANEOUS TISSUE, 69 SA702S TUMOR/CYST/ULCER/SCAR, EXCISION BIOPSY, LESION 1B Existing SIZE MORE THAN 15MM IN DIAMETER SKIN CANCER, MOHS MICROGRAPHIC SURGERY 70 SA704S 2B Existing WITHOUT RECONSTRUCTION 71 SA705S SKIN, DEFECT, DISTANT SKIN FLAPS 4B Existing 72 SA706S SKIN, DEFECT, NEUROVASCULAR ISLAND FLAP 5A Existing

SA - INTEGUMENTARY

SKIN, NEUROMAS/HEMANGIOMAS, Descriptor 73 SA707S EXCISION/VAPORISATION BY LASER AND OTHER 1C change ABLATIVE MODALITIES, THERAPEUTIC SKIN, SURGICAL TREATMENT FOR VITILIGO (INVOLVING 74 SA708S 3C Existing NON-CULTURED CELLULAR GRAFTING) (<20 SQ CM) SKIN, SURGICAL TREATMENT FOR VITILIGO (INVOLVING 75 SA709S 4B Existing NON-CULTURED CELLULAR GRAFTING) (>40 SQ CM) SKIN, SURGICAL TREATMENT FOR VITILIGO (INVOLVING 76 SA710S 4A Existing NON-CULTURED CELLULAR GRAFTING) (20-40 SQ CM) SOFT TISSUE (LOWER LIMB), CONTRACTURE, MAJOR 77 SA711S 4A Existing RELEASE SOFT TISSUE (LOWER LIMB), CONTRACTURE, MINOR 78 SA712S 2C Existing RELEASE SOFT TISSUE (LOWER LIMB), OPEN WOUND/INFECTION, 79 SA713S 2A Existing MAJOR DESLOUGHING SOFT TISSUE (LOWER LIMB), SMALL TUMORS (BENIGN), 80 SA714S 1B Existing EXCISION BIOPSY UNDER GENERAL ANESTHESIA SOFT TISSUE (LOWER LIMB), TUMOR/TUMOR-LIKE 81 SA715S 2C Existing LESIONS, MARGINAL EXCISION SOFT TISSUE (LOWER LIMB), TUMORS (BENIGN), WIDE 82 SA716S 4A Existing EXCISION BIOPSY SOFT TISSUE (LOWER LIMB), TUMORS (MALIGNANT), 83 SA717S 5C Existing RADICAL EXCISION BIOPSY SOFT TISSUE (LOWER LIMB), VARIOUS LESIONS, MAJOR 84 SA718S 4B Existing RELEASE SOFT TISSUE (LOWER LIMB), VARIOUS LESIONS, MINOR 85 SA719S 3A Existing RELEASE 86 SA720S SOFT TISSUE (PALMAR SPACE), ABSCESS, DRAINAGE 2B Existing SOFT TISSUE (UPPER LIMB), TUMORS (BENIGN), MAJOR 87 SA721S 4A Existing EXCISION BIOPSY SOFT TISSUE (UPPER LIMB), TUMORS (MALIGNANT), 88 SA722S 6B Existing RADICAL EXCISION BIOPSY SOFT TISSUE (UPPER LIMB), TUMORS (MALIGNANT), WIDE 89 SA723S 5A Existing EXCISION BIOPSY SOFT TISSUE, TUMOR (MALIGNANT), MAJOR RESECTION 90 SA724S 7C Existing AND RECONSTRUCTION (MICROSURGICAL) SWEAT GLAND, AXILLARY HYPERHIDROSIS, WEDGE 91 SA725S 3A Existing EXCISION (BILATERAL) SKIN CANCER, MOHS MICROGRAPHIC SURGERY WITH 92 SA726S 2C Existing RECONSTRUCTION/GRAFT/FLAP ( 5 TISSUE BLOCKS) SKIN AND MUCOUS MEMBRANE, VARIOUS LESIONS, 94 SA800S 1A Existing EXCISION BIOPSY SKIN AND SUBCUTANEOUS TISSUE, TUMOUR 95 SA801S (MALIGNANT), WIDE EXCISION AND RECONSTRUCTION 3A Existing AND LOCAL FLAP/SKIN GRAFT SKIN AND SUBCUTANEOUS TISSUE, TUMOUR 96 SA802S (MALIGNANT), WIDE EXCISION WITH IMMEDIATE BLOCK 5A Existing DISSECTION SKIN AND SUBCUTANEOUS TISSUE 97 SA803S (EAR/NOSE/EYELID/FACE), COMPLEX LACERATIONS, 3B Existing REPAIR SKIN & SUBCUTANEOUS, SCAR REVISION, FACE & NECK 98 SA804S 1C Existing (< 3CM) SKIN AND SUBCUTANEOUS TISSUE (FACE AND NECK), 99 SA805S 2B Existing SCAR OF MORE THAN 3CM, REVISION

SA - INTEGUMENTARY

SKIN AND SUBCUTANEOUS TISSUE, BURNS, 100 SA806S 2A Existing ESCHAROTOMY (EXTENSIVE) SKIN AND SUBCUTANEOUS TISSUE, BURNS, 101 SA807S 1A Existing ESCHAROTOMY (LIMITED) SKIN AND SUBCUTANEOUS TISSUE, BURNS, EXCISION 102 SA808S 5A Existing AND MAJOR FLAP REPAIR SKIN AND SUBCUTANEOUS TISSUE, BURNS, EXCISION 103 SA809S 4A Existing AND MAJOR FULL THICKNESS GRAFT SKIN AND SUBCUTANEOUS TISSUE, BURNS, EXCISION 104 SA810S 3A Existing AND SMALL FULL THICKNESS GRAFT SKIN AND SUBCUTANEOUS TISSUE, 105 SA811S DEEP>3CM/EXTENSIVE CONTAMINATED WOUND, 2C Existing DEBRIDEMENT SKIN AND SUBCUTANEOUS TISSUE, DEFECT (DEEP), 106 SA812S DERMOFAT/FASCIA GRAFT (INCLUDING 3A Existing TRANSPLANT/MUSCLE FLAP) SKIN AND SUBCUTANEOUS TISSUE, DEFECT (DEEP), 107 SA813S DIRECT FLAP (CROSS ARM/RADIAL FORE 5A Existing ARM/ABDOMINAL/SIMILAR) SKIN AND SUBCUTANEOUS TISSUE, DEFECT (DEEP), 108 SA814S 5C Existing DIRECT FLAP REPAIR (CROSS LEG) SKIN AND SUBCUTANEOUS TISSUE, DEFECT (DEEP), 109 SA815S 7C Existing FREE FLAPS SKIN AND SUBCUTANEOUS TISSUE, DEFECT (DEEP), 110 SA816S FREE GRAFT (SPLIT SKIN GRAFT - EXTENSIVE/INLAY 3B Existing GRAFT USING A MOULD) SKIN AND SUBCUTANEOUS TISSUE, DEFECT (DEEP), 111 SA817S 2A Existing STAGED DISTANT FLAP (DIVISION) SKIN AND SUBCUTANEOUS TISSUE, DEFECT (MULTIPLE 112 SA818S 3B Existing DIGITS), FREE FULL THICKNESS GRAFT SKIN AND SUBCUTANEOUS TISSUE, DEFECT (MULTIPLE 113 SA819S 2A Existing DIGITS), STAGED LOCAL FLAP (DIVISION) SKIN AND SUBCUTANEOUS TISSUE, DEFECT (SINGLE 114 SA820S 2C Existing DIGIT), FREE FULL THICKNESS GRAFT SKIN AND SUBCUTANEOUS TISSUE, DEFECT, DIRECT 115 SA821S 4A Existing FLAP (CROSS FINGER/SIMILAR FLAPS) SKIN AND SUBCUTANEOUS TISSUE, DEFECT, FREE 116 SA822S 1B Existing GRAFT (SPLIT SKIN GRAFT/PINCH GRAFTS UNDER 1/2%) SKIN AND SUBCUTANEOUS TISSUE, DEFECT, FREE 117 SA823S 2B Existing GRAFTS (SPLIT SKIN GRAFT 1/2 TO LESS THAN 2%) SKIN AND SUBCUTANEOUS TISSUE, DEFECT, FREE 118 SA824S 3A Existing GRAFTS (SPLIT SKIN GRAFT 2 TO LESS THAN 5%) SKIN AND SUBCUTANEOUS TISSUE, DEFECT, FREE 119 SA825S 4A Existing GRAFTS (SPLIT SKIN GRAFT 5 TO 10%) SKIN AND SUBCUTANEOUS TISSUE, DEFECT, FREE 120 SA826S 5B Existing GRAFTS (SPLIT SKIN GRAFT MORE THAN 10%) SKIN AND SUBCUTANEOUS TISSUE, DEFECT, LOCAL FLAP 121 SA827S TO MULTIPLE DIGITS (CROSS 5A Existing FINGER/THENAR/FLAG/ROTATION FLAP) SKIN AND SUBCUTANEOUS TISSUE, DEFECT, SINGLE 122 SA828S 5B Existing STAGE LOCAL FLAP (COMPLICATED/LARGE) SKIN AND SUBCUTANEOUS TISSUE, DEFECT, SINGLE 123 SA829S 3A Existing STAGE LOCAL FLAP (SIMPLE/SMALL) SKIN AND SUBCUTANEOUS TISSUE, DEFECT, STAGED 124 SA830S 1B Existing LOCAL FLAP(DIVISION) SKIN AND SUBCUTANEOUS TISSUE, FOREIGN BODY 125 SA831S 1C Existing (SUBCUTANEOUS), REMOVAL

SA - INTEGUMENTARY

SKIN AND SUBCUTANEOUS TISSUE, FOREIGN BODY 126 SA832S MSP Existing (SUPERFICIAL), REMOVAL SKIN AND SUBCUTANEOUS TISSUE, HEMATOMA 127 SA833S (SMALL)/FURUNCLE/ABSCESS/SIMILAR LESION, INCISION MSP Existing WITH DRAINAGE SKIN AND SUBCUTANEOUS TISSUE, HEMATOMA, 128 SA834S MSP Existing ASPIRATION SKIN AND SUBCUTANEOUS TISSUE, ARTERIOVENOUS Descriptor 129 SA835S MALFORMATION/HEMANGIOMA/LYMPHANGIOMA 7B change (EXTENSIVE AND COMPLEX), EXCISION SKIN AND SUBCUTANEOUS TISSUE, ARTEIOVENOUS Descriptor 130 SA836S MALFORMATION/HEMANGIOMA/LYMPHANGIOMA (LARGE 5C change AND DEEP-SEATED), EXCISION SKIN AND SUBCUTANEOUS TISSUE, ARTERIOVENOUS Descriptor 131 SA837S MALFORMATION/HEMANGIOMA/LYMPHANGIOMA ON 4A change FACE, HANDS, GENITALIA, EXCISION SKIN AND SUBCUTANEOUS TISSUE, ARTERIOVENOUS Descriptor 132 SA838S MALFORMATION/HEMANGIOMA/LYMPHANGIOMA >3CM 3A change EXCLUDING FACE, HANDS, GENITALIA, EXCISION SKIN AND SUBCUTANEOUS TISSUE, ARTERIOVENOUS Descriptor 133 SA839S MALFORMATION/HEMANGIOMA/LYMPHANGIOMA <3CM 2A change EXCLUDING FACE, HANDS, GENITALIA, EXCISION SKIN AND SUBCUTANEOUS TISSUE, HEMATOMA, 134 SA840S ABSCESS/CELLULITIS/SIMILAR LESION<3CM, 1A Existing SAUCERISATION/INCISION & DRAINAGE SKIN AND SUBCUTANEOUS TISSUE, HEMATOMA 135 SA841S /CARBUNCLE CELLULITIS/SIMILAR LESION>3CM, 1B Existing SAUCERISATION/INCISION WITH DRAINAGE SKIN AND SUBCUTANEOUS TISSUE, LACERATIONS (DEEP 136 SA842S >3CM/MULTIPLE) LACERATIONS, REPAIR/TOILET & 3B Existing SUTURE, WITH/WITHOUT DEBRIDEMENT SKIN AND SUBCUTANEOUS TISSUE, LACERATION 137 SA843S 1B Existing (SUPERFICIAL) OF LESS THAN 7CM, REPAIR SKIN AND SUBCUTANEOUS TISSUE, LACERATION 138 SA844S 2C Existing (SUPERFICIAL) OF MORE THAN 7CM, REPAIR SKIN AND SUBCUTANEOUS TISSUE, 139 SA845S NEUROFIBROMATOSIS OF FACE AND NECK, EXCISION 5C Existing (LARGE >3CM AND COMPLICATED/MULTIPLE) SKIN AND SUBCUTANEOUS TISSUE, 140 SA846S NEUROFIBROMATOSIS OF FACE AND NECK, EXCISION 4A Existing (LARGE) SKIN AND SUBCUTANEOUS TISSUE, 141 SA847S NEUROFIBROMATOSIS OF FACE AND NECK, EXCISION 3A Existing (MODERATE) SKIN AND SUBCUTANEOUS TISSUE, 142 SA848S NEUROFIBROMATOSIS OF FACE AND NECK, EXCISION 2A Existing (SMALL<3CM) SKIN & SUBCUTANEOUS, PRE-SEPTAL/PERI-ORBITAL 143 SA849S 2A Existing DERMOID/LESION, EXCISION SKIN AND SUBCUTANEOUS TISSUE, SINUS (DEEP>3CM), 144 SA850S 2B Existing EXCISION WITH/WITHOUT BIOPSY SKIN AND SUBCUTANEOUS TISSUE, SINUS Descriptor 145 SA851S 1B (SHALLOW<3CM), EXCISION WITH/WITHOUT BIOPSY change SKIN AND SUBCUTANEOUS TISSUE, TUMOR/CYST/ULCER/ Descriptor 146 SA852S SCAR, EXCISION/PUNCH/SHAVE BIOPSY, LESION SIZE UP 1A change TO AND INCLUDING 15MM IN DIAMETER

SA - INTEGUMENTARY

SKIN AND SUBCUTANEOUS TISSUE, WOUND, 147 SA853S 1A Existing DEBRIDEMENT <3CM SKIN AND SUBCUTANEOUS TISSUE, WOUND 148 SA854S 1B Uptable (LARGE>3CM), SECONDARY SUTURE SKIN AND SUBCUTANEOUS TISSUE, WOUND 149 SA855S MSP Existing (SMALL<3CM), SECONDARY SUTURE 150 SA856S SKIN, ANGIOMA, CAUTERISATION/INJECTION 1A Existing 151 SA857S SKIN, BURNS (2% TO 5%), EXCISION 2B Existing 152 SA858S SKIN, BURNS (LESS THAN 10%), DRESSING MSP Existing 153 SA859S SKIN, BURNS (LESS THAN 2%), EXCISION 1B Existing 154 SA860S SKIN, BURNS (MORE THAN 10%), DRESSING 1B Existing 155 SA861S SKIN, BURNS (MORE THAN 10%), EXCISION 3B Existing 156 SA862S SKIN, BURNS (MORE THAN 5% TO 10%) EXCISION 2C Existing SKIN, KERATOSES/WARTS/TAGS/SIMILAR LESIONS, 157 SA863S 2B Existing EXCISION (6 - 10 LESIONS) SKIN, KERATOSES/WARTS/TAGS/SIMILAR LESIONS, 158 SA864S 2C Existing EXCISION (MORE THAN10 LESIONS) SKIN, KERATOSES/WARTS/TAGS/SIMILAR LESIONS, 159 SA865S 1A Existing EXCISION (NOT MORE THAN 5 LESIONS) SKIN, PLANTAR WART, EXCISION OR VAPORISATION BY 160 SA866S 1A Existing LASER 161 SA867S SKIN, PLANTAR WARTS (MULTIPLE), EXCISION 1B Existing 162 SA868S SKIN, SCAR (EXTENSIVE), REVISION 3B Existing SKIN, SCAR/VARIOUS LESION (SINGLE), REMOVAL OF 163 SA869S 3A Existing TISSUE EXPANDER/PROSTHESIS AND REVISION OF SCAR 164 SA870S SKIN, SCAR, REVISION WITH Z-PLASTY 2C Existing SKIN, SCARS/LESIONS (MULTIPLE), REMOVAL OF TISSUE 165 SA871S EXPANDER/PROSTHESIS AND REVISION/EXCISION OF 3C Existing SCARS 166 SA872S SKIN, SUPERFICIAL NASAL DERMOID, EXCISION 3A Existing 167 SA873S SKIN, TATTOO (1% TO 2%), LASER EXCISION 2B Existing 168 SA874S SKIN, TATTOO (LESS THAN 1%), LASER EXCISION 1C Existing SKIN, TATTOO (MULTIPLE/MORE THAN 2%), LASER 169 SA875S 3A Existing EXCISION 170 SA876S SKIN, TATTOO, REPEAT LASER EXCISION 1A Existing SKIN, VARIOUS LESIONS OF FACE (2 TO 3), EXCISION 171 SA877S 1B Existing BIOPSY SKIN, VARIOUS LESIONS, ABRASIVE THERAPY 172 SA878S 3A Existing (EXTENSIVE) 173 SA879S SKIN, VARIOUS LESIONS, ABRASIVE THERAPY (LIMITED) 2A Existing SKIN, VARIOUS LESIONS, INSERTION OF TISSUE 174 SA880S 3A Existing EXPANDER (MULTIPLE) SKIN, VARIOUS LESIONS, INSERTION OF TISSUE 175 SA881S 2B Existing EXPANDER (SINGLE) 176 SA882S SKIN, VARIOUS LESIONS, TRIAL DERMABRASION 1A Existing SKIN, VARIOUS LESIONS, WOUND 177 SA883S MSP Existing INSPECTION/DRESSING/REMOVAL OF SUTURES SKIN, VARIOUS LESIONS OF FACE (SINGLE), 178 SA884S 1A Existing EXCISION/PUNCH/ SHAVE BIOPSY SKIN, VARIOUS LESIONS OF FACE (4 AND ABOVE), 179 SA885S 2B Existing EXCISION BIOPSY 180 SA886S SKIN, WRINKLES, PARTIAL RHYTIDECTOMY 5C Existing 181 SA887S SKIN, WRINKLES, TOTAL RHYTIDECTOMY 6B Existing SOFT TISSUE, TUMOR (MALIGNANT), WIDE EXCISION 182 SA888S 3C Existing BIOPSY <7CM OTHER THAN UPPER/LOWER LIMBS

SA - INTEGUMENTARY

SOFT TISSUE, TUMOR (MALIGNANT), RADICAL EXCISION 183 SA889S 5C Existing BIOPSY >7CM OTHER THAN UPPER/LOWER LIMBS SUBCUTANEOUS TISSUE (ABDOMEN), OBESITY, 184 SA890S 3B Existing LIPOSUCTION SUBCUTANEOUS TISSUE (BUTTOCKS), OBESITY, 185 SA891S 3B Existing LIPOSUCTION 186 SA892S SUBCUTANEOUS TISSUE (FACE), OBESITY, LIPOSUCTION 2C Existing 187 SA893S SUBCUTANEOUS TISSUE (THIGH), OBESITY, LIPOSUCTION 3C Existing SUBCUTANEOUS TISSUE (UPPER LIMBS), OBESITY, 188 SA894S 3A Existing LIPOSUCTION SUBCUTANEOUS TISSUE, OBESITY, LIPECTOMY, TRANSVERSE WEDGE EXCISION OF ABDOMINAL Descriptor 189 SA895S APRON/LIPECTOMY WITH EXCISION OF SKIN, FOLLOWING 4A change WEIGHT LOSS SURGERY (SF702S/SF703S/SF713S/SF803S/SF804S) SUBCUTANEOUS TISSUE, OBESITY, LIPECTOMY, EXCISION WITH UNDERMINING OF SKIN EDGES AND STRENGTHENING OF ABDOMINAL WALL/RADICAL Descriptor 190 SA896S 5C ABDOMINOPLASTY WITH REPAIR OF ABDOMINAL WALL change AND TRANSPOSITION OF UMBILICUS FOLLOWING WEIGHT LOSS SURGERY (SF702S/SF703S/SF713S/SF803S/SF804S) SWEAT GLAND, AXILLARY HYPERHIDROSIS, WEDGE 191 SA898S 2C Existing EXCISION (UNILATERAL) 192 SA899S SKIN, INTRALESIONAL STEROID INJECTION MSP Existing SUBCUTANEOUS TISSUE, OBESITY, EXCISION/LIPECTOMY, LIMBS (UNILATERAL/BILATERAL) 193 SA900S 4A New FOLLOWING WEIGHT LOSS SURGERY (SF702S/SF703S/SF713S/SF803S/SF804S) SUBCUTANEOUS TISSUE, OBESITY, EXCISION/LIPECTOMY, THORAX/BACK/BUTTOCKS, 194 SA901S 4B New FOLLOWING WEIGHT LOSS SURGERY (SF702S/SF703S/SF713S/SF803S/SF804S) SKIN, PRE-MALIGNANT LESIONS, EXCISION/VAPORISATION BY LASER AND OTHER 195 SA902S ABLATIVE MODALITIES, THERAPEUTIC, UP TO 4 SESSIONS 1B New IN 12 MONTHS* *TO PROVIDE HISTOPATHOLOGY REPORT IF AUDITED TENDON SHEATH AND SUBCUTANEOUS TISSUE, 196 SA700T 2B Uptable GANGLION/LARGE BURSA, (>3CM) EXCISION BIOPSY TENDON SHEATH AND SUBCUTANEOUS TISSUE, 197 SA800T 1C Uptable GANGLION/SMALL BURSA, (<3CM) EXCISION BIOPSY

SB – MUSCULOSKELETAL

S/N Code Description Table Classification 1 SB700A ANKLE, ANKLE FRACTURE, BIMALLEOLAR, ORIF 4A Existing 2 SB701A ANKLE, COMMINUTED PLAFOND FRACTURE ORIF 5A Existing ANKLE, LIGAMENTOUS INSTABILITY, RECONSTRUCTION 3 SB702A 5A Existing OF LIGAMENTS (EG. BOSTROM, CHRISMAN-SNOOK) ANKLE, VARIOUS LESIONS, PRIMARY TOTAL JOINT REPLACEMENT WITH AUGMENTATION, REQUIRING 4 SB703A 6B Existing EXTRA IMPLANTS OR BONE GRAFTS, OPEN/MIS/NAVIGATED ANKLE, VARIOUS LESIONS, REVISION TOTAL JOINT 5 SB704A 6C Existing REPLACEMENT, OPEN/MIS/NAVIGATED 6 SB705A ANKLE, THERAPEUTIC ARTHROSCOPY 4A Existing ASPIRATION, DEEP MUSCULOSKELETAL TISSUES, UNDER 7 SB746A 1A Existing RADIOLOGICAL GUIDANCE 8 SB800A ANKLE, DISLOCATION, OPEN REDUCTION 3B Existing 9 SB801A ANKLE, ANKLE FRACTURE, UNIMALLEOLAR, ORIF 3B Downtable ANKLE, VARIOUS LESIONS, ARTHRODESIS (SURGICAL 10 SB802A 5A Existing FUSION) ANKLE, VARIOUS LESIONS, OPEN 11 SB803A EXCISION/INTERPOSITION ARTHROPLASTY, WITH OR 4C Existing WITHOUT RESURFACING 12 SB804A ANKLE, VARIOUS LESIONS, REPAIR OF LIGAMENTS 3A Existing 13 SB805A ANKLE, VARIOUS LESIONS, SYNOVECTOMIES 3B Existing ANKLE, VARIOUS LESIONS, PRIMARY TOTAL JOINT 14 SB806A 6A Existing REPLACEMENT, OPEN/MIS/NAVIGATED BONE (LOWER LIMB), TUMOR (BENIGN), >3 CM WITH 15 SB700B BONE GRAFTING +/- RECONSTRUCTION/INTERNAL 5A Existing FIXATION BONE (LOWER LIMB), TUMOR (MALIGNANT), RADICAL 16 SB701B EXCISION >6CM WITH RECONSTRUCTION AND BONE 6A Existing GRAFT BONE (SKULL), TUMOR (LARGE>3CM), EXCISION AND 17 SB702B 7B Existing EXTENSIVE RECONSTRUCTION (DURA, SKULL, SKIN) BONE (UPPER/LOWER LIMB), EXOSTOSIS, EXCISION 18 SB703B 3A Existing BIOPSY (MORE THAN1/ BILATERAL) BONE (UPPER LIMB), TUMOR (BENIGN), MAJOR EXCISION 19 SB704B >3 CM WITH BONE GRAFTING +/- 5A Existing RECONSTRUCTION/INTERNAL FIXATION BONE, TUMOUR, IMAGING GUIDED PERCUTANEOUS LOCAL ABLATION, SIMPLE, > 1 LESION 20 SB705B 4A Existing (RADIOFREQUENCY, CRYOTHERAPY, MICROWAVE, LASER, ALCOHOL, ETC) BONE, TUMOUR, IMAGING GUIDED PERCUTANEOUS 21 SB706B LOCAL ABLATION (RADIOFREQUENCY, CRYOTHERAPY, 3C Existing MICROWAVE, LASER, ALCOHOL,ETC) , SINGLE LESION BONE, TUMOR (MALIGNANT), AROUND JOINTS WITH LIMB 22 SB707B 7A Existing RECONSTRUCTION AND JOINT REPLACEMENT BONE, TUMOUR (MALIGNANT), WIDE/MAJOR RESECTION 23 SB708B 7B Existing AND RECONSTRUCTION (VASCULARISED BONE GRAFT) BONE, VARIOUS LESIONS, OPEN BIOPSY, 24 SB709B 1B Existing CEMENTING/PLATE FIXATION 25 SB710B BONE/SOFT TISSUE, VARIOUS LESIONS, TRUCUT BIOPSY 1B Existing BONE/ SOFT TISSUE, VARIOUS LESIONS, IMAGING 26 SB711B 2B Existing GUIDED PERCUTANEOUS BIOPSY

SB – MUSCULOSKELETAL

BURSA, BURSITIS, EXCISION BIOPSY (MORE THAN 27 SB712B 2C Existing 1/BILATERAL) BONE, TUMOUR, IMAGING GUIDED PERCUTANEOUS LOCAL ABLATION, COMPLEX, > 1 LESION 28 SB713B 4B Existing (RADIOFREQUENCY, CRYOTHERAPY, MICROWAVE, LASER, ALCOHOL, ETC) BONE, CYST/TUMOUR BENIGN/BENIGN AGGRESSIVE, 29 SB800B 4A Existing CURRETTAGE/BURRING/BONE GRAFTING/CEMENTING BONE (LOWER LIMB), DEFORMITIES, CORRECTIVE 30 SB801B SURGERY WITH INTERNAL FIXATION WITH OR WITHOUT 5C Existing FLUOROSCOPY BONE (LOWER LIMB), DEFORMITIES, CORRECTIVE 31 SB802B 4A Existing SURGERY WITH OSTEOTOMY ALONE BONE (LOWER LIMB), DEFECT/NON UNION, 32 SB803B 3B Existing IMPLANTATION OF BONE STIMULATOR BONE (LOWER LIMB), FRACTURE/DISLOCATION, 33 SB804B 3B Existing MANIPULATION AND KIRSCHNER WIRE FIXATION BONE (LOWER LIMB), GRADE 1 AND 2 OPEN 34 SB805B FRACTURES/OPEN DISLOCATION OR OPEN FRACTURE- 2B Existing DISLOCATION WOUND DEBRIDEMENT BONE (LOWER LIMB), OSTEOMYELITIS, DRAINAGE WITH 35 SB806B 4A Existing CURETTAGE AND IRRIGATION 36 SB807B BONE (LOWER LIMB), OSTEOMYELITIS, SIMPLE DRAINAGE 2B Existing BONE AND JOINTS (LOWER LIMB), PLATES AND Descriptor 37 SB808B 2B SCREWS/NAILS, REMOVAL change BONE AND JOINTS (LOWER LIMB), REMOVAL OF SIMPLE Descriptor 38 SB809B IMPLANTS (E.G. RUSH RODS/WIRES/K- 1C change WIRES/PINS/SCREWS) BONE (LOWER LIMB), TUMOR (BENIGN), <3 CM WITH 39 SB810B BONE GRAFTING +/- RECONSTRUCTION/INTERNAL 4A Existing FIXATION BONE (LOWER LIMB), TUMOR (MALIGNANT), RADICAL 40 SB811B EXCISION (<6CM) WITH RECONSTRUCTION AND BONE 5C Existing GRAFTING BONE (LOWER LIMB), VARIOUS LESIONS, 41 SB812B 5C Existing EPIPHYSIOLYSIS WITH/WITHOUT MICROSURGERY BONE (SKULL), TUMOR (SMALL<3CM) EXCISION WITH 42 SB813B 5B Existing CRANIOPLASTY BONE (SKULL), TUMOR (LARGE>3CM) EXCISION WITH 43 SB814B 6B Existing CRANIOPLASTY 44 SB815B BONE (SKULL), TUMOR (MALIGNANT), WIDE EXCISION 5C Existing BONE (UPPER/LOWER LIMB), BONE LOSS/NONUNION, 45 SB817B 3C Existing BONE GRAFTING BONE (UPPER LIMB), DEFORMITIES, CORRECTIVE 46 SB818B 4B Existing SURGERY BONE AND JOINTS (UPPER LIMB), DEFORMITIES, Descriptor 47 SB819B OSTEOTOMIES AND FIXATION WITH OR WITHOUT 5C change FLUOROSCOPY/BONE GRAFT BONE (UPPER/LOWER LIMB), EXOSTOSIS, EXCISION 48 SB820B 2C Existing BIOPSY (SINGLE) BONE (UPPER LIMB), FRACTURE/DISLOCATION/SPRAIN, 49 SB821B MSP Existing FULL CAST BONE (UPPER LIMB), GRADE 1 AND 2 OPEN 50 SB822B FRACTURES/OPEN DISLOCATION OR OPEN FRACTURE- 2B Existing DISLOCATION, WOUND DEBRIDEMENT

SB – MUSCULOSKELETAL

BONE (UPPER LIMB), OSTEOMYELITIS, EXTENSIVE 51 SB823B 4A Existing CURETTAGE/DEBRIDEMENT AND IRRIGATION 52 SB824B BONE (UPPER LIMB), OSTEOMYELITIS SIMPLE DRAINAGE 2B Existing BONE AND JOINTS (UPPER LIMB), PLATES AND SCREWS, Descriptor 53 SB825B 2B REMOVAL change BONE AND JOINTS (UPPER LIMB), REMOVAL OF SIMPLE Descriptor 54 SB826B IMPLANTS (E.G. RUSH RODS/WIRES/K- 1C change WIRES/PINS/SCREWS) BONE (UPPER LIMB), TUMOR (BENIGN), MAJOR EXCISION 55 SB827B <3 CM WITH BONE GRAFTING +/- 4A Existing RECONSTRUCTION/INTERNAL FIXATION BONE (UPPER LIMB), TUMOR (MALIGNANT), RADICAL 56 SB828B 6B Existing EXCISION WITH RECONSTRUCTION/INTERNAL FIXATION BONE (UPPER LIMB), TUMOUR (MALIGNANT), WIDE 57 SB829B 5A Existing EXCISION WITH RECONSTRUCTION/INTERNAL FIXATION BONE (UPPER/LOWER LIMB), VARIOUS LESIONS, BONE 58 SB830B 6A Existing LOSS, BONE TRANSFER BONE, TUMOR (MALIGNANT), WIDE/MAJOR RESECTION 59 SB831B AND RECONSTRUCTION (NON VASCULARISED BONE 6B Existing GRAFT) 60 SB832B BONE, VARIOUS LESIONS, BIOPSY 1B Existing BONE (UPPER LIMB/LOWER LIMB), VARIOUS LESIONS, 61 SB833B 7C Existing VASCULARISED BONE TRANSFER 62 SB834B BURSA, BURSITIS, EXCISION BIOPSY (SINGLE) 2A Existing CALCANEUM FRACTURE EXTRA-ARTICULAR OPEN 63 SB700C 3C Existing REDUCTION INTERNAL FIXATION CLAVICLE, CLAVICLE FRACTURE, COMMINUTED PLATING 64 SB701C 4A Existing WITH OR WITHOUT BONE GRAFTING CLAVICLE, CLAVICLE FRACTURE, DELAYED 65 SB702C UNION/REVISION AND ORIF WITH/WITHOUT BONE 4B Existing GRAFTING 66 SB800C CARPUS, DELAYED/NON UNION, RECONSTRUCTION 5C Existing CARPUS, FRACTURE/DISLOCATION, OPEN REDUCTION 67 SB801C 4B Existing AND INTERNAL FIXATION CERVICAL SPINE, VARIOUS LESIONS - ANTERIOR Descriptor 68 SB802C DECOMPRESSION AND FUSION OR DISC REPLACEMENT 6B change (2 SEGMENTS) CERVICAL SPINE, VARIOUS LESIONS - ANTERIOR Descriptor 69 SB803C DECOMPRESSION AND FUSION OR DISC REPLACEMENT 6A change (1 SEGMENT) CERVICAL SPINE - APPLICATION OF SKULL CALIPERS Descriptor 70 SB804C MSP WITHOUT OTHER PROCEDURES change 71 SB805C CLAVICLE, CLAVICLE FRACTURE, SIMPLE 3B Existing 72 SB806C COCCYX, VARIOUS LESIONS, EXCISION 2C Existing 73 SB700D DIGIT(S), NAILBED LACERATION, NAILBED GRAFTING 4A Existing DIGIT(S), SOFT TISSUE DEFECT, COMPLEX SMALL SKIN 74 SB701D 5A Existing FLAPS, MULTIPLE FLAPS DIGIT(S), SOFT TISSUE DEFECT, LARGE COMPLEX 75 SB702D 5C Existing PEDICLED FLAPS 76 SB703D DIGIT(S), SOFT TISSUE DEFECT, SIMPLE SKIN FLAP 3A Existing 77 SB700E ELBOW,THERAPEUTIC ARTHROSCOPY 4A Existing ELBOW, CONDYLE/RADIAL HEAD FRACTURE, RADIAL 78 SB701E 4B Existing HEAD EXCISION/CONDYLE/ARTHROPLASTY 79 SB702E ELBOW, CORONOID FRACTURE, ORIF 4B Existing

SB – MUSCULOSKELETAL

ELBOW, DISLOCATION , LIGAMENT REPAIR (COMPLEX, 80 SB703E 4A Existing WITH/WITHOUT IMPLANT) 81 SB704E ELBOW, DISLOCATION , LIGAMENT REPAIR (SINGLE) 3A Existing ELBOW, FRACTURE/DISLOCATION, OPEN REDUCTION 82 SB705E 3C Existing AND INTERNAL FIXATION (ORIF) ELBOW, SUPRACONDYLAR FRACTURE, M&R, 83 SB706E 3C Existing PERCUTANEOUS PINNING ELBOW, VARIOUS LESIONS, PRIMARY TOTAL JOINT ARTHROPLASTY WITH AUGMENTATION, REQUIRING 84 SB707E 6B Existing EXTRA IMPLANTS OR BONE GRAFTS, OPEN/MIS/NAVIGATED ELBOW, VARIOUS LESIONS, PRIMARY TOTAL JOINT 85 SB708E 6A Existing ARTHROPLASTY, OPEN/MIS/NAVIGATED ELBOW, VARIOUS LESIONS, REVISION TOTAL JOINT 86 SB709E 6C Existing ARTHROPLASTY, OPEN/MIS/NAVIGATED ELBOW (MEDIAL EPICONDYLE), FRACTURE, EXCISION 87 SB800E 2B Existing BONY FRAGMENT ELBOW, FRACTURE/ DISLOCATION, REPAIR OF 88 SB801E 4B Existing LIGAMENTS/ ORIF 89 SB802E ELBOW, TENNIS ELBOW, RELEASE 2B Existing ELBOW, VARIOUS LESIONS, RECONSTRUCTION WITH OR Descriptor 90 SB803E 5A WITHOUT SYNOVECTOMY change FACE, FRACTURE, ENDOSCOPIC REDUCTION AND 91 SB700F 5C Existing FIXATION FACE, FRACTURES (PANFACIAL), OPEN REDUCTION AND 92 SB701F 7C Existing INTERNAL FIXATION FEMUR, DELAYED/NON UNION, WITH RE-INTERNAL 93 SB702F 5A Existing FIXATION AND BONE GRAFTING FEMUR, FRACTURE (COMPLEX INTRA-ARTICULAR), OPEN 94 SB703F REDUCTION AND INTERNAL FIXATION (ORIF) WITH PLATE 5C Existing AND SCREWS FEMUR, FRACTURE (MULTIFRAGMENTARY), 95 SB705F 5A Existing INTRAMEDULLARY NAILING (WITH OR WITHOUT LOCKING) FEMUR, FRACTURE (INTERCONDYLAR), OPEN 96 SB706F 5A Existing REDUCTION AND INTERNAL FIXATION (ORIF) FEMUR, NECK OF FEMUR FRACTURE (PAEDIATRIC), PIN 97 SB707F 4B Existing FIXATION FEMUR, FRACTURE (PAEDIATRIC SHAFT), 98 SB708F 4A Existing INTRAMEDULLARY FLEXIBLE NAILING FEMUR, FRACTURE (SINGLE CONDYLAR), OPEN 99 SB709F 4B Existing REDUCTION AND INTERNAL FIXATION (ORIF) FEMUR, SLIPPED CAPITAL FEMORAL EPIPHYSIS (SCFE), 100 SB710F 4B Existing SCREW FIXATION FINGER, DEFECT/CONTRACTURE (MULTIPLE), 101 SB711F 4C Existing RECONSTRUCTION FINGER, VARIOUS LESIONS, RAY AMPUTATION 102 SB712F 3C Existing (MULTIPLE) FOREARM, RADIAL HEAD FRACTURE, OPEN REDUCTION 103 SB713F 4A Existing OF RADIAL HEAD FOR MISSED MONTEGGIA FOREARM, RADIUS/ULNA SHAFT FRACTURE, 104 SB714F 4B Existing INTRAMEDULLARY ROD 105 SB715F FOOT, ACHILLES TENDON RECONSTRUCTION 4A Existing FOOT, CONGENITAL TALIPES EQUINOVARUS (CTEV), 106 SB716F 6A Existing BILATERAL RELEASE

SB – MUSCULOSKELETAL

FOOT, CONGENITAL TALIPES EQUINOVARUS (CTEV), 107 SB717F 4A Existing MEDIAL RELEASE FOOT, CONGENITAL TALIPES EQUINOVARUS (CTEV), 108 SB718F 4C Existing POST MEDIAL RELEASE FOOT, CONGENITAL TALIPES EQUINOVARUS (CTEV), 109 SB719F 4A Existing POST RELEASE FOOT, CONGENITAL TALIPES EQUINOVARUS (CTEV), 110 SB720F 5C Existing POSTERIOR MEDIAL RELEASE WITH REVISION FOOT, FRACTURES, COMPLEX, MULTIPLE, INCLUDING 111 SB721F TALUS AND CALCANEUM, OPEN REDUCTION AND 5A Existing INTERNAL FIXATION 112 SB722F FOOT, FRACTURES, SIMPLE, SINGLE 3A Downtable 113 SB724F FOOT, HAGLUND'S DEFORMITY, OSTEOTOMY 3C Existing FOOT, ONE BONE OSTEOTOMY WITH SOFT TISSUE 114 SB725F 5A Existing RELEASE, CUBOID FOOT, ONE BONE OSTEOTOMY WITH SOFT TISSUE 115 SB726F 5A Existing RELEASE, DWYER’S (CALCANEAL) 116 SB727F FOOT, MULTIPLE FOOT OSTEOTOMIES 5C Existing FOOT, POSTERIOR TIBIAL TENDON DYSFUNCTION (PTTD), 117 SB728F 4A Existing POSTERIOR TIBIALIS RECONSTRUCTION FOOT, TENDON TRANSFERS, SPLIT TIBIALIS ANTERIOR 118 SB729F 4A Existing TENDON TRANSFER (SPLATT) FOOT, TENDON TRANSFERS, SPLIT TIBIALIS POSTERIOR 119 SB730F 4A Existing TENDON TRANSFER (SPLOTT) 120 SB731F FOOT, TENDON TRANSFERS, TIBIA ANTERIOR TRANSFER 4A Existing FOOT, HALLUX VALGUS/HAMMER TOE, PROXIMAL 121 SB732F OSTEOTOMY, WITH OR WITHOUT SOFT TISSUE 3C Existing RECONSTRUCTION FACE, CONTOUR DEFECT, RECONSTRUCTION / 122 SB800F 4A Existing INSERTION OF IMPLANT(S) FACE, DEFECT / DEFORMITY, RECONSTRUCTION / 123 SB801F 5C Existing INSERTION OF IMPLANT FACE, FRACTURES (MORE THAN 2), OPEN REDUCTION 124 SB802F 6B Existing AND INTERNAL FIXATION FACE, INFECTION / OSTEOMYELITIS, MAJOR 125 SB803F 3B Existing DRAINAGE/SEQUESTRECTOMY FACE, INFECTION / OSTEOMYELITIS, SIMPLE DRAINAGE 126 SB804F 2C Existing /SEQUESTRECTOMY 127 SB805F FACE, INTRAOSSEOUS TUMOR (LARGE), EXCISION 5C Existing 128 SB806F FACE, INTRAOSSEOUS TUMOR (SMALL), EXCISION 3A Existing FASCIA PALMAR, DUPUYTREN'S CONTRACTURE, 129 SB807F 5C Existing FASCIECTOMY (MULTIPLE) FASCIA PALMAR, DUPUYTREN'S CONTRACTURE, 130 SB808F 4A Existing FASCIECTOMY (SINGLE) 131 SB809F FEMUR, DELAYED/NON UNION, WITH BONE GRATING 4A Existing FEMUR, FRACTURE (FEMUR SHAFT), INTRAMEDULLARY 132 SB810F 5A Existing NAILING/ROD (WITH OR WITHOUT LOCKING) FEMUR, FRACTURE, OPEN REDUCTION AND INTERNAL 133 SB811F 5A Existing FIXATION WITH PLATE AND SCREWS FINGER, DEFECT/CONTRACTURE (SINGLE), 134 SB812F 3C Existing RECONSTRUCTION 135 SB813F FINGER, DEFORMITIES, CORRECTION 4A Existing 136 SB814F FINGER, INJURY, DEBRIDEMENT 1B Existing 137 SB816F FINGER, RING CONSTRICTION (SINGLE), CORRECTION 3B Existing 138 SB817F FINGER, RING CONSTRICTION (MULTIPLE), CORRECTION 5C Existing

