Standard Rates

FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Insertion Of Implantable Ecg Loop Recorder 20142 £5,344 Paravertebral Block Up To Two Levels (Under X-Ray Control) 25011 £708 Dorsal Root Ganglion Block (Local Anaesthetic Or Neurolytic) 25120 £1,908 Dorsal Root Ganglion Block (Radiofrequency) 25130 £2,514 Epidural Injection (Cervical) A5200 £1,890 Epidural Injection (Lumbar/Caudal) A5210 £1,336 Facet Or Sacroiliac Joint (Rf) Radiofrequency Thermocoagulation Including A5720 Rhizolysis (Under X-Ray Control) - Up To 3 Joints £2,571 Facet Or Sacroiliac Joint (Rf) Radiofrequency Thermocoagulation Including A5730 Rhizolysis (Under X-Ray Control) - 4 To 6 Joints £3,043 Facet Joint Injection (Under X-Ray Control) - 1 To 2 Joints A5751 £1,630 Medial Branch Block (Under X-Ray Control) – 1 To 2 Levels A5752 £2,363 Facet Joint Injection (Under X-Ray Control) - 3 To 4 Joints A5761 £1,812 Medial Branch Block (Under X-Ray Control) – 3 To 4 Levels A5762 £1,584 Facet Joint Injection (Under X-Ray Control) - 5 Or More Joints A5771 £1,860 Medial Branch Block (Under X-Ray Control) – 5 To 6 Levels A5772 £2,220 Excision Of Lesion Of Peripheral Nerve (E.G. Neurilemoma) A6110 £2,778 Carpal Tunnel Release, Including Endoscopic A6510 £1,808 Cubital Tunnel Release Including Endoscopic (Without Transposition) A6710 £2,190 Neurolysis And Transposition Of Peripheral Nerve (Includes Ulnar At Elbow) A6810 £2,845 Local Anaesthetic Blockade Of Major Nerve Trunk (Including Occipital Block, A7350 Spheno-Palatine Block, Diagnostic Block Of Trigeminal Branch, Intercostal Nerve Block & Supra-Scapular Nerve Block) £1,365 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Lumbar Sympathectomy : Therapeutic (Neurolytic Under X-Ray Control) A7600 £2,274 Total Thyroidectomy/Near Total Thyroidectomy B0812 £4,922 Total Thyroid Lobectomy & Isthmectomy B0830 £4,697 Partial Thyroidectomy (Not Elsewhere Classified) B0860 £4,505 Parathyroidectomy B1450 £5,745 Radical Mastectomy Including Block Dissection B2710 £5,967 Modified Radical Mastectomy Including Lymph Node Clearance B2744 £6,698 Simple Mastectomy (Including Axillary Node Biopsy) B2780 £7,188 Excision/Biopsy Of Breast Lump/Fibroadenoma Of Breast B2800 £2,358 Wide Local Excision Of Lesion Of Breast B2820 £3,750 Repeat Local Excision To Clear Margins B2830 £2,936 Excision Biopsy Of Breast Lesion After Localisation B2880 £3,538 B2912 Mastectomy And Immediate Reconstruction Of Breast Using Latissimus Dorsi £10,998 Reconstruction Of Breast Using Latissimus Dorsi (Including Delayed B2913 Reconstruction) £13,233 Mastectomy And Immediate Reconstruction Of Breast Using Expandable B3012 Prosthesis £12,456 Reconstruction Of Breast Using Fixed Prosthesis (Including Delayed B3015 Reconstruction) £5,234 Core Biopsy Of Lesion Of Breast B3220 £1,051 Drainage Of Breast Abscess B3310 £1,267 Orbital Injection C0840 £914 Excision Of Lesion Of Eyelid C1210 £1,939 Curettage/Cryotherapy Of Lesion Of Eyelid C1230 £1,009 Correction Of Ptosis Of Eyelid - Simple, Including Tarsomullerectomy C1810 £2,877 Correction Of Ptosis Of Eyelid - Complex C1812 £2,650 Biopsy Of Lesion Of Eyelid C2220 £1,668 Dacryocysto-Rhinostomy, Including Insertion Of Tube C2540 £4,378 Dacryocysto-Rhinostomy (Endoscopic/Laser Assisted), Including Insertion Of C2542 Tube £4,337 Probing Of Nasolacrimal System With/Without Syringing And/Or Irrigation C2650 £1,428 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Puncto-Canaliculoplasty C2910 £1,187 Surgical Correction Of Squint With Adjustable Sutures C3530 £4,217 Surgical Trabeculectomy Or Other Penetrating Glaucoma Procedures C6010 £3,511 Injection Into Anterior Chamber C6930 £1,330 Phakoemulsification Of Lens With Implant - Unilateral C7122 £2,619 Phakoemulsification Of Lens Without Implant - Unilateral C7123 £1,876 Phakoemulsification Of Lens Without Implant - Bilateral C7124 £3,173 Phakoemulsification Of Lens With Implant - Bilateral C7125 £4,029 Extracapsular Extraction With Implant C7180 £3,421 Yag Laser Photodisruption Of Posterior Capsule Of Lens (Including Laser C7340 Capsulotomy) £1,501 Intravitreal Injection Of Pharmaceutical For Neovascular Age Related Macular C7923 * Degeneration £2,264 Pars Plana Vitrectomy With Internal Tamponade, Scleral Buckling And C7982 Retinopexy, Including Dissection