Annex A-3

Ministry of Health TABLE OF SURGICAL PROCEDURES (Updated as of 12 January 2016)

A-3-1 CONFIDENTIAL

Annex A-3

TABLE OF CONTENTS

SA - Integumentary ...... 3 SB - Musculoskeletal ...... 11 SC - Respiratory ...... 32 SD - Cardiovascular ...... 35 SE - Hemic & Lymphatic ...... 42 SF - Digestive ...... 44 SG - Urinary ...... 58 SH - Male Genital ...... 63 SI - Female Genital ...... 66 SJ - Endocrine ...... 74 SK - Nervous ...... 75 SL - Eye ...... 83 SM - ENT ...... 90

The Table of Surgical Procedures (TOSP) is an exhaustive list of procedures with table ranking 1A to 7C, for which Medisdave / MediShield Life can be claimed. 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.

A-3-2 CONFIDENTIAL

SA - INTEGUMENTARY

S/N New Description Table Classification Current Code code 1 SA700B Botulinum toxin therapy for movement disorders MSP Existing SA700B 2 SA800B (), Various lesions, Graft and/or flap 4B Uptabled / SA800B reconstruction (bilateral) Description Change 3 SA801B Breast (nipple), Various lesions, Graft and/or flap 4A Uptabled / SA801B reconstruction (unilateral) Description Change 4 SA803B Breast, Diffuse hypertrophy, Reduction >250g 4B Existing SA803B (unilateral) 5 SA802B Breast, Diffuse Hypertrophy, Reduction 6A Uptabled SA802B Mammoplasty >500g (bilateral) 6 SA805B Breast, drooping, /reduction 4A Existing SA805B (unilateral) 7 SA804B Breast, Drooping, mastopexy/reduction (bilateral) 5B Uptabled SA804B 8 SA701B Breast, Ductal Lesions, 3A Existing SA701B (bilateral) 9 SA702B Breast, Ductal Lesions, Microdochectomy 2C Existing SA702B (unilateral) 10 SA806B Breast, Gynecomastia, Reduction (bilateral) 4A Existing SA806B 11 SA807B Breast, Gynecomastia, Reduction (unilateral) 3A Existing SA807B 12 SA808B Breast, Hypoplasia, Augmentation Mammoplasty 4A Existing SA808B (prosthetic and bilateral) 13 SA809B Breast, Hypoplasia, Augmentation Mammoplasty 3A Existing SA809B (prosthetic and unilateral) 14 SA811B Breast, Inverted Nipple, Surgical Eversion 2C Existing SA811B (unilateral) 15 SA810B Breast, Inverted , Surgical Eversion 3A Existing SA810B (bilateral) 16 SA812B Breast, Lump (single), Excision biopsy 2C Existing SA812B 17 SA705B Breast, Lump, more than 4 cm (removal) with 4A Existing SA705B parenchymal flap closure (unilateral/bilateral) 18 SA703B Breast, Lump, Percutaneous Biopsy under MRI 2C Existing SA703B 19 SA813B Breast, Lumps (multiple/bilateral), Excision 3A Existing SA813B biopsy 20 SA706B Breast, Lumps, Imaging Guided Vacuum 2C Existing SA706B assisted Biopsy / Mammotome, > 1 lesions 21 SA704B Breast, Lumps, Imaging Guided Vacuum 2B Existing SA704B assisted Biopsy / Mammotome, Single lesion 22 SA814B Breast, Post , implant/expander 5A Existing SA814B reconstruction (bilateral) 23 SA815B Breast, Post mastectomy, implant/expander 4A Existing SA815B reconstruction (unilateral) 24 SA816B Breast, Post Mastectomy, latissmus dorsi 6C Existing SA816B pedicled flap with or without implant reconstruction (bilateral) 25 SA817B Breast, Post Mastectomy, latissmus dorsi 5C Existing SA817B pedicled flap with or without implant reconstruction (unilateral) 26 SA818B Breast, Post Mastectomy, Reconstruction using 7A Existing SA818B pedicled Transverse Rectus Abdominis Musculocutaneous Flap (bilateral)

A-3-3 CONFIDENTIAL

SA - INTEGUMENTARY

S/N New Description Table Classification Current Code code 27 SA713B Breast, Post mastectomy, reconstruction using 6A Existing SA713B pedicled transverse rectus abdominis musculocutaneous flap (unilateral) 28 SA819B Breast, Post mastectomy, reconstruction using 7C Existing SA819B transverse rectus abdominis free musculocutaneous flap (unilateral) 29 SA820B Breast, Post Prosthetic Contraction, 3A Existing SA820B Capsulotomy (bilateral) 30 SA821B Breast, Post Prosthetic Contraction, 2C Existing SA821B Capsulotomy (unilateral) 31 SA825B Breast, Tumor (malignant), 5C Existing SA825B with/without Axiliary Clearance 32 SA826B Breast, Tumor (malignant), Simple Mastectomy 4A Existing SA826B 33 SA824B Breast, Tumor (malignant), Simple Mastectomy 5A Existing SA824B with Axiliary Clearance, with/without Sentinel Node Biopsy 34 SA827B Breast, Tumor (malignant), Simple Mastectomy 4C Existing SA827B with Sentinel Node Biopsy/ Axiliary Node Sampling 35 SA822B Breast, Tumor (malignant), Wide Excision/ 3B Existing SA822B /Segmental Mastectomy/ Partial Mastectomy 36 SA823B Breast, Tumor (malignant), Wide Excision/ 4B Existing SA823B Lumpectomy/Segmental Mastectomy/ Partial Mastectomy, with Axiliary Clearance, with/without Sentinel Node Biopsy 37 SA707B Breast, Tumor (malignant), Wide Excision/ 3C Existing SA707B Lumpectomy/Segmental Mastectomy/ Partial Mastectomy, with Sentinel Node Biopsy/ Axiliary Node Sampling 38 SA708B Breast, Various Lesions, Percutaneous MSP Existing SA708B Aspiration under Ultrasound 39 SA828B Breast, Various lesions, Subcutaneous 4A Existing SA828B mastectomy bilateral, excluding gynaecomastia 40 SA830B Breast, Various lesions, subcutaneous 3C Existing SA830B mastectomy unilateral, excluding gynaecomastia 41 SA829B Breast, Various Lesions, Trucut Biopsy 1A Existing SA829B 42 SA709B Breast, Various Lesions, Trucut Biopsy, 1C Existing SA709B ultrasound guided or stereotactic (multiple) 43 SA710B Breast, Various Lesions, Trucut Biopsy, 1B Existing SA710B ultrasound guided or stereotactic (single) 44 SA711B Breast, Various Lesions, wire localisation, 3B Existing SA711B excision (multiple) 45 SA712B Breast, Various Lesions, wire localisation, 3A Existing SA712B excision (single) 46 SA800F Fascia (deep), Rupture with Herniated Muscle, 1B Existing SA800F Repair 47 SA800H Hand, Burns (major), Excision and Split 4A Existing SA800H Graft 48 SA800M Mucous membrane (ear/nose/eyelid) 3A Existing SA800M avulsion/complex laceration, full thickness repair 49 SA801M Mucous Membrane, Deep Laceration/Multiple 3A Existing SA801M Lacerations, Repair A-3-4 CONFIDENTIAL