SB – MUSCULOSKELETAL

FINGER, SWAN NECK/BOUTONNIERE DEFORMITY 139 SB818F 4A Existing (SINGLE), CORRECTION 140 SB819F FINGER, SYNDACTYLY (MULTIPLE), SEPARATION 5C Existing 141 SB820F FINGER, SYNDACTYLY (SINGLE), CORRECTION 4A Existing 142 SB821F FINGER, TRAUMA, REPLANTATION (MULTIPLE) 7B Existing FINGER, TRAUMA, REPLANTATION/TRANSPLANTATION 143 SB822F 6B Existing (SINGLE) 144 SB823F FINGER, TRAUMA, TERMINALISATION (MULTIPLE) 3B Existing 145 SB824F FINGER, TRAUMA, TERMINALISATION (SINGLE) 2C Existing 146 SB825F FINGER, VARIOUS LESIONS, AMPUTATION (MULTIPLE) 2C Existing 147 SB826F FINGER, VARIOUS LESIONS, AMPUTATION (SINGLE) 2A Existing 148 SB827F HAND, FREE TOE PULP TRANSFER 7C Existing 149 SB828F FINGER, VARIOUS LESIONS, RAY AMPUTATION (SINGLE) 3A Existing FINGER, VARIOUS LESIONS, SYNOVECTOMY WITH SOFT 150 SB829F 5C Existing TISSUE RECONSTRUCTION FOOT, CRUSH INJURIES (COMPLEX), WOUND 151 SB830F 3B Existing DEBRIDEMENT 152 SB831F FOOT, CRUSH INJURIES (SIMPLE), WOUND DEBRIDEMENT 1B Existing FOOT, HALLUX VALGUS/HAMMER TOE, SOFT TISSUE 153 SB832F 3B Existing RECONSTRUCTION 154 SB833F FOOT, POLYDACTYLY, EXCISION 1A Existing FOOT, POLYDACTYLY, EXCISION WITH 155 SB834F 4A Existing RECONSTRUCTION FOOT, VARIOUS LESIONS, OSTEOTOMY, WITH OR 156 SB835F 3A Existing WITHOUT TENDON RECONSTRUCTION FOOT, VARIOUS LESIONS, MORE THAN ONE JOINT, 157 SB836F 5C Existing ARTHRODESIS FINGER, MACRODACTYLY, SURGICAL REDUCTION OF 158 SB837F 3A Existing ENLARGED ELEMENTS, SINGLE DIGIT FINGER, MACRODACTYLY, SURGICAL REDUCTION OF 159 SB838F 4A Existing ENLARGED ELEMENTS, MULTIPLE DIGITS HIP/KNEE, THERAPEUTIC ARTHROSCOPY, WITH/WITHOUT Descriptor 160 SB700H SYNOVECTOMY/ LABRAL REPAIR /FAI RESECTION FOR 4A change HIP HAND AND WRIST, RHEUMATOID HAND RECONSTRUCTION INCLUDING MULTIPLE JOINT 161 SB701H SYNOVECTOMY, BONE/JOINT PROCEDURES WITH 6C Existing ARTHROPLASTY (MULTIPLE) AND SOFT TISSUE PROCEDURES HAND AND WRIST, RHEUMATOID HAND RECONSTRUCTION INCLUDING SYNOVECTOMY, 162 SB702H BONE/JOINT PROCEDURES WITH/WITHOUT 5C Existing REPLACEMENT ARTHROPLASTY, AND SOFT TISSUE PROCEDURES Descriptor 163 SB703H HAND, CLOSED FRACTURE, ORIF (MULTIPLE), NON-JOINT 5A change HAND, CLOSED FRACTURE, ORIF/PLATE AND SCREWS Descriptor 164 SB704H 3C (SINGLE), JOINT/NON-JOINT change HAND, CLOSED FRACTURE, ORIF WITH K- 165 SB705H 2C Existing WIRE/CERCLAGE WIRE FIXATION HAND, COMPLEX INJURIES, DEBRIDEMENT WITH 166 SB706H REPAIR/RECONSTRUCTION (MORE THAN 2 TENDONS 5C Existing INVOLVED OR MORE THAN 2 FRACTURES) HAND, COMPLEX INJURIES, MICROSURGICAL 167 SB707H 6B Existing REPAIR/RECONSTRUCTION, >1 DIGIT

SB – MUSCULOSKELETAL

HAND, FLEXOR TENDON, TRIGGER FINGER (MULTIPLE), 168 SB708H 3A Existing RELEASE HAND, FLEXOR TENDON, TRIGGER FINGER (SINGLE), 169 SB709H 2A Existing RELEASE HAND, FRACTURE OF FINGERS/METACARPALS, 170 SB710H 3B Existing EXTERNAL FIXATION HAND, FRACTURE OF FINGERS/METACARPALS, NON- 171 SB711H 4C Existing UNION, BONE-GRAFTING AND FIXATION (MULTIPLE) HAND, FRACTURE OF FINGERS/METACARPALS, NON- 172 SB712H 3C Existing UNION, BONE-GRAFTING AND FIXATION (SINGLE) Descriptor 173 SB713H HAND, CLOSED FRACTURE, ORIF (MULTIPLE), JOINT 5C change HAND, OPEN FRACTURE, DEBRIDEMENT AND ORIF 174 SB714H 6A Existing (MULTIPLE), JOINT HAND, OPEN FRACTURE, DEBRIDEMENT AND ORIF 175 SB715H 5B Existing (MULTIPLE), NON-JOINT HAND, OPEN FRACTURE, DEBRIDEMENT AND ORIF 176 SB716H 4A Existing (SINGLE), JOINT HAND, OPEN FRACTURE, DEBRIDEMENT AND ORIF 177 SB717H 3B Existing (SINGLE), NON-JOINT 178 SB718H HAND, SOFT TISSUE TUMOR, EXCISION >1.5CM SIZE 2C Existing HIP, ACETABULUM, FRACTURE, DOUBLE COLUMN 179 SB719H 6B Existing FIXATION HIP, ACETABULUM, FRACTURE, SINGLE COLUMN 180 SB720H 5C Existing FIXATION HIP, OPEN REDUCTION WITH ACETABULAR OR FEMORAL 181 SB721H 5B Existing OSTEOTOMIES 182 SB722H HIP, SOFT TISSUE RELEASE AND OPEN REDUCTION ONLY 4C Existing HIP, VARIOUS LESIONS, PRIMARY TOTAL JOINT REPLACEMENT WITH AUGMENTATION, REQUIRING 183 SB723H 6B Existing EXTRA IMPLANTS OR BONE GRAFTS, OPEN/MIS/NAVIGATED HIP, VARIOUS LESIONS, REVISION TOTAL JOINT 184 SB724H 6C Existing REPLACEMENT, OPEN/MIS/NAVIGATED HIP/KNEE, REMOVAL OF PROSTHESES WITH OR 185 SB725H 5A Existing WITHOUT SPACER HUMERUS, CUBITUS VARUS, CORRECTIVE OSTEOTOMY 186 SB726H 4B Existing WITH CAST OR PINNING HUMERUS, CUBITUS VARUS, CORRECTIVE OSTEOTOMY 187 SB727H 5A Existing WITH PLATING HUMERUS, DELAYED/NON-UNION, RECONSTRUCTION 188 SB728H 4B Existing WITH BONE GRAFTING WITHOUT INTERNAL FIXATION HUMERUS, HUMERUS SHAFT FRACTURE, CLOSED 189 SB729H 4A Existing INTERLOCKING INTRAMEDULLARY NAIL HUMERUS, HUMERUS SHAFT FRACTURE, COMPLEX 190 SB730H 4C Existing MULTI-FRAGMENTARY INTRAMEDULLARY NAIL 191 SB733H HAND, FLEXOR TENDON, PULLEY RECONSTRUCTION 4B Existing 192 SB800H HAND, AMPUTATED DIGIT(S), TOE TO HAND TRANSFER 7B Existing HAND, CLOSED FRACTURE/DISLOCATION, OPEN 193 SB801H 2C Existing REDUCTION AND FIXATION (SINGLE) HAND, COMPLEX INJURIES, DEBRIDEMENT WITH 194 SB802H REPAIR/RECONSTRUCTION (1-2 TENDONS INVOLVED OR 5A Existing 1-2 FRACTURES) HAND, COMPLEX INJURIES, MICROSURGICAL 195 SB803H 5C Existing REPAIR/RECONSTRUCTION, SINGLE DIGIT

SB – MUSCULOSKELETAL

HAND, CRUSH INJURIES (COMPLEX), WOUND 196 SB804H 3C Existing DEBRIDEMENT 197 SB805H HAND, CRUSH INJURIES (SIMPLE), WOUND DEBRIDEMENT 1C Existing 198 SB806H HAND, DEEP INFECTION, DRAINAGE 2C Existing HAND, DEFORMITIES, MAJOR RECONSTRUCTIVE 199 SB807H 5C Existing PROCEDURES 200 SB808H HAND, DEFORMITIES, OSTEOTOMY 3B Existing HAND, DEFORMITY, INTRINSIC MUSCLE 201 SB809H 5C Existing RELEASE/TRANSFER/EXTENSOR RELOCATION 202 SB810H HAND, EXTRA DIGIT, AMPUTATION/STUMP REVISION 1C Existing HAND, FLEXOR TENDON INJURIES, INSERTION OF 203 SB811H 5C Existing SILASTIC ROD(S) HAND, FOREIGN BODY (DEEP), REMOVAL WITH 204 SB812H 3A Existing MOBILISATION OF NEUROVASCULAR BUNDLE HAND, FOREIGN BODY (SUPERFICIAL), REMOVAL WITH 205 SB813H 2A Existing MOBILISATION OF NEUROVASCULAR BUNDLE HAND, FRACTURES/DISLOCATION, OPEN REDUCTION 206 SB814H 5C Existing AND INTERNAL FIXATION (MULTIPLE) HAND, POLYDACTYLY, AMPUTATION WITH 207 SB815H 4A Existing RECONSTRUCTION 208 SB816H HAND, SCAR, REVISION 2C Existing 209 SB817H HAND, SOFT TISSUE TUMOR, EXCISION <1.5CM 2A Existing 210 SB818H HAND, SUPERFICIAL INFECTION, DRAINAGE 1A Existing HAND, TUMORS, EXCISION WITH DISSECTION OF 211 SB819H 4B Existing NEUROVASCULAR BUNDLE 212 SB820H HAND, WART/CORN/NAEVUS, EXCISION 1B Existing HEAD, VARIOUS LESIONS, CRANIOFACIAL RESECTION 213 SB821H 7C Existing AND RECONSTRUCTION 214 SB822H HEAD-FACE, SOFT TISSUE TUMORS (SMALL), EXCISION 3A Existing HEAD-FACE, TRAUMA, CRANIOFACIAL APPROACH 215 SB823H 5C Existing REDUCTION AND FIXATION HEAD-FACE, TRAUMA, CRANIOFACIAL APPROACH 216 SB824H 6C Existing REDUCTION AND FIXATION WITH BONE GRAFT HEAD-FACE, VARIOUS LESIONS, MAJOR CORRECTIVE 217 SB825H 7C Existing SURGERY 218 SB826H HIP, AVASCULAR NECROSIS, CORE DECOMPRESSION 4A Existing HIP, AVASCULAR NECROSIS, CORE DECOMPRESSION 219 SB827H 6B Existing WITH GRAFTING/BONE SUBSTITUTE/BONE CEMENT 220 SB828H HIP, CONGENITAL DISLOCATION, OPEN REDUCTION 5C Existing HIP, CONGENITAL DISLOCATION, OPEN REDUCTION 221 SB829H 6B Existing INCLUDING RECONSTRUCTION 222 SB830H HIP, DISLOCATION, MANIPULATION AND REDUCTION 1B Existing 223 SB831H HIP, DISLOCATION, OPEN REDUCTION 5C Existing 224 SB832H HIP, SNAPPING SYNDROME, RELEASE 1B Existing 225 SB833H HIP, VARIOUS LESIONS, APPLICATION OF HIP SPICAS 1B Existing 226 SB834H HIP, VARIOUS LESIONS, ARTHRODESIS 6B Existing 227 SB835H HIP, VARIOUS LESIONS, ARTHROTOMY 3B Existing HIP, VARIOUS LESIONS, ARTHROTOMY AND 228 SB836H 4A Existing SYNOVECTOMY HIP, VARIOUS LESIONS, EXCISION/INTERPOSITION 229 SB837H 5A Existing ARTHROPLASTY 230 SB838H HIP, VARIOUS LESIONS, HEMI-ARTHROPLASTY 5C Existing HIP, VARIOUS LESIONS, PRIMARY TOTAL JOINT 231 SB839H 6A Existing REPLACEMENT, OPEN/MIS/NAVIGATED

SB – MUSCULOSKELETAL

HUMERUS, DELAYED/NON-UNION, RECONSTRUCTION 232 SB840H 5B Existing WITH INTERNAL FIXATION AND BONE GRAFTING HUMERUS, PROXIMAL HUMERUS OR SUPRACONDYLAR 233 SB841H 4A Existing FRACTURE, ORIF HUMERUS SUPRACONDYLAR AND INTERCONDYLAR 234 SB842H 5A Existing FRACTURE JOINTS (TEMPOROMANDIBULAR), VARIOUS LESIONS, 235 SB700J 2C Existing ARTHROSCOPY (UNILATERAL) JOINTS (TEMPOROMANDIBULAR), VARIOUS LESIONS, 236 SB701J 3B Existing ARTHROSCOPY (BILATERAL) 237 SB702J JOINTS, ARTHROSCOPY, DIAGNOSTIC 2C Existing JOINTS (LOWER LIMB, HIP), SEPTIC ARTHRITIS, 238 SB703J 4A Existing CURETTAGE/DEBRIDEMENT AND IRRIGATION JOINTS (LOWER LIMB, HIP), SEPTIC ARTHRITIS, SIMPLE 239 SB704J 3A Existing DRAINAGE JOINTS, VARIOUS LESIONS, PRIMARY TOTAL JOINT REPLACEMENT WITH AUGMENTATION, REQUIRING 240 SB705J 6B Existing EXTRA IMPLANTS OR BONE GRAFTS, OPEN/MIS/NAVIGATED JOINTS, VARIOUS LESIONS, REVISION TOTAL JOINT 241 SB706J 6C Existing REPLACEMENT, OPEN/MIS/NAVIGATED JOINTS (SHOULDER), VARIOUS LESIONS, IMPINGEMENT 242 SB707J 5A Existing SYNDROME JOINTS (TEMPOROMANDIBULAR), VARIOUS LESIONS, 243 SB708J 3A Existing ARTHROCENTESIS (BILATERAL) JOINTS (TEMPOROMANDIBULAR), VARIOUS LESIONS, 244 SB709J 2B Existing ARTHROCENTESIS (UNILATERAL) JOINTS (TEMPORO-MANDIBULAR), VARIOUS LESIONS, 245 SB710J 4B Existing CONDYLECTOMY/CORONOIDECTOMY/MENISECTOMY JOINTS (TEMPORO-MANDIBULAR), VARIOUS LESIONS, 246 SB711J 4A Existing CONDYLOTOMY JOINTS (TEMPORO-MANDIBULAR), VARIOUS LESIONS, 247 SB712J 7A Existing CONDYLECTOMY WITH RECONSTRUCTION (BILATERAL) JOINTS (TEMPORO-MANDIBULAR), VARIOUS LESIONS, 248 SB713J 7A Existing RECONSTRUCTION (BILATERAL) JOINTS (UPPER LIMB, SHOULDER), SEPTIC 249 SB714J ARTHRITIS/EFFUSION, CURETTAGE/DEBRIDEMENT AND 4A Existing IRRIGATION JOINTS (UPPER LIMB, SHOULDER), SEPTIC 250 SB715J 3A Existing ARTHRITIS/EFFUSION, SIMPLE DRAINAGE JOINTS (UPPER LIMB), VASCULAR INJURY, MAJOR 251 SB716J 5A Existing VASCULAR RECONSTRUCTION/ANASTOMOSIS/GRAFT JOINTS, MAJOR INTRA-ARTICULAR FRACTURE WITH 252 SB717J DISCONTINUITY OR BONE LOSS, RECONSTRUCTION (FOR 5C Existing LOWER LIMB) JOINTS, MAJOR INTRA-ARTICULAR FRACTURE WITH 253 SB718J DISCONTINUITY OR BONE LOSS, RECONSTRUCTION (FOR 5A Existing UPPER LIMB) JOINT, VARIOUS LESIONS, JOINT 254 SB745J 1A Existing ASPIRATION/ARTHROCENTESIS/INJECTION JOINTS (FINGER), CONTRACTURE, 255 SB800J 4A Existing CAPSULECTOMY/CAPSULOTOMY 256 SB801J JOINTS (FINGER), VARIOUS LESIONS, ARTHRODESIS 3C Existing JOINTS (FINGER), VARIOUS LESIONS, EXCISION 257 SB802J 3C Existing ARTHROPLASTY

SB – MUSCULOSKELETAL

JOINTS (FINGER), VARIOUS LESIONS, REPLACEMENT 258 SB803J 4C Existing ARTHROPLASTY JOINTS (FOOT EXCLUDING ANKLE), SYNOVITIS, 259 SB804J 2C Existing SYNOVECTOMY JOINTS (FINGER, INTERPHALANGEAL JOINTS, Descriptor 260 SB805J METACARPOPHALANGEAL JOINTS), SYNOVITIS, 2C change SYNOVECTOMY JOINTS (LOWER LIMB), SMALL, VARIOUS LESIONS, 261 SB806J 3C Existing ARTHROPLASTY JOINTS (LOWER LIMB), DEFORMITIES, CORRECTIVE 262 SB807J 4A Existing SURGERY WITH OSTEOTOMY ALONE JOINTS (LOWER LIMB), DEFORMITIES, CORRECTIVE 263 SB808J 5C Existing SURGERY WITH PLATE FIXATION AND FLUOROSCOPY JOINTS (LOWER LIMB), DISLOCATIONS, MANIPULATION 264 SB809J 3B Existing AND KIRSCHNER WIRE FIXATION JOINTS (LOWER LIMB), DISLOCATIONS, WOUND 265 SB810J 2B Existing DEBRIDEMENT 266 SB811J JOINTS (LOWER LIMB), LOOSE BODIES, REMOVAL 3B Existing BONE/JOINTS (LOWER LIMB), MAJOR CRUSH INJURIES, 267 SB812J 3B Existing WOUND DEBRIDEMENT JOINTS (LOWER LIMB, EXCEPT HIP), SEPTIC ARTHRITIS, 268 SB813J 3C Existing DRAINAGE WITH CURETTAGE AND DEBRIDEMENT JOINTS (LOWER LIMB, EXCEPT HIP), SEPTIC ARTHRITIS, 269 SB814J 2B Existing SIMPLE DRAINAGE JOINTS (LOWER LIMB), VARIOUS LESIONS, 270 SB816J 5C Existing EPIPHYSIOLYSIS WITH/WITHOUT MICROSURGERY JOINTS (OTHER THAN FINGER), VARIOUS LESIONS, 271 SB817J 6A Existing TOTAL JOINT REPLACEMENT JOINTS (OTHER THAN HAND AND WRIST), VARIOUS 272 SB818J 5C Existing LESIONS, ARTHRODESIS JOINTS (WRIST, DISTAL RADIOULNAR JOINT), SYNOVITIS, Descriptor 273 SB819J 4A SYNOVECTOMY change JOINTS (TEMPORO-MANDIBULAR), DISLOCATION, 274 SB820J MSP Existing REDUCTION WITHOUT GENERAL ANAESTHESIA JOINTS (TEMPORO-MANDIBULAR), DISLOCATION, 275 SB821J 1C Existing REDUCTION UNDER GENERAL ANAESTHESIA JOINTS (TEMPORO-MANDIBULAR), VARIOUS LESIONS, 276 SB822J 6B Existing CONDYLECTOMY WITH RECONSTRUCTION (UNILATERAL) JOINTS (TEMPORO-MANDIBULAR), VARIOUS LESIONS, 277 SB823J 6B Existing RECONSTRUCTION (UNILATERAL) JOINTS (TEMPORO-MANDIBULAR), VARIOUS LESIONS, 278 SB824J 4A Existing PLICATION OF DISC JOINTS (UPPER LIMB), CONTRACTURE, 279 SB825J 5C Existing CAPSULECTOMY/CAPSULOTOMY (MULTIPLE) JOINTS (UPPER LIMB), DEFORMITIES/CONTRACTURE, 280 SB826J 4B Existing CORRECTIVE SURGERY JOINTS (UPPER LIMB), 281 SB828J MSP Existing FRACTURES/DISLOCATION/SPRAIN, FULL CAST JOINTS (UPPER LIMB, EXCEPT SHOULDER), SEPTIC 282 SB831J ARTHRITIS, DRAINAGE WITH CURRETAGE AND 3C Existing DEBRIDEMENT JOINTS (UPPER LIMB, EXCEPT SHOULDER), SEPTIC 283 SB832J 2B Existing ARTHRITIS, SIMPLE DRAINAGE JOINTS (UPPER LIMB), VARIOUS LESIONS, 284 SB834J 7C Existing VASCULARISED JOINT TRANSFER

SB – MUSCULOSKELETAL

285 SB835J JOINTS (WRIST), VARIOUS LESIONS, ARTHRODESIS 4B Existing KNEE, ARTHROSCOPY, KNEE LIGAMENT 286 SB700K 5C Existing RECONSTRUCTION (1 OR MORE) KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE 287 SB701K 5C Existing COMBINED, MIS ACL OR PCL RECONSTRUCTION KNEE, HEMARTHROSIS, ASPIRATION UNDER LOCAL 288 SB702K MSP Existing ANESTHESIA KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE 289 SB703K COMBINED, MIS LIGAMENT RECONSTRUCTION WITH 5C Existing MENISCAL REPAIR KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE 290 SB704K COMBINED, MIS LIGAMENT RECONSTRUCTION WITH 5C Existing MENISCECTOMY KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE 291 SB705K COMBINED, MIS LIGAMENT RECONSTRUCTION WITH 5C Existing MICROFRACTURE KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE 292 SB706K COMBINED, MIS PRIMARY DOUBLE BUNDLE ACL OR PCL 6A Existing RECONSTRUCTION KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE 293 SB707K 5C Existing COMBINED, MIS REVISION ACL RECONSTRUCTION KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE 294 SB708K 5C Existing COMBINED, MIS REVISION PCL RECONSTRUCTION KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE 295 SB709K COMBINED, AUTOLOGOUS CHONDROCYTE 6A Existing IMPLANTATION WITH OSTEOTOMY KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE 296 SB710K COMBINED, MOSAICPLASTY OR OSTEOARTICULAR 6A Existing TRANSFER SYSTEM (OATS) WITH OSTEOTOMY KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE 297 SB711K COMBINED, MULTI-LIGAMENTED KNEE 6A Uptable RECONSTRUCTION (3 OR MORE LIGAMENTS) KNEE, MENISCUS/CARTILAGE (SMALL DEFECTS), 298 SB712K 5C Existing MIS/OPEN MOSAICPLASTY OR OATS KNEE, MENISCUS/CARTILAGE, MIS ASSISTED ALLOGRAFT 299 SB713K 5C Existing MENISCAL TRANSPLANTATION KNEE, MENISCUS/CARTILAGE, MIS CARTILAGE 300 SB714K 4A Existing HARVESTING 301 SB715K KNEE, MENISCUS/CARTILAGE, MIS MENISCAL REPAIR 5A Existing KNEE, VARIOUS LESIONS, PRIMARY TOTAL JOINT REPLACEMENT (UNILATERAL) WITH AUGMENTATION, 302 SB716K 6B Existing REQUIRING EXTRA IMPLANTS OR BONE GRAFTS, OPEN/MIS/NAVIGATED KNEE, VARIOUS LESIONS, REVISION TOTAL JOINT 303 SB717K 6C Existing REPLACEMENT, OPEN/MIS/NAVIGATED KNEE LIGAMENTS, DISRUPTION, RECONSTRUCTION AND 304 SB800K 5C Existing REPAIR KNEE, DISLOCATION, OPEN REDUCTION WITH REPAIR OF 305 SB801K 5C Existing LIGAMENTS KNEE, HEMARTHROSIS, ASPIRATION UNDER GENERAL 306 SB802K 1A Existing ANESTHESIA 307 SB803K KNEE, VARIOUS LESIONS, ARTHRODESIS 5A Existing 308 SB804K KNEE, VARIOUS LESIONS, ARTHROTOMY 3B Existing KNEE, VARIOUS LESIONS, ARTHROTOMY AND 309 SB805K 4A Existing SYNOVECTOMY

SB – MUSCULOSKELETAL

KNEE, VARIOUS LESIONS, EXCISION/INTERPOSITION 310 SB806K 4A Existing ARTHROPLASTY KNEE, VARIOUS LESIONS, MENISCECTOMY 311 SB808K 4A Existing WITH/WITHOUT ARTHROSCOPY KNEE, VARIOUS LESIONS, TOTAL JOINT REPLACEMENT 312 SB809K 7B Existing (BILATERAL) KNEE, VARIOUS LESIONS, PRIMARY TOTAL JOINT 313 SB810K 6A Existing REPLACEMENT (UNILATERAL), OPEN/MIS/NAVIGATED LOWER LIMB, OPEN TENDON RELEASE (INCLUDING OPEN 314 SB700L SOFT TISSUE RELEASES E.G. GASTROCNEMIUS 4B Existing RECESSION) LOWER LIMB, OPEN TENDON RELEASES AND CAST 315 SB701L 3A Existing APPLICATION, HAMSTRING RELEASES LOWER LIMB, PERCUTANEOUS TENOTOMY AND CAST 316 SB702L 3A Existing APPLICATION, ADDUCTOR TENOTOMY LOWER LIMB, PERCUTANEOUS TENOTOMY AND CAST 317 SB703L 3A Existing APPLICATION, TA TENOTOMY LOWER LIMB, CRUSH INJURIES (EXTENSIVE), 318 SB800L DEBRIDEMENT WITH REPAIR OF BONE AND SOFT 6B Existing TISSUES LOWER LIMB, CRUSH INJURIES (LIMITED), DEBRIDEMENT 319 SB801L 5A Existing WITH REPAIR OF BONE AND SOFT TISSUES 320 SB802L LOWER LIMB, DEFORMITIES, EPIPHYSIODESIS 4A Existing LOWER LIMB, FRACTURES, OPEN REDUCTION AND 321 SB803L 6B Existing FIXATION WITH REPAIR OF ARTERIAL INJURIES LOWER LIMB, FRACTURES/DISLOCATION, MANIPULATION 322 SB804L 1B Existing AND REDUCTION WITH/WITHOUT APPLICATION OF CAST LOWER LIMB, LENGTH DISCREPANCIES, LENGTHENING 323 SB805L 4B Existing PROCEDURES LOWER LIMB, LENGTH DISCREPANCIES, SHORTENING 324 SB806L 6B Existing PROCEDURES UPPER LIMB/LOWER LIMB, OPEN FRACTURES WITH 325 SB807L 4B Existing DEBRIDEMENT AND EXTERNAL FIXATION LOWER LIMB, TRAUMATIC AMPUTATION, MAJOR 326 SB808L 7C Existing REPLANTATION 327 SB809L LOWER LIMB, VARIOUS LESIONS, AMPUTATION 4A Existing 328 SB810L LOWER LIMB, VARIOUS LESIONS, APPLICATION OF CAST MSP Existing LOWER LIMB, VARIOUS LESIONS, HINDQUARTER 329 SB811L 6B Existing AMPUTATION 330 SB812L LOWER LIMB, VARIOUS LESIONS, HIP DISARTICULATION 6B Existing UPPER LIMB/LOWER LIMB, CLOSED FRACTURES, 331 SB813L EXTERNAL FIXATION WITHOUT DEBRIDEMENT OR OTHER 3B New PROCEDURES 332 SB814L LOWER LIMB, ISCHEMIA, FASCIOTOMY 3A New MANDIBLE AND MAXILLA, VARIOUS LESIONS, 333 SB700M OSTEOTOMY AND INSERTION OF DEVICE FOR 7C Existing DISTRACTION OSTEOGENESIS MANDIBLE OR MAXILLA, BONY PROTUBERANCE, 334 SB701M 1B Existing EXCISION MANDIBLE OR MAXILLA, DENTAL IMPLANT(S), 335 SB702M OSSEOINTEGRATED, TREPHINE REMOVAL (X NUMBER OF 1C Existing IMPLANTS REMOVED) MANDIBLE OR MAXILLA, TUMOR, MARGINAL RESECTION 336 SB703M 6B Existing WITH BONE GRAFT

SB – MUSCULOSKELETAL

MANDIBLE OR MAXILLA, VARIOUS LESIONS, SEGMENTAL 337 SB704M OSTEOTOMY AND INSERTION OF DEVICE FOR 5B Existing DISTRACTION OSTEOGENESIS AND BONE TRANSPORT MANDIBLE OR MAXILLA, VARIOUS LESIONS, 338 SB705M 3C Existing VESTIBULOPLASTY, COMPLEX MANDIBLE OR MAXILLA, VARIOUS LESIONS, 339 SB706M 2B Existing VESTIBULOPLASTY, SIMPLE MANDIBLE OR MAXILLA, VARIOUS LESIONS, 340 SB707M DENTOALVEOLAR OSTEOTOMY AND INSERTION OF 5A Existing DEVICE FOR DISTRACTION OSTEOGENESIS MANDIBLE, ATROPHY, LATERALISATION OF INFERIOR 341 SB708M DENTAL NERVE WITH IMPLANT FIXTURES PLACEMENT, 5A Existing BILATERAL. MANDIBLE, ATROPHY, LATERALISATION OF INFERIOR 342 SB709M DENTAL NERVE WITH IMPLANT FIXTURES PLACEMENT, 4B Existing UNILATERAL MANDIBLE AND MAXILLA, OLD FRACTURES/OSTEOTOMY, 343 SB710M 3B Existing REMOVAL OF PLATES OR WIRES MANDIBLE, VARIOUS LESIONS, BODY OR RAMUS 344 SB711M OSTEOTOMY WITH INSERTION OF DISTRACTION 5C Existing OSTEOGENESIS DEVICE MAXILLA, VARIOUS LESIONS, RESECTION WITH 345 SB712M 6B Existing RECONSTRUCTION MAXILLA, DEFORMITY, LE FORT I OSTEOTOMY AND 346 SB713M 5C Existing INSERTION OF DISTRACTION OSTEOGENESIS DEVICE MANDIBLE (EXCLUDING ALVEOLAR MARGINS), VARIOUS 347 SB800M 6B Existing LESIONS, COMPLEX OSTEOTOMY/OSTECTOMY MANDIBLE AND MAXILLA, VARIOUS LESIONS, 348 SB801M OSTEOTOMY INCLUDING SEGMENTAL OSTEOTOMY 7C Existing WITH/WITHOUT GRAFTING MANDIBLE OR MAXILLA, ALVEOLAR DEFECT/DEFORMITY, COMPLEX ALVEOLOPLASTY/UNILATERAL (LATERAL 349 SB802M 3A Existing WINDOW) SINUS LIFT/RIDGE AUGMENTATION WITH GRAFTING MANDIBLE OR MAXILLA, ALVEOLAR DEFECT/DEFORMITY, 350 SB803M SIMPLE ALVEOLOPLASTY/BONE REGENERATIVE 2C Existing PROCEDURE MANDIBLE, FRACTURE (COMMINUTED), OPEN 351 SB804M 5C Existing REDUCTION AND FIXATION MANDIBLE, FRACTURE, CLOSED REDUCTION AND 352 SB805M 3B Existing FIXATION 353 SB806M MANDIBLE, FRACTURE, OPEN REDUCTION AND FIXATION 5A Existing MANDIBLE OR MAXILLA, ODONTOGENIC CYST (11- 20MM), 354 SB807M 3A Existing ENUCLEATION MANDIBLE OR MAXILLA, ODONTOGENIC CYST (20MM OR 355 SB808M 4A Existing LARGER OR MULTIPLE CYSTS), ENUCLEATION MANDIBLE OR MAXILLA, ODONTOGENIC CYST (10MM OR 356 SB809M 2C Existing SMALLER), ENUCLEATION MANDIBLE OR MAXILLA, ODONTOGENIC CYST, 357 SB810M 2B Existing MARSUPIALIZATION MANDIBLE OR MAXILLA, OLD FRACTURES / OSTEOTOMY, 358 SB811M 2B Existing REMOVAL OF PLATES OR WIRES 359 SB812M MANDIBLE OR MAXILLA, TUMOR, MARGINAL RESECTION 5C Existing MANDIBLE, VARIOUS LESIONS, ALVEOLECTOMY (PER 360 SB813M 2C Existing QUADRANT)

SB – MUSCULOSKELETAL

MANDIBLE OR MAXILLA, VARIOUS LESIONS, ALVEOLOPLASTY WITH EPITHELIAL GRAFT OR 361 SB814M BILATERAL SINUS-LIFT PROCEDURE OR RIDGE 4A Existing AUGMENTATION (MULTIPLE QUADRANTS) WITH GRAFTING MANDIBLE, VARIOUS LESIONS, GENIOPLASTY (COMPLEX 362 SB815M 5C Existing - NOT AS A COMBINED PROCEDURE) MANDIBLE OR MAXILLA, VARIOUS LESIONS, INSERTION OF ENDOSSEOUS DENTAL IMPLANT (SINGLE)(FOR 363 SB816M 2C Existing MULTIPLE PLACEMENT OF IMPLANTS, NUMBER OF CLAIMS = NUMBER OF IMPLANTS PLACED ) MANDIBLE AND/OR MAXILLA, VARIOUS LESIONS, 364 SB817M INSERTION OF TRANSMANDIBULAR IMPLANT/ 5A Existing SUBPERIOSTEAL IMPLANT/ ZYGOMATICUS IMPLANT MANDIBLE, VARIOUS LESIONS, MANDIBULAR 365 SB818M RAMUS/BODY OSTECTOMY/OSTEOTOMY WITH 6B Existing SEGMENTAL OSTEOTOMY MANDIBLE, VARIOUS LESIONS, MANDIBULAR 366 SB819M RAMUS/BODY OSTECTOMY/OSTEOTOMY WITHOUT 5C Existing SEGMENTAL OSTEOTOMY MANDIBLE, VARIOUS LESIONS, RECONSTRUCTION WITH 367 SB820M 5C Existing BONE MANDIBLE, VARIOUS LESIONS, SEGMENTAL 368 SB821M 5A Existing OSTECTOMY/OSTEOTOMY (ONE SEGMENT ONLY) MANDIBLE, VARIOUS LESIONS, SEGMENTAL RESECTION 369 SB822M 6B Existing WITH BONE GRAFT MANDIBLE, VARIOUS LESIONS, GENIOPLASTY (SIMPLE - 370 SB823M 5A Existing NOT AS A COMBINED PROCEDURE) MAXILLA (EXCLUDING ALVEOLAR MARGINS) AND/OR 371 SB824M ZYGOMA, VARIOUS LESIONS, COMPLEX 6B Existing OSTECTOMY/OSTEOTOMY MAXILLA, ALVEOLAR CLEFT (BILATERAL COMPLETE), 372 SB825M 6B Existing BONE GRAFT AND CLOSURE OF NASO BUCCAL FISTULA MAXILLA, BILATERAL INCOMPLETE ALVEOLAR CLEFT, 373 SB826M 6A Existing BONE GRAFT 374 SB827M MAXILLA, DEFORMITY - LEFORT I, OSTEOTOMY 5C Existing 375 SB828M MAXILLA, DEFORMITY - LEFORT II, OSTEOTOMY 6B Existing 376 SB829M MAXILLA, DEFORMITY - LEFORT III, OSTEOTOMY 7C Existing MAXILLA, FRACTURE - LEFORT I, CLOSED REDUCTION 377 SB830M 4A Existing AND FIXATION MAXILLA, FRACTURE - LEFORT I, OPEN REDUCTION AND 378 SB831M 5C Existing FIXATION MAXILLA, FRACTURE - LEFORT II / III, CLOSED 379 SB832M 5A Existing REDUCTION AND FIXATION. MAXILLA DEFORMITY, LE FORT II OSTEOTOMY AND 380 SB833M 6B Existing INSERTION OF DISTRACTION OSTEOGENESIS DEVICE MAXILLA, FRACTURE - LEFORT II (COMPLEX), OPEN 381 SB834M 6B Existing REDUCTION AND FIXATION. MAXILLA DEFORMITY, LE FORT III OSTEOTOMY AND 382 SB835M 7B Existing INSERTION OF DISTRACTION OSTEOGENESIS DEVICE MAXILLA, FRACTURE - LEFORT III, OPEN REDUCTION AND 383 SB836M 6B Existing FIXATION MAXILLA, FRACTURE - LEFORT III, OPEN REDUCTION AND 384 SB837M 7C Existing FIXATION USING CRANIOFACIAL APPROACH

SB – MUSCULOSKELETAL

MAXILLA, ALVEOLAR CLEFT (UNILATERAL COMPLETE), 385 SB838M 5B Existing BONE GRAFT AND CLOSURE OF NASO BUCCAL FISTULA MAXILLA, ALVEOLAR CLEFT (UNILATERAL INCOMPLETE), 386 SB839M 4B Existing BONE GRAFT MAXILLA, VARIOUS LESIONS, OSTECTOMY/OSTEOTOMY 387 SB840M 6B Existing (MORE THAN 1 SEGMENT) MAXILLA, VARIOUS LESIONS, 388 SB841M RESECTION/HEMIMAXILLECTOMY (OPEN OR 5C Existing ENDOSCOPIC METHOD) MAXILLA, VARIOUS LESIONS, OSTECTOMY/OSTEOTOMY 389 SB842M 5A Existing (ONE SEGMENT ONLY) 390 SB843M MUSCLE (LOWER LIMB), DEEP ABSCESS, DRAINAGE 2A Existing 391 SB844M MUSCLE (LOWER LIMB), RUPTURE, REPAIR 2C Existing MUSCLE (LOWER LIMB), VARIOUS LESIONS, MARGINAL 392 SB845M 2A Existing EXCISION MUSCLE (LOWER LIMB), VARIOUS LESIONS, WIDE 393 SB846M 3A Existing EXCISION LOWER LIMB, MUSCLE (QUADRICEPS)/TENDON Descriptor 394 SB847M (INCLUDING PATELLAR TENDON), DISRUPTION, REPAIR 3A change OR RECONSTRUCTION MUSCLE (UPPER LIMB), DEEP ABSCESS, INCISION AND 395 SB848M 2A Existing DRAINAGE 396 SB849M MUSCLE (UPPER LIMB), RUPTURE, REPAIR 2C Existing MUSCLE (UPPER LIMB), VARIOUS LESIONS, MARGINAL 397 SB850M 2C Existing EXCISION MUSCLE (UPPER LIMB), VARIOUS LESIONS, WIDE 398 SB851M 3C Existing EXCISION MUSCULOSKELETAL SYSTEM, VARIOUS LESIONS, FREE 399 SB852M 7B Existing COMPOSITE TISSUE GRAFT MUSCULOSKELETAL SYSTEM, VARIOUS LESIONS, 400 SB853M MSP Existing STEINMAN PINS INSERTION DIGIT(S), NAIL BED, DEFORMITY/DEFECT, 401 SB800N 4B Existing RECONSTRUCTION 402 SB801N NAIL BED, LACERATION, REPAIR (MULTIPLE) 2C Existing 403 SB802N NAIL BED, LACERATION, REPAIR (SINGLE) 1C Existing 404 SB803N NAIL, INFECTION/INJURY, AVULSION 1A Existing 405 SB804N NECK, TORTICOLLIS, CORRECTION 3B Existing 406 SB700O OTHERS, AUTOLOGOUS CHONDROCYTE IMPLANTATION 5A Existing PATELLA, HABITUAL DISLOCATION- LATERAL RELEASE, 407 SB700P 4B Existing MEDIAL PLICATION PELVIS, FRACTURE, FIXATION OF ANTERIOR AND 408 SB701P 5C Existing POSTERIOR RING 409 SB702P PELVIS, FRACTURE, PLATE/SCREW FIXATION 5C Existing PATELLA, FRACTURE, OPEN REDUCTION AND INTERNAL 410 SB800P 3B Existing FIXATION PATELLA, RECURRENT DISLOCATION/CHONDROMALACIA, 411 SB801P 4B Existing RECONSTRUCTION 412 SB802P PATELLA, VARIOUS LESIONS, PATELLECTOMY 3A Existing PELVIS, FRACTURE (DOUBLE COLUMNS), OPEN 413 SB803P 6B Existing REDUCTION AND INTERNAL FIXATION PELVIS, FRACTURE, OPEN REDUCTION AND INTERNAL 414 SB804P 5C Existing FIXATION RADIUS AND ULNA, FRACTURE/DISLOCATION, NON 415 SB700R UNION/DELAYED UNION BONE GRAFTING AND RE- 5A Existing FIXATION

SB – MUSCULOSKELETAL

RADIUS AND ULNA, FRACTURE/DISLOCATION, NON 416 SB701R 3C Existing UNION/DELAYED UNION BONE GRAFTING ONLY 417 SB800R RADIUS (HEAD), VARIOUS LESIONS, EXCISION 3B Existing RADIUS AND ULNA, FRACTURE/DISLOCATION, OPEN 418 SB801R REDUCTION AND INTERNAL FIXATION WITH OR WITHOUT 4B Existing BONE GRAFTING 419 SB700S SHOULDER, THERAPEUTIC ARTHROSCOPY 4A Existing SHOULDER FRACTURE/DISLOCATION, OPEN REDUCTION 420 SB701S 4A Existing AND INTERNAL FIXATION (2 PART FRACTURE) SHOULDER FRACTURE/DISLOCATION, OPEN REDUCTION 421 SB702S 5A Existing AND INTERNAL FIXATION (3 OR MORE PART FRACTURE) SACRUM, FRACTURE, OPEN REDUCTION AND INTERNAL 422 SB704S 5C Existing FIXATION SCAPULA, SCAPULAR FRACTURE, OPEN REDUCTION AND 423 SB705S 5A Existing INTERNAL FIXATION (ORIF) WITH PLATING SHOULDER, SHOULDER SOFT TISSUE INJURY, MIS/OPEN 424 SB707S BANKART OR SUPERIOR LABRUM FROM ANTERIOR TO 5A Existing POSTERIOR (SLAP) REPAIR SHOULDER, SHOULDER SOFT TISSUE INJURY, MIS/OPEN BANKART REPAIR WITH SUPERIOR LABRUM FROM 425 SB708S 5B Existing ANTERIOR TO POSTERIOR (SLAP) REPAIR/ROTATOR CUFF REPAIR SHOULDER, SHOULDER SOFT TISSUE INJURY, MIS/OPEN 426 SB709S 5A Existing DECOMPRESSION ALONE SHOULDER, SHOULDER SOFT TISSUE INJURY, MIS/OPEN 427 SB710S 5B Existing DECOMPRESSION WITH CUFF REPAIR SHOULDER, SHOULDER SOFT TISSUE INJURY, MIS/OPEN 428 SB711S DECOMPRESSION WITH CUFF REPAIR & EXCISION OF 5C Existing DISTAL CLAVICLE SHOULDER, SHOULDER SOFT TISSUE INJURY, MIS/OPEN 429 SB712S 5A Existing DECOMPRESSION WITH EXCISION OF DISTAL CLAVICLE SHOULDER, SHOULDER SOFT TISSUE INJURY, 430 SB713S SHOULDER RECONSTRUCTION (EG, BRISTOW/LATARJET 5B Existing PROCEDURE) SHOULDER, VARIOUS LESIONS, PRIMARY TOTAL JOINT REPLACEMENT WITH AUGMENTATION, REQUIRING 431 SB714S 6B Existing EXTRA IMPLANTS OR BONE GRAFTS, OPEN/MIS/NAVIGATED SHOULDER, VARIOUS LESIONS, PRIMARY TOTAL JOINT 432 SB715S 6A Existing REPLACEMENT, OPEN/MIS/NAVIGATED SHOULDER, VARIOUS LESIONS, REVISION TOTAL JOINT 433 SB716S 6C Existing REPLACEMENT,OPEN/MIS/NAVIGATED SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS, Descriptor POSTERIOR DECOMPRESSION AND/OR DISCECTOMY 434 SB722S 6B change, WITHOUT INSERTION OF INTERSPINOUS DEVICE (2 OR uptable MORE SEGMENTS) WITHOUT INSTRUMENTED FUSION SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS, Descriptor POSTERIOR DECOMPRESSION AND/OR DISCECTOMY 435 SB723S 6A change, WITHOUT INSERTION OF INTERSPINOUS DEVICE (1 uptable SEGMENT) WITHOUT INSTRUMENTED FUSION SPINE, REMOVAL OF SPINE IMPLANTS WITHOUT OTHER 436 SB724S 3B Downtable PROCEDURES (POSTERIOR APPROACH) SPINE, REMOVAL OR REVISION OF PORT E.G. PORT-A- Descriptor 437 SB725S MSP CATH change