Or Excision Of Epiretinal Membrane/Macular Surgery £7,619 Laser Photocoagulation/Cryotherapy Of Lesion Of Retina C8200 £2,204 Excision Of Lesion Of Pinna D0210 £1,869 Modified Radical Mastoidectomy (Including Meatoplasty) D1020 £6,022 Myringoplasty D1420 £3,464 Myringotomy And Insertion Of Tube Through Tympanic Membrane (And D1510 Bilateral) £2,022 Suction Clearance Of Middle Ear (As Sole Procedure) D1520 £435 Myringotomy (And Bilateral) D1530 £1,961 Ossiculoplasty D1610 £8,425 E0230 Septorhinoplasty +/- Graft/Implant Following Trauma Or Excision Of Tumour £4,904 Septoplasty Of Nose E0360 £3,510 Nasal Septum Cauterisation (And Bilateral) E0380 £725 Antral Puncture And Wash-Out (And Bilateral) E1310 £1,626 Intranasal Antrostomy Including Endoscopic (And Bilateral) E1330 £3,449 Endoscopic Balloon Dilation Frontal Sinuplasty E1360 £4,817 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Endoscopic Balloon Dilation Maxillary Sinuplasty E1370 £2,757 Endoscopic Balloon Dilation Sphenoid Sinuplasty E1380 £4,438 Fess Endoscopic Uncinectomy, Anterior And Posterior Ethmoidectomy (And E1432 Bilateral) £3,995 Endoscopic Exploration Frontal Sinus Beyond Frontoethmoid Recess E1480 £5,748 Diagnostic Endoscopy Of Sinus (As Sole Procedure) E1780 £5,464 Diagnostic Endoscopic Examination Of Pharynx/Larynx (Including Biopsy) (As E2500 Sole Procedure) £718 E3520 Microlaryngoscopy/Laryngoscopy +/- Endoscopic Excision Of Lesion Of Larynx £2,623 Diagnostic Bronchoscopy +/- Biopsy E5180 £2,110 Pulmonary Lobectomy Including Segmental Resection E5430 £14,626 Open Excision Of Lesion Of Lung E5520 £11,121 Excision Of Lesion Of Lip F0200 £1,694 Surgical Removal Of Impacted/Buried Tooth/Teeth F0910 £1,761 Surgical Removal Of Complicated Buried Roots F0950 £1,769 Enucleation Of Cyst Of Jaw F1810 £2,095 Excision/Destruction Of Lesion Of Tongue F2310 £2,057 Tonsillectomy - Child (And Bilateral) F3400 £2,592 Tonsillectomy - Adult (And Bilateral) F3440 £2,546 Adenotonsillectomy (And Bilateral) F3480 £2,773 Partial Excision Of Parotid Gland And Preservation Of Facial Nerve F4430 £5,692 Rigid Oesophagoscopy Including Any Biopsy, Laser Or Diathermy Destruction Of G1900 Lesions £2,165 Laparoscopic Repair Of Hiatus Hernia With Anti-Reflux Procedure (E.G. G2331 Fundoplication) £7,497 Transabdominal Anti-Reflux Operations G2430 £7,639 Revision Of Anti-Reflux Operations G2590 £9,446 Laparoscopic Gastric Banding G3080 £8,945 Therapeutic Gastroscopy With Insertion Of Prosthesis, Therapy For Acutely G4410 Bleeding Ulcer Or Banding Of Varices £3,115 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 G4430 Therapeutic Oesophago-Gastro-Duodenoscopy (Ogd) With Bougie Dilatation £1,575 Therapeutic Gastroscopy With Insertion Percutaneous Endoscopic G4440 Gastrostomy/Percutaneous Endoscopic Jejunostomy £3,320 Diagnostic Oesophago-Gastro-Duodenoscopy (Ogd) Includes Forceps Biopsy, G6500 Biopsy Urease Test And Dye Spray £1,378 Closure Of Ileostomy (As Sole Procedure) G7530 £5,169 Capsule Endoscopy Including Interpretation And Evaluation G8080 £1,814 Appendicectomy H0210 £5,450 Laparoscopic Appendicectomy H0280 £5,215 Extended Excision Of Right Hemicolon H0610 £22,164 Other Excision Of Right Hemicolon H0700 £15,099 Laparoscopically Assisted Right Hemicolectomy H0750 £13,949 Diagnostic Colonoscopy, Includes Forceps Biopsy Of Colon And Ileum H2002 £1,786 Therapeutic Colonoscopy With Snare Loop Biopsy Or Excision Of Lesion H2003 £1,986 Diagnostic Flexible Sigmoidoscopy, Includes Forceps Biopsy H2502 £1,505 Therapeutic Sigmoidoscopy With Snare Loop Biopsy Or Excision Of Lesion H2503 £1,843 Rigid Sigmoidoscopy Including Biopsy H2510 £2,322 Anterior Resection - High (I.E. Colorectal Anastomosis Above The Peritoneal H3332 Reflection) £16,214 Anterior Resection - Low (I.E. Colorectal Anastomosis At Or Below The H3334 Peritoneal Reflection) £19,067 Laparoscopic Anterior Resection - High (I.E. Colorectal Anastomosis Above The H3364 Peritoneal Reflection) £12,095 Partial Excision Of Rectum And Sigmoid Colon For Prolapse H3380 £6,939 Perineal Repair Of Prolapse Of Rectum H4200 £4,277 Examination Of Rectum Under Anaesthetic (As Sole Procedure) H4430 £2,047 Excision Of Lesion Of Anus H4800 £1,908 Haemorrhoidectomy (Including Sigmoidoscopy) H5100 £2,677 Injection Of Sclerosing Substance Into