SA - INTEGUMENTARY

S/N New Description Table Classification Current Code code 50 SA802M Mucous Membrane, Superficial Laceration 1B Existing SA802M equal/less than 7cm, Repair 51 SA803M Mucous Membrane, Superficial Laceration(s) 2B Existing SA803M more than 7 cm, Repair 52 SA804M Mucous Membrane, Tumor/Cyst/Ulcer/, 2B Existing SA804M Excision 53 SA805M Muscle and Deep Tissue, Foreign Body, 2C Existing SA805M Removal 54 SA700R Radiotherapy, Endoluminal Brachytherapy: 2B Existing SA700R Oesophagus, Nasopharyngeal carcinoma (NPC), Hepatobiliary, Cardiac, Lung, Others 55 SA701R Radiotherapy, Interstitial brachytherapy 4B Existing SA701R (with/without open surgery) 56 SA702R Radiotherapy, Interstitial brachytherapy (without 5A Existing SA702R open surgery): Prostate 57 SA703R Radiotherapy, Intracavitary Brachytherapy 2C Existing SA703R (Multi-channel): Cervix, Others 58 SA704R Radiotherapy, Intracavitary Brachytherapy 2A Existing SA704R (Single channel): Endometrium, others 59 SA705R Radiotherapy, Intra-operative Radiotherapy 3A Existing SA705R (electrons or kilovoltage): Breast, Sarcoma, Upper GI, Lower GI, Other sites 60 SA849S Skin & Subcutaneous, Pre-septal/PeriOrbital 2A Existing SA849S Dermoid/Lesion, Excision 61 SA804S Skin & subcutaneous, Scar revision - face & 1C Existing SA804S neck (< 3cm) 62 SA700S Skin (Upper Limb), Open , Major 2A Existing SA700S Desloughing 63 SA803S Skin and Subcutaneous 3B Existing SA803S tissue(ear/nose/eyelid/face) complex lacerations, repair 64 SA842S Skin and , Lacerations 3B Existing SA842S (deep >3cm/multiple) lacerations, repair/toilet & suture, with/without debridement 65 SA800S Skin and Mucous Membrane, Various Lesions, 1B Existing SA800S Excision Biopsy 66 SA805S Skin and Subcutaneous Tissue (face and neck), 2B Existing SA805S Scar of more than 3cm, Revision 67 SA806S Skin and Subcutaneous Tissue, Burns, 2A Existing SA806S Escharotomy (extensive) 68 SA807S Skin and Subcutaneous Tissue, Burns, 1A Existing SA807S Escharotomy (limited) 69 SA808S Skin and Subcutaneous Tissue, Burns, Excision 5A Existing SA808S and Major Flap Repair 70 SA809S Skin and Subcutaneous Tissue, Burns, Excision 4A Existing SA809S and Major Full Thickness Graft 71 SA810S Skin and Subcutaneous Tissue, Burns, Excision 3A Existing SA810S and Small Full Thickness Graft 72 SA811S Skin and Subcutaneous Tissue, 2C Existing SA811S Deep>3cm/Extensive Contaminated Wound, Debridement

A-3-5 CONFIDENTIAL

SA - INTEGUMENTARY

S/N New Description Table Classification Current Code code 73 SA812S Skin and Subcutaneous Tissue, Defect (deep), 3A Existing SA812S Dermofat/Fascia Graft (including transplant/muscle flap) 74 SA813S Skin and Subcutaneous Tissue, Defect (deep), 5A Existing SA813S Direct Flap (cross arm/radial fore arm/abdominal/similar) 75 SA814S Skin and Subcutaneous Tissue, Defect (deep), 5C Existing SA814S Direct Flap Repair (cross leg) 76 SA815S Skin and Subcutaneous Tissue, Defect (deep), 7C Existing SA815S Free Flaps 77 SA816S Skin and Subcutaneous Tissue, Defect (deep), 3B Existing SA816S Free Graft (Split Skin Graft - Extensive/Inlay Graft using a mould) 78 SA817S Skin and Subcutaneous Tissue, Defect (deep), 2A Existing SA817S Staged Distant Flap (division) 79 SA818S Skin and Subcutaneous Tissue, Defect (multiple 3B Existing SA818S digits), Free Full Thickness Graft 80 SA819S Skin and Subcutaneous Tissue, Defect (multiple 2A Existing SA819S digits), Staged Local Flap (division) 81 SA820S Skin and Subcutaneous Tissue, Defect (single 2C Existing SA820S digit), Free Full Thickness Graft 82 SA821S Skin and Subcutaneous Tissue, Defect, Direct 4A Existing SA821S Flap (cross finger/similar flaps) 83 SA822S Skin and Subcutaneous Tissue, Defect, Free 1B Existing SA822S Graft (Split Skin Graft/Pinch Grafts under 1/2%) 84 SA823S Skin and Subcutaneous Tissue, Defect, Free 2B Existing SA823S Grafts (Split Skin Graft 1/2 to less than 2%) 85 SA824S Skin and Subcutaneous Tissue, Defect, Free 3A Existing SA824S Grafts (Split Skin Graft 2 to less than 5%) 86 SA825S Skin and Subcutaneous Tissue, Defect, Free 4A Existing SA825S Grafts (Split Skin Graft 5 to 10%) 87 SA826S Skin and Subcutaneous Tissue, Defect, Free 5B Existing SA826S Grafts (Split Skin Graft more than 10%) 88 SA827S Skin and Subcutaneous Tissue, Defect, Local 5A Existing SA827S Flap to Multiple Digits (cross finger/thenar/flag/rotation flap) 89 SA828S Skin and Subcutaneous Tissue, Defect, Single 5B Existing SA828S Stage Local Flap (complicated/large) 90 SA829S Skin and Subcutaneous Tissue, Defect, Single 3A Existing SA829S Stage Local Flap (simple/small) 91 SA830S Skin and Subcutaneous Tissue, Defect, Staged 1B Existing SA830S Local Flap(division) 92 SA831S Skin and Subcutaneous Tissue, Foreign Body 1C Existing SA831S (subcutaneous), Removal 93 SA832S Skin And Subcutaneous Tissue, Foreign Body MSP Existing SA832S (Superficial), Removal 94 SA835S Skin and Subcutaneous Tissue, 7B Existing SA835S Hemangioma/Lymphangioma (extensive and complex), Excision 95 SA836S Skin and Subcutaneous Tissue, 5C Existing SA836S Hemangioma/Lymphangioma (large and deep- seated), Excision