SB – MUSCULOSKELETAL

SPINE, VARIOUS LESIONS, REVISION SURGERY, Descriptor 438 SB726S DECOMPRESSION AND/OR DISCECTOMY, WITHOUT 6A change INSTRUMENTATION SPINE, VARIOUS LESIONS, ANTERIOR DECOMPRESSION, 439 SB728S CORPECTOMY, DEBRIDEMENT, BIOPSY STABILISATION 6B Existing WITHOUT INSTRUMENTATION SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS, Descriptor 440 SB730S INTERBODY FUSION (SINGLE SEGMENT) WITH 7A change ANTERIOR/POSTERIOR INSTRUMENTATION SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS, Descriptor 441 SB731S INTERBODY FUSION (SINGLE SEGMENT) WITHOUT 6A change ANTERIOR/POSTERIOR INSTRUMENTATION CERVICAL SPINE, VARIOUS LESIONS,ANTERIOR Descriptor 442 SB733S DECOMPRESSION AND FUSION OR DISC REPLACEMENT 7A change (3 OR MORE SEGMENTS) Descriptor 443 SB735S SPINE, DISCOGRAM (MORE THAN 2 LEVELS) 3A change Descriptor 444 SB736S SPINE, DISCOGRAM (1 TO 2 LEVELS) 2B change SPINE, PERCUTANEOUS DISC ABLATION, 2 OR MORE Descriptor 445 SB737S LEVELS (EG. IDET - INTRADISCAL ELECTROTHERMAL 4C change ANNULOPLASTY) SPINE, PERCUTANEOUS DISC ABLATION, SINGLE LEVEL Descriptor 446 SB738S (EG IDET - INTRADISCAL ELECTROTHERMAL 4A change ANNULOPLASTY) SPINE, VERTEBROPLASTY OR KYPHOPLASTY (MULTIPLE Descriptor 447 SB739S 4C LEVELS) change SPINE, VERTEBROPLASTY OR KYPHOPLASTY (SINGLE Descriptor 448 SB740S 4A LEVEL) change SPINE, VARIOUS LESIONS, POSTERIOR INSTRUMENTATION (3 OR MORE SEGMENTS) Descriptor 449 SB741S 7A WITH/WITHOUT DECOMPRESSION AND WITHOUT change INTERBODY FUSION SCAPULA, COMPLEX SCAPULAR FRACTURE 450 SB742S (WITH/WITHOUT GLENOHUMERAL JOINT INVOLVEMENT), 5B Existing OPEN REDUCTION AND INTERNAL FIXATION (ORIF) CERVICAL SPINE, CLOSED REDUCTION WITHOUT 451 SB745S APPLICATION OF SKULL DEVICES OR OTHER MSP New PROCEDURES CERVICAL SPINE, APPLICATION OF HALO DEVICE 452 SB746S 1A New WITHOUT OTHER PROCEDURES SPINE, REMOVAL OF SPINE IMPLANTS WITHOUT OTHER 453 SB747S 4B New PROCEDURES (ANTERIOR APPROACH) SPINE, INFECTION, POSTERIOR DRAINAGE AND 454 SB748S DEBRIDEMENT WITHOUT FUSION OR OTHER 3C New PROCEDURES SPINE, INFECTION, POSTERIOR DRAINAGE, 455 SB749S DEBRIDEMENT AND REMOVAL OF IMPLANTS, WITHOUT 4B New FUSION OR OTHER PROCEDURES SPINE, INFECTION, ANTERIOR DRAINAGE AND 456 SB750S DEBRIDEMENT WITHOUT FUSION OR OTHER 4A New PROCEDURES SPINE, INFECTION, ANTERIOR DRAINAGE, DEBRIDEMENT 457 SB751S AND REMOVAL OF IMPLANTS WITHOUT FUSION OR 4C New OTHER PROCEDURES

SB – MUSCULOSKELETAL

SPINE, VARIOUS LESIONS, POSTERIOR 458 SB752S INSTRUMENTATION (1 SEGMENT) WITH/WITHOUT 6B New DECOMPRESSION AND WITHOUT INTERBODY FUSION SPINE, VARIOUS LESIONS, POSTERIOR 459 SB753S INSTRUMENTATION (2 SEGMENTS) WITH/WITHOUT 6C New DECOMPRESSION AND WITHOUT INTERBODY FUSION SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS, 460 SB754S INTERBODY FUSION (MULTIPLE SEGMENTS) WITH 7B New ANTERIOR/POSTERIOR INSTRUMENTATION SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS, 461 SB755S ANTERIOR CORPECTOMY AND FUSION WITH/WITHOUT 7A New INSTRUMENTATION (SINGLE VERTEBRAE) SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS, 462 SB756S ANTERIOR CORPECTOMY AND FUSION WITH/WITHOUT 7B New INSTRUMENTATION (TWO OR MORE VERTEBRA) SPINE, VARIOUS LESIONS, REVISION SURGERY, 463 SB757S DECOMPRESSION AND/OR DISCECTOMY, WITH REVISION 6B New OF INSTRUMENTATION SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS, POSTERIOR DECOMPRESSION AND/OR DISCECTOMY 464 SB758S 6C New WITH INSERTION OF INTERSPINOUS DEVICE (2 OR MORE SEGMENTS) WITHOUT INSTRUMENTED FUSION SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS, POSTERIOR DECOMPRESSION AND/OR DISCECTOMY 465 SB759S 6B New WITH INSERTION OF INTERSPINOUS DEVICE (1 SEGMENT) WITHOUT INSTRUMENTED FUSION SHOULDER, DEFORMITIES, CORRECTIVE SURGERY, 466 SB800S 5C Existing OSTEOTOMY SHOULDER, ACROMIOCLAVICULAR JOINT 467 SB801S 5B Existing STABILISATION/RECONSTRUCTION 468 SB802S SHOULDER, VARIOUS LESIONS, HEMIARTHROPLASTY 5C Existing SOFT TISSUE (LOWER LIMB), SMALL TUMORS (BENIGN), 469 SB803S MSP Existing EXCISION UNDER LOCAL ANESTHESIA CERVICAL SPINE, VARIOUS LESIONS, LAMINOPLASTY Descriptor 470 SB805S 6B (WITHOUT INSTRUMENTATION) change Descriptor 471 SB806S CERVICAL SPINE, EXCISION OF CERVICAL RIB 4C change CERVICAL SPINE, CLOSED REDUCTION WITH 472 SB807S APPLICATION OF SKULL DEVICES BUT WITHOUT OTHER 1A Downtable PROCEDURES SPINE, DEFORMITIES, THREE-COLUMN OSTEOTOMY Descriptor 473 SB808S (SUCH AS PSO, VCR, TOTAL SPONDYLECTOMY OR THEIR 7C change EQUIVALENT) SPINE, FRACTURE-DISLOCATION, OPEN REDUCTION AND 474 SB809S 6B Existing STABILISATION SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS, Descriptor 475 SB810S INTERBODY FUSION (MULTIPLE SEGMENTS) WITHOUT 6B change ANTERIOR/POSTERIOR INSTRUMENTATION Descriptor 476 SB811S SPINE, PROLAPSED DISC, NUCLEOPLASTY 3C change Descriptor 477 SB814S SPINE, SYRINGOMYELIA, LAMINECTOMY AND DRAINAGE 6B change SPINE, VARIOUS LESIONS, SPINAL RHIZOLYSIS 478 SB818S 6B Existing INVOLVING EXPOSURE OF SPINAL NERVE ROOTS TENDON (UPPER LIMB), VARIOUS LESIONS, TENDON 479 SB700T 5C Existing TRANSFER (MULTIPLE)

SB – MUSCULOSKELETAL

TIBIA, FRACTURE, OPEN REDUCTION AND INTERNAL 480 SB701T 5C Existing FIXATION WITH PLATES AND SCREWS, COMMINUTED 481 SB702T TIBIA, TIBIAL PLATEAU, COMMINUTED BICONDYLAR, ORIF 5B Existing TIBIA, TIBIAL PLATEAU, UNICONDYLAR 482 SB703T 5A Existing COMMINUTED/SIMPLE BICONDYLAR, ORIF 483 SB704T TIBIA, TIBIAL PLATEAU, UNICONDYLAR, ORIF 4B Existing TIBIA, TIBIAL SHAFT FRACTURE, INTRAMEDULLARY 484 SB705T 4B Existing NAILING (LOCKED/UNLOCKED) TOES, VARIOUS LESIONS, RAY AMPUTATION (TWO TO Descriptor 485 SB707T 2C FOUR RAYS) change 486 SB708T TOES, VARIOUS LESIONS, RAY AMPUTATION (SINGLE) 1C Existing 487 SB709T TOES, TOE DEFORMITY 1C Existing 488 SB710T TOES, TOE DEFORMITY, MULTIPLE/COMPLEX 3B Existing 489 SB800T TENDON (PERONEAL), SUBLUXATION, RECONSTRUCTION 4A Existing TENDON (UPPER LIMB), BOWSTRINGING/ENTRAPMENT, 490 SB801T 3B Existing PULLEY RECONSTRUCTION 491 SB802T TENDON (UPPER LIMB), CONTRACTURE, TENOTOMY 2C Existing TENDON (UPPER LIMB), VARIOUS LESIONS, TENDON 492 SB803T 4A Existing TRANSFER (SINGLE) TENDON SHEATH (UPPER LIMB), DE QUERVAIN'S 493 SB804T 3C Existing (BILATERAL), RELEASE TENDON SHEATH (UPPER LIMB), DE QUERVAIN'S 494 SB805T 3A Existing (UNILATERAL), RELEASE TENDON SHEATH (UPPER LIMB), GANGLION/VILLO- 495 SB806T 2B Existing NODULAR SYNOVITIS, EXCISION TENDON SHEATH (UPPER LIMB), TENOSYNOVITIS 496 SB807T 3B Existing (MULTIPLE), DRAINAGE TENDON SHEATH (UPPER LIMB), TENOSYNOVITIS 497 SB808T 2B Existing (SINGLE), DRAINAGE 498 SB809T TENDON-ACHILLES (LOWER LIMB), DISRUPTION, REPAIR 3A Existing TENDON-EXTENSOR (UPPER LIMB), ADHESION, 499 SB810T 5A Existing TENOLYSIS (MULTIPLE) TENDON-EXTENSOR (UPPER LIMB), ADHESION, 500 SB811T 4A Existing TENOLYSIS (SINGLE) TENDON-EXTENSOR (UPPER LIMB), INJURY, REPAIR 501 SB812T 3A Existing (MULTIPLE) TENDON-EXTENSOR (UPPER LIMB), INJURY, REPAIR 502 SB813T 2C Existing (SINGLE) TENDON-FLEXOR (LOWER LIMB), DISRUPTION, REPAIR 503 SB814T 2C Existing (SINGLE) TENDON-FLEXOR (UPPER LIMB), ADHESION, TENOLYSIS 504 SB815T 5C Existing (MULTIPLE) TENDON-FLEXOR (UPPER LIMB), ADHESION, TENOLYSIS 505 SB816T 4A Existing (SINGLE) TENDON-FLEXOR (UPPER LIMB), DEFECT, GRAFTING 506 SB817T 6B Existing (MULTIPLE) TENDON-FLEXOR (UPPER LIMB), DEFECT, GRAFTING 507 SB818T 5C Existing (SINGLE) TENDON-FLEXOR (UPPER LIMB), INJURY, REPAIR 508 SB819T 4B Existing (MULTIPLE) TENDON-FLEXOR (UPPER LIMB), INJURY, REPAIR 509 SB820T 3B Existing (SINGLE) 510 SB821T TENDON-FLEXOR (UPPER LIMB), INJURY, TENDON GRAFT 4C Existing TENDONS-FLEXOR (LOWER LIMB), DISRUPTION, REPAIR 511 SB822T 3B Existing (MULTIPLE)

SB – MUSCULOSKELETAL

512 SB823T THUMB, DEFORMITIES, CORRECTION 4A Existing 513 SB824T THUMB, PARALYSIS, OPPONENS PLASTY 4B Existing THUMB, VARIOUS LESIONS, POLLICISATION OR 514 SB825T 6B Existing MICROSURGICAL RECONSTRUCTION 515 SB826T TIBIA, DELAYED/NON-UNION, RECONSTRUCTION 5C Existing TIBIA, FRACTURE(S), OPEN REDUCTION AND INTERNAL 516 SB827T 4B Existing FIXATION WITH INTRAMEDULLARY ROD TIBIA, FRACTURE, OPEN REDUCTION AND INTERNAL 517 SB828T 5A Existing FIXATION WITH PLATES AND SCREWS, SIMPLE TOES, VARIOUS LESIONS, TOE AMPUTATION (TWO TO Descriptor 518 SB829T 2C FOUR TOES) change Descriptor 519 SB830T TOES, VARIOUS LESIONS, TOE AMPUTATION (SINGLE) 1C change 520 SB831T TOES, VARIOUS LESIONS, ARTHRODESIS 2C Existing TENDON, EXTENSOR (UPPER LIMB), DEFECT, GRAFTING 521 SB832T 5A New (MULTIPLE) TENDON, EXTENSOR (UPPER LIMB), DEFECT, GRAFTING 522 SB833T 4A New (SINGLE) WEDGE RESECTION OF TOE NAIL (SINGLE TOE), MEDIAL 523 SB834T 1C New AND/OR LATERAL, SIMPLE OR COMPLEX WEDGE RESECTION OF TOE NAIL (MULTIPLE TOES), 524 SB835T 2B New MEDIAL AND/OR LATERAL, SIMPLE OR COMPLEX UPPER LIMB/LOWER LIMB, FRACTURE, EXTERNAL 525 SB700U 5A Existing FIXATION, MULTIPLE PLANES UPPER LIMB/LOWER LIMB, MAJOR SOFT TISSUE 526 SB701U 7C Existing DEFECTS, FREE FLAP UPPER LIMB/LOWER LIMB, MAJOR SOFT TISSUE 527 SB702U 5C Existing DEFECTS, PEDICLED FLAP UPPER LIMB/LOWER LIMB, MALIGNANT TUMOUR, SOFT 528 SB703U 5C Existing TISSUE, RADICAL EXCISION UPPER LIMB/LOWER LIMB, UPPER LIMB FRACTURES, 529 SB704U 4B Existing MINIMALLY INVASIVE FIXATION UPPER LIMB, CONGENITAL DEFORMITY, MAJOR 530 SB800U 6B Existing RECONSTRUCTION UPPER LIMB, DEFORMITY, BONY AND SOFT TISSUE 531 SB801U 5C Existing RECONSTRUCTION UPPER LIMB, FRACTURE/DISLOCATION, MANIPULATION 532 SB802U 1B Existing AND REDUCTION 533 SB803U UPPER LIMB, ISCHEMIA, FASCIOTOMY 2B Existing 534 SB804U UPPER LIMB, TRAUMA, MAJOR REPLANTATION 7B Existing 535 SB805U UPPER LIMB, VARIOUS LESIONS, AMPUTATION 5C Existing UPPER LIMB, VARIOUS LESIONS, FOREQUARTER 536 SB806U 6B Existing AMPUTATION UPPER LIMB, VARIOUS LESIONS, VASCULARISED FREE 537 SB807U 7A Existing MUSCLE TRANSFER 538 SB700W WRIST, THERAPEUTIC ARTHROSCOPY 4A Existing WRIST, AVASCULAR NECROSIS, RADIAL 539 SB701W 4C Existing RECESSION/ULNAR LENGTHENING, WRIST, DISTAL OR RADIAL ULNAR JOINT (DRUJ) 540 SB702W 4B Existing INSTABILITY, COMPLEX LIGAMENT RECONSTRUCTION WRIST, DISTAL OR RADIAL ULNAR JOINT (DRUJ) 541 SB703W 3A Existing INSTABILITY, DARRACH OR SIMILAR PROCEDURE WRIST, DISTAL RADIUS FRACTURE, M&R, 542 SB704W 3B Existing PERCUTANEOUS PINNING

SB – MUSCULOSKELETAL

WRIST, DISTAL RADIUS FRACTURE, OPEN REDUCTION 543 SB705W AND INTERNAL FIXATION (ORIF) (SIMPLE OPEN 3C Existing REDUCTION AND PINNING) WRIST, DISTAL RADIUS FRACTURE, OPEN REDUCTION 544 SB706W AND INTERNAL FIXATION (ORIF) (COMPLEX, WITH 4C Existing AUTOLOGOUS BONE GRAFT) WRIST, DISTAL RADIUS FRACTURE, OPEN REDUCTION 545 SB707W AND INTERNAL FIXATION (ORIF) (WITH ULNAR 4C Existing HEAD/STYLOID FIXATION/TFCC REPAIR) WRIST, JOINT, VARIOUS LESIONS, PROXIMAL ROW 546 SB708W 5C Existing CARPECTOMY OR 4 CORNER FUSION WRIST, LUNATE DISLOCATION/PERILUNATE 547 SB709W DISLOCATION/COMPLEX LIGAMENT INJURY, 6B Existing RECONSTRUCTION WRIST, SCAPHOID FRACTURE, OPEN REDUCTION AND 548 SB710W 4B Existing INTERNAL FIXATION (ORIF) WITH BONE GRAFTING WRIST, SCAPHOID OR CARPUS, VASCULARISED BONE 549 SB711W 4C Existing GRAFT WRIST, ULNAR HEAD/STYLOID FRACTURE, 550 SB712W 2B Existing PERCUTANEOUS PINNING/FIXATION WRIST, VARIOUS LESIONS, PRIMARY TOTAL JOINT ARTHROPLASTY WITH AUGMENTATION, REQUIRING 551 SB713W 6B Existing EXTRA IMPLANTS OR BONE GRAFTS, OPEN/MIS/NAVIGATED WRIST, VARIOUS LESIONS, PRIMARY TOTAL JOINT 552 SB714W 6A Existing ARTHROPLASTY, OPEN/MIS/NAVIGATED WRIST, VARIOUS LESIONS, REVISION TOTAL JOINT 553 SB715W 6C Existing ARTHROPLASTY, OPEN/MIS/NAVIGATED ZYGOMA, DOWN FRACTURE, OSTECTOMY/ARTICULAR 554 SB800Z 5C Existing EMINECTOMY/AUGMENTATION 555 SB801Z ZYGOMA, FRACTURE, ELEVATION 5A Existing

SC – RESPIRATORY

S/N Code Description Table Classification AUTOFLUORESCENCE/ NARROW BAND IMAGING (NBI) 1 SC700A 3A Existing BRONCHOSCOPY 2 SC700B LUNG, BRONCHOSCOPY, INSERTION OF PROSTHESIS 3B Existing BRONCHUS/LUNG, TRANSBRONCHIAL NEEDLE 3 SC702B ASPIRATION OF MEDIASTINAL LYMPH NODES, WITH OR 3A Existing WITHOUT ENDOBRONCHIAL ULTRASOUND (EBUS) BRONCHUS/LUNG, BRONCHOSCOPY WITH/WITHOUT 4 SC703B 1B Existing BIOPSY BRONCHUS/LUNG, BRONCHOSCOPY WITH BIOPSY, 5 SC704B 2A Existing BRONCHOALVEOLAR LAVAGE BRONCHUS/LUNG, BRONCHOSCOPY, BLIND 6 SC705B 2A Existing TRANSBRONCHIAL LUNG BIOPSY FOR DIFFUSE DISEASE BRONCHUS/LUNG, BRONCHOSCOPY, TARGETED 7 SC706B TRANSBRONCHIAL LUNG BIOPSY FOR FOCAL LESIONS 2C Existing (IMAGING-GUIDED) BRONCHUS/LUNG, BRONCHOSCOPY, WITH DILATATION 8 SC707B 3A Existing OF TRACHEAL AND BRONCHIAL STRICTURE BRONCHUS, FOREIGN BODY, REMOVAL VIA 9 SC800B 4A Existing BRONCHOTOMY BRONCHUS, VARIOUS LESIONS, BRONCHOPLASTIC 10 SC801B 5C Existing PROCEDURE BRONCHUS/TRACHEA, VARIOUS LESIONS, LASER 11 SC802B 4A Existing APPLICATION BRONCHUS, VARIOUS LESIONS, BRONCHIAL 12 SC818B THERMOPLASTY/BRONCHUS RADIOFREQUENCY 3A Existing ABLATION 13 SC800D DIAPHRAGM, TUMOR, EXCISION 5A Existing DIAPHRAGM, TUMOR, EXCISION WITH WEDGE 14 SC801D 6B Existing RESECTION OF LUNG 15 SC700L LARYNX, LARYNGEAL MASK AIRWAY MSP Existing LUNG, VARIOUS LESIONS, Descriptor 16 SC701L PNEUMONECTOMY/LOBECTOMY/SEGMENTAL 5B change RESECTION LUNG, MASSIVE HEMOPTYSIS, BRONCHIAL ARTERY 17 SC702L 4B Existing EMBOLISATION LUNG, TUMOUR, IMAGING GUIDED PERCUTANEOUS 18 SC703L LOCAL ABLATION, SIMPLE (RADIOFREQUENCY, 3C Existing CRYOTHERAPY, MICROWAVE, LASER, ALCOHOL, ETC) LUNG, TUMOUR, IMAGING GUIDED PERCUTANEOUS 19 SC704L LOCAL ABLATION, COMPLEX (RADIOFREQUENCY, 4A Existing CRYOTHERAPY, MICROWAVE, LASER, ALCOHOL, ETC) LUNG, VARIOUS LESIONS, LUNG RESECTION WITH 20 SC726L 6C Existing MEDIASTINAL RESECTION, ANY APPROACH LUNG, VARIOUS LESIONS, REPEAT/MULTIPLE/COMPLEX 21 SC801L 5A Existing RESECTIONS 22 SC802L LUNG, VARIOUS LESIONS, WEDGE RESECTION 3C Existing 23 SC800M MOUTH, VARIOUS LESIONS, LASER APPLICATION 2B Existing LUNG, PULMONARY ENDARTERECTOMY WITH 24 SC702P 7C Existing CARDIOPULMONARY BYPASS THORAX, CATHETER BLOCKAGE, IMAGING GUIDED 25 SC700T CATHETER CHANGE/CATHETER ADJUSTMENT/CHECK 1A Existing TUBE THORAX, COASTAL CARTILAGE, HARVEST AND 26 SC701T 5A Existing CREATION OF EAR CARTILAGE FRAMEWORK

SC – RESPIRATORY

THORAX, EVACUATION OF RETAINED HAEMOTHORAX 27 SC702T 4A Existing (OPEN AND THORASCOPIC) THORAX, MEDIASTINUM, MEDIASTINOSCOPY 28 SC703T 3B Existing WITH/WITHOUT BIOPSY 29 SC704T THORAX, PLEURAL EFFUSION, BIOPSY 1C Existing THORAX, RESUSCITATIVE TRAUMA THORACOTOMY 30 SC705T 5A Existing (HAEMOSTASIS, DAMAGE CONTROL, ORGAN REPAIR) THORAX, RIBS, OPEN FIXATION OF RIB FRACTURES (>3 31 SC706T 5A Existing RIBS) THORAX, RIBS, OPEN FIXATION OF RIB FRACTURES (1 - 3 32 SC707T 4A Existing RIBS) Descriptor 33 SC708T THORAX, PERICARDIAL WINDOW CREATION 3C change 34 SC709T THORAX, MIS DECORTICATION 5B Existing 35 SC710T THORAX, MIS PLEURODESIS BILATERAL 4B Existing 36 SC711T THORAX, MIS THYMECTOMY 6B Existing 37 SC712T THORAX, THORACOSCOPY FOR PLEURODESIS 3C Existing THORAX, TRAUMA RELOOK THORACOTOMY (INCLUDES 38 SC713T 4A Existing HAEMOSTASIS, REMOVAL OF PACKS) THORAX, THORACOSCOPY, WITH/WITHOUT DIVISION OF 39 SC714T 2A Existing PLEURAL ADHESIONS THORAX, EFFUSION/FLUID/ABSCESS COLLECTION, 40 SC715T IMAGING GUIDED PERCUTANEOUS DRAINAGE CATHETER 1C Existing INSERTION 41 SC716T THORAX, PLEURAL EFFUSION, ASPIRATION 1A Existing 42 SC717T THORAX, TUMOR (MEDIASTINAL), COMPLEX RESECTION 6A Existing THORAX, VARIOUS LESIONS, IMAGING GUIDED 43 SC718T 2A Existing PERCUTANEOUS BIOPSY 44 SC719T TRACHEA, ENDOTRACHEAL INTUBATION MSP Existing TRACHEA, ENDOTRACHEAL INTUBATION RAPID 45 SC720T MSP Existing SEQUENCE INDUCTION 46 SC721T TRACHEA, TRACHEOSTOMY, REPLACEMENT MSP Existing TRACHEA, TRACHEOSTOMY, REVISION AND 47 SC722T 3C Existing REINSERTION TRACHEA/BRONCHUS, STRICTURE, IMAGING GUIDED 48 SC723T 2C Existing BALLOON DILATATION TRACHEA/BRONCHUS, STRICTURE, IMAGING GUIDED 49 SC724T 3A Existing STENT PLACEMENT THORAX, EMPYEMA, RESECTION OF RIB AND OPEN 50 SC800T 2C Existing DRAINAGE THORAX, MEDIASTINAL LESIONS, CERVICAL 51 SC801T 1A Existing EXPLORATION WITH/WITHOUT BIOPSY THORAX, PECTUS EXCAVATUM/PECTUS CARINATUM, 52 SC802T 4B Existing RADICAL CORRECTION THORAX, EFFUSION/FLUID/ABSCESS COLLECTION, 53 SC803T IMAGING GUIDED PERCUTANEOUS 1A Existing ASPIRATION/DIAGNOSTIC TAP 54 SC804T THORAX, TUMOR (MEDIASTINAL), RESECTION 5A Existing THORAX, VARIOUS LESIONS, CHEST WALL RESECTION 55 SC805T 5B Existing AND MAJOR RECONSTRUCTION THORAX, VARIOUS LESIONS, CHEST WALL RESECTION 56 SC806T 4A Existing AND MINOR RECONSTRUCTION THORAX, VARIOUS LESIONS, INTERCOSTAL DRAIN 57 SC807T 1C Existing (INSERTION WITHOUT RESECTION OF RIB)

SC – RESPIRATORY

THORAX, VARIOUS LESIONS, INTRATHORACIC 58 SC808T 4A Existing OPERATION ON LUNGS/BRONCHIAL TREE/MEDIASTINUM THORAX, VARIOUS LESIONS, THORACOPLASTY 59 SC809T 4A Existing (COMPLETE) THORAX, VARIOUS LESIONS, THORACOPLASTY (IN 60 SC810T 4A Existing STAGES) - EACH STAGE THORAX, VARIOUS LESIONS, THORACOTOMY 61 SC811T 3B Existing (EXPLORATION) WITH/WITHOUT BIOPSY THORAX, VARIOUS LESIONS, THORACOTOMY FOR 62 SC812T PLEURECTOMY/PLEURODESIS/ ENUCLEATION HYDATID 3C Existing CYSTS THORAX, VARIOUS LESIONS, THORACOTOMY WITH Descriptor 63 SC813T PULMONARY DECORTICATION, WITH OR WITHOUT 5A change THORACOPLASTY AND/OR MYOPLASTY 64 SC814T TRACHEA, FOREIGN BODY, REMOVAL 1C Existing TRACHEA, TRACHEO-ESOPHAGEAL FISTULA, LIGATION 65 SC815T 5C Existing AND DIVISION TRACHEA, VARIOUS LESIONS, TRACHEA 66 SC816T 5C Existing RECONSTRUCTION 67 SC817T TRACHEA, VARIOUS LESIONS, TRACHEOSTOMY 2C Existing

SD – CARDIOVASCULAR

S/N Code Description Table Classification 1 SD700A AORTA, ANEURYSM, JUXTARENAL TYPE 6B Existing AORTA, RUPTURED AORTIC ANEURYSM (THORACIC OR 2 SD701A 6C Existing ABDOMINAL), ENDO-VASCULAR AORTIC REPAIR (EVAR) 3 SD702A AORTIC DISSECTION, ENDOVASCULAR FENESTRATION 3B Existing AORTIC DISSECTION, ENDOVASCULAR STENT GRAFT 4 SD703A 5C Existing REPAIR ARRHYTHMIA SURGERY MAZE (INCLUDES THE MINI- 5 SD704A 6B Existing MAZE PROCEDURE WITH RADIOFREQUENCY CLAM) 6 SD705A ARTERIOVENOUS FISTULA GRAFT, THROMBECTOMY 3A Existing 7 SD706A ARTERIOVENOUS FISTULA, ANGIOGRAM 2A Existing ARTERIOVENOUS FISTULA, ANGIOPLASTY 8 SD707A 3A Existing WITH/WITHOUT STENTING 9 SD708A ARTERIOVENOUS FISTULA, LIGATION OF SIDE BRANCH 2A Existing 10 SD709A ARTERIOVENOUS FISTULA, SYNTHETIC GRAFT 5A Existing 11 SD710A ARTERY,LARGE, INJURY, REPAIR WITH GRAFTING 5A Existing 12 SD711A ARTERY,SMALL, INJURY, REPAIR (MULTIPLE) 5C Existing 13 SD712A ARTERY, SMALL, INJURY, REPAIR (SINGLE) 4A Existing 14 SD713A ARTERY, BYPASS, ABOVE/BELOW-KNEE WITH VEIN 5C Existing 15 SD714A ARTERY, BYPASS, DISTAL LEG/PEDAL WITH VEIN 6B Existing 16 SD715A ARTERY, BYPASS, VISCERAL, MULTIPLE 7A Existing 17 SD716A ARTERY, BYPASS, VISCERAL, SINGLE 6B Existing 18 SD718A ARTERY, PLACEMENT ARTERIAL (PA) LINE INSERTION MSP Existing ARTERY, STENOSIS/OCCLUSION, PERCUTANEOUS 19 SD719A 3B Existing ATHERECTOMY (MECHANICAL OR LASER) ARTERY, STENOSIS/OCCLUSION (E.G. PULMONARY, Descriptor 20 SD720A COARCTATION, SUBINTIMAL, BELOW KNEE), 4A change PERCUTANEOUS ANGIOPLASTY (PTA), DIFFICULT ARTERY, STENOSIS/OCCLUSION, PERCUTANEOUS 21 SD721A 3A Existing TRANSLUMINAL ANGIOPLASTY (PTA), SIMPLE ARTERY, THROMBOSIS, PERCUTANEOUS CATHETER 22 SD722A DIRECTED THROMBOLYSIS, WITH OR WITHOUT 4A Existing ANGIOPLASTY/STENTING ARTERY, TUMOUR, TRANS-ARTERIAL CHEMO- 23 SD723A 4A Existing EMBOLIZATION (TACE) ARTERY, TUMOUR, TRANS-ARTERIAL RADIO NUCLIDE 24 SD724A 4B Existing INFUSION ARTERY, VARIOUS LESIONS, DIAGNOSTIC ANGIOGRAM 25 SD725A 3A Existing OF MULTIPLE VESSELS ARTERY, VARIOUS LESIONS, DIAGNOSTIC ANGIOGRAM 26 SD726A USING MICROCATHETER, WITH OR WITHOUT 3B Existing INTRAVASCULAR IMAGING ARTERY, VARIOUS LESIONS, ENDOVASCULAR STENT 27 SD727A 3B Existing GRAFT / COVERED STENT PLACEMENT ARTERY, VARIOUS LESIONS, ENDOVASCULAR STENT 28 SD728A 3B Existing PLACEMENT ARTERY, VARIOUS LESIONS, FLUSH AORTOGRAM OR 29 SD729A 2C Existing SINGLE VESSEL DIAGNOSTIC ANGIOGRAM ARTERY, VARIOUS LESIONS, PERCUTANEOUS 30 SD730A 4A Existing TRANSCATHETER EMBOLISATION OF 1 TO 2 VESSELS ARTERY, VARIOUS LESIONS, PERCUTANEOUS 31 SD731A TRANSCATHETER EMBOLISATION OF MORE THAN 2 4B Existing VESSELS 32 SD732A ARTERY-PSEUDOANEURYSM, EXCISION AND LIGATION 4A Existing

SD – CARDIOVASCULAR

ARTERY-PSEUDOANEURYSM, EXCISION AND PATCH 33 SD733A 5A Existing REPAIR 34 SD734A ARTERY-PSEUDOANEURYSM, THROMBIN INJECTION 2A Existing ARTERY-VISCERAL, STENOSIS, ANGIOPLASTY OF 35 SD735A 3A Existing VISCERAL ARTERY 36 SD736A ARTERY-VISCERAL, STENOSIS, STENTING 3B Existing TRANSCATHETER VALVE OR CLIP IMPLANTATION 37 SD737A WITH/WITHOUT TEE GUIDANCE (ENDOVASCULAR 6A Uptable APPROACH) AORTA, THORACIC AORTIC ANEURYSM, THORACIC 38 SD738A 6C Existing ENDOVASCULAR ANEURYSM REPAIR (TEVAR) AORTA, THORACOABDOMINAL AORTIC ANEURYSM, 39 SD739A 7A Existing ENDOVASCULAR ANEURYSM REPAIR (EVAR) 40 SD741A AORTA, TOTAL ARCH REPLACEMENT 7C Existing AORTA, ABDOMINAL AORTIC ANEURYSM, EXCISION AND 41 SD800A 6B Existing INSERTION OF GRAFT AORTA, DESCENDING AORTIC ANEURYSM, EXCISION 42 SD801A 7A Existing AND INSERTION OF GRAFT AORTA, RUPTURED ABDOMINAL AORTIC ANEURYSM, 43 SD802A 6B Existing EXCISION AND INSERTION OF GRAFT AORTA, THORACO-ABDOMINAL ANEURYSM, EXCISION 44 SD803A 7C Existing AND INSERTION OF GRAFT AORTA, VARIOUS LESIONS, INSERTION/REMOVAL OF 45 SD804A 3A Existing INTRA AORTIC BALLOON ARTERY (DISTAL EXTREMITY/DIGIT), VARIOUS LESIONS, 46 SD805A 6B Existing MICROVASCULAR REPAIR ARTERY (EXTREMITY), THROMBOSIS, 47 SD806A 4C Existing ENDARTERECTOMY ARTERY (FEMORAL/ILIAC), THROMBOSIS, 48 SD807A 4C Existing ENDARTERECTOMY 49 SD808A ARTERY (LARGE), VARIOUS LESIONS, LIGATION 3A Existing ARTERY (MAJOR), ANEURYSM, EXCISION AND 50 SD809A 5C Existing INSERTION OF GRAFT 51 SD810A ARTERY (MAJOR), TRAUMA, REPAIR 5C Existing ARTERY (NECK AND EXTREMITIES), EMBOLISM, 52 SD811A 3A Existing EMBOLECTOMY 53 SD812A ARTERY (OTHERS), THROMBOSIS, ENDARTERECTOMY 4C Existing 54 SD813A ARTERY (TEMPORAL), VARIOUS LESIONS, BIOPSY 2A Existing 55 SD814A ARTERY (TRUNK), EMBOLISM, EMBOLECTOMY 4A Existing 56 SD815A ARTERY, ARTERIO-VENOUS FISTULA (LARGE), EXCISION 6B Existing 57 SD816A ARTERY, ARTERIO-VENOUS FISTULA (SMALL), EXCISION 4A Existing ARTERY, ARTERIO-VENOUS FISTULA, DISSECTION AND 58 SD817A 5A Existing REPAIR WITH RESTORATION OF CONTINUITY 59 SD818A ARTERY, DEFECT, ARTERIAL PATCH GRAFT 4A Existing 60 SD819A ARTERY, TRAUMA/RESECTION, ARTERIAL ANASTOMOSIS 5A Existing ARTERY, TRAUMA/RESECTION, MICRO-VASCULAR 61 SD820A 6B Existing GRAFT ARTERY, VARIOUS LESIONS, ARTERIO-VENUOUS 62 SD821A 3C Existing FISTULA CREATION ARTERY, VARIOUS LESIONS, AXILLARY- 63 SD822A 5C Existing FEMORAL/SUBCLAVIAN-FEMORAL BY-PASS 64 SD823A ARTERY, VARIOUS LESIONS, BY-PASS/GRAFT 5C Existing 65 SD824A ARTERY, VARIOUS LESIONS, INTRA-ARTERIAL INFUSION 3A Existing ARTERY, VARIOUS LESIONS, INVASIVE BLOOD 66 SD825A MSP Existing PRESSURE MEASUREMENT

SD – CARDIOVASCULAR

ARTERY, VARIOUS LESIONS, LIGATION (INCLUDE REPAIR 67 SD826A 2A Existing OF ARTIFICIAL ARTERIO-VENOUS FISTULA) ARTERY, VARIOUS LESIONS, TRANSLUMINAL 68 SD827A 3A Existing ARTERIOPLASTY 69 SD828A ARTERY-CAROTID, THROMBOSIS, ENDARTERECTOMY 5C Existing ARTERY-PROFUNDA FEMORIS, STENOSIS, 70 SD829A 4A Existing PROFUNDOPLASTY ARTERY-PULMONARY, PULMONARY EMBOLISM, 71 SD830A PULMONARY EMBOLECTOMY USING 6C Existing CARDIOPULMONARY BYPASS AORTA, ABDOMINAL AORTIC ANEURYSM, 72 SD837A 5C Existing ENDOVASCULAR ANEURYSM REPAIR (EVAR) ARTERY, PULMONARY, ENDOVASCULAR STENT 73 SD838A 5A New PLACEMENT AORTA, COARCTATION, ENDOVASCULAR STENT 74 SD839A 4C New PLACEMENT ARTERY, VARIOUS LESIONS, ARTERIO-VENUOUS 75 SD840A 4A New FISTULA, CORRECTION AT ORIGINAL SITE 76 SD700B BLOOD VESSELS, DEFECT, MAJOR GRAFTS (MULTIPLE) 6B Existing BLOOD VESSELS (LARGE), DISRUPTION/OBSTRUCTION, 77 SD701B 5C Existing REPAIR WITH AUTOGENOUS VEIN GRAFTING BLOOD VESSELS, UMBILICAL, VARIOUS LESIONS, 78 SD702B MSP Existing CATHETERISATION/CANNULATION 79 SD703B BLOOD VESSELS, HICKMAN LINE INSERTION 2A Existing BLOOD VESSELS, SUBCUTANEOUS IMPLANTED 80 SD706B 2C Downtable VASCULAR PORT, INSERTION BLOOD VESSELS, SUBCUTANEOUS IMPLANTED 81 SD707B 1B Existing VASCULAR PORT, REMOVAL 82 SD708B BLOOD VESSELS, PULMONARY EMBOLECTOMY 6B Existing 83 SD709B BLOOD VESSELS, RENAL ANGIOGRAPHY 2C Existing BLOOD VESSELS, SAPHENOUS VEIN, HARVEST, 84 SD711B 4A Existing MINIMALLY INVASIVE ENDOSCOPIC BLOOD VESSELS, VASCULAR INTERVENTION, 85 SD741B RADIOLOGY, INTRAVASCULAR FOREIGN BODY 3A Existing RETRIEVAL BLOOD VESSELS, REACTIONARY/SECONDARY 86 SD800B MSP Existing HEMORRHAGE AFTER MINOR OPERATION, HEMOSTASIS HEART, AUTOMATIC IMPLANTABLE CARDIOVERTER 87 SD702H 4A Existing DEFIBRILLATOR (AICD)/PACEMAKER LEAD EXTRACTION HEART, AUTOMATIC IMPLANTABLE CARDIOVERTER 88 SD703H DEFRIBRILLATOR DUAL CHAMBER (INCLUSIVE OF 4C Existing DEFIBRILLATION THRESHOLD TESTING (DFT)) HEART, AUTOMATIC IMPLANTABLE CARDIOVERTER 89 SD705H 4B Existing DEFRIBRILLATOR SINGLE CHAMBER (INCLUSIVE OF DFT) HEART, BIVENT AUTOMATIC IMPLANTABLE 90 SD706H 5A Existing CARDIOVERTER DEFRIBRILLATOR (INCLUSIVE OF DFT) HEART, CARDIAC CATHETERISATION (LEFT) AND INTRACORONARY PHYSIOLOGICAL ASSESSMENT Descriptor 91 SD707H (INCLUSIVE OF PRESSURE WIRE) WITHOUT 3C change PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY (PTCA) HEART, INVASIVE INTRAVASCULAR IMAGING/VISUALIZATION, INCLUSIVE OF IV U/S AND OCT, 92 SD708H 3C Existing WITHOUT PERCUTAENOUS TRANSLUMINAL CORONARY ANGIOPLASTY (PTCA)