Haemorrhoids H5230 £2,123 Banding Of Haemorrhoids H5240 £1,735 Circular Stapling Haemorrhoidectomy H5250 £2,854 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Laying Open Of Low Anal Fistula (Including Sigmoidoscopy) H5510 £2,415 Laying Open Of High Anal Fistula (Including Sigmoidoscopy) H5520 £3,339 Lateral Sphincterotomy Of Anus H5620 £1,819 Excision Of Pilonidal Sinus And Suture/Skin Graft H5940 £2,553 Hemihepatectomy J0210 £31,278 Diagnostic Laparoscopy (Including Any Biopsy) J0900 £3,500 Cholecystectomy (Including Mini-Cholecystectomy) J1800 £6,681 Laparoscopic Cholecystectomy J1830 £5,746 Laparoscopic Cholecystectomy With Peri-Operative Cholangiogram J1880 £5,512 Therapeutic Ercp (Inc Insertion Of Biliary/Pancreatic Prosthesis, Sphincterotomy J3900 £5,214 Diagnostic Ercp ( Includes Forceps Biopsy) J4300 £4,861 Repair Of Mitral Valve K2580 £33,781 Replacement Or Repair Of Aortic Valve K2600 £31,394 Plastic Repair Of Tricuspid Valve Os K2780 £16,940 Bypass For Coronary Artery(Ies) Including Harvesting Of Grafts And K4100 Endarterectomy £22,685 Percutaneous Transluminal Angioplasty Of Coronary Artery(Ies) With Stent K4910 Insertion £14,918 Percutaneous Transluminal Ablation Of Atrio K5710 £13,642 Ablation Of Atrial Arrhythmia K5730 £17,364 Percutaneous Pulmonary Vein Isolation K5760 £17,364 Percutaneous Transluminal Ablation Of Accessory Pathway Or Selected K5780 Modification Of Av Node (Including Mapping) £17,364 Mapping Of Conducting System (In Isolation) K5810 £9,021 Cardiac Pacemaker System Introduced Through Vein (Single Chamber) K6000 * £12,563 Cardiac Pacemaker System Introduced Through Vein (Dual Chamber) K6010 * £16,091 Replacement Of Generator For Intravenous Cardiac Pacemaker System (Without K6030 Lead Change) £16,140 Ligation/Stripping Of Long Or Short Saphenous Vein (Including Local L8510 Excision/Multiple Phlebectomy) £2,337 Endovenous Laser Treatment (Evlt) Of Single Vein Includimg Local Excision / L8512 Phlebectomy - Unilateral £2,621 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Endovenous Laser Treatment (Evlt) Of Single Vein Includimg Local Excision / L8513 Phlebectomy - Bilateral £4,006 Endovenous Laser Treatment (Evlt) Of Multiple Veins Includimg Local Excision / L8514 Phlebectomy - Unilateral £3,826 Ligation/Stripping Of Long Or Short Saphenous Vein (Including Local L8520 Excision/Multiple Phlebectomy) - Bilateral £3,423 Operations For Recurrent Varicose Veins With Re-Exploration Of Groin - L8530 Unilateral £3,463 Radiofrequency Ablation Of Varicose Vein’S (Vnus) - Unilateral L8540 £3,267 Radiofrequency Ablation Of Varicose Veins (Vnus) - Bilateral L8541 £4,290 L8580 Operations For Recurrent Varicose Veins With Re-Exploration Of Groin - Bilateral £5,207 Operations For Recurrent Varicose Veins Without Re-Exploration Of Groin Or L8582 Popliteal Fossa - Bilateral £4,352 Unilateral Varicose Vein Injection Sclerotherapy L8600 £694 Bilateral Varicose Vein Injection Sclerotherapy L8680 £224 Ligation/Stripping Of Long And Short Saphenous Veins (Including Local L8700 £3,263 Subfascial Endoscopic Perforator Surgery (Seps) - Unilateral L8770 £3,543 Ligation/Stripping Of Long And Short Saphenous Veins (Including Local L8780 Excision/Multiple Phlebectomy) - Bilateral £3,586 Insertion Of Hickman Line, Tunnelled Central Line Etc L9110 £10,184 Insertion Of Portacath/Port-A-Cath/Vasoport Unit L9180 £5,708 Nephrectomy And Excision Of Perirenal Tissue M0210 £10,090 Laparoscopic Nephrectomy M0280 £8,731 Percutaneous Nephrolithotomy (Including Cystoscopy And Retrograde M0940 Catheterisation) £11,067 Diagnostic Endoscopic Examination Of Kidney (Including Biopsy) M1110 £5,552 Extracorporeal Fragmentation Of Calculus Of Kidney (Lithotripsy) - Single M1400 Treatment £1,673 Ureterolysis - Bilateral M2580 £9,899 Ureteroscopic Extraction Of Calculus Of Ureter M2730 £3,353 Endoscopic Insertion Of Prosthesis Into Ureter M2920 £4,905 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Removal Of Prosthesis From Ureter M2930 £1,302 Endoscopic Examination Of Ureter M3000 £2,681 Endoscopic Retrograde Pyelography M3010 £3,474 Endoscopic Resection Of Lesion Of Bladder (Including Cystoscopy) M4210 £4,243 Endoscopic Destruction Of Lesion Of Bladder (Including Cystoscopy) M4230 £2,298 Litholapaxy M4410 £4,403 Diagnostic Endoscopic