A-3-6 CONFIDENTIAL

SA - INTEGUMENTARY

S/N New Description Table Classification Current Code code 96 SA837S Skin and Subcutaneous Tissue, 4A Existing SA837S Hemangioma/Lymphangioma (large), Excision 97 SA838S Skin and Subcutaneous Tissue, 3A Existing SA838S Hemangioma/Lymphangioma (moderate), Excision 98 SA839S Skin and Subcutaneous Tissue, 2A Existing SA839S Hemangioma/Lymphangioma (small), Excision 99 SA833S Skin and subcutaneous tissue, MSP Existing SA833S (small)/furuncle/abscess/similar lesion, Incision with drainage 100 SA841S Skin and Subcutaneous Tissue, Hematoma 1B Existing SA841S /Carbuncle Cellulitis/Similar Lesion>3cm, Saucerisation/Incision with Drainage 101 SA840S Skin and Subcutaneous Tissue, Hematoma, 1A Existing SA840S Abscess/Cellulitis/Similar lesion<3cm, Saucerisation/Incision & Drainage 102 SA834S Skin and subcutaneous tissue, Hematoma, MSP Existing SA834S Aspiration 103 SA843S Skin and Subcutaneous Tissue, Laceration 1B Existing SA843S (superficial) of less than 7cm, Repair 104 SA844S Skin and Subcutaneous Tissue, Laceration 2C Existing SA844S (superficial) of more than 7cm, Repair 105 SA848S Skin and Subcutaneous Tissue, 2A Existing SA848S Neurofibromatosis of Face and Neck, Excision (small<3cm) 106 SA845S Skin and Subcutaneous Tissue, 5C Existing SA845S Neurofibromatosis of Face and Neck, Excision (large >3cm and complicated/multiple) 107 SA846S Skin and Subcutaneous Tissue, 4A Existing SA846S Neurofibromatosis of Face and Neck, Excision (large) 108 SA847S Skin and Subcutaneous Tissue, 3A Existing SA847S Neurofibromatosis of Face and Neck, Excision (moderate) 109 SA850S Skin and Subcutaneous Tissue, Sinus 2B Existing SA850S (deep>3cm), Excision with/without biopsy 110 SA851S Skin and Subcutaneous Tissue, Sinus, Excision 1B Existing SA851S with/without biopsy 111 SA701S Skin and Subcutaneous Tissue, 2A Existing SA701S Tumor/Cyst/Ulcer/Scar, Excision biopsy, removal of 2 or more or recurrent or complicated (adherent), excision 112 SA702S Skin and Subcutaneous Tissue, 1B Existing SA702S Tumor/Cyst/Ulcer/Scar, Excision biopsy, Lesion size more than 15mm in diameter 113 SA852S Skin and Subcutaneous Tissue, 1A Existing SA852S Tumor/Cyst/Ulcer/Scar, Excision biopsy, Lesion size up to and including 15mm in diameter 114 SA801S Skin and Subcutaneous tissue, Tumour 3A Existing SA801S (malignant), wide excision and Reconstruction and local flap/skin graft

A-3-7 CONFIDENTIAL

SA - INTEGUMENTARY

S/N New Description Table Classification Current Code code 115 SA802S Skin and subcutaneous tissue, Tumour 5A Existing SA802S (malignant), wide excision with immediate block dissection 116 SA854S Skin and Subcutaneous Tissue, Wound 1A Existing SA854S (large>3cm), Secondary Suture 117 SA855S Skin And Subcutaneous Tissue, Wound MSP Existing SA855S (Small<3cm), Secondary Suture 118 SA853S Skin and Subcutaneous Tissue, Wound, 1A Existing SA853S Debridement <3cm 119 SA703S Skin cancer, Mohs (chemo surgery) micrographic 2C Existing SA703S surgery with reconstruction/graft/flap 120 SA704S Skin cancer, Mohs (chemo surgery) micrographic 2B Existing SA704S surgery without reconstruction 121 SA856S Skin, Angioma, Cauterisation/Injection 1A Existing SA856S 122 SA857S Skin, Burns (2% to 5%), Excision 2B Existing SA857S 123 SA858S Skin, Burns (less than 10%), Dressing MSP Existing SA858S 124 SA859S Skin, Burns (less than 2%), Excision 1B Existing SA859S 125 SA860S Skin, Burns (more than 10%), Dressing 1B Existing SA860S 126 SA861S Skin, Burns (more than 10%), Excision 3B Existing SA861S 127 SA862S Skin, Burns (more than 5% to 10%) Excision 2C Existing SA862S 128 SA705S Skin, Defect, Distant Skin Flaps 4B Existing SA705S 129 SA706S Skin, Defect, Neurovascular Island Flap 5A Existing SA706S 130 SA863S Skin, Keratoses/Warts/Tags/Similar Lesions, 2B Existing SA863S Excision (6 - 10 lesions) 131 SA864S Skin, Keratoses/Warts/Tags/Similar Lesions, 2C Existing SA864S Excision (more than10 lesions) 132 SA865S Skin, Keratoses/Warts/Tags/Similar Lesions, 1B Existing SA865S Excision (not more than 5 lesions) 133 SA707S Skin, Neuromas/Hemangiomas, 1C Existing SA707S Excision/Vaporisation by Laser 134 SA866S Skin, Plantar Wart, Excision or Vaporisation by 1A Existing SA866S Laser 135 SA867S Skin, Plantar Warts (multiple), Excision 1B Existing SA867S 136 SA868S Skin, Scar (extensive), Revision 3B Existing SA868S 137 SA870S Skin, Scar, Revision with Z-plasty 2C Existing SA870S 138 SA869S Skin, Scar/various lesion (single), removal of 3A Existing SA869S tissue expander/prosthesis and revision of scar 139 SA871S Skin, /lesions(multiple), removal of tissue 3C Existing SA871S expander/prosthesis and revision/excision of scars 140 SA872S Skin, Superficial Nasal Dermoid, Excision 3A Existing SA872S 141 SA708S Skin, surgical treatment for vitiligo (involving non- 3C Existing SA708S cultured cellular grafting) (<20 sq cm) 142 SA709S Skin, surgical treatment for vitiligo (involving non- 4B Existing SA709S cultured cellular grafting) (>40 sq cm) 143 SA710S Skin, surgical treatment for vitiligo (involving non- 4A Existing SA710S cultured cellular grafting) (20-40 sq cm) 144 SA873S Skin, Tattoo (1% to 2%), Laser Excision 2B Existing SA873S 145 SA874S Skin, Tattoo (less than 1%), Laser Excision 1C Existing SA874S 146 SA875S Skin, Tattoo (multiple/more than 2%), Laser 3A Existing SA875S Excision