SD – CARDIOVASCULAR

HEART, CAROTID ANGIOPLASTY AND STENTING (WITH 93 SD709H 5A Existing EMBOLIC PROTECTION) 94 SD710H HEART, DEFIBRILLATION MSP Existing 95 SD711H HEART, EXTERNAL CARDIAC PACING MSP Existing HEART, PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY (PTCA) + STENTING (1 VESSEL), COMPLEX Uptable, (E.G. RETROGRADE CTO INTERVENTION, COMPLEX 96 SD712H 4B Desriptor BIFURCATION/TRIFURCATION, IABP, IMPELLA, LVAD), change WITH/WITHOUT IVUS/FFR OR OTHER PHYSIOLOGICAL STUDIES2 HEART, PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY (PTCA) + STENTING (MORE THAN 1 97 SD713H 4B Existing VESSEL), WITH/WITHOUT IVUS/FFR OR OTHER PHYSIOLOGICAL STUDIES HEART, PRIMARY PERCUTANEOUS TRANSLUMINAL 98 SD714H CORONARY ANGIOPLASTY FOR ST-ELEVATION 4B Existing MYOCARDIAL INFARCTION HEART, HEART BLOCK/ARRHYTHMIA, INSERTION OF 99 SD716H 3C Existing DUAL CHAMBER PACEMAKER (PERMANENT) 100 SD717H HEART, REPLACEMENT OF PACEMAKER 2B Existing HEART, IMPLANT OF EPICARDIAL LEADS FOR 101 SD718H 4A Existing PERMANENT PACEMAKERS HEART, IMPLANTATION OF MECHANICAL HEART DEVICE 102 SD719H 7C Existing (LEFT VENTRICULAR ASSIST DEVICE IMPLANT) 103 SD720H HEART, INSERTABLE LOOP RECORDER 1B Existing HEART, LUNG, EXTRA CORPOREAL MEMBRANE 104 SD721H 6B Existing OXYGENATION HEART, PERCUTANEOUS CLOSURE OF CONGENITAL 105 SD723H 4A Existing HEART DEFECT HEART, PERCUTANEOUS TRANSLUMINAL CORONARY 106 SD724H ANGIOPLASTY (PTCA) + ARTERECTOMY (E.G 5A Existing ROTABLATION) HEART, PLACEMENT OF EPICARDIAL PACING WIRES 107 SD725H (OPEN AND VIDEO-ASSISTED THORACIC SURGERY 5A Existing (VATS)) 108 SD727H HEART, SYNCHRONISED CARDIOVERSION 1A Existing HEART, TRANS-CATHETAR PERCUTANEOUS PATENT 109 SD728H 5A Existing DUCTUS ARTERIOSUS (PDA) OCCLUSION HEART, TRANS-MYOCARDIAL REVASCULARISATION 110 SD729H 6B Existing (TMR) AS A SOLE PROCEDURE HEART, TRANS-MYOCARDIAL REVASCULARISATION 111 SD730H 2C Existing (TMR) AS AN ADJUNCT PROCEDURE 112 SD731H HEART, VALVE (REPAIR / REPLACEMENT), 1 VALVE 6C Existing HEART, VALVE (REPAIR / REPLACEMENT), MORE THAN 1 113 SD732H 7B Existing VALVE HEART, SEPTAL DEFECTS Descriptor 114 SD733H (ATRIAL/VENTRICULAR)/PATENT FORAMEN OVALE (PFO) 5A change DEFECT CLOSURE HEART, CARDIAC CATHETERISATION (LEFT & RIGHT), 115 SD734H INVOLVING PRESSURE OR SATURATION MEASUREMENT 3B Existing (WITH LEFT AND/OR RIGHT VENTRICULOGRAPHY)

2 As an interim measure (subjected to change in descriptor/ table after review in the next TOSP review cycle), Impella and PCI procedures performed in the same sitting can be proxy coded as SD724H. 39

SD – CARDIOVASCULAR

HEART, ELECTROPHYSIOLOGY STUDY WITHOUT 116 SD739H 3B Existing ABLATION HEART, LEFT ATRIAL APPENDAGE CLOSURE 117 SD740H 5A Existing WITH/WITHOUT WATCHMAN DEVICE IMPLANTATION HEART, CORONARY DISEASE, CORONARY ARTERY Descriptor 118 SD742H 6C BYPASS GRAFT (OPEN/MIS/OFF PUMP) change HEART (GREAT VESSELS), VARIOUS LESIONS, 119 SD800H 4A Existing INTRATHORACIC OPERATION HEART, AORTIC/MITRAL VALVE LESIONS, BALLOON 120 SD801H 5A Existing VALVULOPLASTY HEART, PERCUTANEOUS ABLATION OF ARRHYTHMIA 121 SD802H CIRCUIT OR FOCUS OR ISOLATION PROCEDURE 4A Existing INVOLVING 1 ATRIAL CHAMBER HEART, ARRHYTHMIA, IMPLANTABLE CARDIOVERTER 122 SD803H 4C Existing DEFIBRILLATOR (ICD) IMPLANTATION 123 SD804H HEART, BIVENTRICULAR PACING 4A Existing HEART, CONGENITAL HEART DISEASE (COMPLEX), OPEN 124 SD805H 7A Existing HEART SURGERY HEART, CONGENITAL HEART DISEASE, OPEN HEART 125 SD806H 6C Existing SURGERY HEART, CONGENITAL HEART DISEASE, BLALOCK- 126 SD807H 4A Existing TAUSSIG OPERATION HEART, SIMPLE CONGENITAL OPEN-HEART SURGERY 127 SD808H (ATRIAL SEPTAL DEFECT & VENTRICULAR SEPTAL 6B Existing DEFECT) HEART, CORONARY ARTERY DISEASE, CARDIAC Downtable, 128 SD809H CATHERISATION AND CORONARY ANGIOGRAM 3C Descriptor WITH/WITHOUT CORONARY GRAFT ANGIOGRAPHY change HEART, CORONARY DISEASE, CORONARY ANGIOPLASTY 129 SD810H 4A Existing (TRANSLUMINAL), WITH/WITHOUT ANGIOCARDIOGRAPHY Descriptor 130 SD811H HEART, CORONARY ANGIOGRAPHY 3A change HEART, CORONARY ARTERY BYPASS GRAFT AND VALVE 131 SD813H 7C Existing SURGERY HEART, HEART BLOCK, REPLACEMENT OF 132 SD814H 2C Existing TRANSVENOUS ELECTRODE HEART, HEART BLOCK/ARRHYTHMIA, INSERTION OF 133 SD815H 3B Existing SINGLE CHAMBER PACEMAKER (PERMANENT) HEART, LEFT VENTRICULAR ANEURYSM, RESECTION 134 SD816H 6C Existing WITHOUT CORONARY ARTERY BYPASS 135 SD817H HEART, PATENT DUCTUS ARTERIOSUS, LIGATION 4A Existing 136 SD818H HEART, PERICARDIAL DISEASE, PERICARDIECTOMY 4B Existing 137 SD819H HEART, PERICARDIAL EFFUSION, PARACENTESIS 1A Existing HEART, PERICARDIAL EFFUSION, TRANSTHORACIC 138 SD820H 3B Existing DRAINAGE HEART, PROXIMAL AORTIC ANEURYSM, AORTIC ROOT 139 SD821H REPLACEMENT WITH CORONARY ARTERY 7C Existing REIMPLANTATION HEART, PULMONARY INCOMPETENCE, PULMONARY 140 SD822H 4A Existing ARTERY BANDING HEART, PULMONARY VALVE LESIONS, BALLOON 141 SD823H 4A Existing VALVULOPLASTY HEART, VARIOUS LESIONS, OPEN HEART SURGERY (ONE Descriptor 142 SD824H 6C PROCEDURE) change

SD – CARDIOVASCULAR

HEART, VARIOUS LESIONS, OPEN HEART SURGERY ON Descriptor 143 SD825H COMBINED SURGERY, TWO PROCEDURES AT ONE 7B change SITTING HEART, VARIOUS LESIONS, ANEURYSMECTOMY AND/OR 144 SD826H COMBINED VALVE REPLACEMENT AND/OR REPAIR AND 7B Existing CORONARY BYPASS GRAFTING HEART, VARIOUS LESIONS, BALLOON ATRIAL 145 SD827H 4A Existing SEPTOSTOMY 146 SD828H HEART, VARIOUS LESIONS, CARDIAC BIOPSY 2B Existing 147 SD829H HEART, VARIOUS LESIONS, HEART TRANSPLANTATION 7C Existing HEART, VARIOUS LESIONS, RIGHT/LEFT HEART Descriptor 148 SD830H 2C CATHETERIZATION change HEART, VARIOUS LESIONS, RIGHT HEART 149 SD832H CATHETERISATION WITH LEFT HEART 3A Existing CATHETERISATION (INDIRECT) HEART/LUNG, VARIOUS LESIONS, CARDIOPULMONARY 150 SD833H 3B Existing PERFUSION HEART/LUNG, VARIOUS LESIONS, HEART AND LUNG 151 SD834H 7C Existing TRANSPLANTATION 152 SD835H HEART-ATRIUM, ARRHYTHMIA, ARRHYTHMIA SURGERY 6B Existing HEART-VENTRICLE, ARRHYTHMIA, ARRHYTHMIA 153 SD836H 7B Existing SURGERY HEART, PERCUTANEOUS ABLATION OF ARRHYTHMIA CIRCUITS OR FOCI, OR ISOLATION PROCEDURE INVOLVING BOTH ATRIAL CHAMBERS AND INCLUDING Descriptor 154 SD838H 4C CURATIVE PROCEDURES FOR ATRIAL FIBRILLATION change AND/OR ALL ASSOCIATED ELECTROPHYSIOLOGICAL STUDIES PERFORMED ON THE SAME DAY HEART, MAPPING AND PERCUTANEOUS ABLATION OF VENTRICULAR ARRHYTHMIA CIRCUITS OR FOCI, 155 SD839H 5A Existing INCLUDING ALL ASSOCIATED ELECTROPHYSIOLOGICAL STUDIES PERFORMED ON THE SAME DAY HEART, CORONARY GRAFT ANGIOGRAPHY 156 SD840H WITH/WITHOUT ANGIOGRAPHY OF NATIVE CORONARY 3B New ARTERIES 157 SD700S SURFACE LESIONS, ANGIOSARCOMA, WITH BIOPSY 1B Existing 158 SD700V VEIN (SMALL), INJURY, REPAIR (SINGLE) 4A Existing 159 SD701V VEIN, PSEUDOANEURYSM, THROMBIN INJECTION MSP Existing VEIN, VARICOSITY, HIGH LIGATION AND COMPLETE 160 SD702V STRIPPING/EXCISION OF LONG/LONG & SHORT 4A Existing SAPHENOUS VEIN (ENDOSCOPIC) VEIN, VARICOSITY, SUB-FASCIAL LIGATION OF SINGLE 161 SD703V 2B Existing DEEP PERFORATOR (ENDOSCOPIC) VEIN, CENTRAL VEINS (SUPERIOR VENA CAVA, 162 SD704V BRACHIOCEPHALIC VEINS, INFERIOR VENA CAVA, ILIAC 2A Existing VEINS) VARIOUS LESIONS, DIAGNOSTIC VENOGRAPHY VEIN, HEPATIC, PORTAL HYPERTENSION, DIAGNOSTIC 163 SD705V HEPATIC VENOGRAPHY WITH OR WITHOUT PRESSURE 2B Existing MEASUREMENTS VEIN, PERIPHERAL VEINS (UPPER/LOWER LIMBS/DIALYSIS ARTERIOVENUS 164 SD706V 2A Existing FISTULA/ARTERIOVENUS GRAFT FISTULA), VARIOUS LESIONS, DIAGNOSTIC VENOGRAPHY 165 SD707V VEIN, (SPIDER VEINS), INJECTION <3 HAND-SIZE AREA MSP Downtable

SD – CARDIOVASCULAR

VEIN, CATHETER BLOCKAGE, FIBRINSHEATH STRIPPING Descriptor 166 SD708V 2A OR DISRUPTION change VEIN, CATHETER BLOCKAGE, IMAGING GUIDED 167 SD709V 1A Existing CATHETER CHANGE/CATHETER ADJUSTMENT VEIN, STENOSIS/OCCLUSION, PERCUTANEOUS 168 SD710V 4A Existing TRANSLUMINAL ANGIOPLASTY (PTA), DIFFICULT VEIN, STENOSIS/OCCLUSION, PERCUTANEOUS 169 SD711V 3A Existing TRANSLUMINAL ANGIOPLASTY (PTA), SIMPLE VEIN, THROMBOSIS, PERCUTANEOUS CATHETER 170 SD712V DIRECTED THROMBOLYSIS, WITH OR WITHOUT 4A Existing ANGIOPLASTY/STENTING VEIN, VARICOSE VEINS, IMAGING GUIDED ENDOVENOUS 171 SD713V 3B Existing LASER TREATMENT, 1 LEG VEIN, VARICOSE VEINS, IMAGING GUIDED ENDOVENOUS 172 SD714V 4A Existing LASER TREATMENT, 2 LEGS 173 SD715V VEIN, VARICOSITIES (RECURRENT) SURGERY 4A Existing VEIN, VARICOSITIES, ENDOVASCULAR LASER 174 SD716V 3B Existing TREATMENT (1 LEG) VEIN, BLEEDING VARICOSITIES/VASCULAR Descriptor 175 SD717V MALFORMATION, IMAGE GUIDED SCLEROTHERAPY 3B change INJECTION VEIN, VARIOUS LESIONS, ENDOVASCULAR STENT 176 SD718V 3B Existing GRAFT/STENT PLACEMENT VEIN, VARIOUS LESIONS, IMAGING GUIDED INSERTION 177 SD720V 1C Existing OF NON TUNNELLED CENTRAL VENOUS CATHETER VEIN, VARIOUS LESIONS, IMAGING GUIDED INSERTION 178 SD721V 2A Existing OF TUNNELLED CENTRAL VENOUS CATHETER VEIN, VARIOUS LESIONS, IMAGING GUIDED PERIPHERAL 179 SD722V 1C Existing INSERTION OF CENTRAL CATHETER (PICC) VEIN, VARIOUS LESIONS, IMAGING GUIDED VENOUS 180 SD723V 2C Existing PORT INSERTION VEIN, VARIOUS LESIONS, INSERTION OF INFERIOR VENA 181 SD724V 2C Existing CAVAL FILTER VEIN, VARIOUS LESIONS, PERCUTANEOUS 182 SD725V TRANSCATHETER EMBOLISATION OF MORE THAN 2 4B Existing VESSELS VEIN, VARIOUS LESIONS, PERCUTANEOUS 183 SD726V 4A Existing TRANSCATHETER EMBOLIZATION OF 1 TO 2 VESSELS VEIN, VARIOUS LESIONS, RETRIEVAL OF INFERIOR VENA 184 SD727V 3A Existing CAVAL FILTER VEIN,(SPIDER VEINS), INJECTION 3 OR MORE HAND-SIZE 185 SD728V MSP Downtable AREA VEIN (DISTAL EXTREMITY/DIGIT), VARIOUS LESIONS, 186 SD800V 5C Existing MICROVASCULAR REPAIR 187 SD801V VEIN (LARGE), VARIOUS LESIONS, LIGATION 3A Existing 188 SD802V VEIN (MAJOR), TRAUMA, REPAIR 5C Existing VEIN, ARTERIO-VENOUS FISTULA, DISSECTION AND 189 SD803V 2A Existing LIGATION VEIN, VARICOSITY, BILATERAL 190 SD804V 4A Existing STRIPPING/EXCISION/MULTIPLE LIGATIONS VEIN, VARICOSITY, HIGH LIGATION AND COMPLETE 191 SD805V STRIPPING/EXCISION OF LONG/LONG AND SHORT 3B Existing SAPHENOUS VEIN VEIN, VARICOSITY, HIGH LIGATION AND COMPLETE 192 SD806V 3B Existing STRIPPING/EXCISION OF SHORT SAPHENOUS VEIN

SD – CARDIOVASCULAR

VEIN, VARICOSITY, HIGH LIGATION OF SHORT 193 SD807V 3B Existing SAPHENOUS VEIN AT SAPHENO-POPLITEAL JUNCTION VEIN, VARICOSITY, MULTIPLE LIGATIONS WITH/WITHOUT 194 SD808V 3B Existing LOCAL STRIPPING/EXCISION VEIN, VARICOSITY, SUB-FASCIAL LIGATION OF SINGLE 195 SD809V 1C Existing DEEP PERFORATOR 196 SD810V VEIN, VARIOUS LESIONS, BYPASS/GRAFT 5C Existing VEIN, VARIOUS LESIONS, INSERTION OF CENTRAL 197 SD811V 1A Existing VENOUS LINE VEIN, VARIOUS LESIONS, INTRA-ARTERIAL INFUSION OF 198 SD812V 3A Existing ARTERIES OF NECK/THORAX/ABDOMEN VEIN, VARIOUS LESIONS, LIGATION (INCLUDE REPAIR OF 199 SD813V 2A Existing ARTIFICIAL ARTERIO-VENOUS FISTULA) VEIN, VARIOUS LESIONS, SAPHENOL FEMORAL/ACCELO 200 SD814V 5C Existing FEMORAL BYPASS GRAFT 201 SD815V VEIN-PORTAL, PORTAL HYPERTENSION, BYPASS 5C Existing VEIN, VARICOSITY, SUB-FASCIAL LIGATION OF MULTIPLE 202 SD816V 4C Existing PERFORATOR (ENDOSCOPIC) VENA CAVA INFERIOR, VARIOUS LESIONS, 203 SD817V 4C Existing PLICATION/LIGATION 204 SD800Z ORGAN PROCUREMENT COSTS: HEART 4B Existing 205 SD801Z ORGAN PROCUREMENT COSTS: LUNG 4B Existing

SE – HEMIC & LYMPHATIC

S/N Code Description Table Classification LYMPH NODE (AXILLARY), VARIOUS LESIONS, RADICAL 1 SE700L EXCISION/CLEARANCE WITH OR WITHOUT SENTINEL 4A Existing LYMPH NODE BIOPSY LYMPH NODE (AXILLARY), VARIOUS LESIONS, SENTINEL 2 SE701L 3A Existing LN BIOPSY ONLY LYMPH NODE (CERVICAL), DEEP, VARIOUS LESIONS, 3 SE702L 2C Existing BIOPSY LYMPH NODE (CERVICAL), SUPERFICIAL, VARIOUS 4 SE703L 1B Existing LESIONS, BIOPSY LYMPH NODE (CERVICAL), VARIOUS LESIONS, NECK Descriptor 5 SE704L 5A DISSECTION BILATERAL 3 OR LESS LEVELS change LYMPH NODE (CERVICAL), VARIOUS LESIONS, NECK Descriptor 6 SE705L DISSECTION BILATERAL AT LEAST WITH ONE SIDE 4 TO 5 6A change LEVELS LYMPH NODE (CERVICAL), VARIOUS LESIONS, NECK Descriptor 7 SE706L 5C DISSECTION UNILATERAL 4-5 LEVELS change 8 SE707L LYMPH NODE (PELVIC) DISSECTION, MIS/OPEN 5A Existing LYMPH NODE (SINGLE), VARIOUS LESIONS, EXCISION 9 SE708L 1C Existing BIOPSY (MIS) 10 SE709L LYMPHATICS (UPPER LIMB), LYMPHANGIOMA, EXCISION 6B Existing LYMPH NODE EXCISION FOR MYCOBACTERIUM AVIARE 11 SE710L 2C Existing INTRACELLULARE SCROPHYLLORIUM LYMPH NODE, VARIOUS LESIONS, IMAGING GUIDED PERCUTANEOUS BIOPSY, DEEP 12 SE711L 2A Existing (INTRATHORACIC/ABDOMINAL/PELVIC, RETROPERITONEAL) LYMPH NODE, VARIOUS LESIONS, IMAGING GUIDED 13 SE712L 1B Existing PERCUTANEOUS BIOPSY, SUPERFICIAL 14 SE713L LYMPH NODE, VARIOUS LESIONS, BIOPSY 1B Existing LYMPHATICS AND SUBCUTANEOUS TISSUE, 15 SE714L 6B Existing LYMPHEDEMA, MAJOR EXCISION AND GRAFTING LYMPH NODE (CERVICAL), RADICAL WITH FLAP 16 SE715L 6B Existing RECONSTRUCTION LYMPH NODE (RETROPHARYNGEAL), NECK DISSECTION Descriptor 17 SE716L 5A (OPEN/TRANSORAL) change LYMPH NODE (AXILLARY), VARIOUS LESIONS, LIMITED 18 SE800L 3A Existing EXCISION/BIOPSY LYMPH NODE (CERVICAL), VARIOUS LESIONS, NECK Descriptor 19 SE803L 4A DISSECTION UNILATERAL 1-3 LEVELS change LYMPH NODE (CERVICAL), VARIOUS LESIONS, RADICAL Descriptor 20 SE804L 5C NECK DISSECTION change LYMPH NODE (INGUINAL), VARIOUS LESIONS, LIMITED 21 SE805L 3B Existing EXCISION LYMPH NODE (INGUINAL), VARIOUS LESIONS, RADICAL 22 SE806L 4B Existing EXCISION LYMPH NODE (RETROPERITONEAL), VARIOUS LESIONS, 23 SE807L 4B Existing LIMITED EXCISION LYMPH NODE (SINGLE), VARIOUS LESIONS, 24 SE808L MSP Existing ASPIRATION/BIOPSY LYMPH NODE (SINGLE), VARIOUS LESIONS, EXCISION 25 SE809L 1A Existing BIOPSY LYMPHATICS (FACE & NECK), CYSTIC HYGROMA, 26 SE810L 5C Existing EXCISION (LARGE)

SE – HEMIC & LYMPHATIC

LYMPHATICS (FACE & NECK), CYSTIC HYGROMA, 27 SE811L 4A Existing EXCISION (MODERATE) LYMPHATICS (FACE & NECK), CYSTIC HYGROMA, 28 SE812L 3A Existing EXCISION (SMALL) LYMPHATICS, CYSTIC HYGROMA, EXCISION (EXTENSIVE) 29 SE813L 5C Existing WITH/WITHOUT THORACOTOMY 30 SE814L LYMPHATICS, LYMPHANGIECTASIS, LIMITED EXCISION 2C Existing 31 SE815L LYMPHATICS, LYMPHANGIECTASIS, RADICAL EXCISION 4A Existing LYMPHATICS, LYMPHEDEMA, EXCISION (EXTENSIVE AND 32 SE816L 7C Existing COMPLEX) LYMPHATICS, LYMPHEDEMA, EXCISION (LARGE & DEEP 33 SE817L 5C Existing SEATED) 34 SE818L LYMPHATICS, LYMPHEDEMA, EXCISION (LARGE) 4A Existing 35 SE819L LYMPHATICS, LYMPHEDEMA, EXCISION (MODERATE) 3A Existing 36 SE820L LYMPHATICS, LYMPHEDEMA, EXCISION (SMALL) 2A Existing LYMPHATICS, LYMPHEDEMA, LYMPHO- 37 SE821L VENOUS/LYMPHATICO-VENULAR ANASTOMOSES, 7C Existing UNILATERAL(MICROSURGERY) LYMPHATICS, LYMPHEDEMA, MAJOR EXCISION & 38 SE822L 6B Existing GRAFTING 39 SE823L LYMPHATICS, LYMPHEDEMA, THOMSON'S PROCEDURE 5C Existing MARROW, FOR VARIOUS LESIONS, HARVESTING & 40 SE800M 5A Existing GRAFTING 41 SE801M MARROW, VARIOUS LESIONS, DIAGNOSTIC ASPIRATION 1A Existing SPLEEN, HYPERSPLENISM/MASSIVE ENLARGEMENT, 42 SE800S 5C Existing SPLENECTOMY (MIS/OPEN) 43 SE801S SPLEEN, TRAUMA, CONSERVATION 4A Existing 44 SE802S SPLEEN, TRAUMA, SPLENECTOMY 4A Existing SPLEEN, VARIOUS NON-TRAUMATIC LESIONS, 45 SE803S 4A Existing SPLENECTOMY (MIS/OPEN)

SF – DIGESTIVE

S/N Code Description Table Classification ABDOMEN/PELVIS, CATHETER BLOCKAGE, IMAGING 1 SF701A GUIDED CATHETER CHANGE/CATHETER 1A Existing ADJUSTMENT/CHECK TUBE ABDOMEN/PELVIS, VARIOUS LESIONS, IMAGING GUIDED 2 SF702A 2A Existing PERCUTANEOUS BIOPSY 3 SF704A ABDOMEN, LAPAROTOMY, TRAUMA REOPERATION 5A Existing ABDOMEN, LAPAROTOMY, TRAUMA, DAMAGE CONTROL, 4 SF705A 5A Existing HAEMOSTASIS, PACKING ABDOMEN, PERITONEAL CAVITY, ASCITES/FLUID/ABSCESS COLLECTION, IMAGING GUIDED 5 SF706A 1B Existing PERCUTANEOUS ASPIRATION/DIAGNOSTIC TAP/CATHETER ABDOMEN, RETROPERITONEUM, ABSCESS, DRAINAGE 6 SF707A 3A Existing WITH/WITHOUT LAPAROTOMY 7 SF708A ABDOMEN, RETROPERITONEUM, TUMOR, REMOVAL 5C Existing ABDOMINAL CAVITY, RECURRENT ABDOMINAL TUMOR, RESECTION WITH COMPLETE ABDOMINOPELVIC 8 SF709A 7A Existing PERITONECTOMY AND HYPERTHERMIC INTRAOPERATIVE CHEMOTHERAPY 9 SF710A ABDOMEN, MAJOR/MULTIPLE ORGAN REPAIR (TRAUMA) 6B Existing ANAL INCONTINENCE, ARTIFICIAL BOWEL SPHINCTER 10 SF711A 5A Existing INSERTION ANAL INCONTINENCE, COMPLEX PROCEDURES 11 SF712A 5C Existing INCLUDING MUSCLE TRANSPOSITION ANAL SPHINCTER BULKING INJECTION WITH OR WITHOUT 12 SF713A 2C Existing RECTAL ULTRASOUND GUIDANCE 13 SF714A ANGIOEMBOLISATION FOR TRAUMA 4B Existing 14 SF715A ANUS, ANO-RECTAL MALFORMATION, ANOPLASTY 2C Existing ANUS, ANO-RECTAL MALFORMATION 15 SF716A 6C Existing (CLOACA/ABDOMINOPERINEAL) ANUS, ANO-RECTAL MALFORMATION, LIMITED 16 SF717A 4A Existing POSTERIOR SAGITTAL ANORECTOPLASTY (PSARP) ANUS, ANO-RECTAL MALFORMATION, POSTERIOR 17 SF718A 5C Existing SAGITTAL ANORECTOPLASTY (PSARP) ANUS, ANO-RECTAL MALFORMATION, ANORECTOPLASTY 18 SF719A 5C Existing (MIS) 19 SF720A ANUS, FISTULA-IN-ANO, INSERTION OF SETON 1C Existing ANUS, HEMORRHOIDS, TRANSANAL HAEMORRHOIDAL 20 SF721A 2C Existing DEARTERIALIZATION (THD) 21 SF722A ANUS, SPHINCTEROPLASTY FOR ANAL INCONTINENCE 4B Existing APPENDIX, VARIOUS LESIONS/ABSCESS, 22 SF723A 4A Existing APPENDICECTOMY WITH DRAINAGE (MIS/OPEN) ABDOMINAL CAVITY, ADHESIONS (EXTENSIVE), LYSIS AS PRIMARY PROCEDURE, EXTENSIVE WITH OR WITHOUT 23 SF800A 4A Existing BOWEL RESECTION (MIS/OPEN) WHERE TIME TAKEN IS MORE THAN 2HOURS ABDOMINAL CAVITY, ADHESIONS (LIMITED), LYSIS AS 24 SF801A PRIMARY PROCEDURE (MIS/OPEN) WHERE TIME TAKEN 3B Existing IS LESS THAN 2HOURS ABDOMINAL CAVITY, LYMPHOMA,FOR GRADING 25 SF802A LYMPHOMA WITH SPLENECTOMY/LIVER/LYMPH NODE 4B Existing BIOPSY (MIS/OPEN) ABDOMINAL CAVITY, MULTIPLE RUPTURES, MAJOR 26 SF803A 6B Existing REPAIR/REMOVAL

SF – DIGESTIVE

ABDOMINAL CAVITY, NEONATAL ALIMENTARY 27 SF804A 5C Existing OBSTRUCTION, LAPAROTOMY ABDOMINAL/RETROPERITONEAL TUMOUR, RECURRENT 28 SF805A RESECTION WITH OR WITHOUT VASCULAR INVOLVEMENT 6B Existing AND VASCULAR REPAIR 29 SF806A ABDOMINAL CAVITY, RUPTURED VISCUS, SIMPLE REPAIR 3B Existing 30 SF807A ABDOMINAL CAVITY, SUBPHRENIC ABSCESS, DRAINAGE 3B Existing ABDOMINAL CAVITY, VARIOUS LESIONS, EXPLORATORY 31 SF808A 3A Existing LAPAROTOMY (MIS/OPEN) ABDOMINAL CAVITY, VARIOUS LESIONS, INCLUDING 32 SF809A 4A Existing COLOSTOMY/ENTEROSTOMY/GASTROSTOMY (MIS/OPEN) ABDOMINAL CAVITY, VARIOUS LESIONS, NOT CLASSIFIED 33 SF810A 4A Existing ELSEWHERE (MIS/OPEN) 34 SF811A ABDOMINAL CAVITY, VARIOUS LESIONS, PARACENTESIS MSP Existing 35 SF813A ABDOMINAL WALL, BURST ABDOMEN, REPAIR 3A Existing ABDOMINAL WALL, EPIGASTRIC/UMBILICAL HERNIA, 36 SF814A 3A Existing REPAIR (MIS/OPEN) ABDOMINAL WALL, EXOMPHALOS/GASTROSCHISIS, 37 SF815A 5B Existing OPERATING BY PLASTIC FLAP ABDOMINAL WALL, EXOMPHALOS/GASTROSCHISIS, 38 SF816A 4A Existing REPAIR ABDOMINAL WALL, INGUINAL HERNIA (INFANTS & 39 SF817A 4A Existing CHILDREN), HERNIOTOMY (BILATERAL) ABDOMINAL WALL, INGUINAL HERNIA (INFANTS & 40 SF818A 3A Existing CHILDREN), HERNIOTOMY (UNILATERAL) ABDOMINAL WALL, INGUINAL/FEMORAL HERNIA, 41 SF819A 3B Existing UNILATERAL HERNIORRHAPHY (MIS/OPEN) ABDOMINAL WALL, INGUINAL/FEMORAL HERNIA, 42 SF820A 4C Existing BILATERAL HERNIORRHAPHY (MIS/OPEN) ABDOMINAL WALL, STRANGULATED/OBSTRUCTED 43 SF821A 4C Existing HERNIA, REPAIR WITH BOWEL RESECTION ABDOMINAL WALL, STRANGULATED/OBSTRUCTED 44 SF822A 3C Existing HERNIA, REPAIR WITHOUT BOWEL RESECTION ABDOMINAL WALL, VENTRAL/INCISIONAL/RECURRENT 45 SF823A 4A Existing HERNIA, REPAIR (MIS/OPEN) 46 SF826A ANUS, ANO-RECTAL PROLAPSE, CIRCUMANAL SUTURE 1A Existing 47 SF827A ANUS, ANO-RECTAL PROLAPSE, INJECTION 1A Existing ANUS, ANO-RECTAL PROLAPSE, RADICAL OPERATION 48 SF828A 5C Existing WITHOUT RESECTION ANUS, ANO-RECTAL PROLAPSE, RADICAL OPERATION 49 SF829A 4A Existing WITH RESECTION 50 SF831A ANUS, FISSURE, EXCISION/LATERAL SPHINCTEROTOMY 2B Existing ANUS, FISTULA-IN-ANO (HIGH), COMPLEX AND Descriptor 51 SF832A 3C RECURRENT FISTULECTOMY change 52 SF833A ANUS, FISTULA-IN-ANO, EXCISION/ FISTULECTOMY 2B Existing 53 SF834A ANUS, HEMORRHOIDS, INJECTION/LIGATION/BANDING MSP Existing 54 SF835A ANUS, HEMORRHOIDS, CRYOSURGERY 1A Existing ANUS, HEMORRHOIDS, HEMORRHOIDECTOMY WITH OR 55 SF836A 2C Existing WITHOUT SIGMOIDOSCOPY 56 SF837A ANUS, HEMORRHOIDS,STAPLED HAEMORRHOIDECTOMY 3A Existing ANUS, HEMORRHOIDS, REMOVAL OF EXTERNAL ANAL 57 SF838A 1B Existing TAGS 58 SF839A ANUS, INCONTINENCE, OPERATION 4A Existing 59 SF840A ANUS, ISCHIORECTAL ABSCESS, SAUCERISATION 1B Existing 60 SF841A ANUS, PERINEAL ABSCESS, SAUCERISATION/DRAINAGE 1B Existing

SF – DIGESTIVE

61 SF842A ANUS, STRICTURE, DILATATION 1B Existing 62 SF843A ANUS, STRICTURE, REPAIR 3B Existing ANUS, THROMBOSED EXTERNAL HEMORRHOID, INCISION 63 SF844A MSP Existing AND DRAINAGE ANUS, TUMOR, ABDOMINO-PERINEAL RESECTION (OPEN 64 SF845A 6B Existing OR LAP) 65 SF846A ANUS, VARIOUS LESIONS, BIOPSY OF MUSCLE/MUCOSA 1B Existing 66 SF847A APPENDIX, ABSCESS, DRAINAGE ONLY 2C Existing APPENDIX, TUMOR, RIGHT HEMICOLECTOMY 67 SF848A 5C Existing WITH/WITHOUT ADHESIOLYSIS (OPEN OR LAP) APPENDIX, VARIOUS LESIONS, APPENDICECTOMY 68 SF849A 3B Existing WITHOUT DRAINAGE, MIS/OPEN ABDOMINAL WALL, INGUINAL HERNIA (NEONATES), 69 SF850A 4C Existing HERNIOTOMY (BILATERAL) ABDOMINAL WALL, INGUINAL HERNIA (NEONATES), 70 SF851A 3C Existing HERNIOTOMY (UNILATERAL) ABDOMEN/PELVIS, VARIOUS LESIONS, INSERTION OF 71 SF852A 2A New PERITONEAL DIALYSIS CATHETER ABDOMEN/PELVIS, VARIOUS LESIONS, REMOVAL OF 72 SF853A 2A New PERITONEAL DIALYSIS CATHETER BILE DUCT, VARIOUS LESIONS. EXCISION OF LOWER 1/3 73 SF700B OF COMMON BILE DUCT BUT WITH PRESERVATION OF 6A Existing PANCREATIC HEAD BILE DUCTS, CATHETER BLOCKAGE, IMAGING GUIDED 74 SF701B CATHETER CHANGE / CATHETER ADJUSTMENT / CHECK 1A Existing CHOLANGIOGRAM BILE DUCTS, STRICTURE, PERCUTANEOUS 75 SF702B 3B Existing TRANSHEPATIC BALLOON DILATATION BILE DUCTS, STRICTURE, PERCUTANEOUS 76 SF703B 3B Existing TRANSHEPATIC BILIARY STENT PLACEMENT BILE DUCTS, VARIOUS LESIONS, CHECK 77 SF704B 1A Existing CHOLANGIOGRAM BILE DUCTS, VARIOUS LESIONS, PERCUTANEOUS 78 SF705B 2C Existing TRANSHEPATIC CHOLANGIOGRAPHY (PTC) BILE DUCTS, VARIOUS LESIONS, PERCUTANEOUS 79 SF706B TRANSHEPATIC CHOLANGIOGRAPHY AND DRAINAGE 3A Existing CATHETER INSERTION (PTC AND DRAINAGE) BILE DUCT/GALL BLADDER, ENDOSCOPIC DILATION OF 80 SF707B 3C Existing BILIARY STRICTURE BILE DUCT/GALL BLADDER, ENDOSCOPIC RETROGRADE 81 SF709B CHOLANGIOPANCREATOGRAPHY (ERCP) WITH 3C Existing INSERTION OF NASOBILIARY DRAIN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) WITH 82 SF710B 3C Existing SPHINCTEROTOMY/REMOVAL OF STONE/INSERTION OF BILIARY STENT BILE DUCT, ENDOSCOPIC RETROGRADE 83 SF711B 3A Downtable CHOLANGIOPANCREATOGRAPHY (ERCP) BILE DUCT/GALL BLADDER, ENDOSCOPY, ENDOSCOPIC 84 SF712B 3C Existing SPHINCTEROTOMY +/- EXTRACTION OF STONE BILE DUCTS, STONES, PERCUTANEOUS TRANSHEPATIC 85 SF713B 3B Existing BILIARY STONES REMOVAL BOWEL (ESOPHAGUS, STOMACH, DUODENUM, COLON, 86 SF714B RECTUM), STRICTURE, IMAGING GUIDED BALLOON 2C Existing DILATATION

SF – DIGESTIVE

BOWEL (ESOPHAGUS, STOMACH, DUODENUM, COLON, 87 SF715B RECTUM), STRICTURE, IMAGING GUIDED STENT 2C Existing PLACEMENT BOWELS, ENDOSCOPIC ULTRASOUND WITH COELIAC 88 SF716B 3A Existing AXIS NEUROLYSIS BOWELS, ENDOSCOPIC ULTRASOUND WITH FINE NEEDLE 89 SF717B 3A Existing ASPIRATION BOWELS, ENDOSCOPIC ULTRASOUND WITHOUT FINE 90 SF718B 2C Existing NEEDLE ASPIRATION BOWELS, ENDOSCOPIC ULTRASOUND WITH 91 SF719B 3C Existing PSEUDOCYST DRAINAGE BOWELS, ENDOSCOPIC ULTRASOUND WITH STENT 92 SF720B 3C Existing INSERTION 93 SF800B BILE DUCT, BILIARY ATRESIA, PORTO-ENTEROSTOMY 6B Existing BILE DUCT, VARIOUS LESIONS, CHOLEDOCHO- 94 SF801B 4A Existing DUODENOSTOMY/CHOLEDOCHO-GASTROSTOMY BILE DUCT, VARIOUS LESIONS, CHOLEDOCHO- 95 SF802B 4C Existing JEJUNOSTOMY BILE DUCT, VARIOUS LESIONS, CHOLEDOCHOTOMY 96 SF803B 4C Existing (EXPLORATION COMMON BILE DUCT ONLY) BILE DUCT, VARIOUS LESIONS. HEPATICOJEJUNOSTOMY 97 SF804B UP TO BUT NOT INCLUDING THE CONFLUENCE OF THE 5C Existing HEPATIC DUCTS BILE DUCT, VARIOUS LESIONS, OPERATIVE 98 SF805B 1B Existing CHOLEDOCHOSCOPY BILE DUCT, VARIOUS LESIONS, REVISION HIGH BILIARY Descriptor 99 SF806B 7C STRICTURE/ RADICAL RESECTION change BILE DUCT, VARIOUS LESIONS, TRANSDUODENAL 100 SF807B 5C Existing SPHINCTEROPLASTY/ SPHINCTEROTOMY BILE DUCT, VARIOUS LESIONS, HEPATICOJEJUNOSTOMY 101 SF808B INVOLVING ANASTOMOSIS TO HEPATIC DUCTS BUT 6A Existing WITHOUT LIVER RESECTION 102 SF700C CAPSULE ENDOSCOPY 3A Existing 103 SF701C COLON, ANTERIOR RESECTION (OPEN/MIS) 6C Existing COLON, COLONOSCOPY, FIBREOPTIC WITH/WITHOUT Descriptor 104 SF702C 2C BIOPSY change COLON, COLONOSCOPY (SCREENING), FIBREOPTIC 105 SF703C 2C Existing WITH/WITHOUT BIOPSY COLON, COLONOSCOPY, FIBREOPTIC WITH REMOVAL OF Descriptor 106 SF704C 3A POLYP (SINGLE OR MULTIPLE LESS THAN 1CM) change COLON, COLONOSCOPY, FIBREOPTIC WITH REMOVAL OF Descriptor 107 SF705C 3B POLYPS (MULTIPLE MORE THAN 1CM) change COLON, COLONOSCOPY (SCREENING), FIBREOPTIC WITH 108 SF706C REMOVAL OF POLYP (SINGLE OR MULTIPLE LESS THAN 3A Existing 1CM) COLON, COLONOSCOPY (SCREENING), FIBREOPTIC WITH 109 SF707C 3B Existing REMOVAL OF POLYPS (MULTIPLE MORE THAN 1CM) COLON, COLONOSCOPY WITH ENDOSCOPIC MUCOSAL Descriptor 110 SF708C 3C RESECTION (EMR) OF LARGE POLYPS (>3CM) change COLON, HIRSCHSPRUNG’S DISEASE, ENDORECTAL 111 SF709C 5B Existing PULLTHROUGH (MIS) COLON, SIGMOID, SIGMOIDOSCOPY (FLEXIBLE), 112 SF710C 1B Existing FIBREOPTIC WITH/WITHOUT BIOPSY COLON, SIGMOID, SIGMOIDOSCOPY WITH POLYPECTOMY 113 SF711C 1C Uptable WITH BIOPSY

SF – DIGESTIVE

114 SF712C COLON, TOTAL COLECTOMY / SUBTOTAL COLECTOMY 6A Existing COLON, TOTAL PROCTOCOLECTOMY & ILEO-ANAL 115 SF713C 6C Existing POUCH RECONSTRUCTION COLON, HIRSCHSPRUNG'S DISEASE, PULLTHROUGH FOR 116 SF714C 6A Existing LONG SEGMENT DISEASE (MIS/OPEN) COLON, COLOSTOMY, CLOSURE WITHOUT RESECTION 117 SF800C 4A Existing OF BOWEL 118 SF802C COLON, VARIOUS LESIONS, COLOSTOMY 4A Existing COLON, VARIOUS LESIONS, RIGHT/LEFT 119 SF803C 5C Existing HEMICOLECTOMY (MIS/OPEN) COLON, VARIOUS LESIONS, TOTAL COLECTOMY WITH 120 SF804C 6A Existing ILEORECTAL ANASTOMOSIS/ILEOSTOMY COLON, VARIOUS LESIONS, TOTAL PROCTO-COLECTOMY 121 SF805C 6B Existing AND ILEOSTOMY COLON, VARIOUS LESIONS, TRANVERSE/SIGMOID 122 SF806C 5C Existing COLECTOMY (MIS/OPEN) COLON, COLONOSCOPY WITH ENDOSCOPIC 123 SF807C SUBMUCOSAL DISSECTION (ESD) OF LARGE POLYPS 4A New (>3CM) BOWELS, SINGLE/DOUBLE BALLOON ENTEROSCOPY, 124 SF700D 3A Existing DIAGNOSTIC BOWELS, SINGLE/DOUBLE BALLOON ENTEROSCOPY, 125 SF701D 3C Existing THERAPEUTIC DUODENUM, TUMOUR, PANCREAS PRESERVING 126 SF702D 7C Existing DUODENECTOMY WITH RECONSTRUCTION OF AMPULLA DIAPHRAGM, DIAPHRAGMATIC/HIATUS HERNIA, REPAIR 127 SF800D 4A Existing (MIS/OPEN) DUODENUM, VARIOUS LESIONS, 128 SF801D 4A Existing GASTROENTEROSTOMY/GASTRODUODENOSTOMY 129 SF802D DUODENUM, TRAUMA, BYPASS OPERATION 5A Existing 130 SF803D DUODENUM, TUMOR, PANCREATICO-DUODENECTOMY 7C Existing 131 SF804D DUODENUM, ULCER, PARTIAL GASTRECTOMY 5C Existing 132 SF805D DUODENUM, ULCER, VAGOTOMY - ALL TYPES 5C Existing 133 SF700E ESOPHAGUS/STOMACH, GASTROSCOPY AND DILATATION 3A Uptable 134 SF702E ESOPHAGUS, DIVERTICULUM, EXCISION (MIS/OPEN) 5B Existing ESOPHAGUS, MOTILITY DISORDER, LONG MYOTOMY 135 SF703E 4B Existing (MIS/OPEN) Downtable, ESOPHAGUS/STOMACH/COLON, GASTROINTESTINAL 136 SF704E 3A Desriptor ENDOSCOPY, ABLATIVE TREATMENT change ESOPHAGUS/INTESTINE/STOMACH, UPPER GI 137 SF705E ENDOSCOPY WITH ENDOSCOPIC SUBMUCOSAL 3C Existing DISSECTION Descriptor 138 SF800E ESOPHAGUS, ACHALASIA, CARDIOMYOTOMY (OPEN/MIS) 4A change 139 SF801E ESOPHAGUS, ATRESIA, REPAIR AND ANASTOMOSIS 6B Existing 140 SF802E ESOPHAGUS, BENIGN TUMOUR, RESECTION (MIS/OPEN) 5B Existing 141 SF803E ESOPHAGUS, STRICTURE, DILATATION (ENDOSCOPIC) 2B Existing 142 SF804E ESOPHAGUS, TUMOR, ALLISON/IVOR-LEWIS OPERATION 6B Existing ESOPHAGUS, TUMOR, BYPASS WITH 143 SF805E 5C Existing STOMACH/INTESTINE (MIS/OPEN) ESOPHAGUS, TUMOR, CERVICAL/LARYNGOPHARYNGECTOMY WITH 144 SF806E 7C Existing TRACHEOSTOMY WITH/WITHOUT PLASTIC RECONSTRUCTION