Examination Of Bladder (Including Any Biopsy) M4510 £1,413 Bladder Instillation Of Pharmacologic Agent M4712 £1,304 Urodynamic Studies/Urodynamic Assessment M4780 £1,221 Combined Abdominal And Vaginal Operations To Support Outlet Of Female M5100 Bladder (Including Sling Procedures) £4,987 Vaginal Operations To Support Outlet Of Female Bladder M5300 £5,005 Dilatation Of Outlet Of Female Bladder (With Cystoscopy) M5820 £1,700 Radical Prostatectomy, Reconstruction Of Bladder Neck Including Bilateral Pelvic M6180 Lymphadenectomy £13,548 Laparoscopic Radical Prostatectomy M6182 £11,788 Endoscopic Resection Of Prostate (Tur) (Including Cystoscopy) M6530 £5,501 Holmium Laser Resection Of Prostate (Holrp) M6532 £5,971 Endoscopic Biopsy Of Prostate M6580 £3,765 Endoscopic Incision Of Outlet Of Male Bladder (With Cystoscopy) M6620 £2,834 Prostatic Cryotherapy M6712 £18,606 Photoselective Vaporisation Of Prostate (Greenlight / Niagara Laser Pvp) M6760 £5,935 High Intensity Focused Ultrasound Of Prostate M6770 £15,599 Prostate, Needle Biopsy M7020 £1,539 Tension-Free Urethropexy, Including Administration Of Local Anaesthetic By M7590 Operating Surgeon £4,960 Internal Urethrotomy (Including Cystoscopy) M7940 £2,715 Orchidectomy And Excision Of Spermatic Cord N0680 £3,167 Correction Of Hydrocele N1100 £2,269 Excision Of Epididymal Cyst N1580 £2,252 Circumcision N3030 £2,122 Marsupialisation Of Bartholin Cyst P0320 £2,231 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Excision Of Lesion Of Vulva P0600 £1,846 Excision Of Lesion Of Vagina (E.G. Warts And Cysts) P2000 £2,051 Anterior +/- Posterior Colporrhaphy And Amputation Of Cervix Uteri (Including P2210 Primary Repair Of Enterocele) £5,755 Posterior Colporrhaphy P2230 £3,544 P2310 Anterior +/- Posterior Colporrhaphy (Including Primary Repair Of Enterocele) £5,563 Repair Of Enterocele (+/- Posterior Colporrhaphy) (As Sole Procedure) P2340 £5,386 Anterior (+/- Posterior) Colporrhaphy With Vaginal Hysterectomy (Including P2380 Primary Repair Of Enterocele) £7,186 Sacrocolpopexy P2420 £6,924 Colposcopy (+/- Biopsy) P2730 £1,394 Cauterisation Of Lesion Of Cervix Uteri (Including Loop Diathermy) Q0230 £1,410 Cone Biopsy Of Cervix Uteri (Including Laser) Q0330 £2,191 Punch Biopsy Of Cervix Uteri Q0340 £552 Radical Hysterectomy And Lymphadenectomy (Wertheim'S) Q0710 £15,407 Total Abdominal Hysterectomy (+/- Oopherectomy) Q0740 £6,874 Subtotal Abdominal Hysterectomy (+/- Oopherectomy) Q0750 £6,214 Vaginal Hysterectomy (Including Laparoscopically Assisted) Q0800 £6,684 Hysterectomy With Excision / Biopsy And Or Removal Of Omentum And Uterine Q0880 Adnexa For Ovarian Malignancy £11,162 Myomectomy (Including Laparoscopically) Q0920 £6,391 Dilation Of Cervix Uteri And Curettage Of Retained Products Of Conception Q1010 Following Spontaneous Abortion £1,884 Dilatation Of Cervix Uteri And Curettage Of Uterus Including Polypectomy And Q1030 Diathermy Of Cervix £2,185 Therapeutic Endoscopic Operations On Uterus (Including Endometrial Ablation Q1700 Excluding Microwave Or Radiofrequency Ablation) £3,448 Microwave Endometrial Ablation Q1702 £3,840 Impedance Controlled Bipolar Radiofrequency Ablation For Menorrhagia Q1703 £4,374 Hysteroscopy Including Biopsy, Dilatation, Curettage And Polypectomy Q1800 With/Without Mirena Coil Insertion £2,199 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Endometrial Biopsy Or Aspiration Q2020 £1,486 Oophorectomy And Salpingectomy (As Sole Procedure) (Including Bilateral) Q2230 £5,956 Laparoscopy And Therapeutic Procedures Including Laser,Diathermy And Q3800 Destruction E.G.Endometriosis,Adhesiolysis,Tubal Surgery £3,795 Laparoscopy (Including E.G. Puncture Of Ovarian Cysts, +/- Biopsy, Minor Q3900 Endometriosis) £3,192 Ovarian Cystectomy (As Sole Procedure) (And Bilateral) Q4400 £5,549 Primary Excision Of Malignant Lesion - Head & Neck S0602 £1,586 Primary Excision Of Malignant Lesion - Trunk & Limbs S0603 £1,986 Secondary Excision Of Malignant Lesion - Head & Neck S0604 £1,704 Secondary Excision Of Malignant Lesion - Trunk & Limbs S0605 £2,399 Photodynamic Therapy To Malignant Lesion Of Skin - Up To Three S0606 £1,255 Photodynamic Therapy To Malignant Lesion Of Skin - Four Or More S0607 £1,570 S0632 Excision Of Lesion Of Skin Or Subcutaneous Tissue - Up To Three, Head & Neck £849 Excision Of Lesion Of Skin Or Subcutaneous Tissue - Up To Three, Trunk & S0633 Limbs £930 S0642 Excision Of Lesion Of Skin Or Subcutaneous Tissue - Four Or More, Head & Neck £1,232 Excision Of Lesion Of Skin Or Subcutaneous Tissue - Four Or More, Trunk & S0643 Limbs £1,895 Curettage/Cryotherapy Of Lesions Of Skin Including Cauterisation - Four Or S0820 More £754 Photodynamic Therapy To Non Malignant Lesions Of Skin S0940 £1,497 S1110 Curettage/Cryotherapy Of Lesion Of Skin Including Cauterisation - Up To Three £577 Shave Biopsy Of Lesion Of Skin S1420 £674 Biopsy Of Skin Or Subcutaneous Tissue S1500 £850 Local Flap - Less Than 9Cm2 S2500 £3,028 Full Thickness Graft, Head, Neck, Hands & Genitalia - Up To 9Cm2 In Area S3624 £3,684 Debridement And Primary Suture Of Wound With Involvement Of Deeper Tissue - S4183 Trunk & Limbs £2,346 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Debridement And Primary Suture Of Wound Without Involvement Of Deeper S4213 Tissue (Skin & Subcutaneous Fat Only) - Trunk & Limbs £2,489 Secondary Suture Of Skin S4230 £1,235 Removal Of Foreign Body In Deeper Tissue S4480 £1,864 Drainage Of Lesion Of Skin Including Abscess S4720 £1,584 Drainage Of Large Subcutaneous Abscess/Haematoma S4740 £1,904 Fine Needle Aspiration Cytology S4760 £554 Aspiration Of Subcutaneous Haematoma S4780 £230 Introduction Of Substance Into Skin (Including Hormone Pellet) S5300 £302 Excision Of Nail Bed (Zadeks) S6400 £1,749 Wedge Excision Or Avulsion Of Nail Including Chemical Ablation Of Nail Bed S7010 £1,323 Primary Repair Of Inguinal Hernia T2000 £2,430 Laparoscopic Repair Of Inguinal Hernia - Unilateral T2002 £2,760 Primary Repair Of Inguinal Hernia - Bilateral T2010 £3,742 Laparoscopic Repair Of Inguinal Hernia - Bilateral T2012 £3,618 Repair Of Recurrent Inguinal Hernia T2100 £3,613 Repair Of Umbilical Hernia (Irrespective Of Age) T2400 £2,564 Primary Repair Of Incisional Hernia T2500 £3,643 Repair Of Recurrent Incisional Hernia T2600 £5,032 Repair Of Other Hernia Of Of Abdominal Wall T2700 £3,067 Operations On Omentum T3600 £5,124 Freeing Of Adhesions Of Peritoneum T4130 £7,082 Dupuytren'S Fasciectomy Single Digit With Proximal Interphalangeal Joint T5203 £2,243 T5210 Dupuytren'S Fasciectomy Multiple Digits With Proximal Interphalangeal Joints £3,679 Dupuytren'S Dermofasciectomy And Graft, Or For Recurrent Disease - Single T5222 Digit £3,908 Dupuytren'S Dermofasciectomy And Graft, Or For Recurrent Disease - Multiple T5223 Digits £3,706 Fasciotomy Of Limb T5540 £3,334 Excision Of Ganglion T5900 £2,076 Excision Of Bursa T6220 £2,814 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Primary Repair Of Achilles Tendon T6780 £3,850 Secondary Repair Of Tendon (Including Graft,Transfer And/Or Prosthesis) (Not T6800 Otherwise Specified) £5,021 Secondary Repair Of Achilles Tendon T6810 £5,446 Secondary Repair Of Achilles Tendon With Tendon Or Fascial Graft T6822 £6,417 Tenolysis, Of Flexor Tendon (Not Otherwise Specified) T6980 £4,013 Open Sub Acromial Decompression And Extensive, Greater Than 2Cm Tear T7910 Rotator Cuff Repair With Excision Of Distal Clavicle £5,410 Surgical Release Of Humeral Epicondylitis (Lateral Or Medial) (E.G. "Tennis T8050 Elbow") £2,443 Block Dissection Of Axillary Lymph Nodes (Axilliary Clearance) Levels 1 To 3 T8520 £5,893 Excision Biopsy Of Lymph Node For Diagnosis (Cervical, Inguinal, Axillary) T8700 £2,479 T9000 Sentinel Node Mapping With Blue Dye Or Radioactive Probe For Breast Cancer £4,428 Posterior Decompression +/- Foraminotomy (Cervical Region) V2200 £10,891 Prosthetic Intervertebral Disc Replacement In The Cervical Spine V2282 £19,368 V2500 Primary Posterior Fusion +/- Decompression +/- Discectomy (Lumbar Region) £12,134 V2540 Posterior Excision Of Disc Prolapse Including Microdiscectomy (Lumbar Region) £6,698 Posterior Excision Of Disc Prolapse With Undercutting Facetectomy (Lumbar V2542 Region) £7,259 Revision Of Posterior Excision Of Disc Prolapse With Undercutting Facetectomy V2543 (Lumbar Region) £8,007 Revision Of Posterior Excision Of Disc Prolapse (Lumbar Region) V2544 £6,325 Decompression For Central Spinal Stenosis (1 Or 2 Levels) V2560 £7,107 Decompression For Central Spinal Stenosis (3 Or More Levels) V2562 £9,731 Revision Posterior Fusion +/- Instrumentation (Lumbar Region) V2652 £16,556 Revision Of Decompression For Central Spinal Stenosis V2660 £9,506 Anterior Discectomy, Decompression And Fusion (Including Bone Grafting / V2950 Multiple Levels) (Cervical Region) £11,800 Combined Anterior And Posterior Fusion Of Cervical Spine V2980 £11,341 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Combined Anterior Discectomy And Fusion And Posterior Fusion (Lumbar V3350 Region) £22,868 Primary Posterior Fusion With Instrumentation +/- Decompression +/- V3362 Discectomy (Including Graf Stabilisation) (Lumbar Region) £17,719 Prosthetic Replacement Of Lumbar Disc V3380 £21,357 Posterior Correction Of Scoliosis With Instrumentation And Fusion V4100 £30,586 Manipulation Of Spine Under Ga/Iv Sedation (As Sole Procedure) V5002 £1,857 Manipulation Of Spine Without Ga/Iv Sedation (As Sole Procedure) V5003 £1,523 Discogram/Diagnostic Intervertebral Disc Injection Under X-Ray Control V5230 £1,765 Spinal Dynamic Stabilisation Devices (Interspinous Distraction Devices E.G. X- V5484 Stop) £11,432 Total Excision Of Trapezium W0282 £4,798 Total Excision Of Trapezium And Ligament Reconstruction W0284 £5,900 Multiple Procedures On Forefoot W0300 £5,678 Multiple Procedures On Forefoot - Bilateral W0310 £8,131 Fusion Of First Metatarso-Phalangeal Joint W0330 £3,529 Complex Procedure To Mid Foot Or Hindfoot Without Autogenous Bone Graft W0460 (Osteotomy/Fusion +/- Tendon Transfers) £7,434 Complex Procedure To Mid Foot Or Hindfoot With Autogenous Bone Graft W0462 (Osteotomy/Fusion +/- Tendon Transfers/Fixation) £7,314 Complex Procedure To Mid Foot And Hindfoot Without Autogenous Graft W0463 (Osteotomy/Fusion +/- Tendon Transfers/Fixation) £9,236 Complex Procedure To Mid Foot And Hindfoot With Autogenous Graft W0464 (Osteotomy/Fusion +/- Tendon Transfers, Fixation) £9,574 Prosthetic Patello-Femoral Replacement (As Sole Procedure) W0632 £10,351 Partial Excision Of Bone (Including Exostoses) W0850 £3,318 Metatarso-Phalangeal Cheilectomy - Unilateral W0860 £3,844 Metatarso-Phalangeal Cheilectomy - Bilateral W0861 £5,700 Radical Clearance Of Malignant Tumour Of Soft Tissue Or Bone (Not Otherwise W0950 Specified) £7,228 Excision Of Benign Tumour Of Bone With Bone Grafting W0960 £7,060 Osteotomy Of Long Bone, With/Without Fixation, Including Graft W1080 £7,846 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Correction Of Retracted/Dislocated Metatarso-Phangeal Joint Including Tendon W1590 Transfer, Division/Realignment Of Bone And Internal Fixation £4,612 W1800 Drainage/Debridement Of Bone(S), Including Sequestrectomy For Osteomyelitis £8,330 Primary Open Reduction Of Long Bone With Fixation W1920 £5,955 Primary Open Reduction Of Intra-Articular Fracture Of Long Bone With Internal W2100 Fixation, Eg Proximal Humerus Or Proximal Tibia (With Or Without Arthroscopic Assistance) £6,991 Secondary Open Reduction Of Fractured Long Bone-And Intramedullary Fixation W2310 Or Internal Fixation For Non-Union/Mal Union - Including Intra-Articular (Including Bone Graft) £8,985 Locked Intramedullary Nailing Of Fractured Long Bone W2380 £10,133 Plating And Bone Grafting For Non-Union Of Clavicle W2810 £4,809 Removal Of Internal Fixation From Bone / Joint, Excluding K-Wires W2830 £2,857 Removal Of Fixator/Frame/Pins/Wires And Change Of Plaster W3032 £2,472 Osteochrondral Grafting W3110 £9,010 Removal Of Percutaneous Wire W3530 £1,773 Diagnostic Aspiration And / Or Trephine Biopsy Of Bone Marrow W3650 £1,969 Primary Total Hip Replacement With Or Without Cement W3712 £15,497 Complex Primary Total Hip Replacement Requiring Bone Grafting Or Femoral W3713 Osteotomy £15,864 Total Hip Replacement, With Or Without Cement, After Excision Arthroplasty Or W3714 Arthrodesis, Including Conversion Of Hemiarthroplasty Or Revision Of Other Previous Hip Surgery Which Involved Internal Fixation £16,122 Metal On Metal Hip Resurfacing Arthroplasty W3715 £14,011 Minimally Invasive Hip Resurfacing W3718 £16,335 Revision Of Uncemented Or Cemented Total Hip Replacement Without W3732 Adjunctive Procedures £18,117 Revision Of Total Hip Replacement Including Insertion Of Reconstruction Rings, W3733 Plates, Screws, Etc., And/Or Impaction Bone Grafting To Acetabulum And/Or Femur £23,918 Second, Third Or Further Revision Total Hip Replacement Or Proximal