A-3-8 CONFIDENTIAL

SA - INTEGUMENTARY

S/N New Description Table Classification Current Code code 147 SA876S Skin, Tattoo, Repeat Laser Excision 1A Existing SA876S 148 SA877S Skin, Various Lesions of Face (2 to 3), Excision 1B Existing SA877S Biopsy 149 SA885S Skin, Various Lesions of Face (4 and above), 2B Existing SA885S Excision Biopsy 150 SA884S Skin, Various Lesions of Face (single), Excision 1A Existing SA884S Biopsy 151 SA878S Skin, Various Lesions, Abrasive Therapy 3A Existing SA878S (extensive) 152 SA879S Skin, Various Lesions, Abrasive Therapy 2A Existing SA879S (limited) 153 SA880S Skin, Various Lesions, Insertion of Tissue 3A Existing SA880S Expander (multiple) 154 SA881S Skin, Various Lesions, Insertion of Tissue 2B Existing SA881S Expander (single) 155 SA882S Skin, Various Lesions, Trial Dermabrasion 1A Existing SA882S 156 SA883S Skin, Various Lesions, Wound MSP Existing SA883S Inspection/Dressing/Removal Of Sutures 157 SA886S Skin, Wrinkles, Partial 5C Existing SA886S 158 SA887S Skin, Wrinkles, Total Rhytidectomy 6B Existing SA887S 159 SA711S Soft Tissue (Lower Limb), Contracture, Major 4A Existing SA711S Release 160 SA712S Soft Tissue (Lower Limb), Contracture, Minor 2C Existing SA712S Release 161 SA713S Soft Tissue (Lower Limb), Open 2A Existing SA713S Wound/, Major Desloughing 162 SA714S Soft Tissue (Lower Limb), Small Tumors 1B Existing SA714S (benign), Excision Biopsy under General 163 SA715S Soft Tissue (Lower Limb), Tumor/Tumor-like 2C Existing SA715S Lesions, Marginal Excision 164 SA716S Soft Tissue (Lower Limb), Tumors (benign), 4A Existing SA716S Wide Excision Biopsy 165 SA717S Soft Tissue (Lower Limb), Tumors (malignant), 5C Existing SA717S Radical Excision Biopsy 166 SA718S Soft Tissue (Lower Limb), Various Lesions, 4B Existing SA718S Major Release 167 SA719S Soft Tissue (Lower Limb), Various Lesions, 3A Existing SA719S Minor Release 168 SA720S Soft Tissue (Palmar Space), Abscess, Drainage 2B Existing SA720S 169 SA721S Soft Tissue (Upper Limb), Tumors (benign), 4A Existing SA721S Major Excision Biopsy 170 SA722S Soft Tissue (Upper Limb), Tumors (malignant), 6B Existing SA722S Radical Excision Biopsy 171 SA723S Soft Tissue (Upper Limb), Tumors (malignant), 5A Existing SA723S Wide Excision Biopsy 172 SA724S Soft Tissue, Tumor (malignant), Major Resection 7C Existing SA724S and Reconstruction (microsurgical) 173 SA889S Soft Tissue, Tumor (malignant), Radical Excision 5C Existing SA889S Biopsy >7cm other than upper/lower limbs 174 SA888S Soft Tissue, Tumor (malignant), Wide Excision 3C Existing SA888S Biopsy <7cm other than upper/lower limbs

A-3-9 CONFIDENTIAL

SA - INTEGUMENTARY

S/N New Description Table Classification Current Code code 175 SA890S Subcutaneous Tissue (abdomen), , 3B Existing SA890S Liposuction 176 SA891S Subcutaneous Tissue (buttocks), Obesity, 3B Existing SA891S Liposuction 177 SA892S Subcutaneous Tissue (face), Obesity, 2C Existing SA892S Liposuction 178 SA893S Subcutaneous Tissue (thigh), Obesity, 3C Existing SA893S Liposuction 179 SA894S Subcutaneous Tissue (upper limbs), Obesity, 3A Existing SA894S Liposuction 180 SA896S Subcutaneous Tissue, Obesity, Lipectomy 5C Existing SA896S (excision with undermining of skin edges and strengthening of abdominal wall) 181 SA895S Subcutaneous Tissue, Obesity, Lipectomy 4A Existing SA895S (transverse wedge excision of abdominal apron/lipectomy with excision of skin) 182 SA897S Subcutaneous Tissue, Obesity, Radical 5C Existing SA897S with Repair of Abdominal Wall and Transposition of Umbilicus 183 SA725S Sweat Gland, Axillary Hyperhidrosis, Wedge 3A Existing SA725S Excision (bilateral) 184 SA898S Sweat Gland, Axillary Hyperhidrosis, Wedge 2C Existing SA898S Excision (unilateral) 185 SA700T Tendon Sheath and Subcutaneous Tissue, 2A Existing SA700T Ganglion/large Bursa, (>3cm) Excision Biopsy 186 SA800T Tendon Sheath and Subcutaneous Tissue, 1B Existing SA800T Ganglion/Small Bursa, (<3cm) Excision Biopsy