SF – DIGESTIVE

ESOPHAGUS/INTESTINE/STOMACH, UPPER GL Descriptor 145 SF807E 3A ENDOSCOPY WITH INSERTION OF PROSTHESIS change ESOPHAGUS/STOMACH, GASTROSCOPY WITH THERAPY 146 SF808E 3A Existing EG. APC-FULGARISATION OF TUMOR 147 SF809E ESOPHAGUS, TUMOR, TOTAL ESOPHAGECTOMY 7B Existing ESOPHAGUS, VARICES, ESOPHAGEAL/TRANSECTION 148 SF810E 6B Existing WITH SPLENECTOMY ESOPHAGUS, VARICES, GASTRO ESOPHAGEAL 149 SF811E 6B Existing DEVASCULARISATION WITH ESOPHAGEAL TRANSECTION ESOPHAGUS, VARIOUS LESIONS, CERVICAL 150 SF812E 3A Existing ESOPHAGOSTOMY ESOPHAGUS/INTESTINE/STOMACH, UPPER GI ENDOSCOPY WITH COMPLICATED POLYPECTOMY (E.G. LARGE POLYP REQUIRING MULTIPLE PIECEMEAL 151 SF813E 3A New RESECTIONS, MULTIPLE POLYPS >2, OR POLYPS WITH COMPLICATIONS SUCH AS BLEEDING) OR ENDOSCOPIC MUCOSAL RESECTION GALLBLADDER, CHOLECYSTITIS, IMAGING GUIDED 152 SF700G 2C Existing PERCUTANEOUS CHOLECYSTOSTOMY GALLBLADDER, TUMOUR, RADICAL CHOLECYSTECTOMY 153 SF701G WITH SEGMENT 4B AND 5 LIVER RESECTION AND 6C Existing RADICAL LYMPHADENECTOMY GALLBLADDER, TUMOUR, RADICAL CHOLECYSTECTOMY WITH SEGMENT 4B AND 5 LIVER RESECTION AND 154 SF702G 7A Existing RADICAL LYMPHADENECTOMY AND CHOLEDOCHECTOMY WITH HEPATICO-ENTERIC ANASTOMOSIS GALLBLADDER, VARIOUS LESIONS, CHOLECYSTECTOMY 155 SF703G AND REPAIR OF CHOLECYSTO-ENTERIC/ CHOLECYSTO- 6A Existing CHOLEDOCHAL FISTULA (OPEN OR LAP) GALLBLADDER, VARIOUS LESIONS, CHOLECYSTECTOMY 156 SF704G WITH INTRAOPERATIVE CHOLANGIOGRAM (OPEN OR 4B Existing LAP) GALLBLADDER, VARIOUS LESIONS, MIS/OPEN 157 SF705G CHOLECYSTECTOMY AND TRANSCYSTIC COMMON BILE 5A Existing DUCT EXPLORATION GALLBLADDER (ACUTE/COMPLICATED), OPEN OR 158 SF706G 4C Existing LAPARASCOPIC CHOLECYESTECTOMY GALLBLADDER, VARIOUS LESIONS, CHOLECYSTECTOMY, 159 SF707G CHOLEDOCHOTOMY, COMMON BILE DUCT EXPLORATION 5C Existing WITH CHOLEDOCHO-DUODENOSTOMY (OPEN OR LAP) RADICAL CHOLEDOCHECTOMY WITH LIVER RESECTION 160 SF708G 7A Existing (LESS THAN 4 SEGMENTS) RADICAL CHOLEDOCHECTOMY WITH LIVER RESECTIONS 161 SF709G (4 OR MORE SEGMENTS) OR WITH MULTIPLE 7C Existing HEPATICOENTERIC ANASTOMOSIS GALLBLADDER, VARIOUS LESIONS, CHOLECYSTOSTOMY 162 SF800G 3B Existing (PARTIAL, OPEN) GALLBLADDER, VARIOUS LESIONS, CHOLECYSTECTOMY 163 SF801G 4A Existing (OPEN OR LAP) GALLBLADDER, VARIOUS LESIONS, CHOLECYSTECTOMY 164 SF802G AND CHOLEDOCHO- 5C Existing JEJUNOSTOMY/DUODENOSTOMY/GASTROSTOMY GALLBLADDER, VARIOUS LESIONS, CHOLECYSTO- 165 SF803G DUODENOSTOMY/CHOLECYSTO- 4A Existing GASTRECTOMY/CHOLECYSTO-JEJUNOSTOMY

SF – DIGESTIVE

INTESTINE/STOMACH, UPPER GI ENDOSCOPY WITH POLYPECTOMY/REMOVAL OF FOREIGN 166 SF700I 2C Existing BODY/DIATHERMY OF BLEEDING LESIONS/INJECTION OF VARICES/REMOVAL OF SINGLE POLYP3 INTESTINE/STOMACH, UPPER GI ENDOSCOPY 167 SF701I 1B Existing WITH/WITHOUT BIOPSY4 INTESTINE, BLEEDING GIT, MESENTERIC ARTERY 168 SF702I 4B Existing EMBOLISATION INTESTINE, SMALL BOWEL, ILEOSTOMY STENOSIS, 169 SF703I 3A Existing REVISION INTESTINE, SMALL BOWEL, VARIOUS LESIONS, 170 SF704I 4A Existing ENTEROSTOMY INTESTINE, SMALL BOWEL, VARIOUS LESIONS, 171 SF705I 1B Existing INTUBATION WITH/WITHOUT BIOPSY INTESTINE, SMALL BOWEL, VARIOUS LESIONS, 172 SF706I EXTENSIVE RESECTION WITH ANASTOMOSES, WITH OR 4C Existing WITHOUT STOMA (MIS/OPEN) INTESTINE, SMALL BOWEL, VARIOUS LESIONS, SIMPLE 173 SF707I RESECTION WITH ANASTOMOSES, WITH OR WITHOUT 4A Existing STOMA (MIS/OPEN) INTESTINE, SMALL BOWEL, VITELLO-INTESTINAL FISTULA, 174 SF708I 3A Existing EXCISION 175 SF800I INTESTINE, ENTEROSTOMY, CLOSURE 3B Existing 176 SF801I INTESTINE, INTUSSUSCEPTION, REDUCTION (OPEN/MIS) 3B Existing 177 SF802I INTESTINE, INTUSSUSCEPTION, REDUCTION BY FLUID 2A Existing 178 SF803I INTESTINE, INTUSSUSCEPTION, RESECTION 4A Existing 179 SF804I INTESTINE, TOTAL AGANGLIONOSIS, RECONSTRUCTION 6B Existing INTESTINE, MECKEL'S DIVERTICULUM, VARIOUS LESIONS, 180 SF805I 3B Existing RESECTION (LAP/OPEN) 181 SF700L LIVER TRANSPLANT, DONATION (CADAVERIC DONOR) 5C Existing 182 SF701L LIVER TRANSPLANT, DONATION (LIVE DONOR) 6B Existing 183 SF702L LIVER TRANSPLANT, RECIPIENT 7C Existing LIVER, ABSCESS, IMAGING GUIDED PERCUTANEOUS 184 SF703L 2A Existing ASPIRATION LIVER, ABSCESS, IMAGING GUIDED PERCUTANEOUS 185 SF704L 2C Existing DRAINAGE CATHETER INSERTION LIVER, PORTAL HYPERTENSION, TRANSJULAR 186 SF705L INTRAHEPATIC PORTO-SYSTEMIC SHUNT CREATION 5A Existing (TIPSS) LIVER, TUMOUR, IMAGING GUIDED PERCUTANEOUS 187 SF706L LOCAL ABLATION, SIMPLE (RADIOFREQUENCY, 3C Existing CRYOTHERAPY, MICROWAVE, LASER, ALCOHOL, ETC) LIVER, TUMOUR, TRANS-ARTERIAL CHEMO- 188 SF707L 4A Existing EMBOLIZATION (TACE) LIVER, TUMOUR, TRANS-ARTERIAL RADIO NUCLIDE 189 SF708L 4B Existing INFUSION LIVER, VARIOUS LESIONS, MIS ULTRASOUND AND LOCAL 190 SF709L 4B Existing ABLATION INCLUDING RADIO-FREQUENCY ABLATION 191 SF710L LIVER, VARIOUS LESIONS, TRANSJUGULAR LIVER BIOPSY 3B Existing

3 SF700I will be reviewed in the next cycle to consider removal of multiple polyps. In the interim, multiple claims of SL700I should not be filed for removal of multiple polyps in the same sitting. 4 Screening gastroscopy is not MediSave/ MediShield Life claimable.

SF – DIGESTIVE

LIVER, VARIOUS LESIONS, IMAGING GUIDED 192 SF711L 2A Existing PERCUTANEOUS BIOPSY (FOCAL LESIONS, TARGETED) LIVER, TUMOUR, IMAGING GUIDED PERCUTANEOUS 193 SF712L LOCAL ABLATION, COMPLEX (RADIOFREQUENCY, 4A Existing CRYOTHERAPY, MICROWAVE, LASER, ALCOHOL, ETC) 194 SF800L LIP, MUCOUS CYST/MUCOCELE, REMOVAL 1B Existing LIP, VARIOUS LESIONS, FULL THICKNESS WEDGE 195 SF801L 2C Existing EXCISION WITH REPAIR LIP, VARIOUS LESIONS, RECONSTRUCTION USING FULL 196 SF802L 5C Existing THICKNESS FLAP 197 SF803L LIP, VARIOUS LESIONS, VERMILIONECTOMY 2C Existing LIVER, ABSCESS, TRANS-ABDOMINAL DRAINAGE (OPEN 198 SF804L 3C Existing OR LAP) LIVER, HYDATID CYST, TRANS-ABDOMINAL DRAINAGE 199 SF805L 3B Existing (PERCUTANEOUS) LIVER, OBSTRUCTIVE JAUNDICE, LONGMIRE 200 SF806L 4C Existing OPERATION/CHLODEDOCHO JEJUNOSTOMY 201 SF807L LIVER, TRAUMA, MAJOR REPAIR LACERATION 6B Existing 202 SF808L LIVER, TRAUMA, MINOR REPAIR LACERATION 4A Existing LIVER, TRAUMA/TUMOR, EXTENDED LOBECTOMY (5 203 SF809L 7C Existing SEGMENTS/MORE) 204 SF810L LIVER, TRAUMA/TUMOR, HEPATIC ARTERY LIGATION 4B Existing 205 SF811L LIVER, TRAUMA/TUMOR, LIVER TRANSPLANT 7C Existing LIVER, VARIOUS LESIONS, LOBECTOMY (3 - 4 SEGMENTS), 206 SF812L 6B Existing OPEN OR LAP LIVER, VARIOUS LESIONS, PARTIAL 207 SF813L 5C Existing LOBECTOMY/SEGMENTAL RESECTION (OPEN OR LAP) LIVER, VARIOUS LESIONS, IMAGING GUIDED 208 SF814L PERCUTANEOUS BIOPSY (LIVER PARENCHYMA, NON 1C Existing DIRECTED) LIVER, VARIOUS LESIONS, WEDGE/LOCAL EXCISION 209 SF815L 4C Existing (OPEN OR LAP) MOUTH, DEFECT, MUCOUS MEMBRANE/CONNECTIVE 210 SF700M 2A Existing TISSUE GRAFT 211 SF701M MOUTH, FRENAL ATTACHMENT, RELEASE 1B Existing MOUTH, INTRA ORAL TUMOUR RADICAL EXCISION WITH 212 SF702M RESECTION OF MANDIBLE AND BILATERAL NECK 7A Existing DISSECTION MOUTH, PERIODONTIUM (WITHIN 1 QUADRANT), 213 SF703M 1B Existing PERIODONTITIS, OPEN FLAP DEBRIDEMENT MOUTH, PERIODONTIUM (WITHIN 1 QUADRANT), SOFT 214 SF704M 1B Existing TISSUE DEFECT/DEFORMITY, GINGIVOPLASTY MOUTH, PERIODONTIUM (WITHIN 1 QUADRANT), SOFT 215 SF705M TISSUE DEFECT/DEFORMITY, GINGIVOPLASTY WITH 2B Existing AUTOGENOUS SOFT/HARD TISSUE GRAFT MOUTH, PERIODONTIUM (WITHIN 2 QUADRANTS), 216 SF706M 2A Existing PERIODONTITIS, OPEN FLAP DEBRIDEMENT MOUTH, PERIODONTIUM (WITHIN 2 QUADRANTS), SOFT 217 SF707M 2A Existing TISSUE DEFECT/DEFORMITY, GINGIVOPLASTY MOUTH, PERIODONTIUM (WITHIN 2 QUADRANTS), SOFT 218 SF708M TISSUE DEFECT/DEFORMITY, GINGIVOPLASTY WITH 3A Existing AUTOGENOUS SOFT/HARD TISSUE GRAFT MOUTH, PERIODONTIUM, BONE DEFECT/DEFORMITY, 219 SF709M 2C Existing AUGMENTATION (AUTOGENOUS) /REGENERATION

SF – DIGESTIVE

MOUTH, PERIODONTIUM, BONE DEFECT/DEFORMITY, 220 SF710M 2A Existing AUGMENTATION (NON-AUTOGENOUS) /REGENERATION MOUTH, SALIVARY GLAND, VARIOUS LESIONS, 221 SF711M MSP Existing DILATATION OF DUCT MOUTH, SUBMUCOSAL RESECTION, ENDOSCOPIC 222 SF712M 4A Existing EXCISION WITH BIOPSY 223 SF713M MOUTH, SUBLINGUAL GLAND, TUMOR, EXCISION BIOPSY 2C Existing MOUTH, SUBMANDIBULAR GLAND, CALCULUS (DEEP), 224 SF714M 3A Existing REMOVAL BIOPSY MOUTH, SUBMANDIBULAR GLAND, CALCULUS, REMOVAL 225 SF715M 1C Existing WITH BIOPSY MOUTH, SUBMANDIBULAR GLAND, VARIOUS LESIONS, 226 SF716M 3C Existing EXCISION WITH BIOPSY MOUTH, ABSCESS (DEEP), DRAINAGE (INCLUDES 227 SF800M SUBMASSETERIC, SUBMANDIBULAR, TEMPORAL, AND 2B Existing PTERYGOMANDIBULAR SPACES) 228 SF801M MOUTH, ABSCESS, (SUPERFICIAL), DRAINAGE 1A Existing MOUTH, ANGULAR CLEFT WITH MACROSTOMIA 229 SF802M 6A Existing (BILATERAL) REPAIR MOUTH, ANGULAR CLEFT WITH MACROSTOMIA 230 SF803M 4C Existing (UNILATERAL) REPAIR 231 SF804M MOUTH, CLEFT LIP, BILATERAL PRIMARY REPAIR 6A Existing MOUTH, CLEFT LIP, SECONDARY CORRECTION (ABBE 232 SF805M 6A Existing FLAP) 233 SF806M MOUTH, CLEFT LIP, SECONDARY CORRECTION 4A Existing MOUTH, CLEFT LIP, SECONDARY CORRECTION OF 234 SF807M 4B Existing NOSTRIL/NASAL TIP 235 SF808M MOUTH, CLEFT LIP, UNILATERAL PRIMARY REPAIR 4C Existing MOUTH, DISLOCATED TEETH/DENTO-ALVEOLAR 236 SF809M 2C Existing FRACTURE, REDUCTION AND IMMOBILISATION Descriptor 237 SF811M ORAL CAVITY AND PHARYNX, FOREIGN BODY, REMOVAL 1B change MOUTH, INTRA ORAL TUMOUR RADICAL EXCISION WITH 238 SF812M RESECTION OF MANDIBLE AND UNILATERAL NECK 6C Existing DISSECTION 239 SF813M MOUTH, LEUKOPLAKIA, LIMITED EXCISION 1B Existing MOUTH, LEUKOPLAKIA, WIDE EXCISION AND SKIN 240 SF814M 3A Existing GRAFTING MOUTH, MACROCHEILIA AND MACROGLOSSIA, 241 SF815M 3A Existing RECONSTRUCTION MOUTH, MALIGNANT TUMOR, WIDE EXCISION AND MAJOR 242 SF816M 6B Existing RECONSTRUCTION MOUTH, MUCOUS CYST/RANULA OF FLOOR OF MOUTH, 243 SF817M 1B Existing MARSUPIALIZATION /BIOPSY MOUTH, MUCOUS CYST/RANULA OF FLOOR OF MOUTH, 244 SF818M 2C Existing EXCISION WITH/WITHOUT BIOPSY 245 SF819M MOUTH, NASOLABIAL CYST, EXCISION BIOPSY 2C Existing MOUTH, ORO-ANTRAL FISTULA, REMOVAL OF 246 SF820M 3B Existing TOOTH/ROOTS IN ANTRUM AND CLOSURE MOUTH, SMALL SOFT TISSUE TUMOR, EXCISION BIOPSY < 247 SF821M 1B Existing 3CM MOUTH, TUMOR, RADICAL EXCISION BIOPSY WITH 248 SF822M RESECTION OF MANDIBLE AND LYMPH NODES AND 7C Existing RECONSTRUCTION

SF – DIGESTIVE

MOUTH, VARIOUS LESIONS OF ORAL MUCOSA 249 SF823M (LARGE/MULTIPLE), CRYOSURGICAL/LASER APPLICATION 3B Existing WITH BIOPSY MOUTH, VARIOUS/PATHOLOGIC LESIONS OF ORAL 250 SF824M MUCOSA, CRYOSURGICAL/LASER APPLICATION WITH 2B Existing BIOPSY 251 SF800N NECK, BRANCHIAL CYST, REMOVAL WITH BIOPSY 3B Existing 252 SF801N NECK, BRANCHIAL FISTULA, REMOVAL 3B Existing PANCREAS, PSEUDOCYST/ABSCESS, IMAGING GUIDED 253 SF700P 2C Existing PERCUTANEOUS DRAINAGE CATHETER INSERTION PANCREAS, TRANSPLANT (DONATION - CADAVERIC 254 SF701P 5C Existing DONOR) 255 SF702P PANCREAS, TRANSPLANT (RECIPIENT) 7C Existing PANCREAS, VARIOUS LESIONS, DUODENUM PRESERVING 256 SF703P 7A Existing PANCREATIC HEAD RESECTION (BEGER'S OPERATION) PANCREAS, VARIOUS LESIONS, DUODENUM PRESERVING PANCREATIC HEAD RESECTION WITH LONGITUDINAL 257 SF704P 7A Existing PANCREATICO-ENTERIC ANASTOMOSIS (FREY'S OPERATION) PANCREAS, VARIOUS LESIONS, ENUCLEATION OF 258 SF705P 4C Existing LESIONS (1 TO 2) PANCREAS, VARIOUS LESIONS, ENUCLEATION OF 259 SF706P 5A Existing LESIONS (3 OR MORE) PANCREAS, VARIOUS LESIONS, IMAGING GUIDED 260 SF707P 2A Existing PERCUTANEOUS BIOPSY PANCREAS, VARIOUS LESIONS, MIS/OPEN DISTAL 261 SF708P 5B Existing PANCREATECTOMY AND SPLENECTOMY PANCREAS, VARIOUS LESIONS, MIS/OPEN SUBTOTAL 262 SF709P PANCREATECTOMY (EXTENDING TO THE NECK) AND 5C Existing SPLENECTOMY PANCREAS, VARIOUS LESIONS, PORTAL VENOUS 263 SF710P 3B Existing SAMPLING PANCREAS, VARIOUS LESIONS, SEGMENTAL 264 SF711P PANCREATECTOMY WITH PANCREATICO-ENTERIC 6B Existing ANASTOMOSIS PANCREAS, VARIOUS LESIONS, MIS/OPEN SPLEEN- 265 SF712P 5C Existing PRESERVING DISTAL PANCREATECTOMY PAROTID, TOTAL PAROTIDECTOMY WITH NECK 266 SF713P 6B Existing DISSECTION PAROTID, TOTAL PAROTIDECTOMY, WITH/WITHOUT 267 SF714P 6A Existing PRESERVATION OF FACIAL NERVE 268 SF800P PALATE, CLEFT (COMPLETE), PRIMARY REPAIR 5C Existing 269 SF801P PALATE, CLEFT (PARTIAL), PRIMARY REPAIR 4B Existing PALATE, CLEFT, SECONDARY REPAIR (CLOSURE OF 270 SF802P 3B Existing FISTULA) PALATE, SECONDARY REPAIR (LENGTHENING 271 SF803P 5A Existing PROCEDURE) 272 SF804P PALATE, CLEFT, UVULOPHARYNGOPLASTY 5C Existing PANCREAS, CYST/PSEUDOCYST, MIS/OPEN DRAINAGE 273 SF805P 5A Existing AND ANASTOMOSIS TO INTESTINE/STOMACH 274 SF806P PANCREAS, TUMOUR, TRIPLE BYPASS 5C Existing PANCREAS, VARIOUS LESIONS, DISTAL 275 SF807P PANCREATECTOMY/ANASTOMOSIS OF PANCREATIC 5C Existing DUCT

SF – DIGESTIVE

PANCREAS, VARIOUS LESIONS, EXTERNAL DRAINAGE 276 SF808P 3B Existing (OPEN) PANCREAS, VARIOUS LESIONS, WHIPPLE 277 SF809P 7C Existing OPERATION/TOTAL PANCREATECTOMY PHARYNX/LARYNX, PARAPHARYNGEAL SPACE TUMOR 278 SF810P 6A Existing EXCISION 279 SF811P PAROTID, CALCULUS (DEEP), REMOVAL 3A Existing 280 SF812P PAROTID, CALCULUS (SUPERFICIAL), REMOVAL 1C Existing 281 SF813P PAROTID, FISTULA, REPAIR 3A Existing 282 SF814P PAROTID, TUMOR, SUPERFICIAL PAROTIDECTOMY 5C Existing PAROTID, TUMOR, TOTAL PAROTIDECTOMY WITH 283 SF815P PARAPHARYNGEAL SPACE RESECTION AND FLAP 7B Existing RECONSTRUCTION PAROTID, TUMOUR, TOTAL PAROTIDECTOMY WITH 284 SF816P 6B Existing RECONSTRUCTION FACIAL NERVE PAROTID, TUMOR, TOTAL PAROTIDECTOMY WITH 285 SF817P 6B Existing RADICAL NECK DISSECTION RECTUM, PERINEAL RECTOSIGMOIDECTOMY FOR 286 SF700R 5C Existing RECTAL PROLAPSE RECTUM, RESECTION - RECTOPEXY FOR RECTAL 287 SF701R 5C Existing PROLAPSE (OPEN/MIS) 288 SF702R RECTUM, STARR - STAPLED HEMORROIDECTOMY 3A Existing RECTUM, ULTRA-LOW ANTERIOR RESECTION (TOTAL 289 SF703R 6C Existing MESORECTAL EXCISION) WITH/WITHOUT PLND 290 SF800R RECTUM, FOREIGN BODY, MANUAL REMOVAL MSP Existing RECTUM, HIRSCHSPRUNG'S DISEASE, ANAL 291 SF801R 2C Existing SPHINCTEROTOMY RECTUM, HIRSCHSPRUNG'S DISEASE, RECTAL 292 SF802R 3B Existing MYECTOMY RECTUM, HIRSCHSPRUNG'S DISEASE, RECTO- 293 SF803R 5C Existing SIGMOIDECTOMY 294 SF804R RECTUM, STRICTURE, LASER TREATMENT 1C Existing RECTUM, TUMOR, ANTERIOR RESECTION/ABDOMINO- 295 SF805R PERINEAL RESECTION WITH SALPINGO-OOPHORECTOMY 6C Existing AND TOTAL HYSTERECTOMY RECTUM, TUMOR, LASER VAPORISATION/ENDOSCOPIC 296 SF806R 2C Existing FULGURATION RECTUM, VARIOUS LESIONS, ABDOMINO-PERINEAL PULL 297 SF807R 6B Existing THROUGH RESECTION WITH COLO-ANAL ANASTOMOSIS 298 SF808R RECTUM, VARIOUS LESIONS, HARTMANN'S PROCEDURE 5C Existing RECTUM, VARIOUS LESIONS, TRANSANAL REMOVAL WITH 299 SF809R 4A Existing BIOPSY 300 SF700S SACRAL NERVE STIMULATION 4B Existing STOMACH, GASTROESOPHAGEAL REFLUX, 301 SF701S FUNDOPLICATION, MIS/OPEN, WITH/WITHOUT 5C Existing GASTROTOMY 302 SF702S STOMACH, OBESITY, GASTRIC BANDING (MIS) 5C Existing 303 SF703S STOMACH, OBESITY, SLEEVE GASTRECTOMY (MIS/OPEN) 5B Existing STOMACH, VARIOUS LESIONS, PERCUTANEOUS Descriptor 304 SF704S GASTROSTOMY/JEJUNOSTOMY (WITH OR WITHOUT 3A change IMAGE GUIDANCE) STOMACH, PARTIAL/SUBTOTAL GASTRECTOMY FOR 305 SF705S 5C Existing BENIGN GASTRIC DISEASES STOMACH, VARIOUS LESIONS, TOTAL/PROXIMAL 306 SF706S 6B Existing GASTRECTOMY WITH/WITHOUT SPLENECTOMY

SF – DIGESTIVE

STOMACH, WEDGE RESECTION/STOMACH FOR BENIGN 307 SF707S 4A Existing GASTRIC DISEASES 308 SF708S STOMACH, PYLOROMYOTOMY, MIS 3A Existing STOMACH, TUMOUR, SUBTOTAL GASTRECTOMY AND 309 SF709S 6B Existing RADICAL LYMPHADENECTOMY STOMACH, TUMOUR, TOTAL GASTRECTOMY AND 310 SF710S 6B Existing RADICAL LYMPHADENECTOMY STOMACH, VARIOUS LESIONS, IMAGING GUIDED 311 SF711S INSERTION OF NASO-GASTRIC TUBE/NASO-JEJUNAL 1C Existing TUBE STOMACH/DUODENUM, PERFORATED ULCER, REPAIR 312 SF712S 4B Existing (MIS OR OPEN) STOMACH, OBESITY, BILIOPANCREATIC DIVERSION 313 SF713S 5C Existing WITH/WITHOUT DUODENAL SWITCH SACRUM & COCCYX, PILONIDAL SINUS/CYST, EXCISION 314 SF800S 2C Existing WITH BIOPSY 315 SF801S SACRUM & COCCYX, TUMOR, EXCISION WITH BIOPSY 6B Existing 316 SF803S STOMACH, MORBID OBESITY, BYPASS ONLY 4A Existing STOMACH, MORBID OBESITY, REDUCTION AND BYPASS 317 SF804S 5C Existing (MIS/OPEN) 318 SF805S STOMACH, PYLORIC STENOSIS, PYLOROPLASTY 3B Existing STOMACH, PYLORIC TUMOR (INFANT), 319 SF806S 3A Existing PYLOROPLASTY/PYLOROMYOTOMY STOMACH, TUMOR OF CARDIA, ENDOSCOPIC YAG LASER 320 SF807S 3B Existing SURGERY/VAPORISATION 321 SF808S STOMACH, TUMOR/ULCER, GASTROJEJUNOSTOMY 4A Existing 322 SF809S STOMACH, ULCERS, VAGOTOMY - ALL TYPES (MIS/OPEN) 5C Existing STOMACH, VARIOUS LESIONS, PARTIAL/SUBTOTAL 323 SF810S 5C Existing GASTRECTOMY STOMACH, VARIOUS LESIONS/POST-GASTRECTOMY 324 SF811S 5C Existing COMPLICATIONS, REVISION GASTRECTOMY STOMACH, TOTAL/PROXIMAL GASTRECTOMY FOR 325 SF812S 6B Existing BENIGN GASTRIC DISEASES 326 SF813S STOMACH, VARIOUS LESIONS, WEDGE RESECTION 4A Existing TOOTH, UNERUPTED/PARTIALLY ERUPTED/IMPACTED, 327 SF701T 1C Existing SURGICAL EXPOSURE TOOTH, UNERUPTED/PARTIALLY ERUPTED/IMPACTED, 328 SF702T SURGICAL EXPOSURE AND BONDING FOR TRACTION AND 2C Existing ASSISTED ERUPTION TEETH (2 OR MORE) UNERUPTED/PARTIALLY 329 SF703T 2B Existing ERUPTED/IMPACTED, SURGICAL EXPOSURE TEETH (2 TO 3), UNERUPTED/PARTIALLY 330 SF704T ERUPTED/IMPACTED, SURGICAL EXPOSURE AND 3C Existing BONDING FOR TRACTION AND ASSISTED ERUPTION TEETH (4 OR MORE) UNERUPTED/ PARTIALLY ERUPTED/ 331 SF705T IMPACTED, SURGICAL EXPOSURE AND BONDING FOR 4A Existing TRACTION AND ASSISTED ERUPTION MIS REPAIR OF ESOPHAGEAL FISTULA AND ESOPHAGEAL 332 SF706T 6B Existing ATRESIA TONGUE, VARIOUS LESIONS (BENIGN CONDITION), 333 SF707T 1B Existing EXCISION BIOPSY <3CM TOOTH (SINGLE-ROOTED), VARIOUS LESIONS, PERI- 334 SF708T 2C Existing RADICULAR SURGERY TONGUE, TRANSORAL RESECTION OF TONGUE BASE 335 SF723T 4C Existing MUSCLE WITH OR WITHOUT LINGUAL TONSIL EXCISION

SF – DIGESTIVE

TEETH (2 TO 3), IMPACTED, EXCISION WITH REMOVAL OF 336 SF800T 3C Existing BONE AND TOOTH DIVISION TEETH (2 TO 3), IMPACTED, EXCISION WITH REMOVAL OF 337 SF801T 3B Existing BONE (WITHOUT TOOTH DIVISION) TEETH (4 OR MORE), IMPACTED, EXCISION WITH 338 SF802T 4B Existing REMOVAL OF BONE AND TOOTH DIVISION TEETH (4 OR MORE), IMPACTED, EXCISION WITH 339 SF803T 4A Existing REMOVAL OF BONE (WITHOUT TOOTH DIVISION) 340 SF804T TONGUE, TONGUE TIE, RELEASE 1A Existing 341 SF805T TONGUE, TONGUE TIE, REVISION 1B Existing TONGUE, TUMOR, GLOSSECTOMY WITH RADICAL NECK 342 SF806T 6B Existing DISSECTION 343 SF807T TONGUE, TUMOR, HEMI-GLOSSECTOMY 4A Existing 344 SF808T TONGUE, TUMOR, TOTAL GLOSSECTOMY 4A Existing 345 SF809T TONGUE, VARIOUS LESIONS, PARTIAL EXCISION 3A Existing TOOTH (DEEP, I.E. COMPLETELY BURIED IN BONE), 346 SF810T 3A Existing EXCISION WITH REMOVAL OF BONE AND TOOTH DIVISION TOOTH (SUPERFICIAL), UNERUPTED/PARTIALLY 347 SF811T ERUPTED/IMPACTED, EXCISION WITH INCISION OF MSP Existing OVERLYING SOFT TISSUE AND REMOVAL OF TOOTH TOOTH (SUPERFICIAL), UNERUPTED/PARTIALLY 348 SF812T ERUPTED/IMPACTED, EXCISION WITH REMOVAL OF BONE 1B Existing (WITHOUT TOOTH DIVISION) TOOTH (SUPERFICIAL), UNERUPTED/PARTIALLY 349 SF813T ERUPTED/IMPACTED, EXCISION WITH REMOVAL OF BONE 2C Existing AND TOOTH DIVISION TOOTH, DISLOCATION, REIMPLANTATION AND 350 SF814T 3A Existing TRANSPLANTATION TOOTH, FRACTURE/DISLOCATION, REMOVAL OF ARCH 351 SF815T MSP Existing BAR/DENTAL CAP SPLINT TOOTH, SIMPLE UNERUPTED/PARTIALLY 352 SF816T ERUPTED/IMPACTED/FRACTURED, REMOVAL OF 2C Existing MULTIPLE ROOTS TOOTH, UNERUPTED/PARTIALLY ERUPTED/IMPACTED, 353 SF817T 4A Existing EXCISION WITH RELEASE OF NEUROVASCULAR BUNDLE TOOTH (MULTIPLE-ROOTED OR MORE THAN 1 TOOTH), 354 SF818T 3A Existing VARIOUS LESIONS, PERI-RADICULAR SURGERY

SG – URINARY

S/N Code Description Table Classification BLADDER, CYSTOSCOPIC INTRADETRUSOR INJECTION 1 SG700B 2C Existing OF BOTULINUM 2 SG701B BLADDER/URETER, LYMPHOLYSIS FOR CHYLURIA, MIS 4A Existing 3 SG702B BLADDER, DIVERTICULUM, MIS EXCISION 4A Existing BLADDER, VARIOUS LESIONS, IMAGE GUIDED 4 SG703B 1C Existing SUPRAPUBIC CYSTOSTOMY 5 SG704B BLADDER, URACHAL FISTULA, MIS EXCISION 4A Existing 6 SG705B BLADDER, VARIOUS LESIONS, CATHETERISATION MSP Existing 7 SG706B BLADDER, VARIOUS LESIONS, MIS PARTIAL EXCISION 4A Existing BLADDER, VARIOUS LESIONS, TOTAL RADICAL 8 SG707B CYSTECTOMY, FOR MALIGNANCY + CREATION OF ILEAL 6C Existing NEOBLADDER BLADDER, CYSTOSCOPY, EXTERNAL SPHINCTEROTOMY 9 SG708B 2C Existing FOR NEUROGENIC BLADDER NECK OBSTRUCTION BLADDER, CYSTOSCOPY, REMOVAL OF FOREIGN 10 SG709B 1C Downtable BODY/URETERIC STENT BLADDER, CYSTOSCOPY, WITH CONTROLLED 11 SG710B 1B Existing HYDRODILATATION OF THE BLADDER BLADDER, CYSTOSCOPY, WITH ENDOSCOPIC 12 SG711B 3B Existing REMOVAL/MANIPULATION OF URETERIC CALCULUS BLADDER, CYSTOSCOPY, WITH ENDOSCOPIC 13 SG712B 3B Existing RESECTION/INCISION OF BLADDER NECK 14 SG713B BLADDER, CYSTOSCOPY, WITH OR WITHOUT BIOPSY 1B Existing BLADDER/URETHRA, TRANSURETHRAL RESECTION OF 15 SG714B 4A Existing BLADDER TUMOUR (<3CM) BLADDER/URETHRA, TRANSURETHRAL RESECTION OF 16 SG715B 4B Existing BLADDER TUMOUR (>3CM) BLADDER/URETER, CYSTOSCOPY, WITH URETERIC 17 SG716B 1C Existing CATHETERISATION BLADDER, CYSTOSCOPY, WITH URETERIC 18 SG717B 3B Existing MEATOTOMY/WITH RESECTION OF URETEROCELE BLADDER/URETHRA, CYSTOSCOPY, WITH URETHRAL 19 SG718B 1C Existing DILATATION BLADDER, STANDARD URODYNAMICS STUDY, SIMPLE 20 SG729B 1C Existing (WITHOUT VIDEO) BLADDER, STANDARD URODYNAMICS STUDY, COMPLEX 21 SG730B 2A Existing (WITH VIDEO) BLADDER, BLADDER NECK CONTRACTURE, 22 SG800B 3B Existing (ACQUIRED/CONGENITAL), WEDGE EXCISION BLADDER, CALCULUS, 23 SG802B VESICOLITHOTOMY/LITHOLAPAXY/ULTRASONIC 2C Existing LITHOTRIPSY 24 SG803B BLADDER, CUTANEOUS FISTULA, CLOSURE 2C Existing 25 SG804B BLADDER, DIVERTICULUM, OPEN EXCISION 3B Existing BLADDER, ECTOPIA VESICAE/ECTOPIA CLOACAE WITH 26 SG805B CONGENITAL INCONTINENCE, SPHINCTER 7B Existing RECONSTRUCTION BLADDER, INCONTINENCE, CORRECTION, ABDOMINAL 27 SG806B 5A Existing APPROACH BLADDER, MILD STRESS INCONTINENCE, CYCTOSCOPIC 28 SG807B 3B Existing INJECTION OF COLLAGEN BLADDER, RETENTION OF URINE, SUPRAPUBIC 29 SG808B 1B Existing CYSTOSTOMY 30 SG809B BLADDER, TUMOR, ANTERIOR EXENTERATION (FEMALE) 6B Existing

SG – URINARY

31 SG810B BLADDER, URACHAL FISTULA, OPEN EXCISION 3B Existing 32 SG811B BLADDER, VARIOUS LESION, ASPIRATION MSP Existing BLADDER, VARIOUS LESIONS, ENLARGEMENT 33 SG812B 6B Existing CYSTOPLASTY WITH BOWEL 34 SG813B BLADDER, VARIOUS LESIONS, OPEN PARTIAL EXCISION 3B Existing BLADDER, VARIOUS LESIONS, TOTAL CYSTECTOMY WITH 35 SG814B 6B Existing ILEAL CONDUIT 36 SG815B BLADDER, VESICO-INTESTINAL FISTULA, CLOSURE 5C Existing 37 SG816B BLADDER, VESICO-VAGINAL FISTULA, CORRECTION 5C Existing BLADDER, VESICO-VAGINAL FISTULA, CLOSURE BY 38 SG817B 5C Existing ABDOMINAL ROUTE 39 SG818B BLADDER, VESICOSTOMY 3A Existing KIDNEY AND URETER, VARIOUS LESIONS, 40 SG700K 6A Existing NEPHROURETERECTOMY, MIS KIDNEY, CATHETER BLOCKAGE, IMAGING GUIDED 41 SG701K NEPHROSTOMY CATHETER CHANGE/CATHETER 1A Existing ADJUSTMENT KIDNEY, CYST, IMAGING GUIDED PERCUTANEOUS 42 SG702K 2B Existing ALCOHOL ABLATION KIDNEY, CYST, IMAGING GUIDED PERCUTANEOUS 43 SG703K 2A Existing ASPIRATION 44 SG704K KIDNEY, CYST, MARSUPIALISATION, MIS 4A Existing 45 SG705K KIDNEY TRANSPLANT, DONATION (CADAVERIC DONOR) 5A Existing KIDNEY TRANSPLANT, DONATION (LIVE DONOR), 46 SG706K 5C Existing OPEN/MIS 47 SG708K KIDNEY TRANSPLANT, RECIPIENT 6C Existing KIDNEY, CALCULUS, PERCUTANEOUS 48 SG709K NEPHROLITHOTOMY OR PERCUTANEOUS 4C Existing NEPHROSTOLITHOTOMY (PCNL) KIDNEY, HYDRONEPHROSIS, PERCUTANEOUS 49 SG711K NEPHROSTOMY AND DRAINAGE CATHETER INSERTION 2B Existing (PCN AND DRAINAGE) KIDNEY, RENAL ABSCESS/PERINEPHRIC ABSCESS, 50 SG712K 2C Existing IMAGING GUIDED PERCUTANEOUS DRAINAGE KIDNEY, RENAL ABSCESS/PERINEPHRIC ABSCESS, 51 SG713K 2A Existing IMAGING GUIDED PERCUTANEOUS ASPIRATION KIDNEY, STONES, IMAGING GUIDED PERCUTANEOUS 52 SG714K 3B Existing RENAL STONES REMOVAL KIDNEY, TUMOUR, MIS GUIDED PERCUTANEOUS LOCAL 53 SG715K 4A Existing ABLATION (RADIOFREQUENCY, CRYOTHERAPY ETC) 54 SG716K KIDNEY, VARIOUS LESIONS, CHECK NEPHROSTOGRAM 1A Existing KIDNEY, VARIOUS LESIONS, IMAGING GUIDED 55 SG717K PERCUTANEOUS BIOPSY (RENAL PARENCHYMA, NON 1C Existing DIRECTED) KIDNEY, VARIOUS LESIONS, PERCUTANEOUS 56 SG718K 1C Existing ANTEGRADE NEPHROSTOGRAPHY (PCN) KIDNEY, VARIOUS LESIONS, IMAGING GUIDED 57 SG719K 2A Existing PERCUTANEOUS BIOPSY (FOCAL LESIONS, TARGETED) KIDNEY, VARIOUS LESIONS, PARTIAL NEPHRECTOMY, 58 SG720K 6A Existing LAPARASCOPIC KIDNEY, VARIOUS LESIONS, PARTIAL NEPHRECTOMY, 59 SG721K 5C Existing OPEN KIDNEY, VARIOUS LESIONS, SIMPLE NEPHRECTOMY, 60 SG722K 4C Existing LAPROSCOPIC 61 SG723K KIDNEY/URETER, ENDOPYELOTOMY (PERCUTANEOUS) 4B Existing