Femoral ReplacementW3734 (Excluding Acetabular£15,891 Liner And Head Changes) FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 W3780 Total Prosthetic Replacement Of The Hip, With Or Without Cement, Bilateral £26,914 Complex Primary Total Knee Replacement (I.E. Including Bone Graft, W4200 Augmentation Or Osteotomy) £15,980 Total Prosthetic Replacement Of Knee Joint, With Or Without Cement, +/- W4210 Patella £16,469 Revision Of Total Replacement Of Knee Joint W4230 £21,649 Total Prosthetic Replacement Of Knee Joint - Bilateral W4280 £23,827 Shoulder Hemiarthroplasty, As Sole Procedure W4900 £12,084 Primary Total Shoulder Replacement W5000 £12,277 Unicompartmental Knee Replacement W5200 £11,019 Primary Repair Of Rupture Of Acromioclavicular Or Sternoclavicular Joint W5600 Including Internal Fixation £6,760 Secondary Repair Of Acromioclavicular Or Sternoclavicular Joint +/- Internal W5630 Fixation £7,548 Excision Arthroplasty Of First Metatarso-Phalangeal Joint With Prosthetic W5700 Implantation Or Interposition Arthroplasty £4,547 Fusion Of Interphalangeal Joint(S) Of Toe (Including Internal Fixation) W5940 £2,614 Total Synovectomy Of Large Joint W6913 £6,655 W7410 Mutiple Ligament Reconstruction Of Knee Including Posterior Cruciate Ligament £9,839 Autograft Anterior Cruciate Ligament Reconstruction (As Sole Procdure) W7420 £6,222 Reconstruction Of Lateral Collateral Ligament Complex W7430 £5,792 Revision Of Anterior Cruciate Ligament Reconstruction W7470 £8,292 Multiple Ligament Reconstruction W7484 £5,325 Open Surgical Stabilisation Of Patella, Including Application Of Cast (Adult) W7580 £7,122 Stabilisation Of Multi-Directional Instability Of Shoulder Joint W7713 £6,141 Revision Stabilisation Of Shoulder Joint W7780 £6,386 Arthroscopic Arthrolysis Of Shoulder Contracture W7872 £4,996 Metatarsal Osteotomy For Hallux Valgus, With Or Without Internal Fixation And W7910 Soft Tissue Correction £4,285 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Metatarsal Osteotomy For Hallux Valgus, With Or Without Internal Fixation And W7980 Soft Tissue Correction-Bilateral £5,761 Arthrotomy Of Large Joint, Including Removal Of Loose Body From Joint W8150 £3,460 Arthroscopic Sub-Acromial Decompression As Sole Procedure W8193 £4,102 Arthroscopic Sub-Acromial Decompression And Excision Of Distal Clavicle W8194 (Including Arthroscopic Procedures In Glenohumeral Joint) £4,860 Arthroscopic Meniscectomy (Including Debridement) W8200 £3,232 Arthroscopic Meniscal Repair W8230 £4,266 Arthroscopic Meniscectomy (Including Debridement) - Bilateral W8280 £5,603 Multiple Arthroscopic Operation On Knee (Including Meniscectomy, W8500 Chondroplasty, Drilling Or Microfracture) £3,296 Arthroscopy Of Knee (Including Examination Under Anaesthetic, Washout And W8520 Biopsy) (As Sole Procedure) £2,376 Multiple Arthroscopic Operation On Knee (Including Meniscectomy, W8580 Chondroplasty, Drilling Or Microfracture) - Bilateral £4,676 Therapeutic Arthroscopic Operation On Cavity Of Joint (Not Otherwise Specified) W8600 (As Sole Procedure) £3,088 Therapeutic Arthroscopy Of Wrist Joint (As Sole Procedure) W8602 £2,832 Therapeutic Arthroscopy Of Shoulder (As Sole Procedure) W8603 £3,718 W8620 Therapeautic Arthroscopic Examination Of Hip Joint, With Or Without Biopsy £7,438 W8630 Simple Therapeutic Arthroscopy Of Ankle With Either Soft Tissue Procedures Or Bony Procedures +/- Or Joint Surface Procedures (As Sole Procedure) £3,770 Complex Therapeutic Arthroscopy Of Ankle, With Multiple Bony, Joint Surface W8640 And Soft Tissue Procedures (As Sole Procedure) £4,657 Therapeutic Arthroscopic Operation On Cavity Of Joint - Bilateral (Not Otherwise W8680 Specified) (As Sole Procedure) £4,203 Diagnostic Arthroscopic Examination Of Joint, With Or Without Biopsy (Not W8700 Otherwise Specified) (As Sole Procedure) £4,487 Diagnostic Arthroscopic Examination Of Hip Joint Including Wash-Out, With Or W8800 Without Biopsy (As Sole Procedure) £2,953 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 Diagnostic Arthroscopic Examination Of Shoulder Joint, With Or Without Biopsy W8820 (As Sole Procedure) £2,589 Diagnostic Arthroscopic Examination Of Wrist Joint, With Or Without Biopsy (As W8830 Sole Procedure) £2,430 Diagnostic Arthroscopic Examination Of Ankle, Including Anterior