A-3-10 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 1 SB700A Ankle, ankle fracture, Bimalleolar, ORIF 4A Existing SB700A 2 SB801A Ankle, ankle fracture, unimalleolar, ORIF 3C Existing SB801A 3 SB701A Ankle, comminuted Plafond fracture ORIF 5A Existing SB701A 4 SB800A Ankle, Dislocation, Open Reduction 3B Existing SB800A 5 SB702A Ankle, ligamentous instability, reconstruction of 5A Existing SB702A ligaments (eg. Bostrom, Chrisman-Snook) 6 SB705A Ankle, Therapeutic arthroscopy 4A Existing SB705A 7 SB802A Ankle, Various Lesions, Arthrodesis (surgical 5A Existing SB802A fusion) 8 SB803A Ankle, Various Lesions, Excision/Interposition 4C Existing SB803A Arthroplasty 9 SB703A Ankle, Various Lesions, Primary Total Joint 6B Existing SB703A Replacement with augmentation, requiring extra implants or bone grafts, open/MIS/navigated 10 SB806A Ankle, Various Lesions, Primary Total Joint 6A Existing SB806A Replacement, open/MIS/navigated 11 SB804A Ankle, Various Lesions, Repair of Ligaments 3A Existing SB804A 12 SB704A Ankle, Various Lesions, Revision Total Joint 6C Existing SB704A Replacement,open/MIS/navigated 13 SB805A Ankle, Various Lesions, Synovectomies 3B Existing SB805A 14 SB806B Bone (Lower Limb), Osteomyelitis, Drainage with 4A Existing SB806B Curettage and Irrigation 15 SB803B Bone (Lower Limb), Defect/Non Union, 3B Existing SB803B Implantation of Bone Stimulator 16 SB801B Bone (Lower Limb), Deformities, Corrective 5C Existing SB801B Surgery with Internal Fixation with or w/o Fluoroscopy 17 SB802B Bone (Lower Limb), Deformities, Corrective 4A Existing SB802B Surgery with Osteotomy alone 18 SB804B Bone (Lower Limb), Fracture/Dislocation, 3B Existing SB804B Manipulation and Kirschner Wire Fixation 19 SB805B Bone (Lower limb), Grade 1 and 2 Open 2B Existing SB805B Fractures/Open dislocation or open fracture- dislocation Wound Debridement 20 SB807B Bone (Lower Limb), Osteomyelitis, Simple 2B Existing SB807B Drainage 21 SB808B Bone (Lower Limb), Plates and Screws/Nails, 2B Existing SB808B Removal 22 SB809B Bone (Lower Limb), Simple Implants, Removal 1C Existing SB809B (e.g screw/wire/pins) 23 SB810B Bone (Lower Limb), Tumor (benign), <3 cm with 4A Existing SB810B bone grafting +/- reconstruction/internal fixation 24 SB700B Bone (Lower Limb), Tumor (benign), >3 cm with 5A Existing SB700B bone grafting +/- reconstruction/internal fixation 25 SB811B Bone (Lower Limb), Tumor (malignant), Radical 5C Existing SB811B Excision (<6cm) with reconstruction and bone grafting 26 SB701B Bone (Lower Limb), Tumor (malignant), Radical 6A Existing SB701B Excision >6cm with reconstruction and bone graft 27 SB812B Bone (Lower Limb), Various Lesions, 5C Existing SB812B Epiphysiolysis with/without Microsurgery 28 SB702B Bone (Skull), Tumor (Large>3cm) Excision and 7B Existing SB702B Extensive Reconstruction (dura, skull, skin) A-3-11 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 29 SB814B Bone (Skull), Tumor (Large>3cm) Excision with 6B Existing SB814B Cranioplasty 30 SB815B Bone (Skull), Tumor (malignant), Wide Excision 5C Existing SB815B 31 SB813B Bone (Skull), Tumor (Small<3cm) Excision with 5B Existing SB813B Cranioplasty 32 SB818B Bone (Upper Limb), Deformities, Corrective 4B Existing SB818B Surgery 33 SB819B Bone (Upper Limb), Deformities, Osteotomies with 5C Existing SB819B Plate Fixation and with or w/o Fluoroscopy and with or without bone graft 34 SB821B Bone (Upper Limb), Fracture/Dislocation/Sprain, MSP Existing SB821B Full Cast 35 SB822B Bone (Upper Limb), Grade 1 and 2 Open 2B Existing SB822B Fractures/Open dislocation or open fracture- dislocation Wound Debridement 36 SB824B Bone (Upper Limb), Osteomyelitis Simple 2B Existing SB824B Drainage 37 SB823B Bone (Upper Limb), Osteomyelitis, Extensive 4A Existing SB823B Curettage/Debridement and Irrigation 38 SB825B Bone (Upper Limb), Plates and Screws, Removal 2B Existing SB825B 39 SB826B Bone (Upper Limb), Simple Implants, Removal 1C Existing SB826B (eg: K-wires, wires, pins, screws only) 40 SB827B Bone (Upper Limb), Tumor (benign), Major 4A Existing SB827B Excision <3 cm with bone grafting +/- reconstruction/internal fixation 41 SB704B Bone (Upper Limb), Tumor (benign), Major 5A Existing SB704B Excision >3 cm with bone grafting +/- reconstruction/internal fixation 42 SB828B Bone (Upper Limb), Tumor (malignant), Radical 6B Existing SB828B Excision with reconstruction/internal fixation 43 SB829B Bone (Upper Limb), Tumour (malignant), Wide 5A Uptabled SB829B Excision with reconstruction/internal fixation 44 SB833B Bone (Upper Limb/lower limb), Various Lesions, 7C Existing SB833B Vascularised Bone Transfer 45 SB817B Bone (Upper/Lower Limb), bone loss/nonunion, 3C Description SB817B bone grafting Change 46 SB703B Bone (Upper/lower Limb), Exostosis, Excision 3A Existing SB703B Biopsy (more than1/ bilateral) 47 SB820B Bone (Upper/lower Limb), Exostosis, Excision 2C Existing SB820B Biopsy (Single) 48 SB830B Bone (Upper/Lower Limb), Various Lesions, Bone 6A Description SB830B Loss, Bone Transfer Change 49 SB800B Bone, Cyst/Tumour Benign/Benign Aggressive, 4A Existing SB800B Currettage/Burring/Bone Grafting/Cementing 50 SB707B Bone, Tumor (malignant), around joints with limb 7A Existing SB707B reconstruction and joint replacement 51 SB831B Bone, Tumor (malignant), Wide/Major Resection 6B Existing SB831B and Reconstruction (non vascularised bone graft) 52 SB708B Bone, Tumour (malignant), Wide/Major Resection 7B Uptabled SB708B and Reconstruction (vascularised bone graft) 53 SB705B Bone, Tumour, Imaging Guided Percutaneous 4A Existing SB705B Local Ablation (Radiofrequency, Cryotherapy, microwave, laser, alcohol,etc) , > 1 lesions