SG – URINARY

62 SG725K KIDNEY/URETER, PYELOPLASTY, UNILATERAL MIS/OPEN 5A Existing KIDNEY/URETER, RETROGRADE INTRARENAL SURGERY 63 SG726K 2C Existing OR RIRS USING FLEXIBLE URETEROSCOPY (DIAGNOSTIC) KIDNEY/URETER, RETROGRADE INTRARENAL SURGERY OR RIRS USING FLEXIBLE URETEROSCOPY 64 SG727K 4A Existing (THERAPEUTIC - E.G. LITHOTRIPSY AND/OR BASKET EXTRACTION OF STONES) KIDNEY TRANSPLANT, RECIPIENT, DUAL KIDNEY 65 SG728K 7A Existing TRANSPLANT (MARGINAL DONOR) KIDNEY, TUMOUR, IMAGING GUIDED PERCUTANEOUS 66 SG729K LOCAL ABLATION, SIMPLE (RADIOFREQUENCY, 3C Existing MICROWAVE, ETHANOL) KIDNEY AND URETER, VARIOUS LESIONS, 67 SG800K 5C Existing NEPHROURETERECTOMY OPEN 68 SG801K KIDNEY, BLOCKED NEPHROSTOMY TUBE, CHANGE 1A Existing KIDNEY, CALCULUS, EXTRA CORPOREAL SHOCKWAVE 69 SG802K 4B Existing LITHOTRIPSY (ESWL) KIDNEY, CALCULUS, 70 SG803K 4B Existing NEPHROLITHOTOMY/PYELOLITHOTOMY KIDNEY, VARIOUS LESIONS, RADICAL NEPHRECTOMY Descriptor 71 SG804K 5C (OPEN/MIS) WITH/WITHOUT IVC THROMBECTOMY change 72 SG805K KIDNEY, CYST, EXCISION 3A Existing 73 SG806K KIDNEY, INJURY, REPAIR 5C Existing 74 SG807K KIDNEY, NEPHROPTOSIS, NEPHROPEXY 3B Existing KIDNEY, PELVI-URETERIC JUNCTION OBSTRUCTION, 75 SG808K 5C Existing OPEN PYELOPLASTY/URETEROCALYCOSTOMY 76 SG809K KIDNEY, PERINEPHRIC ABSCESS, DRAINAGE (OPEN) 3B Existing 77 SG810K KIDNEY, PYONEPHROSIS, DRAINAGE (OPEN) 3B Existing KIDNEY, PYONEPHROSIS, NEPHROSTOMY/PYELOSTOMY 78 SG811K 3B Existing (OPEN) KIDNEY, STAGHORN CALCULUS, NEPHROLITHOTOMY OR 79 SG812K 5C Existing PERCUTANEOUS NEPHROSTOLITHOTOMY (PCNL) 80 SG813K KIDNEY, VARIOUS LESIONS, BIOPSY (CLOSED) 1B Existing 81 SG814K KIDNEY, VARIOUS LESIONS, BIOPSY (OPEN) 3A Existing 82 SG815K KIDNEY, VARIOUS LESIONS, EXPLORATION 3A Existing KIDNEY, VARIOUS LESIONS, SIMPLE NEPHRECTOMY, 83 SG816K 4B Existing OPEN URETER, CYSTOSCOPY AND INSERTION OF DOUBLE J 84 SG700U 2C Existing STENT URETER, EXTRA CORPOREAL SHOCKWAVE LITHOTRIPSY 85 SG701U 4A Existing (ESWL) FOR URETERIC STONE 86 SG703U URETHRA, MID-URETHRAL SLINGS 3A Existing URETER, STRICTURE, PERCUTANEOUS ANTEGRADE 87 SG704U 2B Existing BALLOON DILATATION URETHRA, SUBSTITUTION URETHROPLASTY, FLAP OR 88 SG705U 5C Existing GRAFT URETER, VARIOUS LESIONS, REIMPLANTATION, 89 SG706U 5A Existing BILATERAL URETER, VARIOUS LESIONS, PERCUTANEOUS 90 SG707U 2C Existing ANTEGRADE INSERTION OF DOUBLE J STENT 91 SG709U URETER, URETEROSCOPY 2C Existing 92 SG711U URETHRA, EXCISION OF URETHRAL DIVERTICULUM 4A Existing URETHRA, URETHROSCOPY, WITH RELATED 93 SG712U 1B Existing PROCEDURES

SG – URINARY

URETER, CALCULUS, URETEROSCOPY AND LITHOTRIPSY Descriptor 94 SG800U 4A WITH/WITHOUT ULTRASOUND change 95 SG801U URETER, CALCULUS, URETEROLITHOTOMY 4A Existing 96 SG802U URETER, CUTANEOUS URETEROSTOMY, CLOSURE 2C Existing 97 SG803U URETER, PREVIOUS DIVERSION, REVISION 6A Existing URETER, VARIOUS LESIONS, BOARI FLAP 98 SG804U 5C Existing REIMPLANTATION 99 SG805U URETER, VARIOUS LESIONS, INTESTINAL CONDUIT 5C Existing URETER, VARIOUS LESIONS, REDUCTION 100 SG806U 5C Existing URETEROPLASTY URETER, VARIOUS LESIONS, REIMPLANTATION, 101 SG807U 4A Existing UNILATERAL 102 SG808U URETER, VARIOUS LESIONS, REPAIR 4A Existing 103 SG809U URETER, VARIOUS LESIONS, REPLACEMENT BY BOWEL 5C Existing 104 SG810U URETER, VARIOUS LESIONS, URETEROCALYCOSTOMY 5C Existing 105 SG811U URETER, VARIOUS LESIONS, URETEROSTOMY 3C Existing URETER, VARIOUS LESIONS, URETEROTOMY/INSERTION 106 SG812U 3B Existing OF DOUBLE J STENT 107 SG813U URETER, VARIOUS LESIONS, URETEROURETEROSTOMY 4B Existing 108 SG814U URETHRA , EXCISION OF URETHRAL DIVERTICULUM 3B Existing 109 SG815U URETHRA, FISTULA, CLOSURE 2C Existing URETHRA, INJURY, REPAIR/URETHROPLASTY OF 110 SG816U 4A Existing ANTERIOR URETHRA 111 SG817U URETHRA, MEATAL STENOSIS, MEATOTOMY 1B Existing 112 SG818U URETHRA, PROLAPSE, EXCISION 1B Existing 113 SG820U URETHRA, STRICTURE, URETHRAL WALL STENTING 2C Existing 114 SG821U URETHRA, STRICTURE, URETHROTOMY 2C Existing 115 SG822U URETHRA, URETHRO-RECTAL FISTULA, CLOSURE 4B Existing URETHRA, VALVES/MEMBRANE, RESECTION 116 SG823U 3B Existing (ENDOSCOPIC) 117 SG824U URETHRA, VALVES/MEMBRANE, RESECTION (OPEN) 4A Existing URETHRA, VARIOUS LESIONS, ANTERIOR 118 SG825U 4B Existing URETHROPLASTY 119 SG826U URETHRA, VARIOUS LESIONS, EXCISION 3B Existing URETHRA, VARIOUS LESIONS, POSTERIOR 120 SG827U 5C Existing URETHROPLASTY URETHRA, VARIOUS LESIONS, STAGED URETHROPLASTY 121 SG828U 3B Existing (EACH STAGE) URETHRA, VARIOUS LESIONS, TRANSPUBIC 122 SG829U 5A Existing URETHROPLASTY 123 SG830U URETHRA, VARIOUS LESIONS, URETHROPEXY 3A Existing 124 SG831U URETHRA, VARIOUS LESIONS, URETHROTOMY 2C Existing 125 SG832U URETER, CALCULUS, URETEROLITHOTOMY (MIS) 4B Existing

SH – MALE GENITAL

S/N Code Description Table Classification GENITAL TRACT, VARIOUS LESIONS, 1 SH700G MSP Existing HYSTEROSALPINGOGRAPHY 2 SH706M MALE GENITALIA, ELECTROEJECULATION 1C Existing MALE GENITALIA, TRANSSEXUALISM (TRANSVESTISM), 3 SH800M 5A Existing SEX REASSIGNMENT (MALE TO FEMALE) MALE GENITALIA, TRANSSEXUALISM (TRANSVESTISM), 4 SH801M SEX REASSIGNMENT WITH MAMMOPLASTY (MALE TO 6B Existing FEMALE) PENIS, GLANULAR HYPOSPADIAS, MEATOPLASTY AND 5 SH700P 2A Existing CIRCUMCISION 6 SH701P PENIS, PARAPHIMOSIS/PHIMOSIS, REDUCTION MSP Existing 7 SH702P PENIS, PEYRONIE'S DISEASE, INCISION AND GRAFTING 3C Existing 8 SH703P PENIS, REMOVAL OF "PENILE" IMPLANT 3B Existing PENIS, TUMOR, AMPUTATION (PARTIAL) + BILATERAL 9 SH704P 5C Existing RADICAL LN DISSECTION PROSTATE GLAND, PROSTATE IMRT (INTENSITY 10 SH705P MODULATED RADIATION THERAPY) GOLD SEEDS 2C Existing INSERTION 11 SH706P PROSTATE GLAND, LASER VAPORISATION OF PROSTATE 4A Existing PENIS, EPISPADIAS, REPAIR INVOLVING BLADDER NECK 12 SH800P 4C Existing CLOSURE PENIS, EPISPADIAS, REPAIR NOT INVOLVING SPHINCTER 13 SH801P 3B Existing (EACH STAGE) 14 SH802P PENIS, HYPOSPADIAS, CORRECTION OF CHORDEE 2C Existing PENIS, HYPOSPADIAS, CORRECTION OF CHORDEE WITH 15 SH803P 3B Existing TRANSPLANTATION OF PREPUCE PENIS, HYPOSPADIAS, MEATOTOMY & 16 SH804P 1B Existing HEMICIRCUMCISION 17 SH805P PENIS, HYPOSPADIAS, SECONDARY CORRECTION 2C Existing 18 SH806P PENIS, HYPOSPADIAS, URETHRAL RECONSTRUCTION 4A Existing PENIS, HYPOSPADIAS, URETHRAL RECONSTRUCTION & 19 SH807P 5C Existing CORRECTION OF CHORDEE PENIS, PARAPHIMOSIS/PHIMOSIS/REDUCTION PREPUCE, 20 SH808P 1B Existing CIRCUMCISION 21 SH809P PENIS, PENILE WARTS, LASER VAPORISATION 1B Existing 22 SH810P PENIS, PEYRONIE'S DISEASE, OPERATION 2C Existing 23 SH811P PENIS, PRIAPISM, DECOMPRESSION (SHUNT OP) 3C Existing 24 SH812P PENIS, PRIAPISM, DECOMPRESSION (SINGLE) 1B Existing PENIS, SEX REASSIGNMENT (FEMALE TO MALE), 25 SH813P 2B Existing IMPLANTATION OF PENILE PROSTHESIS PENIS, TRAUMA (AMPUTATION), MICROVASCULAR 26 SH814P 7C Existing REATTACHMENT 27 SH815P PENIS, TRAUMA, RECONSTRUCTION (1ST STAGE) 6B Existing 28 SH816P PENIS, TRAUMA, RECONSTRUCTION (2ND STAGE) 5A Existing 29 SH817P PENIS, TRAUMA, REPAIR OF AVULSION 4A Existing PENIS, TRAUMA, REPAIR OF LACERATION/FRACTURE 30 SH818P 2C Existing INVOLVING CAVERNOUS TISSUE 31 SH819P PENIS, TUMOUR, AMPUTATION (PARTIAL) 3A Existing 32 SH820P PENIS, TUMOR, AMPUTATION (TOTAL) 4A Existing PENIS, TUMOR, AMPUTATION (TOTAL) WITH BLOCK 33 SH821P 5C Existing DISSECTION 34 SH822P PENIS, VARIOUS LESIONS, ANDROSCOPIC EXAMINATION MSP Existing 35 SH823P PENIS, VARIOUS LESIONS, EXCISION 1B Existing 36 SH824P PENIS, VARIOUS LESIONS, INJECTION MSP Existing

SH – MALE GENITAL

PENIS, VARIOUS LESIONS, INSERTION OF PENILE 37 SH825P 5A Existing PROSTHESIS PROSTATE GLAND, ABSCESS, 38 SH826P 2C Existing RETROPUBIC/ENDOSCOPIC DRAINAGE PROSTATE GLAND, HYPERTROPHY, INSERTION OF 39 SH827P 2C Existing PROSTATIC STENT PROSTATE GLAND, SIMPLE PROSTATECTOMY 40 SH829P 4B Existing (MIS/OPEN) PROSTATE GLAND, VARIOUS LESIONS, RADICAL 41 SH830P 6A Existing PROSTATECTOMY (MIS/OPEN) PROSTATE GLAND, PROSTATE, BENIGN HYPERPLASIA, 42 SH832P 3B Existing MINIMALLY INVASIVE ABLATION PROSTATE GLAND, VARIOUS LESIONS, TRANS-RECTAL 43 SH833P 1A Existing ULTRASOUND (TRUS) PROSTATE GLAND, VARIOUS LESIONS, TRANS-RECTAL 44 SH834P 1B Existing ULTRASOUND (TRUS) GUIDED BIOPSY PROSTATE GLAND, VARIOUS LESIONS, SATURATION 45 SH835P 2A Existing PROSTATE BIOPSY PROSTATE GLAND, VARIOUS LESIONS, TRANSURETHRAL 46 SH836P 4B New RESECTION OF PROSTATE (TURP) (LESS THAN 30 GM) PROSTATE GLAND, VARIOUS LESIONS, TRANSURETHRAL 47 SH837P 5C New RESECTION OF PROSTATE (TURP) (MORE THAN 30 GM) Descriptor 48 SH800S SCROTUM, HYDROCELE, ASPIRATION MSP change SCROTUM, HYDROCELE/VARICOCELE (BILATERAL), Descriptor 49 SH801S 3A EXCISION change SCROTUM, HYDROCELE/VARICOCELE (UNILATERAL), Descriptor 50 SH802S 2B EXCISION change SPERMATIC CORD, SPERMATOCELE/EPIDIDYMAL CYST, 51 SH803S 2A Existing EXCISION SPERMATIC CORD, VARIOUS LESIONS, 52 SH804S 2A Existing EPIDIDYMECTOMY TESTIS, TORSION TESTIS, ORCHIDECTOMY DONE WITH 53 SH700T 2B Existing FIXATION OF CONTRALATERAL TESTIS TESTIS, VARIOUS LESIONS, ORCHIDECTOMY (SIMPLE) 54 SH701T 3C Existing (MIS) 55 SH702T TESTIS, VARIOCOELE, SPERMATIC VEIN EMBOLISATION 4A Existing TESTIS, TUMOR, RETROPERITONEAL LYMPH NODE 56 SH800T 5C Existing DISSECTION FOLLOWING ORCHIDECTOMY TESTIS, UNDESCENDED/ECTOPIC (BILATERAL), 57 SH801T ORCHIDOPEXY/TRANSPLANTATION WITH HERNIA 4A Existing REPAIR TESTIS, UNDESCENDED/ECTOPIC (UNILATERAL), 58 SH802T ORCHIDOPEXY/TRANSPLANTATION WITH HERNIA 3B Existing REPAIR TESTIS, UNDESCENDED/ECTOPIC, ORCHIDOPEXY WITH 59 SH803T 5C Existing MICROVASCULAR ANASTOMOSIS SCROTUM, EXPLORATION, DETORSION OF TESTIS AND 60 SH804T 2A Existing BILATERAL TESTES FIXATION Descriptor 61 SH805T TESTIS, VARIOUS LESIONS, BIOPSY OR ASPIRATION 1C change 62 SH806T TESTIS, VARIOUS LESIONS, EXPLORATION/REPAIR 1C Existing TESTIS, VARIOUS LESIONS, INSERTION OF TESTICULAR 63 SH807T 3A Existing PROSTHESIS 64 SH808T TESTIS, VARIOUS LESIONS, ORCHIDECTOMY (SIMPLE) 2B Existing

SH – MALE GENITAL

TESTIS, VARIOUS LESIONS, ORCHIDECTOMY WITH 65 SH809T 3A Existing COMPLETE EXCISION OF SPERMATIC CORD 66 SH810T TESTIS, VARIOUS LESIONS, ORCHIDOPLASTY 1C Existing VAS DEFERENS, VARIOUS LESIONS, EXPLORATION 67 SH800V 5C Existing (MICROSURGICAL) AND TESTICULAR BIOPSY VAS DEFERENS, VARIOUS LESIONS, REANASTOMOSIS 68 SH801V 4C Existing (MICROSURGICAL) VAS DEFERENS, VARIOUS LESIONS, VARICOCELECTOMY 69 SH802V 3C Existing (MICROSURGICAL) 70 SH803V VAS DEFERENS, VARIOUS LESIONS, VASECTOMY 1C Existing VAS DEFERENS, VARIOUS LESIONS, 71 SH804V 1B Existing VASOEPIDIDYMOGRAPHY & VASOVESICULOGRAPHY VAS DEFERENS, VARIOUS LESIONS, 72 SH805V 5C Existing VASOEPIDIDYMOSTOMY (MICROSURGICAL)

SI – FEMALE GENITAL

S/N Code Description Table Classification CERVIX, CANCER, RADICAL TRACHELECTOMY 1 SI700C 5B Existing WITH/WITHOUT LYMPHADENECTOMY CERVIX, CERVICAL INCOMPETENCE, REMOVAL OF 2 SI701C 1C Existing SUTURE CERVIX, TRANSCERVICAL RESECTION (TCR) MYOMA 3 SI702C 3A Existing (<3CM), HYSTEROSCOPIC CERVIX, TRANSCERVICAL RESECTION (TCR) MYOMA 4 SI703C 3B Existing (>3CM), HYSTEREOSCOPIC CERVIX, TRANSCERVICAL RESECTION (TCR) POLYP 5 SI704C 2B Existing (<2CM), HYSTEROSCOPIC CERVIX, TRANSCERVICAL RESECTION (TCR) POLYP 6 SI705C 2C Existing (>2CM), HYSTEROSCOPIC CERVIX, TRANSCERVICAL RESECTION (TCR) SEPTUM, 7 SI706C 3A Existing HYSTEROSCOPIC CERVIX, VARIOUS LESIONS, COLPOSCOPY, ABLATIONAL AND/OR EXCISIONAL TREATMENT (E.G. LASER Descriptor 8 SI707C VAPOURISATION/LOOP ELECTROSURGICAL EXCISION 2A change PROCEDURE/LASER EXCISION OF TRANSFORMATION ZONE WITH BIOPSY) 9 SI800C CERVIX, TEAR, SIMPLE REPAIR WITHOUT ANESTHESIA MSP Existing 10 SI801C CERVIX, POLYP, EXCISION (OUTPATIENT) MSP Existing 11 SI802C CERVIX, CERVICAL INCOMPETENCE, CERCLAGE 2B Existing CERVIX, CERVICAL INTRAEPITHELIAL NEOPLASIA, CONE 12 SI803C 3A Existing BIOPSY WITH/WITHOUT LASER CERVIX, ECTROPION, AMPUTATION/REPAIR OF CERVIX 13 SI804C 3B Existing (TRACHELORRHAPHY) CERVIX, POLYP, EXCISION/EROSION (COMPLICATED) 14 SI805C 2B Existing INCLUDES D&C WITH BIOPSY CERVIX, POLYP, EXCISION/EROSION (SIMPLE) WITH 15 SI806C 1B Existing BIOPSY CERVIX, POLYP/EROSION, LASER THERAPY WITHOUT 16 SI807C 1B Existing COLPOSCOPY 17 SI808C CERVIX, STENOSIS, DILATATION 1B Existing 18 SI809C CERVIX, TEAR, REPAIR UNDER ANESTHESIA 1C Existing 19 SI810C CERVIX, VARIOUS LESIONS, COLPOSCOPY AND BIOPSY 1C Existing 20 SI811C CERVIX, VARIOUS LESIONS, COLPOSCOPY MSP Existing 21 SI812C CERVIX, VARIOUS LESIONS, CRYOSURGERY MSP Existing 22 SI813C CERVIX, VARIOUS LESIONS, PUNCH BIOPSY 1A Existing 23 SI814C CLITORIS, CLITOROMEGALY, AMPUTATION 2C Existing FALLOPIAN TUBE, BLOCKED TUBE, FLUOROSCOPIC 24 SI700F TRANSCERVICAL FALLOPIAN TUBAL RECANALISATION 2C Existing (FTR) FALLOPIAN TUBE, BLOCKED TUBES, TUBAL 25 SI701F 5C Existing REANASTOMOSIS, MIS 26 SI702F FALLOPIAN TUBE, FALLOPOSCOPY 2B Existing 27 SI703F FALLOPIAN TUBE, STERILIZATION, HYSTEROSCOPIC 2B Existing 28 SI704F FALLOPIAN TUBE, STERILIZATION, MIS 2B Existing FALLOPIAN TUBE, TUBAL PATHOLOGY, SALPINGECTOMY, 29 SI705F 3C Existing MIS FALLOPIAN TUBE/UTERUS/OVARY, LAPAROSCOPY, 30 SI706F 3B Existing DIAGNOSTIC, WITH HYDROTUBATION FALLOPIAN TUBE/UTERUS/OVARY, LAPAROSCOPY, Descriptor 31 SI707F 4B THERAPEUTIC change

SI – FEMALE GENITAL

FALLOPIAN TUBE, BLOCKED TUBES, TUBOPLASTY, 32 SI800F 3B Existing RECANALISATION, HYSTEROSCOPIC FALLOPIAN TUBE, BLOCKED TUBES, CORNUAL 33 SI801F 5C Existing REANASTOMOSIS (MICROSURGERY/MIS) FALLOPIAN TUBE, BLOCKED TUBES, PLASTIC REPAIR 34 SI802F 5C Existing (MICROSURGERY/MIS) FALLOPIAN TUBE, BLOCKED TUBES, PLASTIC REPAIR / 35 SI803F 4C Existing SALPINGOSTOMY (MACROSURGERY) FALLOPIAN TUBE, COMPLETED FAMILY, 36 SI804F 2B Existing DIVISION/LIGATION 37 SI805F FALLOPIAN TUBE, REMOVAL OF ECTOPIC GESTATION 3B Existing FALLOPIAN TUBE, PERITUBAL ADHESIONS, 38 SI806F 5C Existing SALPINGOLYSIS (MICROSURGERY/MIS) FALLOPIAN TUBE, PERITUBAL ADHESIONS, 39 SI807F 4A Existing SALPINGOLYSIS (MACROSURGERY) FALLOPIAN TUBE, TUBAL PATHOLOGY OTHER THAN 40 SI808F 4A Existing ECTOPIC, SALPINGECTOMY/ SALPINGOSTOMY FALLOPIAN TUBE, TUBO-OVARIAN ABSCESS, 41 SI809F 3B Existing DRAINAGE(TRANSABDOMINAL) FEMALE GENITALIA, TRANSSEXUALISM (TRANSVESTISM), 42 SI810F 5A Existing SEX REASSIGNMENT (FEMALE TO MALE) FEMALE GENITALIA, TRANSSEXUALISM (TRANSVESTISM), 43 SI811F SEX REASSIGNMENT WITH MASTECTOMY (FEMALE TO 6B Existing MALE) GENITAL TRACT, CANCER, STAGING UNDER GENERAL 44 SI800G ANESTHESIA (INCLUDES CYSTOSCOPY/DILATATION & 1C Existing CURETTAGE/BIOPSY) GENITAL TRACT, PELVIC CYST, ULTRASOUND GUIDED 45 SI801G 2C Existing PROCEDURE-ASPIRATION LAPAROSCOPY, THERAPEUTIC, EXCEPT FOR RETRIEVAL 46 SI700L AND PLACEMENT OF GAMETES AND PLACEMENT OF 3C Existing EMBRYOS LAPAROTOMY DEBULKING (ADVANCED DISEASE, 47 SI701L 6A Existing PRIMARY/RECURRENT) OVARY, MALIGNANT TUMOR/CYST, STAGING 48 SI702O 3C Existing LAPAROTOMY, AS THE ONLY PROCEDURE OVARIAN VEINS, PELVIC CONGESTION SYNDROME, 49 SI703O 3B Existing OVARIAN VEIN EMBOLISATION OVARY, MALIGNANT TUMOR/CYST, TOTAL HYSTERECTOMY BILATERAL SALPINGO-OOPHORECTOMY 50 SI800O 5C Existing WITH OMENTECTOMY, SURGICAL STAGING WITH/WITHOUT LYMPHADENECTOMY OVARY, TUMOR/CYST, ASPIRATION EXCEPT FOR OVUM 51 SI801O 3B Existing RETRIEVAL OVARY, TUMOR/CYST, CYSTECTOMY (COMPLICATED, Descriptor 52 SI802O 4A >5CM) change Descriptor 53 SI803O OVARY, TUMOR/CYST, CYSTECTOMY (SIMPLE, <5CM) 3B change OVARY, TUMOR/CYST, OOPHORECTOMY/SALPINGO- 54 SI805O 3B Existing OOPHORECTOMY (SIMPLE) OVARY, TUMOR/CYST, OOPHORECTOMY/SALPINGO- 55 SI806O 4A Existing OOPHORECTOMY (COMPLICATED) 56 SI807O OVARY, VARIOUS LESIONS, BIOPSY 3A Existing 57 SI808O OVARY, VARIOUS LESIONS, OVARIOPEXY 3B Existing

SI – FEMALE GENITAL

OVARY, VARIOUS LESIONS, OVARIOPLASTY, 58 SI809O LAPAROTOMY/MIS (USING MICROSURGICAL 6B Existing TECHNIQUES) 59 SI810O OVARY, VARIOUS LESIONS, WEDGE RESECTION 3B Existing 60 SI700P PELVIC FLOOR RECONSTRUCTION, MIS 4C Existing 61 SI701P PELVIS, ARTERY/VEIN, LIGATION / OCCLUSION 3C Existing PELVIS, FROZEN/DENSE PELVIC ADHESIONS, 62 SI702P CONSERVATIVE RECONSTRUCTION OF OVARIES, TUBES, 5A Existing UTERUS, PELVIC FLOOR 63 SI703P PELVIS, MALIGNANT, SECOND LOOK LAPAROTOMY 4A Existing UTERUS/CERVIX, HYSTEROSCOPY, DIAGNOSTIC (WITH 64 SI700U 1C Existing GENERAL ANESTHESIA) UTERUS/CERVIX, HYSTEROSCOPY, DIAGNOSTIC 65 SI701U 1A Existing (WITHOUT ANAESTHESIA) UTERUS, BENIGN CONDITIONS, TOTAL ABDOMINAL HYSTERECTOMY WITH/WITHOUT SALPINGO- 66 SI702U 4C Existing OOPHORECTOMY AND PELVIC FLOOR REPAIR (COMBINED OPERATION) 67 SI703U UTERUS, FETAL SURGERY 3B Existing 68 SI704U UTERUS, FOETOSCOPY 4A Existing UTERUS, ELONGATED CERVIX, CYSTOCOELE, 69 SI705U RECTOCOELE, AMPUTATION OF CERVIX + ANTERIOR 4B Existing REPAIR + POSTERIOR REPAIR 70 SI706U UTERUS, ENDOMETRIAL ABLATION (BALLOON) 2B Existing 71 SI707U UTERUS, ENDOMETRIAL ABLATION (HYSTEROSCOPIC) 2C Existing Descriptor 72 SI709U UTERUS, FIBROIDS, MYOMECTOMY (SIMPLE, <5CM)5 3C change 73 SI710U UTERUS, FIBROIDS, UTERINE ARTERY EMBOLIZATION 3C Existing SI712U UTERUS, SUB-TOTAL/TOTAL HYSTERECTOMY (≥12 5A Descriptor 74 WEEKS), WITH/WITHOUT SALPINGO-OOPHORECTOMY change UTERUS, SUB-TOTAL/TOTAL HYSTERECTOMY (<12 Descriptor 75 SI713U 4B WEEKS), WITH/WITHOUT SALPINGO-OOPHORECTOMY change 76 SI714U UTERUS, INTRAUTERINE INSEMINATION MSP Existing UTERUS, MIS ABLATION OF ENDOMETRIOSIS (SIMPLE) (AS 77 SI715U 3C Existing SINGLE PROCEDURE, NOT INVOLVING RECTUM, URETER) UTERUS, LYSIS OF ASHERMAN'S (COMPLICATED), 78 SI716U 3A Existing HYSTEROSCOPIC UTERUS, LYSIS OF ASHERMAN'S (SIMPLE), 79 SI717U 2C Existing HYSTEROSCOPIC UTERUS/VAGINA, MIS ASSISTED VAGINAL 80 SI718U HYSTERECTOMY (LAVH) WITH/WITHOUT PELVIC FLOOR 4B Existing REPAIR (PFR) UTERUS, PROLAPSE, CYSTOCOELE, RECTOCOELE, AMPUTATION OF CERVIX + VAGINAL SACROSPINOUS 81 SI719U 4B Existing LIGAMENT HYSTEROPEXY + ANTEIOR REPAIR + POSTERIOR REPAIR UTERUS, PROLAPSE, CYSTOCOELE, RECTOCOELE, 82 SI720U TRANSOBTURATOR MESH + TRANSSACROSPINOUS 4B Existing LIGAMENT MESH UTERUS, PROLAPSE, CYSTOCOELE, RECTOCOELE, 83 SI721U 4B Existing VAGINAL HYSTERECTOMY + ANTERIOR REPAIR +

5 This code should not be used for HIFU (High Intensity Focused Ultrasound) treatment of uterine fibroids.

SI – FEMALE GENITAL

BILATERAL SALPINGO-OOPHORECTOMY ± POSTERIOR REPAIR UTERUS, PROLAPSE, CYSTOCOELE, RECTOCOELE, 84 SI722U VAGINAL SACROSPINOUS LIGAMENT HYSTEROPEXY + 4B Existing ANTERIOR REPAIR + POSTERIOR REPAIR UTERUS, PROLAPSE, VAGINAL HYSTERECTOMY + 85 SI723U 4B Existing BILATERAL SALPINGO-OOPHORECTOMY 86 SI724U UTERUS/CERVIX, HYSTEROSCOPIC CANNULATION 2B Existing 87 SI725U UTERUS/CERVIX, HYSTEROSCOPY, DIAGNOSTIC, D&C 2B Existing UTERUS/VAGINA, MIS RECONSTRUCTION OF FROZEN 88 SI726U PELVIS/LATERAL PELVIC WALL DISSECTION; 5C Existing EXTIRPATION OF RECTOVAGINAL ENDOMETRIOSIS URETHRA, CARUNCLE/POLYP, EXCISION/LASER 89 SI800U 1C Existing VAPORISATION 90 SI801U URETHRA, STENOSIS, DILATATION 1A Existing 91 SI804U UTERUS, BROAD LIGAMENT TUMOR, HYSTERECTOMY 5C Existing 92 SI805U UTERUS, HYSTERECTOMY, FROZEN PELVIS 5C Existing UTERUS, CONGENITAL ORGAN ABNORMALITY, PLASTIC 93 SI806U 6A Existing REPAIR INCLUDING METROPLASTY UTERUS, CONTRACEPTION, INTRAUTERINE 94 SI807U MSP Existing CONTRACEPTIVE DEVICE INSERTION UTERUS, DELAYED MENSTRUATION, MENSTRUAL 95 SI808U MSP Existing REGULATION UTERUS, DISPLACED INTRAUTERINE CONTRACEPTIVE 96 SI809U 2A Existing DEVICE, REMOVAL UNDER GENERAL ANESTHESIA UTERUS, DISPLACED INTRAUTERINE CONTRACEPTIVE 97 SI810U MSP Existing DEVICE, REMOVAL WITHOUT GENERAL ANAESTHESIA UTERUS, ENDOMETRIAL, BIOPSY WITHOUT GENERAL 98 SI811U MSP Existing ANAESTHESIA UTERUS, ENDOMETRIOSIS, HYSTERECTOMY 99 SI812U 5C Existing WITH/WITHOUT SALPINGO-OOPHORECTOMY UTERUS, FETAL DISORDER, ULTRASOUND GUIDED FETAL 100 SI813U 2C Existing BLOOD SAMPLING/CORDOCENTESIS UTERUS, FETAL DISORDER, ULTRASOUND GUIDED FETAL 101 SI814U 4A Existing THERAPY UTERUS, FIBROIDS, MYOMECTOMY (COMPLICATED E.G. Descriptor 102 SI815U 5A >5CM, MULTIPLE >2, CHALLENGING LOCATION)6 change UTERUS, GENETIC ABNORMALITY, ULTRASOUND GUIDED 103 SI817U 1C Existing CHORIONIC BIOPSY UTERUS, GENETIC ABNORMALITY/FETAL MATURITY, 104 SI818U 1C Existing WITH/WITHOUT ULTRASOUND GUIDED AMNIOCENTESIS 105 SI819U UTERUS, GRAVID, EVACUATION (COMPLICATED) 2B Existing 106 SI820U UTERUS, GRAVID, EVACUATION (SIMPLE) 2A Existing 107 SI821U UTERUS, GRAVID, HYSTERECTOMY 4A Existing 108 SI822U UTERUS, GRAVID, HYSTEROTOMY 4A Existing 109 SI823U UTERUS, INVERSION, REPOSITIONING 3C Existing UTERUS, MALIGNANT CONDITION, ANTERIOR PELVIC 110 SI824U 6B Existing EXENTERATION UTERUS, MALIGNANT CONDITION, RADICAL Descriptor 111 SI825U 5C HYSTERECTOMY WITH/WITHOUT LYMPHADENECTOMY change UTERUS, MALIGNANT CONDITION, POSTERIOR PELVIC 112 SI826U 6B Existing EXENTERATION

6 This code should not be used for HIFU (High Intensity Focused Ultrasound) treatment of uterine fibroids.

SI – FEMALE GENITAL

UTERUS, MALIGNANT CONDITION, TOTAL HYSTERECTOMY WITH/WITHOUT SALPINGO- Descriptor 113 SI827U 5A OOPHORECTOMY, WITH/WITHOUT LYMPH NODE change DISSECTION, MIS/OPEN UTERUS, MALIGNANT CONDITIONS, TOTAL PELVIC 114 SI829U 7C Existing EXENTERATION UTERUS, MALIGNANT CONDITIONS, WERTHEIM'S 115 SI830U 6B Existing OPERATION INCLUDING PELVIC LYMPHADENECTOMY 116 SI831U UTERUS, PERFORATION, REPAIR 3C Existing UTERUS, PREGNANCY AND MULTIPARITY, Descriptor 117 SI832U UNCOMPLICATED CAESAREAN SECTION AND TUBAL 4B change LIGATION UTERUS, PREGNANCY, COMPLICATED VAGINAL Descriptor 118 SI833U DELIVERY (E.G. TWINS, BREECH, INSTRUMENTAL 3A change DELIVERY) UTERUS, PREGNANCY, UNCOMPLICATED CAESAREAN Descriptor 119 SI834U 4A SECTION change UTERUS, PREGNANCY, CAESAREAN SECTION WITH 120 SI835U 5C Existing HYSTERECTOMY UTERUS, PREGNANCY, VAGINAL DELIVERY (WITH OR 121 SI836U 2B Existing WITHOUT EPISIOTOMY REPAIR) 122 SI837U UTERUS, PROLAPSE, VAGINAL HYSTERECTOMY 4A Existing UTERUS, RETAINED PLACENTA, MANUAL REMOVAL IN 123 SI838U 1B Existing OT/GA 124 SI839U UTERUS, RETROVERSION, VENTROSUSPENSION 3A Existing 125 SI840U UTERUS, RUPTURED, REPAIR (COMPLICATED) 4A Existing 126 SI841U UTERUS, RUPTURED, REPAIR (SIMPLE) 3B Existing UTERUS, VARIOUS LESIONS, CURETTAGE WITH 127 SI842U COLPOSCOPY/BIOPSY/DIATHERMY/ 2C Existing CRYOSURGERY/LASER THERAPY OF CERVIX UTERUS, VARIOUS LESIONS, CURETTAGE WITH/WITHOUT 128 SI843U 2A Existing DILATATION UTERUS, PREGNANCY, COMPLICATED CAESAREAN 129 SI844U SECTION (SEE FOOTNOTE FOR DEFINITION OF 4B New 'COMPLICATED'7) UTERUS, PREGNANCY AND MULTIPARITY, COMPLICATED 130 SI845U CAESAREAN SECTION AND TUBAL LIGATION (SEE 4C New FOOTNOTE FOR DEFINITION OF 'COMPLICATED') VAGINA, CYSTOCOELE, PARAVAGINAL DEFECT REPAIR 131 SI700V 4A Existing (ABDOMINAL) / BURCH COLPOSUSPENSION VAGINA, CYSTOCOELE, RECTOCOELE, ANTERIOR 132 SI701V 3B Existing REPAIR/KELLY'S OPERATION + POSTERIOR REPAIR 133 SI702V VAGINA, CYSTOCOELE, TRANSOBTURATOR MESH 3B Existing VAGINA, ENTEROCOELE, CYSTOCOELE, RECTOCOELE, 134 SI703V 5A Existing ABDOMINAL SACROCOLPOPEXY + PARAVAGINAL DEFECT

7 ‘Complicated’ refers to the following list of conditions: 1. Abnormally invasive placenta 8. Preterm Caesarean section <34 weeks 2. Massive PPH >1.5 L 9. Abruptio placenta 3. Transverse lie 10. All crash Caesarean section 4. Second stage Caesarean section 11. Two or more previous Caesarean section 5. Multiple gestation 12. Previous myomectomy with adhesions 6. Placenta praevia 13. Fibroids in the lower segment limiting access to the lower 7. Caesarean section in women with BMI>30 segment 14. Abnormal uterus e.g. Didelphys

SI – FEMALE GENITAL

REPAIR/BURCH COLPOSUSPENSION + POSTERIOR REPAIR VAGINA, ENTEROCOELE, CYSTOCOELE, RECTOCOELE, 135 SI704V VAGINAL SACROSPINOUS LIGAMENT/ILIOCOCCYGEUS 4A Existing FIXATION + ANTERIOR REPAIR + POSTERIOR REPAIR VAGINA, INTRA-EPITHELIAL NEOPLASIA 136 SI705V 4B Existing COMPLETE/UPPER VAGINECTOMY VAGINA, INTRA-EPITHELIAL NEOPLASIA VAGINECTOMY 137 SI706V 3C Existing (PARTIAL) VAGINA, STRESS INCONTINENCE, CYSTOCOELE, RECTOCOELE, MID-URETHRAL TAPE/SLING (± 138 SI707V 4B Existing CYSTOSCOPY) + ANTERIOR REPAIR + POSTERIOR REPAIR 139 SI710V VAGINA, TENSION FREE VAGINAL TAPE (TVT/TVTO) 4A Existing VAGINA/RECTUM, RECTO VAGINAL FISTULA, COMPLEX 140 SI711V 5B Existing RECTAL/TRANSPERINEAL APPROACH WITH COLOSTOMY VAGINA/RECTUM, RECTO VAGINAL FISTULA, COMPLEX 141 SI712V RECTAL/TRANSPERINEAL APPROACH WITHOUT 4C Existing COLOSTOMY VAGINAL HYSTERECTOMY + ANTERIOR REPAIR +/- 142 SI713V 4A Existing POSTERIOR REPAIR 143 SI714V VAGINAL SEPTUM, EXCISION 2A Existing 144 SI715V VULVA, LABIAL ABNORMALITY, HYMENOPLASTY 1B Existing VULVA, MALIGNANT CONDITION WIDE LOCAL EXCISION 145 SI716V 4B Existing WITH SKIN FLAP CLOSURE VULVA, MALIGNANT CONDITION, RADICAL VULVECTOMY + 146 SI717V 6C Existing GROIN + PELVIC NODE DISSECTION VULVA, MALIGNANT CONDITION, SIMPLE VULVECTOMY + 147 SI718V 5C Existing GROIN DISSECTION 148 SI719V VULVA, MALIGNANT CONDITION, WIDE LOCAL EXCISION 3C Existing VULVA/VAGINA, VARIOUS LESIONS, COLPOSCOPY AND 149 SI720V 1B Existing LASER VAPORISATION 150 SI800V VAGINA, ATRESIA, VAGINOPLASTY 4B Existing 151 SI801V VAGINA, ATRESIA/STENOSIS, DILATATION 1B Existing VAGINA, CYSTOCOELE, ANTERIOR REPAIR/KELLY'S 152 SI802V 3B Existing OPERATION VAGINA, ENTEROCOELE, REPAIR/VAGINAL VAULT 153 SI803V 5A Existing SUSPENSION (ABDOMINAL) 154 SI804V VAGINA, FISTULA, REPAIR (COMPLICATED/MULTIPLE) 5A Existing 155 SI805V VAGINA, FISTULA, REPAIR (SIMPLE) 4A Existing 156 SI806V VAGINA, FOREIGN BODY, REMOVAL 1A Existing 157 SI807V VAGINA, INCARCERATED PESSARY, REMOVAL 2B Existing VAGINA, LACERATIONS (COMPLEX AND INVOLVING ANAL 158 SI808V SPHINCTER) AND DEBRIDEMENT/SUTURE UNDER 2C Existing GENERAL ANAESTHESIA VAGINA, LACERATIONS (SIMPLE), DEBRIDEMENT/SUTURE 159 SI809V 1C Existing (EXCLUDES EPISIOTOMY) 160 SI810V VAGINA, MALIGNANT CONDITION, VAGINECTOMY 4B Existing 161 SI811V VAGINA, PELVIC ABSCESS, COLPOTOMY AND DRAINAGE 2C Existing 162 SI812V VAGINA, PROLAPSE, COLPORRHAPHY 4A Existing 163 SI813V VAGINA, PROLAPSE, INSERTION OF PESSARY MSP Existing 164 SI814V VAGINA, PROLAPSE, OBLITERATION (COLPOCLEISIS) 3B Existing 165 SI815V VAGINA, RECTOCOELE, POSTERIOR REPAIR 2C Existing VAGINA, SIMPLE TUMOR/GARTNER'S CYST, REMOVAL 166 SI816V 2B Existing WITH BIOPSY

SI – FEMALE GENITAL

VAGINA, STRESS INCONTINENCE, KELLY'S OPERATION +/- 167 SI817V 3C Existing ANTERIOR REPAIR. VAGINA, STRESS INCONTINENCE, ABDOMINAL /COMBINED ABDOMINOVAGINAL SLING OPERATIONS ( EG. 168 SI818V 4B Existing WATKINS INTERPOSITION, ALDRIDGE SLING AND OTHER PUBOVAGINAL SLING OPERATIONS) +/- CYSTOSCOPY 169 SI819V VAGINA, VARIOUS LESIONS, BIOPSY 1A Existing 170 SI820V VULVA, ABSCESS, INCISION 1B Existing VULVA, ATRESIA/ABSENCE, DETACHMENT OF SKIN 171 SI821V 2B Existing PEDICLE AFTER VAGINOPLASTY VULVA, BARTHOLIN CYST, EXCISION WITH/WITHOUT USE 172 SI822V 2B Existing OF LASER VULVA, BARTHOLIN CYST, INCISION/MARSUPIALIZATION 173 SI823V 1B Existing WITH OR WITHOUT USE OF LASER 174 SI824V VULVA, CHRONIC DYSTROPHY, BIOPSY MSP Existing VULVA, HEMATOMA, EVACUATION > 5CM 175 SI825V 2A Existing (COMPLICATED/MORE THAN 1) 176 SI826V VULVA, HEMATOMA, EVACUATION <5CM (SIMPLE) 1A Existing 177 SI827V VULVA, IMPERFORATE HYMEN, HYMENECTOMY 1B Existing 178 SI828V VULVA, LABIAL ABNORMALITY, LABIOPLASTY 1B Existing VULVA, LACERATION, DEBRIDEMENT/SUTURE >5CM 179 SI829V 1C Existing (COMPLICATED/ MORE THAN 1) VULVA, LACERATION, DEBRIDEMENT/SUTURE <5CM 180 SI830V MSP Existing (SIMPLE) VULVA, MALIGNANT CONDITION, RADICAL VULVECTOMY 181 SI831V WITH GROIN DISSECTION AND WITH OR WITHOUT SKIN 6B Existing FLAP CLOSURE VULVA, MALIGNANT CONDITION, SIMPLE VULVECTOMY 182 SI832V 5A Existing WITH SKIN FLAP CLOSURE VULVA, SEBACEOUS CYST/EPITHELIALCYST ETC, 183 SI833V MSP Existing EXICISION 184 SI834V VULVA, TIGHT INTROITUS, FENTON'S OPERATION 1C Existing 185 SI835V VULVA, WARTS, LASER VAPORISATION 1B Existing 186 SP819U UTERUS, GRAVID, EVACUATION (COMPLICATED) 2B Existing 187 SP820U UTERUS, GRAVID, EVACUATION (SIMPLE) 2A Existing UTERUS, PREGNANCY AND MULTIPARITY, Descriptor 188 SP832U UNCOMPLICATED CAESAREAN SECTION AND TUBAL 4B change LIGATION UTERUS, PREGNANCY, COMPLICATED VAGINAL Descriptor 189 SP833U DELIVERY (E.G. TWINS, BREECH, INSTRUMENTAL 3A change DELIVERY) UTERUS, PREGNANCY, UNCOMPLICATED CAESAREAN Descriptor 190 SP834U 4A SECTION change UTERUS, PREGNANCY, CAESAREAN SECTION WITH 191 SP835U 5C Existing HYSTERECTOMY SP836U UTERUS, PREGNANCY, VAGINAL DELIVERY (WITH OR 2B Existing WITHOUT EPISIOTOMY REPAIR)