Synovectomy W8840 To Gain Vision (As Sole Procedure) £2,680 Dynamic Arthrogram Of Joint W9020 £3,299 Injection(S) Into Joint(S) Under X-Ray Control W9030 £1,558 Injection(S) Into Joint(S) Without X-Ray Control W9040 £1,204 Manipulation Of Joint (Including Intra-Articular Injection) For "Frozen Shoulder" W9112 (As Sole Procedure) £1,795 Examination/ Manipulation Of Joint Under Anaesthetic +/- Injection (As Sole W9240 Procedure) £1,861 Joint Fluid Examination (E.G. Polarising Microscopy) Performed By Consultant W9282 Including Aspiration Of Fluid £1,653 Change Of Cast Without General Anaesthetic X4810 £370 External Cardioversion X5020 £1,648 Ultrasound Guided Biopsy(Ies) XR110 £1,601 Ct/Mri Guided Biopsy(Ies) XR120 £3,094 Ultrasound Guided Drainage Of Fluid Collection XR180 £3,279 Embolisation Of Vascular Mass (Including Uterine Embolisation) XR360 £5,612 Insertion Of Central Venous Catheter - Non-Tunnelled (X-Ray Guided) XR910 £2,884 Insertion Of Central Venous Catheter - Tunnelled (X-Ray Guided) XR915 £4,689 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 FIXED RATE PACKAGES

Standard Procedure CCSD Code Rates 2017 ITEMISED STANDARD RATES

ACCOMMODATION In-patient Day-patient Out-patient OvernightOvernight C Band - All patients £650 Day-careDay patients Charge - Surgical £510 Day patients - Medical £500 ICUITU £1,585 HDUHDU £1,400 ParentParent and and Child Child Supplement Supplement £190

THEATRE FEES MINORMINOR £403 £403 £403 INTERINTER £688 £688 £688 MAJMAJ £1,047 £1,047 £1,047 MAJ+MAJ+ £1,327 £1,327 £1,327 CMOCMO 1 1 £1,587 £1,587 £1,587 CMOCMO 2 2 £1,680 £1,680 £1,680 CMOCMO 3 3 £2,071 £2,071 £2,071 CMOCMO 4 4 £2,678 £2,678 £2,678 CMOCMO 5 5 £3,245 £3,245 £3,245 THEATRE PACKS In-patient Day-patient Out-patient MINORMINOR £451 £451 £451 INTERINTER £512 £512 £512 MAJMAJ £1,390 £1,390 £1,390 MAJ+MAJ+ £2,585 £2,585 £2,585 CMOCMO 1 1 £4,372 £4,372 £4,372 CMOCMO 2 2 £4,372 £4,372 £4,372 CMOCMO 3 3 £4,372 £4,372 £4,372 CMOCMO 4 4 £5,098 £5,098 £5,098 CMOCMO 5 5 £8,005 £8,005 £8,005

THEATRE PACK EXCEPTIONS In-patient Day-patient Out-patient LaparoscopicLaparoscopic repair repair of ofrecurrent recurrent inguinal inguinal hernia hernia - unilateral- unilateral £4,365 £4,365 LaparoscopicLaparoscopic repair repair of ofrecurrent recurrent inguinal inguinal hernia hernia - bilateral- bilateral £4,353 £4,353 Percutaneous transluminal angioplasty of coronary artery(ies) (including Percutaneouslaser) transluminal angioplasty of coronary artery(ies) (including laser) £6,158 £6,158 RedoRedo of ofbypass bypass for for coronary coronary artery(ies) artery(ies) including including harvesting harvesting of ofgrafts grafts £8,257 £8,257 ReplacementReplacement of ofmitral mitral valve valve (including (including valvuloplasty) valvuloplasty) £8,257 £8,257 ReplacementReplacement of oftricuspid tricuspid valve valve £8,257 £8,257 ReplacementReplacement of ofpulmonary pulmonary valve valve (including (including valvuloplasty/valvotomy) valvuloplasty/valvotomy) £8,257 £8,257 ReplacementReplacement of ofmitral mitral valve valve - redoredo operation operation £10,169 £10,169 ReplacementReplacement of ofaorticv aorticv valve valve with with homograft homograft or orstentless stentless porcine porcine £10,169 £10,169 ReplacementReplacement of ofaioric aioric valve valve - redoredo operation operation £10,169 £10,169 Percutaneous transluminal angioplasty of coronary artery(ies) with Percutaneousintravascular transluminal ultrasound (includingangioplasty laser) of coronary artery(ies) with intravascular ultrasound£6,407 (including£6,407 laser) Percutaneous transluminal angioplasty of coronary artery(ies) with stent Percutaneousinsertion and transluminal intravascular angioplasty ultrasound of coronary artery(ies) with stent insertion and £7,940intravascular ultrasound£7,940 AblationAblation of ofventricular ventricular arrhythmia arrhythmia £9,778 £9,778

DIAGNOSTIC SERVICES AND PHYSIOTHERAPY Out-patient MRI 1 Area Scan £639.00 CT 1 Area Scan £877.00 Chest Xray £125.00 ECG (reported) £125.00 Histology Test - Minor £225.00 Liver Function Test £90.00 Physiotherapy Treatment £50.00

*NB-other non-surgical treatments and diagnostic prices are available on request prsthesesHigh Cost (Mk Items up) - markup (Drugs, Prosthesis and Consumables) 45% (Inc 20% VAT)