A-3-12 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 54 SB706B Bone, Tumour, Imaging Guided Percutaneous 3C Existing SB706B Local Ablation (Radiofrequency, Cryotherapy, microwave, laser, alcohol,etc) , Single lesion 55 SB832B Bone, Various Lesions, Biopsy 1B Existing SB832B 56 SB709B Bone, Various Lesions, Open Biopsy, 1B Existing SB709B Cementing/Plate Fixation 57 SB711B Bone/ Soft tissue, Various lesions, Imaging 2B Existing SB711B Guided Percutaneous Biopsy 58 SB812J Bone/Joints (Lower Limb), Major Crush Injuries, 3B Existing SB812J Wound Debridement 59 SB710B Bone/Soft Tissue, Various Lesions, Trucut Biopsy 1B Existing SB710B 60 SB712B Bursa, Bursitis, Excision Biopsy (more than 2C Existing SB712B 1/bilateral) 61 SB834B Bursa, Bursitis, Excision Biopsy (single) 2A Existing SB834B 62 SB700C Calcaneum Fracture extra-articular open 3C Existing SB700C reduction internal fixation 63 SB800C Carpus, Delayed/Non Union, Reconstruction 5C Existing SB800C 64 SB801C Carpus, Fracture/Dislocation, Open Reduction 4B Existing SB801C and Internal Fixation 65 SB802C Cervical Spine, Various Lesions, Anterior 6B Existing SB802C Decompression and Fusion (multiple levels) 66 SB803C Cervical Spine, Various Lesions, Anterior 6A Existing SB803C Decompression and Fusion (single level) 67 SB804C Cervical Spine, Various Lesions, Application Of MSP Existing SB804C Calipers 68 SB805C Clavicle, Clavicle Fracture, Simple 3B Existing SB805C 69 SB701C Clavicle, Clavicle Fracture, Comminuted Plating 4A Existing SB701C With or without Bone Grafting 70 SB702C Clavicle, Clavicle Fracture, Delayed 4B Existing SB702C Union/Revision and ORIF with/without bone grafting 71 SB806C Coccyx, Various Lesions, Excision 2C Existing SB806C 72 SB800N Digit(s), Nail Bed, Deformity/Defect, 4B Existing SB800N Reconstruction 73 SB700D Digit(s), Nailbed Laceration, Nailbed grafting 4A Existing SB700D 74 SB701D Digit(s), Soft Tissue Defect, Complex Small Skin 5A Existing SB701D Flaps, multiple flaps 75 SB702D Digit(s), Soft Tissue Defect, Large complex 5C Existing SB702D pedicled flaps 76 SB703D Digit(s), Soft Tissue Defect, Simple skin flap 3A Existing SB703D 77 SB800E Elbow (Medial Epicondyle), Fracture, Excision 2B Existing SB800E Bony Fragment 78 SB701E Elbow, Condyle/Radial Head Fracture, Radial 4B Existing SB701E Head Excision/condyle/arthroplasty 79 SB702E Elbow, Coronoid Fracture, ORIF 4B Existing SB702E 80 SB703E Elbow, Dislocation , Ligament Repair (Complex, 4A Existing SB703E with/without Implant) 81 SB704E Elbow, Dislocation , Ligament Repair (Single) 3A Existing SB704E 82 SB801E Elbow, Fracture/ Dislocation, Repair Of 4B Existing SB801E Ligaments/ ORIF 83 SB705E Elbow, Fracture/Dislocation, Open Reduction and 3C Existing SB705E Internal Fixation (ORIF)

A-3-13 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 84 SB706E Elbow, Supracondylar fracture, M&R, 3C Existing SB706E percutaneous pinning 85 SB802E Elbow, Tennis Elbow, Release 2B Existing SB802E 86 SB707E Elbow, Various Lesions, Primary Total Joint 6B Existing SB707E Arthroplasty with augmentation, requiring extra implants or bone grafts, open/MIS/navigated 87 SB708E Elbow, Various Lesions, Primary Total Joint 6A Existing SB708E Arthroplasty, open/MIS/navigated 88 SB709E Elbow, Various Lesions, Revision Total Joint 6C Existing SB709E Arthroplasty, open/MIS/navigated 89 SB803E Elbow, Various Lesions, Synovectomy with 5A Existing SB803E Reconstruction 90 SB700E Elbow,Therapeutic arthroscopy 4A Existing SB700E 91 SB800F Face, Contour Defect, Reconstruction / Insertion 4A Existing SB800F of Implant (s) 92 SB801F Face, Defect / Deformity, Reconstruction / 5C Existing SB801F Insertion of Implant 93 SB700F Face, Fracture, Endoscopic Reduction and 5C Existing SB700F Fixation 94 SB802F Face, Fractures (more than 2), Open Reduction 6B Existing SB802F and Internal Fixation 95 SB701F Face, Fractures (Panfacial), Open Reduction and 7C Existing SB701F Internal Fixation 96 SB803F Face, Infection / Osteomyelitis, Major 3B Existing SB803F Drainage/Sequestrectomy 97 SB804F Face, Infection / Osteomyelitis, Simple Drainage 2C Existing SB804F /Sequestrectomy 98 SB805F Face, Intraosseous Tumor (large), Excision 5C Existing SB805F 99 SB806F Face, Intraosseous Tumor (small), Excision 3A Existing SB806F 100 SB807F Fascia Palmar, Dupuytren's Contracture, 5C Existing SB807F Fasciectomy (multiple) 101 SB808F Fascia Palmar, Dupuytren's Contracture, 4A Existing SB808F Fasciectomy (single) 102 SB809F Femur, Delayed/Non Union, w/ Bone grating 4A Existing SB809F 103 SB702F Femur, Delayed/Non Union, w/ re-internal fixation 5A Existing SB702F and bone grafting 104 SB703F Femur, Fracture (complex intra-articular), Open 5C Description SB703F Reduction and Internal Fixation (ORIF) with Plate Change and Screws 105 SB810F Femur, Fracture (femur shaft), Intramedullary 5A Uptabled / SB810F Nailing/Rod (with or without locking) Description Change 106 SB706F Femur, Fracture (intercondylar), Open Reduction 5A Description SB706F and Internal Fixation (ORIF) Change 107 SB705F Femur, Fracture (multifragmentary), 5A Description SB705F Intramedullary nailing (with or without locking) Change 108 SB708F Femur, Fracture (paediatric shaft), Intramedullary 4A Description SB708F flexible nailing Change 109 SB709F Femur, Fracture (single condylar), Open 4B Description SB709F Reduction and Internal Fixation (ORIF) Change 110 SB811F Femur, Fracture, Open Reduction and Internal 5A Existing SB811F Fixation with Plate and Screws