192

SI – FEMALE GENITAL

UTERUS, PREGNANCY, COMPLICATED CAESAREAN 193 SP844U SECTION (SEE FOOTNOTE FOR DEFINITION OF 4B New 'COMPLICATED'8) UTERUS, PREGNANCY AND MULTIPARITY, COMPLICATED 194 SP845U CAESAREAN SECTION AND TUBAL LIGATION (SEE 4C New FOOTNOTE FOR DEFINITION OF 'COMPLICATED')

8 ‘complicated’ refers to the following list of conditions: 1. Abnormally invasive placenta 8. Preterm Caesarean section <34 weeks 2. Massive PPH >1.5 L 9. Abruptio placenta 3. Transverse lie 10. All crash Caesarean section 4. Second stage Caesarean section 11. Two or more previous Caesarean section 5. Multiple gestation 12. Previous myomectomy with adhesions 6. Placenta praevia 13. Fibroids in the lower segment limiting access to the lower 7. Caesarean section in women with BMI>30 segment 14. Abnormal uterus e.g. Didelphys

SJ – ENDOCRINE

1 SJ700A ADRENAL, VARIOUS LESIONS, ADRENAL VENOUS SAMPLING 3B Existing ADRENALS, VARIOUS LESIONS, BIOPSY/EXCISION (OPEN OR 2 SJ800A 6B Existing LAP) PITUITARY, VARIOUS LESIONS, Descriptor 3 SJ701P TRANSPHENOIDAL/TRANSEPTAL EXCISION WITH/WITHOUT 6B change GRAFTING (OPEN/MIS) 4 SJ800P PARATHYROID, VARIOUS LESIONS, EXCISION 5C Existing 5 SJ801P PARATHYROID, VARIOUS LESIONS, RE EXPLORATION 6B Existing 6 SJ700T THYROID, VARIOUS LESIONS, NEEDLE BIOPSY MSP Existing THYROID, VARIOUS LESIONS, IMAGING GUIDED 7 SJ701T 1B Existing PERCUTANEOUS ASPIRATION/BIOPSY THYROID, VARIOUS LESIONS, TOTAL THYROIDECTOMY, 8 SJ702T 6A Existing COMPLEX (RECURRENCE), WITH/WITHOUT STERNAL SPLIT THYROID, VARIOUS LESIONS, TOTAL/SUBTOTAL Descriptor 9 SJ703T 6C THYROIDECTOMY WITH NECK DISSECTION (BILATERAL) change 10 SJ800T THYROGLOSSAL DUCT, CYST FISTULA, EXCISION 3B Existing 11 SJ801T THYROID, TUMOR, EXCISION 3B Existing THYROID, VARIOUS LESIONS, HEMITHYROIDECTOMY/PARTIAL 12 SJ802T 4A Existing THYROIDECTOMY THYROID, VARIOUS LESIONS, TOTAL/SUBTOTAL 13 SJ803T 5C Existing THYROIDECTOMY THYROID, VARIOUS LESIONS, TOTAL/SUBTOTAL Descriptor 14 SJ804T 6A THYROIDECTOMY WITH NECK DISSECTION (UNILATERAL) change

SK – NERVOUS

S/N Code Description Table Classification ARTERY, CAROTICO-CAVERNOUS FISTULA, 1 SK700A 6B Existing EMBOLISATION ARTERY, EXTRACRANIAL, VARIOUS LESIONS, BALLOON 2 SK701A 3B Existing TEST OCCLUSION ARTERY, EXTRACRANIAL, VARIOUS LESIONS, 3 SK702A 3A Existing DIAGNOSTIC EXTRACRANIAL ANGIOGRAPHY 4 SK703A ARTERY, EXTRACRANIAL, VARIOUS LESIONS, INFUSION 3C Existing ARTERY, EXTRACRANIAL, VARIOUS LESIONS, 5 SK704A 4B Existing PERCUTANEOUS TRANSCATHETER EMBOLIZATION ARTERY, EXTRACRANIAL, VARIOUS LESIONS, 6 SK705A 4A Existing PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY 7 SK706A ARTERY, EXTRACRANIAL, VARIOUS LESIONS, STENTING 4B Existing ARTERY, INTRACRANIAL, ANEURYSM/ARTERIO-VENOUS 8 SK707A 6B Existing MALFORMATION, EMBOLISATION ARTERY, INTRACRANIAL, THROMBOSIS, PERCUTANEOUS 9 SK708A 6B Existing CATHETER DIRECTED THROMBOLYSIS/THROMBECTOMY ARTERY, INTRACRANIAL, TUMOUR, PERCUTANEOUS 10 SK709A 4B Existing TRANSCATHETER EMBOLIZATION ARTERY, INTRACRANIAL, VARIOUS LESIONS, DIAGNOSTIC 11 SK710A 3A Existing CEREBRAL ANGIOGRAPHY ARTERY, INTRACRANIAL, VARIOUS LESIONS, 12 SK711A 6A Existing PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY 13 SK712A ARTERY, INTRACRANIAL, VARIOUS LESIONS, STENTING 6B Existing ARTERY, SPINAL, ANEURYSM/ARTERIO-VENOUS 14 SK713A 6B Existing MALFORMATION, EMBOLISATION ARTERY, SPINAL, TUMOUR, PERCUTANEOUS 15 SK714A 4B Existing TRANSCATHETER EMBOLIZATION ARTERY, SPINAL, VARIOUS LESIONS, DIAGNOSTIC 16 SK715A 3B Existing ANGIOGRAPHY 17 SK716A ARTERY-CAROTID, ANEURYSM-REPAIR/GRAFTING 7B Existing ARTERY-CAROTID, ARTERIO-OCCLUSIVE LESIONS, 18 SK717A EXTERNAL CAROTID INTERNAL CAROTID BYPASS, 7A Existing COMPLEX 19 SK800A ARTERY, ARTERIO-VENOUS FISTULA, LIGATION 2A Existing ARTERY-CAROTID, ARTERIO-OCCLUSIVE LESIONS, 20 SK801A EXTERNAL CAROTID INTERNAL CAROTID BYPASS, 6B Existing SIMPLE ARTERY-CAROTID, ATHEROSCLEROSIS, CAROTID 21 SK802A 6B Existing ENDARTERECTOMY 22 SK803A ARTERY-CAROTID, CAROTID BODY TUMOR, EXCISION 6C Existing BRAIN, ACOUSTIC TUMOR/CEREBELLO-PONTINE ANGLE 23 SK700B 7C Existing TUMOR, EXCISION, COMPLEX BRAIN, ANEURYSM/ARTERIO-VENOUS MALFORMATION, 24 SK701B 7A Existing CLIPPING/EXCISION, COMPLEX BRAIN, CORTICAL STIMULATION/MAPPING FOR 25 SK702B 7A Existing FUNCTIONAL NEUROSURGERY 26 SK703B BRAIN, DEEP BRAIN STIMULATION, BILATERAL 7C Existing 27 SK704B BRAIN, DEEP BRAIN STIMULATION, UNILATERAL 7A Existing BRAIN, EPILEPSY, CRANIOTOMY, COMPLEX (AWAKE 28 SK705B 7A Existing CRANIOTOMY) BRAIN, HYDROCEPHALUS AND OTHER LESIONS, 29 SK706B VENTRICULOATRIAL/VENTRICULOPERITONEAL SHUNT, 4C Existing BILATERAL

SK – NERVOUS

BRAIN, HYDROCEPHALUS, EXTERNAL VENTRICULAR 30 SK707B 4A Existing DRAINAGE, BILATERAL BRAIN, INTRACEREBRAL TUMOR, BIOPSY AND/OR 31 SK708B 7A Existing DECOMPRESSION/REMOVAL VIA CRANIOTOMY, COMPLEX BRAIN, INTRACRANIAL EXTRACEREBRAL TUMOR, 32 SK709B 7A Existing CRANIOTOMY & REMOVAL, COMPLEX BRAIN, INTRACRANIAL EXTRACEREBRAL TUMOR, 33 SK710B 6B Existing CRANIOTOMY/HEMISPHERECTOMY BRAIN, VARIOUS LESIONS, 34 SK711B PALLIDOTOMY/THALAMOTOMY/OTHER STEREOTACTIC 6A Existing PROCEDURE - BILATERAL BRAIN/SPINE ENDOSCOPIC CSF (CEREBROSPINAL FLUID 35 SK712B 6B Existing LEAK) LEAK REPAIR 36 SK800B BRAIN AND SPINE, ARACHNOIDAL CYST, OPERATION 6B Existing BRAIN, ACOUSTIC TUMOR/CEREBELLO-PONTINE ANGLE 37 SK801B 7A Existing TUMOR, EXCISION, SIMPLE BRAIN, ANEURYSM/ARTERIO-VENOUS MALFORMATION, 38 SK802B 6C Existing CLIPPING/EXCISION, SIMPLE BRAIN, CAROTICO-CAVERNOUS FISTULA, EXTRACRANIAL 39 SK803B 7B Existing AND INTRACRANIAL TRAPPING 40 SK804B BRAIN, EPILEPSY, CRANIOTOMY, SIMPLE 6B Existing BRAIN, HYDROCEPHALUS AND OTHER LESIONS, 41 SK805B 4A Existing VENTRICULOATRIAL/VENTRICULOPERITONEAL SHUNT BRAIN, HYDROCEPHALUS, EXTERNAL VENTRICULAR 42 SK806B 3B Existing DRAINAGE, UNILATERAL BRAIN, HYDROCEPHALUS, REVISION/REMOVAL OF 43 SK807B 4A Existing SHUNT 44 SK808B BRAIN, HYDROCEPHALUS, SPINO-PERITONEAL SHUNT 4A Existing 45 SK809B BRAIN, HYDROCEPHALUS, THIRD VENTRICULOSTOMY 6A Existing BRAIN, INTRACEREBRAL TUMOR, BIOPSY AND/OR 46 SK810B 6B Existing DECOMPRESSION/REMOVAL VIA CRANIOTOMY, SIMPLE BRAIN, INTRACRANIAL ABSCESS, CRANIECTOMY AND 47 SK811B 6A Existing DRAINAGE BRAIN, INTRACRANIAL ABSCESS, DRAINAGE VIA BURR- 48 SK812B 4A Existing HOLE 49 SK813B BRAIN, INTRACRANIAL ABSCESS, EXCISION 6B Existing BRAIN, INTRACRANIAL EXTRACEREBRAL TUMOR, 50 SK814B 6B Existing CRANIOTOMY & REMOVAL, SIMPLE BRAIN, INTRACRANIAL TUMOR/INTRACRANIAL CYST, 51 SK815B 5C Existing BIOPSY/DRAINAGE VIA BURR-HOLE BRAIN, TUMOR, VENTRICULAR PUNCTURE THROUGH 52 SK816B 4C Existing BURR-HOLE BRAIN, VARIOUS LESIONS, 53 SK817B PALLIDOTOMY/THALAMOTOMY/OTHER STEREOTACTIC 6A Existing PROCEDURE - UNILATERAL BRAIN, VARIOUS LESIONS, INSERTION OF OMMAYA 54 SK818B 4A Existing RESERVOIR Descriptor 55 SK700C BRACHIAL PLEXUS, BLOCK, CATHETER 1C change Descriptor 56 SK701C BRACHIAL PLEXUS, BLOCK, NO CATHETER 1B change Descriptor 57 SK703C BRACHIAL PLEXUS, EXPLORATION AND NEUROLYSIS 7B change

SK – NERVOUS

ELECTROCONVULSIVE THERAPY, WITH OR WITHOUT THE 58 SK703E USE OF STIMULUS DOSING TECHNIQUES, INCLUDING MSP Existing ANY NECESSARY MONITORING EXAMINATION UNDER ANAESTHESIA (GENERAL OR Descriptor 59 SK759E 1A REGIONAL) WITHOUT OTHER SURGICAL PROCEDURES change Descriptor 60 SK700F FACIAL, TRIGEMINAL GANGLION BLOCK, ANAESTHETIC 3A change Descriptor 61 SK701F FACIAL, TRIGEMINAL NERVE BLOCK, NEUROLYTIC 2A change Descriptor 62 SK702F FACIAL, TRIGEMINAL GANGLION BLOCK, NEUROLYTIC 3C change 63 SK703F FACIAL, TRIGEMINAL NERVE BLOCK, ANAESTHETIC 1B New SYMPATHETIC NERVES, BLOCK, CATHETER Descriptor 64 SK700L 2B (UNILATERAL/BILATERAL) change Descriptor 65 SK701L LUMBAR PLEXUS, BLOCK, CATHETER 1C change Descriptor 66 SK702L LUMBAR PLEXUS, BLOCK, NO CATHETER 1B change SYMPATHETIC NERVES, BLOCK, ANAESTHETIC Descriptor 67 SK703L 1B (UNILATERAL/BILATERAL) change SYMPATHETIC NERVES, BLOCK, NEUROLYTIC Descriptor 68 SK704L 2A (UNILATERAL/BILATERAL) change 69 SK800M MENINGES, MYELOMENINGOCELE, EXCISION OF SAC 6A Existing MENINGES, MYELOMENINGOCELE, EXTENSIVE REPAIR 70 SK801M 6B Existing WITH SKIN FLAPS/Z-PLASTY NERVE ROOT, BLOCK (INJECTION OF ANAESTHETIC, Descriptor 71 SK700N 2B THERAPEUTIC SUBSTANCE) - CERVICAL, > 1 LEVEL change NERVE ROOT, BLOCK (INJECTION OF ANAESTHETIC, Descriptor 72 SK701N 2A THERAPEUTIC SUBSTANCE) - CERVICAL, 1 LEVEL change Descriptor 73 SK704N COELIAC PLEXUS, BLOCK, ANAESTHETIC 2A change Descriptor 74 SK706N COELIAC PLEXUS, BLOCK, NEUROLYTIC 2B change NERVE (OROFACIAL), DEFECT, GRAFT (MULTIPLE) USING 75 SK707N 6A Existing MICROSURGICAL TECHNIQUES (INCLUDE HARVESTING) NERVE (OROFACIAL), DEFECT, GRAFT (SINGLE)/NERVE 76 SK708N SHARE, USING MICROSURGICAL TECHNIQUES (INCLUDE 5A Existing HARVESTING) NERVE (OROFACIAL), INJURY, DECOMPRESSION 77 SK709N 4A Existing (MULTIPLE/SINGLE INTRAOSSEOUS) 78 SK710N NERVE (OROFACIAL), INJURY, DECOMPRESSION (SINGLE) 3A Existing NERVE (OROFACIAL), INJURY, MICROSURGICAL REPAIR 79 SK711N 5A Existing (MULTIPLE/ SINGLE INTRAOSSEOUS) NERVE (OROFACIAL), INJURY, MICROSURGICAL REPAIR 80 SK712N 4A Existing (SINGLE) NERVE (LOWER LIMB), DISRUPTION, MAJOR 81 SK713N RECONSTRUCTION WITH REPAIR AND/OR 6B Existing NEUROVASCULAR TRANSFER NERVE (LOWER LIMB), DISRUPTION, MAJOR REPAIR 82 SK714N 4A Existing (SINGLE) NERVE (LOWER LIMB), ENTRAPMENT SYNDROME, 83 SK715N 3C Existing DECOMPRESSION NERVE (UPPER LIMB), CARPAL TUNNEL SYNDROME, 84 SK716N 4A Existing RELEASE, BILATERAL, (WITH ENDONEUROLYSIS)

SK – NERVOUS

NERVE (UPPER LIMB), CARPAL TUNNEL SYNDROME, 85 SK717N 3A Existing RELEASE, UNILATERAL, (WITH ENDONEUROLYSIS) 86 SK718N NERVE DEFECT, PERIPHERAL GRAFT (MICROSURGERY) 5C Existing NERVE (UPPER LIMB), DEFECT, GRAFT (SINGLE) USING 87 SK719N 4B Existing MICROSURGICAL TECHNIQUES NERVE (UPPER LIMB), DEFECT, 88 SK720N GRAFTING/INTERFASCICULAR REPAIR/NEUROVASCULAR 6B Existing TRANSFER NERVE (UPPER LIMB), ENTRAPMENT SYNDROME 89 SK721N 3C Existing (OTHERS), DECOMPRESSION (BILATERAL) NERVE (UPPER LIMB), ENTRAPMENT SYNDROME 90 SK722N 3A Existing (OTHERS), DECOMPRESSION (UNILATERAL) NERVE (UPPER LIMB), GUYON'S TUNNEL SYNDROME, 91 SK724N 4A Existing RELEASE (BILATERAL WITH ENDONEUROLYSIS) NERVE (UPPER LIMB), GUYON'S TUNNEL SYNDROME, 92 SK725N 3A Existing RELEASE (UNILATERAL) NERVE (UPPER LIMB)-MAJOR, INJURY, MICROSURGICAL 93 SK726N 5C Existing REPAIR (MULTIPLE) NERVE (UPPER LIMB)-MAJOR, INJURY, MICROSURGICAL 94 SK727N 4B Existing REPAIR (SINGLE) NERVE ROOTS, DORSAL ROOT GANGLION, Descriptor 95 SK729N 3C ANAESTHETIC, MORE THAN TWO change NERVE ROOTS, DORSAL ROOT GANGLION, Descriptor 96 SK730N 2B ANAESTHETIC, ONE TO TWO change NERVE ROOTS, DORSAL ROOT GANGLION, Descriptor 97 SK731N 4C RADIOFREQUENCY, NEUROLYTIC, MORE THAN TWO change NERVE ROOTS, DORSAL ROOT GANGLION, Descriptor 98 SK732N 4B RADIOFREQUENCY, NEUROLYTIC, ONE TO TWO change PERIPHERAL NERVE, BLOCK, ANAESTHETIC (UP TO 2 Descriptor 99 SK733N 1A NERVES) change PERIPHERAL NERVE, BLOCK, ANAESTHETIC (MORE THAN Descriptor 100 SK735N 1C 2 NERVES) change PERIPHERAL NERVE, BLOCK, NEUROLYTIC (UP TO 2 Descriptor 101 SK736N 1B NERVES) change NERVE ROOT, BLOCK (INJECTION OF ANAESTHETIC, Descriptor 102 SK737N THERAPEUTIC SUBSTANCE), LUMBAR/THORACIC, > 1 2A change LEVEL NERVE ROOT, BLOCK (INJECTION OF ANAESTHETIC, Descriptor 103 SK738N THERAPEUTIC SUBSTANCE), LUMBAR/THORACIC, 1 1C change LEVEL PERIPHERAL NERVE, BLOCK, NEUROLYTIC (MORE THAN 2 Descriptor 104 SK740N 2B NERVES) change 105 SK741N NERVE, VAGUS NERVE STIMULATOR 6A Existing NEUROSTIMULATOR, INSERTION OF INTERNAL PULSE GENERATOR, INVOLVES OPENING OF WOUND, 106 SK742N 4B Existing TUNNELING, OPENING OF POUCH FOR IPG & TESTING OF SYSTEM NEUROSTIMULATOR, REVISION/REPLACEMENT OF 107 SK743N IMPLANTABLE PULSE GENERATOR (DOES NOT INVOLVE 3B Existing TUNNELING) NERVE-DIGITAL, INJURY, MICROSURGICAL REPAIR 108 SK744N 4B Existing (MULTIPLE) NERVE-DIGITAL, INJURY, MICROSURGICAL REPAIR 109 SK745N 2C Existing (SINGLE)

SK – NERVOUS

NERVE-FACIAL PARALYSIS, FREE FASCIA AND/OR NERVE 110 SK746N 3B Existing GRAFT (MICROSURGICAL – STAGE 1) NERVE-FACIAL PARALYSIS, FREE MUSCLE FLAP 111 SK747N 7B Existing (MICROSURGICAL – STAGE 2) NERVE-FACIAL PARALYSIS, FREE FASCIA SLING/GRAFT 112 SK748N 3A Existing (SINGLE/UNILATERAL) 113 SK749N NERVE-FACIAL PARALYSIS, LOCAL MUSCLE TRANSFER 5A Existing NERVE, FAECAL INCONTINENCE OR OTHER, 114 SK758N 1A Existing PERCUTANEOUS TIBIAL NERVE STIMULATION 115 SK800N NERVE, VARIOUS LESIONS, BIOPSY 1B Existing NERVE, VARIOUS LESIONS, PRIMARY/SECONDARY 116 SK801N 4A Existing SUTURE NERVE-CRANIAL, VARIOUS LESIONS, MICROVASCULAR 117 SK802N 6B Existing DECOMPRESSION/NEURECTOMY 118 SK803N NERVE-CUTANEOUS, INJURY, PRIMARY SUTURE 3B Existing 119 SK804N NERVE-DIGITAL, INJURY, PRIMARY REPAIR 2C Existing NERVE-FACIAL (MASTOID PORTION), ENTRAPMENT, 120 SK805N 5C Existing DECOMPRESSION NERVE-FACIAL, VARIOUS LESIONS, COMBINED MIDDLE 121 SK806N FOSA AND TRANSMASTOID FACIAL NERVE 7C Existing DECOMPRESSION 122 SK807N NERVE-PERIPHERAL (DEEP), TUMOR, EXCISION 4A Existing 123 SK808N NERVE-PERIPHERAL (SUPERFICIAL), TUMOR, EXCISION 3A Existing NERVE-SYMPATHETIC, VARIOUS LESIONS, 124 SK809N SYMPATHECTOMY, WITH/WITHOUT VIDEO-ASSISTANCE, 5A Existing BILATERAL NERVE-SYMPATHETIC, VARIOUS LESIONS, 125 SK810N SYMPATHECTOMY, WITH/WITHOUT VIDEO-ASSISTANCE, 4B Existing UNILATERAL NERVE-TRIGEMINAL (GANGLION), NEUROLAGIA, 126 SK811N INJECTION WITH ALCOHOL/RADIOFREQUENCY 4B Existing GANGLIONOTOMY, IMAGING GUIDED 127 SK812N NERVE, ULNAR, ENTRAPMENT, TRANSPOSITION 5A Existing BRACHIAL PLEXUS, EXPLORATION AND/OR Descriptor 128 SK800P NEUROTISATION AND/OR MULTIPLE NERVE 6B change GRAFTING/CROSSED NERVE TRANSFERS Descriptor 129 SK701S SPINE, IMPLANTATION OF PORT E.G. PORT-A-CATH 2B change SPINE, FACET JOINT BLOCK (INJECTION OF Descriptor 130 SK702S ANAESTHETIC OR THERAPEUTIC SUBSTANCE), UP TO 3 2B change JOINTS SPINE, FACET JOINT BLOCK (INJECTION OF Descriptor 131 SK703S ANAESTHETIC OR THERAPEUTIC 2C change SUBSTANCE), MORE THAN 3 JOINTS Descriptor 132 SK704S SPINE, FACET JOINT, RADIOFREQUENCY, UP TO 3 JOINTS 3C change SPINE, FACET JOINT, RADIOFREQUENCY, MORE THAN 3 Descriptor 133 SK705S 4A JOINTS change SACRAL ROOT BLOCK, NEUROLYTIC, RADIOFREQUENCY, 134 SK706S 2C Existing IMAGING GUIDED, UP TO 2 SACRAL ROOT BLOCK, NEUROLYTIC, RADIOFREQUENCY, Descriptor 135 SK707S 4A IMAGING GUIDED, MORE THAN 2 change Descriptor 136 SK709S SACRUM, GANGLION IMPAR, BLOCK, ANAESTHETIC 3A change

SK – NERVOUS

Descriptor 137 SK710S SCIATIC NERVE, BLOCK 1A change PARAVERTEBRAL REGION, BLOCK, ANAESTHETIC (MORE Descriptor 138 SK711S 2A THAN 2 LEVELS) change PARAVERTEBRAL REGION, BLOCK, ANAESTHETIC (UP TO Descriptor 139 SK714S 1B 2 LEVELS) change Descriptor 140 SK715S SACRO-ILIAC JOINT, RADIOFREQUENCY, BILATERAL 4A change SACRO-ILIAC JOINT, SACROILIAC JOINT BLOCK Descriptor 141 SK716S (INJECTION OF ANAESTHETIC, THERAPEUTIC 2B change SUBSTANCE), BILATERAL SACRO-ILIAC JOINT, SACROILIAC JOINT BLOCK Descriptor 142 SK717S (INJECTION OF ANAESTHETIC, THERAPEUTIC 1B change SUBSTANCE), UNILATERAL Descriptor 143 SK718S SACRO-ILIAC JOINT, RADIOFREQUENCY, UNILATERAL 3A change SKULL, CRANIOSTENOSIS, OPERATION, CRANIOFACIAL 144 SK719S 7A Existing RECONSTRUCTION SKULL, INTRACRANIAL HEMORRHAGE, OSTEOPLASTIC 145 SK720S 6A Existing CRANIOTOMY/EXTENSIVE CRANIECTOMY, BILATERAL SKULL, BURR HOLE, INSERTION OF INTRACRANIAL 146 SK721S 3B Existing PRESSURE (ICP) MONITOR SKULL, CHIARI MALFORMATION/SYRINGOMYELIA, 147 SK722S POSTERIOR FOSSA DECOMPRESSION WITH 7A Existing DURAPLASTY Descriptor 148 SK723S SPHENOPALATINE GANGLION - BLOCK, NEUROLYTIC 3C change SPINAL CORD, STIMULATION/MODULATION, Descriptor 149 SK724S 5C OPEN/CLOSED/PERCUTANEOUS change SPINAL CORD, TUMOURS, LAMINECTOMY AND EXCISION 150 SK726S 6B Existing (EXTRADURAL) SPINAL CORD, TUMOURS, LAMINECTOMY AND EXCISION 151 SK727S 6C Existing (INTRADURAL EXTRAMEDULLARY) SPINAL CORD, TUMOURS, LAMINECTOMY AND EXCISION 152 SK728S 7A Existing (INTRADURAL INTRAMEDULLARY) 153 SK729S SPINAL- IMPLANT OF ELECTRICAL PUMP DEVICE 5C Existing SPINAL/EPIDURAL REMOVAL, REVISION OF IMPLANTED 154 SK730S 2C Existing RESERVOIR DEVICE (E.G. PAR) SPINE, THORACIC/LUMBAR, EPIDURAL ADHESIOLYSIS, Descriptor 155 SK731S 3C MULTIPLE CATHETER change SPINE, CERVICAL, EPIDURAL ADHESIOLYSIS, SINGLE Descriptor 156 SK732S 4B CATHETER change SPINE, THORACIC/LUMBAR, EPIDURAL ADHESIOLYSIS, Descriptor 157 SK733S 3B SINGLE CATHETER change 158 SK734S SPINAL/EPIDURAL, EPIDUROSCOPY 2A Existing SACRUM, GANGLION IMPAR, BLOCK, RADIOFREQUENCY, Descriptor 159 SK735S 3C NEUROLYTIC change SPINE, PERCUTANEOUS IMPLANT OF SPINAL CORD 160 SK737S 3B Existing STIMULATOR, (TRIAL), SINGLE LEAD SPINE, PERCUTANEOUS IMPLANT OF SPINAL CORD 161 SK738S 3C Existing STIMULATOR, (TRIAL), DOUBLE LEADS SPINE, REMOVAL OF SPINAL CORD STIMULATOR 162 SK739S 3A Existing ELECTRICAL GENERATOR SPINE, REPLACEMENT OF COMPUTERIZED RESERVOIR 163 SK740S 3B Existing DEVICE (E.G. SYNCHROMED)

SK – NERVOUS

SPINE, REPLACEMENT OF SPINAL CORD STIMULATOR, 164 SK741S 3B Existing ELECTRICAL GENERATOR SPINE, VARIOUS LESIONS, SYRINGO- 165 SK747S 6A Existing ARACHNOID/PLEURAL/PERITONEAL SHUNT Descriptor 166 SK752S SPLANCHNIC NERVES, BLOCK, ANAESTHETIC 2B change Descriptor 167 SK753S SPLANCHNIC NERVES, BLOCK, NEUROLYTIC 2C change Descriptor 168 SK754S STELLATE GANGLION, BLOCK, ANAESTHETIC 1B change Descriptor 169 SK756S STELLATE GANGLION, BLOCK, NEUROLYTIC 2B change SUPERIOR HYPOGASTRIC PLEXUS, VARIOUS LESIONS, 170 SK757S 2B Existing IMAGING GUIDED INJECTION OF ANAESTHETIC SUPERIOR HYPOGASTRIC PLEXUS, VARIOUS LESIONS, 171 SK758S IMAGING GUIDED INJECTION OF NEUROLYTIC, 3B Existing RADIOFREQUENCY SPINE, CERVICAL/THORACIC, INJECTION, EPIDURAL, 172 SK759S 1C New WITHOUT OTHER PROCEDURES SPINE, LUMBAR/SACRAL/CAUDAL, INJECTION, EPIDURAL, 173 SK760S 1A New WITHOUT OTHER PROCEDURES SPINE, CERVICAL/THORACIC, INJECTION, INTRATHECAL 174 SK761S 2B New WITHOUT OTHER PROCEDURES SPINE, LUMBAR/SACRAL/CAUDAL, INJECTION, 175 SK762S 2A New INTRATHECAL WITHOUT OTHER PROCEDURES SPINE, CERVICAL, EPIDURAL ADHESIOLYSIS, MULTIPLE 176 SK763S 4C New CATHETER 177 SK764S SPHENOPALATINE GANGLION, BLOCK, ANAESTHETIC 3B New SKULL, COMPOUND FRACTURE WITH DURAL 178 SK800S 6B Existing PENETRATION AND BRAIN DAMAGE, OPERATION SKULL, COMPOUND FRACTURE WITHOUT DURAL 179 SK801S 5C Existing PENETRATION, OPERATION SKULL, CRANIOSTENOSIS (MULTIPLE SUTURE), 180 SK802S 6B Existing OPERATION 181 SK803S SKULL, CRANIOSTENOSIS (SINGLE SUTURE), OPERATION 6A Existing 182 SK804S SKULL, DEFECT, CRANIOPLASTY (LARGE) 5C Existing 183 SK805S SKULL, DEFECT, CRANIOPLASTY (SMALL) 5A Existing SKULL, DEPRESSED/COMMINUTED FRACTURE, 184 SK806S 5C Existing ELEVATION SKULL, FRACTURE WITH RHINORRHOEA/OTORRHOEA, 185 SK807S 6B Existing CRANIOPLASTY AND REPAIR SKULL, INTRACRANIAL HEMORRHAGE, BURR-HOLE 186 SK808S 5A Existing CRANIOTOMY, BILATERAL SKULL, INTRACRANIAL HEMORRHAGE, BURR-HOLE 187 SK809S 4A Existing CRANIOTOMY, (UNILATERAL) SKULL, INTRACRANIAL HEMORRHAGE, OSTEOPLASTIC 188 SK810S 5C Existing CRANIOTOMY/EXTENSIVE CRANIECTOMY, UNILATERAL 189 SK811S SKULL, OSTEOMYELITIS, CRANIECTOMY 5C Existing SPINAL CORD, ANEURYSM/ARTERIO-VENOUS 190 SK812S 7A Existing MALFORMATION CLIPPING/ EXCISION INTERCOSTAL NERVE, BLOCK, ANAESTHETIC (MORE Descriptor 191 SK700T 1C THAN 3 LEVELS) change INTERCOSTAL NERVE, BLOCK, ANAESTHETIC (UP TO 3 Descriptor 192 SK701T 1B LEVELS) change

SK – NERVOUS

INTERCOSTAL NERVE, BLOCK, NEUROLYTIC (UP TO 3 Descriptor 193 SK702T 2A LEVELS) change Descriptor 194 SK703T INTERPLEURAL SPACE, BLOCK, CATHETER 1C change Descriptor 195 SK704T INTERPLEURAL SPACE, BLOCK, NO CATHETER 1B change INTERCOSTAL NERVE, BLOCK, NEUROLYTIC (MORE THAN Descriptor 196 SK705T 2C 3 LEVELS) change 197 SK700V VEIN, INTRAVENOUS, ANAESTHETIC MSP Downtable 198 SK701V VEIN, INTRACRANIAL, VENOUS SAMPLING 3B Existing 199 SK702V VEIN, INTRAVENOUS SYMPATHETIC, BIER’S BLOCK 1B Existing

SL – EYE

S/N Code Description Table Classification ANTERIOR CHAMBER PARACENTESIS, IRRIGATION OR 1 SL800A 1B Existing REFORMATION ANTERIOR CHAMBER, VARIOUS LESIONS, VITREOUS 2 SL802A 3B Existing REMOVAL 3 SL700B BROW, BROWLIFT, ENDOSCOPIC, BILATERAL 5A Existing BROW, BROWLIFT, ENDOSCOPIC, BILATERAL WITH MID- 4 SL701B 5C Existing FACE LIFT 5 SL702B BROW, BROWLIFT, ENDOSCOPIC, UNILATERAL 4A Existing 6 SL703B BROW, DIRECT BROWPLASTY, BILATERAL 3C Existing 7 SL704B BROW, DIRECT BROWPLASTY, UNILATERAL 3A Existing 8 SL819B BIOPSY: CORNEAL, LIMBAL, ORAL, CONJUNCTIVA 1B Existing 9 SL700C CONJUNCTIVA, EXCISION OF PTERYGIUM, BARE SCLERA 1A Existing CONJUNCTIVA, PTERYGIUM, REMOVAL, COMPLEX 10 SL701C (RECURRENT, DOUBLE, SYMBLEPHARON), WITH OR 3B Existing WITHOUT AMNIOTIC MEMBRANE TRANSPLANT CORNEA, ASTIGMATIC KERATOTOMY (WITH OR WITHOUT 11 SL702C LIMBAL RELAXING INCISIONS / GRAFT REFRACTIVE 3A Existing SURGERY) CORNEA, DESCEMET'S MEMBRANE ENDOTHELIAL 12 SL703C 6B Existing KERATOPLASTY (DMEK) CORNEA, RIBOFLAVIN-UVA INDUCED COLLAGEN CROSSLINKING TREATMENT FOR CORNEAL ECTASIA 13 SL704C 3B Existing (CXL-CROSSLINKING LASER/POST LASIK KERATECTOMY/KERATITIS) 14 SL705C CORNEA/CONJUNCTIVA, GUNDERSON FLAP 3B Existing CORNEAL/OCULAR SURFACE, OSTEO-ODONTO- 15 SL706C 7C Existing KERATOPROSTHESIS STAGE 1 CORNEAL/OCULAR SURFACE, OSTEO-ODONTO- 16 SL707C 5C Existing KERATOPROSTHESIS STAGE 2 17 SL708C CORNEA, FOREIGN BODY, REMOVAL MSP Existing 18 SL709C CORNEA, SUPERFICIAL KERATECTOMY 2A Existing 19 SL800C CONJUNCTIVA, LIMBIC TUMOR, REMOVAL 2C Existing 20 SL801C CONJUNCTIVA, NAEVUS, REMOVAL 1B Existing 21 SL802C CONJUNCTIVA, PINGUECULA, REMOVAL 1B Existing CONJUNCTIVA, PTERYGIUM, REMOVAL WITH 22 SL803C 3A Uptable CONJUNCTIVAL GRAFT CORNEA, BAND KERATOPATHY, REMOVAL WITH 23 SL804C 2A Existing ETHYLENE DIAMINE TETRA-ACETIC ACID 24 SL805C CORNEA, DENDRITIC ULCER, EPITHELIAL DEBRIDEMENT MSP Existing CORNEA, VARIOUS LESIONS, KERATOPLASTY, COMPLEX 25 SL806C (TECTONIC, THERAPEUTIC, LAMELLAR, DESCEMET 6A Existing STRIPPING AUTOMATED ENDOTHELIAL KERATOPLASTY) CORNEA, LACERATION, CONJUNCTIVAL GRAFT OVER 26 SL807C 2C Existing CORNEA CORNEA, LACERATION, CONJUNCTIVAL 27 SL808C 2C Existing PERITOMY/REPAIR BY CONJUNCTIVAL FLAP CORNEA, MYOPIA, PHOTOTHERAPEUTIC 28 SL809C 3A Existing KERATECTOMY/LASER IN-SITU KERATOMILEUSIS CORNEA, VARIOUS LESIONS, TRANSPLANTATION 29 SL810C 5B Existing (SUPERFICIAL/LAMELLAR/FULL THICKNESS) CORNEA, VARIOUS LESIONS, TRANSPLANTATION WITH 30 SL811C CATARACT EXTRACTION AND INTRA-OCULAR LENS 6B Existing IMPLANTATION

SL – EYE

EYE, GLAUCOMA, FILTERING AND ALLIED OPERATIONS 31 SL700E (INCLUDING TRABECULECTOMY / SCLERECTOMY) WITH 4A Existing ANTI-METABOLITES EYE, GLAUCOMA, GONIOTOMY/TRABECULOTOMY 32 SL701E 5A Existing (BILATERAL) EYE, GLAUCOMA, GONIOTOMY/TRABECULOTOMY 33 SL702E 5A Existing (BILATERAL) - PAEDIATRIC EYE, GLAUCOMA, GONIOTOMY/TRABECULOTOMY 34 SL703E 4A Existing (UNILATERAL) - PAEDIATRIC EYE, GLAUCOMA, SELECTIVE LASER TRABECULOPLASTY 35 SL704E 2C Existing (BILATERAL) EYE, GLAUCOMA DRAINAGE IMPLANTS EG. AHMED VALVE 36 SL705E 5C Existing IMPLANT, MOLTENO IMPLANT , BAERVELDT TUBE SHUNT 37 SL706E EYE, GLAUCOMA, CYCLODESTRUCTIVE PROCEDURES 3B Existing 38 SL707E EYE, GLAUCOMA, GONIOSYNECHIOLYSIS 3B Existing EYE, SQUINT, COMPLEX STRABISMUS SURGERY (4 OR 39 SL708E 5A Existing MORE MUSCLES, TRANSPOSITION, MUSCLE SPLITTING) EYE, THERMAL PHOTOCOAGULATION OF CHOROIDAL 40 SL709E 3B Existing NEOVASCULARIZATION AND ALLIED CONDITIONS EYELIDS, NON-INVOLUTIONAL ENTROPION/ ECTROPION Descriptor 41 SL710E 3C CORRECTION (UNILATERAL) change EYELIDS, NON-INVOLUTIONAL ECTROPION/ ENTROPION, Descriptor 42 SL711E 4B CORRECTION (BILATERAL) change 43 SL712E EYE, MEDIAL CANTHAL RECONSTRUCTION, BILATERAL 3C Existing 44 SL713E EYE, MEDIAL CANTHAL RECONSTRUCTION, UNILATERAL 3A Existing 45 SL714E EYE, NEEDLING OF BLEBS WITH ANTI-METABOLITES 1A Existing EYE, SOCKET, COMPLEX ANOPHTHALMIC SOCKET 46 SL715E 5A Existing RECONSTRUCTION EYELID, PTOSIS, CONJUNCTIVAL MULLERECTOMY 47 SL716E 4B Existing (BILATERAL) EYELID, PTOSIS, CONJUNCTIVAL MULLERECTOMY 48 SL717E 3B Existing (UNILATERAL) EYELIDS, VARIOUS LESIONS, UPPER BLEPHAROPLASTY, Descriptor 49 SL718E 3C BILATERAL change EYEBALL, ENUCLEATION WITH ACRYLIC & SCLERAL BALL 50 SL719E 4C Existing IMPLANT 51 SL720E EYELID LOWERING (GOLD WEIGHT IMPLANT), BILATERAL 3C Existing EYELID LOWERING (GOLD WEIGHT IMPLANT), 52 SL721E 3A Existing UNILATERAL EYELIDS, BOTOX INJECTIONS FOR BLEPHAROSPASM & 53 SL722E 1C Existing HEMIFACIAL SPASM EYELIDS, CHALAZION OR STYE EXCISION UNDER 54 SL723E 1A Existing GENERAL ANAESTHESIA EYELIDS, VARIOUS LESIONS, MAJOR RECONSTRUCTION, 55 SL725E INVOLVING ANTERIOR AND POSTERIOR LAMELLA AND 5B Existing MORE THAN 1/3 LID 56 SL726E EYE, SQUINT, OPERATION (ONE/BOTH EYES - 2 MUSCLES) 3B Existing EYE, EXOPHTHALMOS DUE TO THYROTOXICOSIS, 57 SL800E 5A Existing RETRACTOR RECESSIONS (BILATERAL) EYE, EXOPHTHALMOS DUE TO THYROTOXICOSIS, 58 SL801E 4A Existing RETRACTOR RECESSIONS (UNILATERAL) EYE, GLAUCOMA, FILTERING AND ALLIED OPERATIONS 59 SL803E 3B Existing (INCLUDING TRABECULECTOMY / SCLERECTOMY) EYE, GLAUCOMA, GONIOTOMY/TRABECULOTOMY 60 SL804E 4A Existing (UNILATERAL)