A-3-14 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 111 SB707F Femur, Neck of femur fracture (paediatric), Pin 4B Existing SB707F fixation 112 SB710F Femur, Slipped Capital Femoral Epiphysis 4B Existing SB710F (SCFE), Screw fixation 113 SB711F Finger, Defect/Contracture (multiple), 4C Existing SB711F Reconstruction 114 SB812F Finger, Defect/Contracture (single), 3C Existing SB812F Reconstruction 115 SB813F Finger, Deformities, Correction 4A Existing SB813F 116 SB814F Finger, Injury, Debridement 1B Existing SB814F 117 SB838F Finger, Macrodactyly, surgical reduction of 4A New - enlarged elements - multiple digits 118 SB837F Finger, Macrodactyly, surgical reduction of 3A New - enlarged elements - single digit 119 SB817F Finger, Ring Constriction (multiple), Correction 5C Existing SB817F 120 SB816F Finger, Ring Constriction (single), Correction 3B Existing SB816F 121 SB818F Finger, Swan Neck/Boutonniere Deformity 4A Existing SB818F (single), Correction 122 SB819F Finger, Syndactyly (multiple), Separation 5C Existing SB819F 123 SB820F Finger, Syndactyly (single), Correction 4A Existing SB820F 124 SB821F Finger, Trauma, Replantation (multiple) 7B Existing SB821F 125 SB822F Finger, Trauma, Replantation/Transplantation 6B Existing SB822F (single) 126 SB823F Finger, Trauma, Terminalisation (multiple) 3B Existing SB823F 127 SB824F Finger, Trauma, Terminalisation (single) 2C Existing SB824F 128 SB825F Finger, Various Lesions, Amputation (multiple) 2C Existing SB825F 129 SB826F Finger, Various Lesions, Amputation (single) 2A Existing SB826F 130 SB712F Finger, Various Lesions, Ray Amputation 3C Existing SB712F (multiple) 131 SB828F Finger, Various Lesions, Ray Amputation (single) 3A Existing SB828F 132 SB829F Finger, Various Lesions, Synovectomy with Soft 5C Existing SB829F Tissue Reconstruction 133 SB715F Foot, Achilles tendon reconstruction 4A Existing SB715F 134 SB716F Foot, Congenital Talipes Equinovarus (CTEV), 6A Existing SB716F bilateral release 135 SB717F Foot, Congenital Talipes Equinovarus (CTEV), 4A Existing SB717F Medial Release 136 SB718F Foot, Congenital Talipes Equinovarus (CTEV), 4C Existing SB718F Post Medial release 137 SB719F Foot, Congenital Talipes Equinovarus (CTEV), 4A Existing SB719F Post release 138 SB720F Foot, Congenital Talipes Equinovarus (CTEV), 5C Existing SB720F Posterior medial release with revision 139 SB830F Foot, Crush Injuries (complex), Wound 3B Existing SB830F Debridement 140 SB831F Foot, Crush Injuries (simple), Wound Debridement 1B Existing SB831F 141 SB721F Foot, Fractures, Complex, multiple, including talus 5A Existing SB721F and calcaneum, Open Reduction and Internal Fixation 142 SB722F Foot, Fractures, Simple, single 3B Existing SB722F 143 SB724F Foot, Haglund's deformity - osteotomy 3C Existing SB724F

A-3-15 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 144 SB732F Foot, Hallux Valgus/Hammer Toe, Proximal 3C New - Osteotomy, with or without soft tissue reconstruction 145 SB832F Foot, Hallux Valgus/Hammer Toe, Soft Tissue 3B Description SB832F Reconstruction Change 146 SB727F Foot, Multiple foot osteotomies 5C Existing SB727F 147 SB725F Foot, One bone osteotomy with soft tissue 5A Existing SB725F release, Cuboid 148 SB726F Foot, One bone osteotomy with soft tissue 5A Existing SB726F release, Dwyer’s (calcaneal) 149 SB833F Foot, Polydactyly, Excision 1A Existing SB833F 150 SB834F Foot, Polydactyly, Excision with Reconstruction 4A Existing SB834F 151 SB728F Foot, Posterior Tibial Tendon Dysfunction (PTTD) 4A Existing SB728F - posterior tibialis reconstruction 152 SB729F Foot, Tendon transfers, split tibialis anterior 4A Existing SB729F tendon transfer (SPLATT) 153 SB730F Foot, Tendon transfers, split tibialis posterior 4A Existing SB730F tendon transfer (SPLOTT) 154 SB731F Foot, Tendon transfers, Tibia Anterior Transfer 4A Existing SB731F 155 SB835F Foot, Various Lesions, Floating Osteotomy 3A Existing SB835F 156 SB836F Foot, Various Lesions, Triple Arthrodesis 5C Existing SB836F 157 SB713F Forearm, Radial head fracture, Open reduction of 4A Existing SB713F radial head for missed Monteggia 158 SB714F Forearm, Radius/ulna shaft fracture, 4B Existing SB714F Intramedullary rod 159 SB701H Hand and Wrist - Rheumatoid hand reconstruction 6C Existing SB701H including multiple joint synovectomy, bone/joint procedures with arthroplasty (multiple) and soft tissue procedures 160 SB702H Hand and Wrist - Rheumatoid hand reconstruction 5C Existing SB702H including synovectomy, bone/joint procedures with/without replacement arthroplasty, and soft tissue procedures 161 SB800H Hand, Amputated Digit(s), Toe to Hand Transfer 7B Existing SB800H 162 SB703H Hand, Closed fracture, ORIF complex (multiple) 5A Existing SB703H 163 SB713H Hand, Closed fracture, ORIF complex (multiple), 5C Existing SB713H joint 164 SB704H Hand, Closed fracture, ORIF complex/ plate and 3C Existing SB704H screws (single) 165 SB705H Hand, Closed fracture, ORIF with K-wire/cerclage 2C Existing SB705H wire fixation 166 SB801H Hand, Closed Fracture/Dislocation, Open 2C Existing SB801H Reduction and Fixation (single) 167 SB802H Hand, Complex Injuries, Debridement with 5A Existing SB802H Repair/Reconstruction (1-2 tendons involved or 1- 2 fractures) 168 SB706H Hand, Complex Injuries, Debridement with 5C Existing SB706H Repair/Reconstruction (more than 2 tendons involved or more than 2 fractures) 169 SB707H Hand, Complex Injuries, Microsurgical 6B Existing SB707H Repair/Reconstruction, >1 digit 170 SB803H Hand, Complex Injuries, Microsurgical 5C Existing SB803H Repair/Reconstruction, single digit A-3-16 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 171 SB804H Hand, Crush Injuries (complex), Wound 3C Existing SB804H Debridement 172 SB805H Hand, Crush Injuries (simple), Wound 1C Existing SB805H Debridement 173 SB806H Hand, Deep Infection, Drainage 2C Existing SB806H 174 SB807H Hand, Deformities, Major Reconstructive 5C Existing SB807H Procedures 175 SB808H Hand, Deformities, Osteotomy 3B Existing SB808H 176 SB809H Hand, Deformity, Intrinsic Muscle 5C Existing SB809H Release/Transfer/Extensor Relocation 177 SB810H Hand, Extra Digit, Amputation/Stump Revision 1C Existing SB810H 178 SB811H Hand, Flexor Tendon Injuries, Insertion of Silastic 5C Existing SB811H Rod(s) 179 SB733H Hand, Flexor Tendon, Pulley Reconstruction 4B Existing SB733H 180 SB708H Hand, Flexor Tendon, Trigger Finger (multiple), 3A Existing SB708H Release 181 SB709H Hand, Flexor Tendon, Trigger Finger (single), 2A Existing SB709H Release 182 SB812H Hand, Foreign Body (deep), Removal with 3A Existing SB812H Mobilisation of Neurovascular Bundle 183 SB813H Hand, Foreign Body (superficial), Removal with 2A Existing SB813H Mobilisation of Neurovascular Bundle 184 SB710H Hand, Fracture of fingers/metacarpals, External 3B Existing SB710H fixation 185 SB711H Hand, Fracture of fingers/metacarpals, Non-union, 4C Existing SB711H bone-grafting and fixation (multiple) 186 SB712H Hand, Fracture of fingers/metacarpals, Non-union, 3C Existing SB712H bone-grafting and fixation (single) 187 SB814H Hand, Fractures/Dislocation, Open Reduction and 5C Existing SB814H Internal Fixation (multiple) 188 SB827F Hand, Free toe pulp transfer 7C Existing SB827F 189 SB714H Hand, Open fracture, Debridement and ORIF 6A Existing SB714H (multiple), joint 190 SB715H Hand, Open fracture, Debridement and ORIF 5B Existing SB715H (multiple), non-joint 191 SB716H Hand, Open fracture, Debridement and ORIF 4A Existing SB716H (single), joint 192 SB717H Hand, Open fracture, Debridement and ORIF 3B Existing SB717H (single), non-joint 193 SB815H Hand, Polydactyly, Amputation with 4A Existing SB815H Reconstruction 194 SB816H Hand, Scar, Revision 2C Existing SB816H 195 SB817H Hand, Soft Tissue Tumor, Excision <1.5cm 2A Existing SB817H 196 SB718H Hand, Soft Tissue Tumor, Excision >1.5cm size 2C Existing SB718H 197 SB818H Hand, Superficial Infection, Drainage 1A Existing SB818H 198 SB819H Hand, Tumors, Excision with Dissection of 4B Existing SB819H Neurovascular Bundle 199 SB820H Hand, Wart/Corn/Naevus, Excision 1B Existing SB820H 200 SB821H Head, Various Lesions, Craniofacial Resection 7C Existing SB821H and Reconstruction 201 SB822H Head-Face, Soft Tissue Tumors (small), Excision 3A Existing SB822H