SL – EYE

EYE, GLAUCOMA, SELECTIVE LASER TRABECULOPLASTY 61 SL805E 2A Existing (UNILATERAL) EYE, INTRAOCULAR FOREIGN BODY, REMOVAL FROM 62 SL806E 3A Existing ANTERIOR SEGMENT EYE, INTRAOCULAR FOREIGN BODY, REMOVAL FROM 63 SL807E 3B Existing POSTERIOR SEGMENT EYE, PERFORATING WOUND (NOT INVOLVING 64 SL808E 2C Existing INTRAOCULAR STRUCTURES), REPAIR EYE, PERFORATING WOUND (WITH 65 SL809E INCARCERATION/PROLAPSE OF UVEAL 3C Existing TISSUE/LENS/VITREOUS), REPAIR EYE, SQUINT, COMPLEX STRABISMUS SURGERY (VESSEL 66 SL810E SPARING SX, PARALYTIC AND RESTRICTIVE STRABISMUS, 4C Existing HORIZONTAL COMBINED WITH OBLIQUE/VERTICAL EYE, SQUINT, OPERATION (ONE/BOTH EYES - 3 MUSCLES 67 SL811E 4A Existing OR MORE) EYE, SQUINT, OPERATION (ONE/BOTH EYES - 68 SL812E 4A Existing ADJUSTABLE SUTURES) EYE, SQUINT, OPERATION (ONE/BOTH EYES - 69 SL813E 4A Existing TRANSPOSITION) ORBITAL, ENUCLEATION WITH INTEGRATED ORBITAL 70 SL814E 4A Existing IMPLANT EYE, VARIOUS LESIONS, ENUCLEATION WITHOUT 71 SL815E 3A Existing IMPLANT 72 SL816E EYE, VARIOUS LESIONS, EVISCERATION 2C Existing EYE, VARIOUS LESIONS, RESUTURING OF WOUND 73 SL818E 2A Existing FOLLOWING INTRAOCULAR PROCEDURES 74 SL819E EYE, VARIOUS LESIONS, RETROBULAR INJECTION MSP Existing 75 SL820E EYELIDS, CHALAZION CYST/STYE, EXCISION MSP Existing 76 SL821E EYELIDS, ECTROPION, RETROPUNCTAL CAUTERY MSP Existing EYELID, INVOLUTIONAL ENTROPION / ECTROPION 77 SL823E 3B Existing CORRECTION (UNILATERAL) EYELIDS, INVOLUTIONAL ECTROPION/ ENTROPION 78 SL824E 4A Existing CORRECTION (BILATERAL) 79 SL826E EYELIDS, ENTROPION, EVERTING SUTURES MSP Existing 80 SL827E EYELIDS, EXPOSURE, TARSORRHAPHY (PERMANENT) 1B Existing 81 SL828E EYELIDS, EXPOSURE, TARSORRHAPHY (TEMPORARY) 1A Existing 82 SL829E EYELIDS, FULL THICKNESS LACERATION, REPAIR 3A Existing EYELIDS, HEMANGIOMA, INTRA-LESION INJECTIONS (FULL 83 SL830E 3A Existing COURSE) 84 SL831E EYELIDS, PTOSIS, CORRECTION FASANELLA (BILATERAL) 4A Existing EYELIDS, PTOSIS, CORRECTION FASANELLA 85 SL832E 3B Existing (UNILATERAL) EYELIDS, PTOSIS, CORRECTION LEVATOR PALPEBRAE 86 SL833E 5B Existing SUPERIORIS RESECTION (BILATERAL) EYELIDS, PTOSIS, CORRECTION LEVATOR PALPEBRAE 87 SL834E 4B Uptable SUPERIORIS RESECTION (UNILATERAL) EYELIDS, PTOSIS, CORRECTION WITH FASCIA LATA 88 SL835E 5B Existing GRAFT (BILATERAL) EYELIDS, PTOSIS, CORRECTION WITH FASCIA LATA 89 SL836E 4A Existing GRAFT (UNILATERAL) 90 SL839E EYELIDS, SIMPLE LACERATION, REPAIR 1B Existing 91 SL840E EYELIDS, STYE, INCISION MSP Existing 92 SL841E EYELIDS, TRICHIASIS, CRYOTHERAPY 1B Existing 93 SL842E EYELIDS, TRICHIASIS, ELECTROLYSIS, EPILATION MSP Existing

SL – EYE

EYELIDS, TUMOR, EXCISION AND REPAIR WITH FULL 94 SL843E 3B Existing THICKNESS SKIN GRAFTING EYELIDS, TUMOR, EXCISION AND REPAIR WITH LOCAL 95 SL844E 4A Existing FLAP 96 SL845E EYELIDS, TUMOR, INCISIONAL BIOPSY MSP Existing 97 SL846E EYELIDS, TUMOR, SHAVING EXCISION 1A Existing EYELIDS, VARIOUS LESIONS, UPPER BLEPHAROPLASTY, Descriptor 98 SL848E 3A UNILATERAL change EYELIDS, VARIOUS LESIONS, CANTHOPLASTY 99 SL849E 1C Existing (MEDIAL/LATERAL) EYELIDS, VARIOUS LESIONS, COMPOSITE GRAFT 100 SL850E 4A Existing (CHONDRO-CUTANEOUS/CHONDRO-MUCOSAL) EYELIDS, VARIOUS LESIONS, FULL THICKNESS WEDGE 101 SL851E 3B Existing RESECTION WITH REPAIR EYELIDS, VARIOUS LESIONS, MULTIPLE PLASTIC LID 102 SL852E 5B Existing PROCEDURES EYELIDS, VARIOUS LESIONS, RECONSTRUCTION USING 103 SL853E 5A Existing FULL THICKNESS FLAP EYELIDS, VARIOUS LESIONS, WHOLE THICKNESS 104 SL854E 4A Existing RECONSTRUCTION (OTHER THAN DIRECT SUTURE ONLY) EYE, GLAUCOMA, FILTERING AND ALLIED OPERATIONS 105 SL855E AND CATARACT SURGERY, WITH OR WITHOUT 4B Existing INTRAOCULAR LENS IMPLANT 106 SL700I IRIS RECONSTRUCTION / PUPILLOPLASTY 3A Existing 107 SL800I IRIS, TUMOR, EXCISION 3C Existing Descriptor 108 SL801I IRIS, VARIOUS LESIONS, IRIDECTOMY/IRIDOTOMY 2C change LENS, CATARACT (PAEDIATRIC), EXTRACTION WITH 109 SL701L 4B Existing ANTERIOR VITRECTOMY LENS, CATARACT (PAEDIATRIC), EXTRACTION WITH 110 SL702L 5A Existing ANTERIOR VITRECTOMY - BILATERAL LENS, CATARACT (PAEDIATRIC), EXTRACTION WITH 111 SL703L ANTERIOR VITRECTOMY AND INTRAOCULAR LENS 4C Existing IMPLANTATION LENS, CATARACT (PAEDIATRIC), EXTRACTION WITH 112 SL704L ANTERIOR VITRECTOMY AND INTRAOCULAR LENS 5B Existing IMPLANTATION - BILATERAL LENS, COMBINED GLAUCOMA IMPLANTS WITH CATARACT 113 SL705L EXTRACTION (WITH OR WITHOUT INTRAOCULAR LENS 6A Existing IMPLANTATION) LENS, COMPLICATED CATARACT EXTRACTION WITH 114 SL706L INTRAOCULAR LENS IMPLANT (CAPSULAR TENSION 4C Existing RING/CAPSULAR TENSION SEGMENT/) LENS, IMPLANTATION OF POSTERIOR SEGMENT DRUG 115 SL707L 4A Existing DELIVERY DEVICE LENS, SECONDARY SCLERAL FIXATED INTRAOCULAR 116 SL708L 5A Existing LENS IMPLANTATION 117 SL709L LENS, SECTORIAL LASER PHOTOCOAGULATION 2C Existing LACRIMAL CANALICULUS REPAIR, VARIOUS LESIONS, 118 SL800L 3B Existing IMMEDIATE REPAIR LACRIMAL GLAND (LACRIMAL SAC), VARIOUS LESIONS, 119 SL801L 3B Existing EXCISION LACRIMAL GLAND (PUNCTUM), VARIOUS LESIONS, SNIP 120 SL802L 2C Existing OPERATION

SL – EYE

LACRIMAL GLAND, OBSTRUCTION, PROBING ONE/BOTH 121 SL803L 1B Existing DUCTS LACRIMAL GLAND/DUCT, VARIOUS LESIONS, DACROCYSTORHINOSTOMY (ENDOSCOPIC/NON- Descriptor 122 SL804L 5C ENDOSCOPIC) OR CONJUNCTIVAL-DCR (LESTER JONES change TUBE) 123 SL806L LENS, CATARACT (JUVENILE), REMOVAL AND NEEDLINGS 3B Existing LENS, CATARACT, EXTRACTION WITH INTRA-OCULAR 124 SL807L 5A Existing LENS IMPLANT (BILATERAL) LENS, CATARACT, EXTRACTION WITH INTRA-OCULAR 125 SL808L 4A Existing LENS IMPLANT (UNILATERAL LEFT) LENS, CATARACT, EXTRACTION WITH INTRA-OCULAR 126 SL809L 4A Existing LENS IMPLANT (UNILATERAL RIGHT) LENS, CATARACT, EXTRACTION WITH INTRA-OCULAR 127 SL810L LENS IMPLANT AND TRABECULECTOMY WITH/WITHOUT 5A Existing ANTIMETABOLITES 128 SL811L LENS, CATARACT, EXTRACTION WITH TRABECULECTOMY 4A Existing 129 SL812L LENS, VARIOUS LESIONS, EXTRACTION 3B Existing LENS, VARIOUS LESIONS, REMOVAL OF INTRA-OCULAR 130 SL813L 2B Existing ARTIFICIAL LENS LENS, VARIOUS LESIONS, SECONDARY ANTERIOR Descriptor 131 SL814L CHAMBER INTRA-OCULAR LENS IMPLANTATION WITHOUT 4A change VITRECTOMY9 132 SL815L LENS, VARIOUS LESIONS, YAG LASER CAPSULOTOMY 1C Downtable OCULAR SURFACE PROCEDURE INCLUDING AMNIOTIC 133 SL700O MEMBRANE TRANSPLANT (COMPLEX, CULTURED 5C Existing GRAFTS/EXTENSIVE RECONSTRUCTION) 134 SL701O OPTIC NERVE SHEATH FENESTRATION 5A Existing ORBIT, RECONSTRUCTION, EXTENSIVE FLOOR/MEDIAL 135 SL702O 5A Existing WALL FRACTURE ORBIT, VARIOUS LESIONS OF MID TO POSTERIOR ORBIT, 136 SL703O 5B Existing EXCISION ORBIT, VARIOUS LESIONS, ANTERIOR ORBITOTOMY 137 SL704O 4A Existing (EXTENSIVE) ORBIT, VARIOUS LESIONS, EXTENDED LATERAL 138 SL705O 6A Existing ORBITOTOMY ORBIT, VARIOUS LESIONS, OPTIC NERVE 139 SL706O 6C Existing DECOMPRESSION (BILATERAL) ORBIT, VARIOUS LESIONS, OPTIC NERVE 140 SL707O 5A Existing DECOMPRESSION (UNILATERAL) ORBITAL/SCLERAL, EVISCERATION WITH IMPLANT & 141 SL708O 4A Existing SCLERAL BALL ORBIT, CONTRACTURE, RECONSTRUCTION INCLUDING 142 SL800O 4A Existing MUCOUS MEMBRANE GRAFTING AND STENT MOULD 143 SL801O ORBIT, TUMOR, EXENTERATION/FLAP RECONSTRUCTION 5C Existing ORBIT, VARIOUS LESIONS/TUMOURS, 144 SL802O 5C Existing EXENTERATION/REMOVAL VIA CRANIOTOMY 145 SL803O ORBIT, VARIOUS LESIONS, ANTERIOR ORBITOTOMY 3B Existing 146 SL804O ORBIT, VARIOUS LESIONS, DECOMPRESSION (BILATERAL) 5A Existing ORBIT, VARIOUS LESIONS, DECOMPRESSION 147 SL805O 4B Existing (UNILATERAL)

9 This code is not to be used for implantation of contact lens.

SL – EYE

ORBIT, TUMOUR, EXENTERATION WITH ORBITECTOMY & 148 SL806O 5C Existing PRIMARY RECONSTRUCTION 149 SL807O ORBIT, VARIOUS LESIONS, LATERAL ORBITOTOMY 4A Existing ORBIT, VARIOUS LESIONS, RECONSTRUCTION INCLUDING 150 SL808O ORBITAL SHIFT AND SOFT TISSUE (CRANIOFACIAL 7C Existing APPROACH) ORBIT, VARIOUS LESIONS, RECONSTRUCTION OF 151 SL809O 4B Existing FLOOR/ROOF WITH BONE GRAFT ORBIT, VARIOUS LESIONS, RECONSTRUCTION OF 152 SL810O 4A Existing FLOOR/ROOF WITH ALLOPLASTIC MATERIAL 153 SL700P PHOTODYNAMIC THERAPY 3A Existing PHOTOREFRACTIVE 154 SL701P KERATECTOMY/PHOTOTHERAPEUTIC KERATECTOMY 3B Existing (FOR DISEASED EYE) RETINA, LASER RETINOPEXY, COMPLEX (SUBRETINAL 155 SL700R 3B Existing FLUID, VITREOUS HAEMORRHAGE, MULTIPLE TEARS) 156 SL701R RETINA, PNEUMATIC RETINOPEXY 4A Existing RETINA, ROP (RETINOPATHY OF PREMATURITY) LASER 157 SL702R 3C Existing PHOTOCOAGULATION RETINA, TRANS PARS PLANA POSTERIOR 158 SL703R 3B Existing CAPSULECTOMY RETINA/MACULA, GRID AND FOCAL LASER 159 SL704R 3A Existing PHOTOCOAGULATION 160 SL705R RETINA, PAN RETINAL PHOTOCOAGULATION 3B Existing RETINA, DETACHMENT, REMOVAL OF ENCIRCLING 161 SL800R 2C Existing SILICONE BAND RETINA, DETACHMENT, RESECTION/BUCKLING 162 SL801R 5C Existing OPERATION/REVISION OPERATION WITH SINGLE PLOMB RETINA, DETACHMENT (COMPLEX), OPERATION (MORE 163 SL802R 6B Existing THAN ONE PLOMB/ENCIRCLAGE)10 RETINA, TEARS, DIATHERMY/CRYOTHERAPY 164 SL803R 3A Existing (UNILATERAL) RETINA, TEARS, CRYOTHERAPY OR 165 SL804R 3C Existing PHOTOCOAGULATION (LASER) (BILATERAL) RETINA, TEARS, PHOTOCOAGULATION (LASER) 166 SL805R 3B Existing (UNILATERAL) RETINAL, DETACHMENT, REMOVAL OF PARTIALLY 167 SL806R MSP Existing EXTRUDED PLOMB 168 SL700T TEMPORAL ARTERY BIOPSY 2B Existing 169 SL700V VITREOUS, INTRAVITREAL INJECTIONS 1A Downtable VITREOUS, VARIOUS LESIONS, COMPLEX POSTERIOR 170 SL701V 6B Existing VITRECTOMY (PVR, GRT, TRAUMA) VITREOUS, VARIOUS LESIONS, SIMPLE VITRECTOMY 171 SL800V 5C Existing (PARS PLANA OR VITREOUS WASHOUT) VITREOUS, VARIOUS LESIONS, POSTERIOR VITRECTOMY (PARS PLANA/ SCLEROTOMY/ LENSECTOMY-EXTRACTION 172 SL801V 6B Existing WITH INTRA-OCULAR LENS IMPLANT/ ENDOLASER/ MEMBRANE PEELS) VITREOUS, VARIOUS LESIONS, VITRECTOMY (PARS 173 SL802V 4A Existing PLANA/REMOVAL OF SILICONE OIL)

10 SL802R is the interim code to cover episcelaral plaque brachytherapy. Only one SL802R should be claimed to cover both insertion and removal of the plaque. 88

SL – EYE

174 SL800Z ORGAN PROCUREMENT COSTS: CORNEA11 2A Existing

11 Procurement costs of pre-prepared grafts for cornea transplants may be filed under SL800Z, regardless of whether the grafts are obtained from a local eye bank, or from overseas. A claim may be filed under SL800Z in addition to the claim filed under the relevant TOSP code for the cornea transplant procedure.

SM – ENT

S/N Code Description Table Classification 1 SM700A ADENOIDS, VARIOUS LESIONS, REMOVAL 2C Existing EAR, AUDITORY MEATUS (INTERNAL), TUMOR, 2 SM700E TRANSMASTOID REMOVAL WITH EXTENDED 6B Existing MASTOIDECTOMY 3 SM701E EAR (MIDDLE), COCHLEAR IMPLANT 6A Existing EAR (MIDDLE), VARIOUS LESIONS (BENIGN CONDITION), 4 SM702E 2A Existing EXCISION BIOPSY EAR, AURAL TOILET BY MICROSCOPY (COMPLEX) EG. 5 SM703E MSP Existing IMPACTED EAR WAX/FOREIGN BODY/DISCHARGE 6 SM704E EAR, EXCISION PSEUDOCYST PINNA 2A Existing 7 SM706E EAR, BILATERAL PREAURICULAR SINUS EXCISION 3A Existing EAR, TYMPANIC MEMBRANE, BILATERAL MYRINGOTOMY 8 SM707E 1C Existing WITHOUT TUBE EAR, TYMPANIC MEMBRANE, BILATERAL MYRINGOTOMY 9 SM708E 2B Existing WITH TUBE EAR, TYMPANIC MEMBRANE, PERFORATION, 10 SM709E 1B Existing CAUTERISATION/DIATHERMY EAR, TYMPANIC MEMBRANE, PERFORATION, ROUND 11 SM710E 4A Existing WINDOW REPAIR 12 SM711E EAR, IMPLANTATION OF BONE-ANCHORED HEARING AID 4B Existing 13 SM712E EAR (MIDDLE), MIDDLE EAR IMPLANT SURGERY 5B Existing 14 SM800E EAR (MIDDLE), ABSCESS/INFLAMMATION, OPERATION 1B Existing 15 SM801E EAR (MIDDLE), ROUND WINDOW PERFORATION, REPAIR 4A Existing EAR (MIDDLE), VARIOUS LESIONS, EXPLORATION AND 16 SM802E 3A Existing TYMPANOTOMY 17 SM803E EAR (MIDDLE), VARIOUS LESIONS, STAPEDECTOMY 4B Existing 18 SM804E EAR, CAULIFLOWER EAR, CORRECTION 3A Existing EAR, CONGENITAL ATRESIA, RECONSTRUCTION OF 19 SM805E 4B Existing EXTERNAL AUDITORY CANAL AND MIDDLE EAR 20 SM806E EAR, DEFORMITY, COMPOSITE GRAFT 4A Existing 21 SM807E EAR, DEFORMITY, CORRECTION (BILATERAL) 3C Existing 22 SM808E EAR, DEFORMITY, CORRECTION (UNILATERAL) 3A Existing EAR, DEFORMITY, LOBULE RECONSTRUCTION 23 SM809E 2C Existing (BILATERAL) EAR, DEFORMITY, LOBULE RECONSTRUCTION 24 SM810E 1C Existing (UNILATERAL) 25 SM811E EAR, EXOSTOSIS OBTURANS, EXCISION BIOPSY 3A Existing 26 SM812E EAR, FOREIGN BODY, REMOVAL MSP Existing EAR, FOREIGN BODY, COMPLEX REMOVAL/EXCISION 27 SM813E 1B Existing (EMBEDDED/LARGE) EAR, HEMATOMA/SEROMA, EVACUATION/INCISION & 28 SM814E 1B Existing DRAINAGE EAR, KERATOSIS OBTURANS MODERATE/SEVERE, 29 SM815E 1C Existing EXCISION BIOPSY UNDER GA 30 SM816E EAR, LACERATION (FULL THICKNESS), REPAIR > 3CM 3A Existing 31 SM817E EAR, LACERATION, WOUND DEBRIDEMENT MSP Existing EAR, MICROTIA, CREATION OF POST-AURICULAR SULCUS 32 SM818E 3C Existing WITH SKIN GRAFT EAR, MICROTIA, INSERTION OF CARTILAGE/SILASTIC 33 SM819E 4A Existing FRAMEWORK 34 SM820E EAR, MICROTIA, REPOSITIONING OF LOBULE 2A Existing 35 SM821E EAR, PARTIAL AMPUTATION, RECONSTRUCTION 4A Existing 36 SM822E EAR, POLYP, REMOVAL 1B Existing 37 SM823E EAR, UNILATERAL PRE AURICULAR SINUS EXCISION 2B Existing

SM – ENT

38 SM824E EAR, SEBACEOUS CYST, EXCISION 1B Existing EAR, TOTAL AMPUTATION, MICROVASCULAR 39 SM825E 7C Existing RECONSTRUCTION EAR, TOTAL AMPUTATION, STAGED RECONSTRUCTION 40 SM826E 4A Existing (EACH STAGE) EAR, VARIOUS LESIONS, MEATOPLASTY/CANALPLASTY 41 SM827E 3B Existing WITH / WITHOUT SPLIT SKIN GRAFT EAR, VARIOUS LESIONS, MYRINGOPLASTY (POST- 42 SM829E 4A Existing AURAL/ENDAURAL APPROACH) 43 SM830E EAR, VARIOUS LESIONS, MYRINGOPLASTY (SIMPLE) 3B Existing EAR, TYMPANIC MEMBRANE, 44 SM831E 1B Existing UNILATERAL,MYRINGOTOMY WITHOUT TUBE EAR, TYMPANIC MEMBRANE, UNILATERAL 45 SM832E 2A Existing MYRINGOTOMY WITH TUBE EAR, VARIOUS LESIONS, OSSICULAR CHAIN 46 SM833E 4B Existing RECONSTRUCTION WITH/WITHOUT MYRINGOPLASTY EAR, VARIOUS LESIONS, VARIOUS GRAFT TO 47 SM834E 4A Existing FENESTRATION CAVITY ENDOLYMPHATIC SAC, VARIOUS LESIONS, 48 SM835E 5C Existing TRANSMASTOID SHUNT PROCEDURE EAR, EUSTACHIAN TUBE, VARIOUS LESIONS, 49 SM836E 1A Existing CATHETERISATION/INFLATION EAR, VARIOUS LESIONS, MIDDLE FOSSA EXTRA-DURAL 50 SM837E APPROACH TO TEMPORAL BONE WITH/WITHOUT 6B Existing TRANSMASTOID APPROACH COMBINED ACCESS EAR, VARIOUS LESIONS, MYRINGOPLASTY (LATERAL 51 SM838E GRAFT/ONLAY GRAFT TECHNIQUE) WITH/WITHOUT 4B Existing CANALPLASTY EAR, TYMPANIC MEMBRANE, UNILATERAL, TRANSTYMPANIC PERFUSION OF DRUGS, WITH 52 SM839E INJECTIONS/MYRINGOTOMY INCLUDING REPEAT 2A New PROCEDURES DURING A 90-DAY PERIOD IN THE SAME EAR INFERIOR TURBINATE REDUCTION (SUBMUCOUS Descriptor 53 SM700I 1C DIATHERMY/RADIOFREQUENCY) change 54 SM701L LARYNX, TRANSCUTANEOUS INJECTION OF LARYNX 1A Existing LARYNX AND ESOPHAGUS, TUMOR, ESOPHAGECTOMY 55 SM702L (TOTAL)/ LARYNGOPHARYNGECTOMY WITH 7C Existing RESTORATION OF ALIMENTARY CONTINUITY LARYNX AND PHARYNX, VARIOUS LESIONS, LASER 56 SM703L 3B Existing APPLICATION LARYNX AND TRACHEA, VARIOUS LESIONS, MAJOR 57 SM704L 5C Existing MICROSURGERY WITHOUT RECONSTRUCTION LARYNX AND TRACHEA, VARIOUS LESIONS, MAJOR 58 SM705L 5C Existing PLASTIC OPERATION 59 SM706L LARYNX, FRACTURES, OPERATION 5C Existing 60 SM707L LARYNX, LARYNOGOFISSURE, EXTERNAL OPERATION 5C Existing 61 SM708L LARYNX, TUMOR, LARYNGECTOMY (TOTAL) 5C Existing LARYNX, LARYNGECTOMY WITH BILATERAL NECK 62 SM709L 7A Existing DISSECTION LARYNX, LARYNGECTOMY WITH UNILATERAL NECK 63 SM710L 6B Existing DISSECTION Descriptor 64 SM711L LARYNGOSCOPY WITH REMOVAL OF TUMOUR/LESIONS 2C change 65 SM712L LARYNX, TUMOR, PARTIAL LARYNGECTOMY 5C Existing

SM – ENT

LARYNX, TUMOR, PARTIAL LARYNGECTOMY WITH BLOCK 66 SM713L 6B Existing NECK DISSECTION LARYNX, VARIOUS DISORDERS, LARYNGEAL 67 SM714L FRAMEWORK SURGERY, THYROPLASTY TYPES I-IV 4B Existing INCLUDING OPEN MEDIALISATION LARYNX, VARIOUS LESIONS, DIRECT LARYNGOSCOPE Descriptor 68 SM716L 1B EXAMINATION WITH/WITHOUT BIOPSY change LARYNX, VARIOUS LESIONS, HEMI/PARTIAL 69 SM717L 5C Existing LARYNGECTOMY LARYNX, VARIOUS LESIONS, HEMI/PARTIAL 70 SM718L 6B Existing LARYNGECTOMY WITH RADICAL NECK DISSECTION LABYRINTH, VARIOUS LESIONS, 71 SM800L 5C Existing DESTRUCTION/LABYRINTHOTOMY 72 SM700M MAXILLA, SINUSES, SINOSCOPY 1B Existing 73 SM701M MOUTH, CAUTERY OF SOFT PALATE /TONGUE BASE 2B Existing MOUTH, VARIOUS/PATHOLOGIC LESIONS OF ORAL 74 SM702M 2B Existing MUCOSA, LASER APPLICATION MOUTH, VARIOUS LESIONS, PHARYNGOTOMY (LATERAL) 75 SM703M 4A Existing WITH EXCISION OF TONGUE 76 SM704M MOUTH, VARIOUS LESIONS, UVULOTOMY 1B Existing MASTOID, VARIOUS LESIONS, MASTOIDECTOMY 77 SM800M 3C Existing (CORTICAL) MASTOID, VARIOUS LESIONS, MASTOIDECTOMY 78 SM801M (RADICAL/MODIFIED RADICAL) WITH MYRINGOPLASTY 5C Existing AND OSSICULAR CHAIN RECONSTRUCTION MASTOID, VARIOUS LESIONS, MASTOIDECTOMY 79 SM802M 4B Existing (RADICAL/MODIFIED) MASTOID, VARIOUS LESIONS, MASTOIDECTOMY 80 SM803M 5C Existing (RADICAL/MODIFIED) WITH MYRINGOPLASTY MASTOID, VARIOUS LESIONS, REVISION 81 SM804M 4B Existing MASTOIDECTOMY MASTOID, VARIOUS LESIONS, OBLITERATION / 82 SM839M 4A Existing REDUCTION OF CAVITY NOSE, NASOENDOSCOPY/NASOPHARYNGOLARYNGOSCOPY Descriptor 83 SM700N 1A (SINGLE OR REPEAT EXAMINATIONS, DURING A 90 DAY change GLOBAL PERIOD) 84 SM701N NOSE, CHOANAL ATRESIA, PLASTIC REPAIR 4A Existing NOSE, CHOANAL ATRESIA, REPAIR BY PUNCTURE AND 85 SM702N 2C Existing DILATATION 86 SM703N NOSE, FOREIGN BODY, REMOVAL MSP Existing NOSE, HEMATOMA/ABSCESS, EVACUATION/INCISION & 87 SM704N 1A Existing DRAINAGE NOSE, HEMORRHAGE, HEMOSTASIS 88 SM705N 1B Existing (PACKING)/CRYOTHERAPY) 89 SM706N NOSE, LACERATION FULL THICKNESS, REPAIR >3CM 3A Existing NOSE, POLYPI (COMPLEX), NASOENDOSCOPY WITH Descriptor 90 SM707N 2B EXCISION BIOPSY, MORE THAN 2 change NOSE, POLYPI (SIMPLE), NASOENDOSCOPY WITH Descriptor 91 SM708N 1B EXCISION BIOPSY, 1 TO 2 change 92 SM709N NOSE, POST-NASAL SPACE, LASER APPLICATION 4A Existing 93 SM710N NOSE, RHINOPHYMA, EXCISION 3B Existing 94 SM711N NOSE, RHINOPHYMA, TOTAL CONSTRUCTION 6B Existing 95 SM712N NOSE, SIMPLE FRACTURE, MANIPULATION 1B Existing

SM – ENT

NOSE, VARIOUS LESIONS (POSTNASAL SPACE), DIRECT 96 SM713N 1B Existing EXAMINATION WITH BIOPSY AND NASENDOSCOPY NOSE, VARIOUS LESIONS (TURBINATES), 97 SM714N TURBINECTOMY/TURBINOPLASTY/SUBMUCOUS 2C Existing RESECTION (WITH OR WITHOUT ENDOSCOPES) 98 SM715N NOSE, VARIOUS LESIONS, CAUTERISATION/DIATHERMY 1A Existing NOSE, VARIOUS LESIONS, COMPOSITE GRAFT 99 SM716N 4A Existing (CHONDRO-CUTANEOUS/CHONDRO-MUCOSAL) 100 SM717N NOSE, VARIOUS LESIONS, EXAMINATION MSP Existing NOSE, VARIOUS LESIONS, RHINOPLASTY 101 SM718N 3B Existing (AUGMENTATION EXCLUDING COST OF IMPLANTS) NOSE, VARIOUS LESIONS, RHINOPLASTY (CORRECTION 102 SM719N 4C Existing OF BONY VAULT ONLY) NOSE, RHINOPLASTY, CORRECTION OF LATERAL/ALAR CARTILAGE AND/OR SEPTAL STRUT (INCLUDING ALL 103 SM720N GRAFTS, EXTRACORPOREAL SEPTOPLASTY), 4C Existing RECONSTRUCTION OF NASAL VALVE(S), AND/OR EXTRANASAL CARTILAGE HARVEST NOSE, VARIOUS LESIONS, RHINOPLASTY (RESTORATION 104 SM721N OF THE FACE INVOLVING AUTOGENOUS BONE OR 5A Existing COSTAL CARTILAGE GRAFT) NOSE, VARIOUS LESIONS, RHINOPLASTY (SECONDARY 105 SM722N 5A Existing REVISION) NOSE, VARIOUS LESIONS, RHINOPLASTY (TOTAL) 106 SM723N INCLUDING CORRECTION OF ALL BONY AND 5C Existing CARTILAGINOUS ELEMENTS NOSE, VARIOUS LESIONS, SEPTOPLASTY/SUBMUCOUS 107 SM724N 3B Existing RESECTION 108 SM700P PHARYNX, ADHESIONS, DIVISION 1B Existing 109 SM701P PHARYNX, CYSTS/VALLECULAR, REMOVAL 2C Existing 110 SM702P PHARYNX, POUCH, REMOVAL 4A Existing PHARYNX, TUMOR, PARTIAL PHARYNGECTOMY AND 111 SM703P 7B Existing RADICAL NECK DISSECTION WITH FLAP 112 SM704P PHARYNX, VARIOUS LESIONS, FLAP/PHARYNGOPLASTY 4B Existing PHARYNX, VARIOUS LESIONS, PARTIAL 113 SM705P 4B Existing PHARYNGECTOMY WITH PRIMARY CLOSURE PHARYNX, VARIOUS LESIONS, PHARYNGOTOMY 114 SM706P (LATERAL) WITH EXCISION OF TONGUE AND 7B Existing RECONSTRUCTION PHARYNX, TONGUE BASE, FOR OSA, EXCISION OF 115 SM707P 3B Existing LINGUAL TONSILS SKULL/FACE, MALIGNANT TUMOUR/TRAUMA, 116 SM700S 7C Existing CRANIOFACIAL RESECTION SINAL-NASAL, ENDOSCOPIC HEMOSTASIS (COMPLEX, 117 SM702S 3C Existing UNDER GENERAL ANAESTHESIA) SINUSES, NASAL, INFECTION, FUNCTIONAL SINUSCOPIC 118 SM703S 5A Existing ETHMOIDECTOMY (BILATERAL) SINUSES, ETHMOIDAL, VARIOUS LESIONS, EXTERNAL 119 SM705S 5C Existing OPERATION SINUSES, NASAL, FOREIGN BODY/OTHER LESIONS, 120 SM706S 2B Existing INTRANASAL OPERATION/REMOVAL OF FOREIGN BODY SINUSES, NASAL, HEMATOMA/ABSCESS, ANTRAL 121 SM707S 2B Existing DRAINAGE SINUSES, NASAL, INFECTION, FUNCTIONAL SINUSCOPIC 122 SM708S 3B Existing DRAINAGE OF ETHMOIDAL/ MAXILLARY SINUSES

SM – ENT

SINUSES, NASAL, INFECTION, FUNCTIONAL SINUSCOPIC 123 SM709S 4A Existing ETHMOIDECTOMY (UNILATERAL) 124 SM710S SINUSES, NASAL, ORO-ANTRAL FISTULA, CLOSURE 3A Existing SINUSES, NASAL, VARIOUS LESIONS OF ANTRUM, PROOF Descriptor 125 SM711S 1B PUNCTURE AND/OR LAVAGE change SINUSES, NASAL, VARIOUS LESIONS, ANTROSTOMY 126 SM712S 3A Existing (RADICAL) SINUSES, NASAL, VARIOUS LESIONS, FRONTO- 127 SM713S 5C Existing ETHMOIDECTOMY (RADICAL) WITH OSTEOPLASTIC FLAP SINUSES, NASAL, VARIOUS LESIONS, FRONTO-NASAL 128 SM714S 5C Existing ETHMOIDECTOMY WITH/WITHOUT SPHENOIDOTOMY SINUSES, NASAL, VARIOUS LESIONS, INTRANASAL 129 SM715S 3B Existing OPERATION SINUSES, SPHENOIDAL, VARIOUS LESIONS, INTRANASAL 130 SM716S 5C Existing OPERATION SINUSES FRONTAL, VARIOUS LESIONS, 131 SM717S 1A Existing CATHETERISATION SINUSES FRONTAL, VARIOUS LESIONS, RADICAL 132 SM718S 5C Existing OBLITERATION 133 SM719S SINUSES FRONTAL, VARIOUS LESIONS, TREPHINE 2B Existing SINUSES-NASAL, VARIOUS LESIONS, LAVAGE THROUGH 134 SM720S MSP Existing AN ORO-ANTRAL PERFORATION SKULL, BASE, ENDOSCOPIC OR OPEN RESECTION OF 135 SM721S SKULL BASE SOFT TISSUE TUMOURS WITH NO BONE 5C Existing INVOLVEMENT SKULL, BASE, ENDOSCOPIC OR OPEN RESECTION OF SKULL BASE SOFT TISSUE TUMOURS, (INCLUDING 136 SM722S 6C Existing NASOPHARYNGECTOMY) WITH RESECTION OF BONE AND PRESERVATION OF DURA (EXTRADURAL) SKULL, BASE, ENDOSCOPIC OR OPEN RESECTION OF SKULL BASE SOFT TISSUE TUMOURS WITH RESECTION 137 SM723S OF BONE AND DURA (INTRADURAL, INCLUDING CLIVUS, 7C Existing PARASELLAR AREA OR CAVERNOUS SINUS) WITH SKULL BASE RECONSTRUCTION 138 SM700T THROAT, HYOID SUSPENSION 3B Existing 139 SM701T THROAT, UVULOPALATOPHARYNGOPLASTY (U3P) 4B Existing THYROGLOSSAL CYST, SISTRUNK OPERATION WITH 140 SM702T 3B Existing HYOID BONE REMOVAL 141 SM703T TONSILS, ABSCESS, DRAINAGE 1A Existing 142 SM704T TONSILS, HEMORRHAGE, HEMOSTASIS 1B Existing TONSILS, VARIOUS LESIONS, REMOVAL WITH/WITHOUT 143 SM705T 3B Existing ADENOIDECTOMY 144 SM706T TONGUE SUSPENSION 2B Existing THROAT, PALATOPLASTY WITH/WITHOUT UVULOPLASTY, 145 SM707T 3A New USING LASER OR OTHER MODALITIES

ANNEX

GUIDELINES ON MEDISAVE AND MEDISHIELD LIFE CLAIMS FOR SURGICAL PROCEDURES

[Also Annex A-5 of the MediSave Manual]

1. MediSave and MediShield Life claims should be based on the existing descriptors and classifications in the Table of Surgical Procedures (TOSP) circulated by the Ministry of Health (MOH). Doctors/dentists should not arbitrarily vary the tables based on their own assessment of the TOSP codes.

2. The TOSP code used should be one that best described the surgery/procedure performed. Only one TOSP code should be used if the single TOSP code adequately describes the episode of surgery/procedure carried out.

3. In general, if there is no appropriate TOSP table for an operation, no Medisave claim may be made. Financial counselling of patients should also be based on the prevailing TOSP and its corresponding MediSave withdrawal limits. Financial counselling based on future anticipated changes to the TOSP is not allowed.

4. For new procedures that are not coded in the TOSP, medical practitioners may submit their proposals via their public acute hospital or national specialty centre (for public sector practitioners), or their College/Chapter in the Academy of Medicine Singapore (for private sector practitioners) for MOH’s TOSP Review Committee’s assessment ([email protected]). Should these procedures subsequently be incorporated into the TOSP, MediSave use will be allowed.

5. Need for Histopathology. All TOSP claims where appropriate must be supported by histopathology, in the absence of which the claim can be rejected by MediSave audit. In rare instances e.g. removal of cataracts, blepharoplasty, laser vaporization of the vagina etc., it is not practicable to send for histopathology and thus claims will be allowed.

6. Separate Operations. Operations carried out on the same patient at different admissions and for different conditions may be claimed as separate operations. Patients for whom the diagnostic laparoscopy is done as a separate operation from the reversal of sterilization on two separate admissions may be allowed to make separate MediSave withdrawals for the two operations.

7. Surgical removal / excision biopsy of benign breast lumps (regardless of whether a flap closure is performed) should be coded as SA812B (for single lump), which is at Table 2C, or SA813B (for multiple/bilateral lumps), which is at Table 3A. The exception is when a surgeon excises a benign breast lump (>4cm) (e.g. as in phylloides tumour) and chooses flap closure. In this case, only SA705B, i.e. “breast lump more than 4 cm (removal) with parenchymal flap closure (unilateral/bilateral)”, which is at Table 4A, should be used; a separate claim for the excision of that lump/s cannot be made.

ANNEX

8. A “Staged” operation for a single condition will only be allowed to be claimed as a single operation, with the MediSave claim limit subject to the surgical table for the operation, regardless of the number of stages of operations carried out to complete it within the same surgical episode. For example, if angiocardiography (SD811H/3A) and PTCA (SD810H/4A) were done on the patient within the same surgical episode, he can only claim for one procedure using the highest table code for the surgical episode.

9. For multiple procedures, MediSave claims shall:

a. Be limited to not more than 3 surgical procedures; b. Be limited to procedures involving not more than 2 anatomical systems (i.e. code SA – SM) as defined in the Table of Surgical Operations, and comprising not more than 2 procedures within each system; and c. Be subject to a maximum MediSave withdrawal of $7,550 for the total operation charges.

10. For paired organs (e.g. eyes, breast, kidneys etc.), two TOSP claims for the same procedure are allowed if both organs are being operated on at the same time, particularly if no bilateral TOSP code exists. Where a bilateral TOSP code exists, the bilateral TOSP code should be used.

11. For gynaecological operations, the uterus, fallopian tubes, ovaries are classified as separate organs. For the paired organs ovaries and fallopian tubes, each pair is classified as a single organ respectively, e.g. if a person removes an ovarian cyst on one side and also does a tubal surgery, two SI codes can be claimed. If the TOSP code already specifies multiple operations, e.g. total hysterectomy bilateral salpingo-oophorectomy, only one claim can be made although various organs (uterus, tubes, ovaries) are operated on. If bilateral salpingo-oophorectomy (removal of both ovaries) is done, only one claim is allowed.

12. A surgeon converting a diagnostic operation into a definitive procedure at the same sitting will be allowed only one claim of the higher TOSP. E.g. diagnostic laparoscopy followed by appendicectomy; breast lump biopsy/frozen section proceeding to mastectomy.

13. For preoperative localization of breast tumours by ultrasound/ hookwire / VAB / ROLL etc., a separate charge for such procedures will not be MediSave-claimable. Only the definitive operation will be claimed, as detailed in the TOSP.

14. Abdominal and pelvic adhesiolysis can be claimed only if they are done as primary procedures. If the same surgeon/gynaecologist proceeds to a definitive operation after adhesiolysis (eg gastrectomy, hemicolectomy, hysterectomy etc.), claim can only be made for the definitive operation.

15. Patients who undergo a diagnostic laparoscopy (SI706F Fallopian tube/uterus/ovary, Laparoscopy, Diagnostic, with Hydrotubation – Table 3B) followed immediately by a microsurgical reversal of sterilisation (SI802F Fallopian Tube, Blocked Tubes, Plastic Repair microsurgery /laparoscopic /robotic – Table 5C) are only allowed one withdrawal from

ANNEX

MediSave to meet the charges for the operation. In this case, MediSave claim may be based on the higher TOSP limit, namely that for Fallopian Tube, Blocked Tubes, Plastic Repair (microsurgery/laparoscopic/robotic) which is a Table 5C operation subject to the withdrawal limit of $3,950. Please note that an operating microscope has to be used before an operation is deemed as “microsurgery”. Laparoscopic magnification/loupes do not constitute microsurgery.

16. Patients for whom the diagnostic laparoscopy is done as a separate operation from the reversal of sterilisation on two separate admissions may be allowed to make separate MediSave withdrawals for the two operations, subject to the respective ceiling of $1,550 for a Table 3B operation and $3,950 for a Table 5C operation for these procedures.

17. No MediSave/MediShield Life can be used for surgical operations performed for cosmetic purposes, unless medically indicated. For example, all laser vaporisations of the facial area, lower lid blepharoplasties and ‘eye bag’ operations will be deemed cosmetic and as such no MediSave/MediShield Life claim is allowed. Medical practitioners should consult MOH if in doubt.

18. MediSave claims for general health screening purposes (i.e. where the patient does not present medical indications or complaints) are not allowed, with the exception of screening colonoscopy for persons aged 50 and older. If the Faecal Occult Blood Test is positive, colonoscopy is not a ‘screening’ procedure. Colonoscopy is considered a screening procedure if the patient has colonoscopy without medical indication for the surgery.

19. Only one TOSP claim can be made for each procedure. For example, when 2 surgeons are performing gastrectomy, only one claim will be allowed.

20. Please refer to Appendix A-5-i for more details on the eligibility of LASIK procedures for MediSave use, and Appendix A-5-ii for guidelines on MediSave use for Obstetrics and Gynaecology surgical procedures.

21. For all eyelid ptosis, eyebrow ptosis and dermatochalasis correction that are submitted for MediSave and MediShield Life claims, a certification from an ophthalmologist that the ptosis and dermatochalasis has resulted in a functional visual block is still required. The ptosis and dermatochalasis correction are medically indicated for symptomatic patients with an upper eyelid Margin Reflex Distance (MRD1) of 2mm or less. Presenting symptoms related to the functional eyelid condition, should be documented in the case record and to be submitted when the case is audited. Visual field tests should be performed for borderline cases MRD1 of 1-2mm, with and without taping up of the droopy anatomical structure (eyelid and/or eyebrow as indicated). In these cases, it is in the interest of the claimant that paired visual field is performed. Please refer to Appendix A-5-iii for the guidelines on the functional indication, clinical photography and perimetry requirement for all eyelid ptosis, eyebrow ptosis and dermatochalasis correction.

22. Doctors/dentists are reminded that they are ultimately responsible for claims made in their name and should not put the onus of the claim on other staff who did not sign the Letter

ANNEX

of Certification. The Letter of Certification signed by the doctor should rightfully serve as the reference for the claim that is subsequently submitted.

23. Doctors/dentists who have been notified by MOH to amend and resubmit MediSave claims for surgical procedures should in no way amend the clinical notes to correspond to the amended claim. All clinical notes should be contemporaneous so as to safeguard the veracity of MediSave claims.

24. Procedural questions which are not covered by these guidelines may be submitted to MOH ([email protected]) on a case-by-case basis for consideration. The decision made by MOH shall be considered final.