A-3-17 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 202 SB823H Head-Face, Trauma, Craniofacial Approach 5C Existing SB823H Reduction and Fixation 203 SB824H Head-Face, Trauma, Craniofacial Approach 6C Existing SB824H Reduction and Fixation with Bone Graft 204 SB825H Head-Face, Various Lesions, Major Corrective 7C Existing SB825H Surgery 205 SB719H Hip, Acetabulum, Fracture, double column fixation 6B Existing SB719H 206 SB720H Hip, Acetabulum, Fracture, single column fixation 5C Existing SB720H 207 SB826H Hip, Avascular , Core Decompression 4A Existing SB826H 208 SB827H Hip, Avascular Necrosis, Core Decompression 6B Existing SB827H with Grafting 209 SB828H Hip, Congenital Dislocation, Open Reduction 5C Existing SB828H 210 SB829H Hip, Congenital Dislocation, Open Reduction 6B Existing SB829H including Reconstruction 211 SB830H Hip, Dislocation, Manipulation and Reduction 1B Existing SB830H 212 SB831H Hip, Dislocation, Open Reduction 5C Existing SB831H 213 SB721H Hip, Open reduction with Acetabular or Femoral 5B Existing SB721H Osteotomies 214 SB832H Hip, Snapping Syndrome, Release 1B Existing SB832H 215 SB722H Hip, Soft tissue release and open reduction only 4C Existing SB722H 216 SB833H Hip, Various Lesions, Application of Hip Spicas 1B Existing SB833H 217 SB834H Hip, Various Lesions, Arthrodesis 6B Existing SB834H 218 SB835H Hip, Various Lesions, Arthrotomy 3B Existing SB835H 219 SB836H Hip, Various Lesions, Arthrotomy and 4A Existing SB836H Synovectomy 220 SB837H Hip, Various Lesions, Excision/Interposition 5A Existing SB837H Arthroplasty 221 SB838H Hip, Various Lesions, Hemi-Arthroplasty 5C Existing SB838H 222 SB723H Hip, Various Lesions, Primary Total Joint 6B Existing SB723H Replacement with augmentation, requiring extra implants or bone grafts, open/MIS/navigated 223 SB839H Hip, Various Lesions, Primary Total Joint 6A Existing SB839H Replacement, open/MIS/navigated 224 SB724H Hip, Various Lesions, Revision Total Joint 6C Existing SB724H Replacement,open/MIS/navigated 225 SB700H Hip/Knee, Hip/Knee Therapeutic Arthroscopy 4A Existing SB700H 226 SB725H Hip/knee, Removal of prostheses with or without 5A Existing SB725H spacer 227 SB842H Humerus supracondylar AND intercondylar 5A Existing SB842H fracture 228 SB726H Humerus, cubitus varus, Corrective osteotomy 4B Existing SB726H with cast or pinning 229 SB727H Humerus, cubitus varus, Corrective osteotomy 5A Existing SB727H with plating 230 SB728H Humerus, Delayed/Non-Union, Reconstruction w/ 4B Existing SB728H bone grafting without internal fixation 231 SB840H Humerus, Delayed/Non-Union, Reconstruction w/ 5B Existing SB840H internal fixation and bone grafting 232 SB729H Humerus, Humerus shaft fracture, Closed 4A Existing SB729H interlocking intramedullary nail 233 SB730H Humerus, Humerus shaft fracture, Complex multi- 4C Existing SB730H fragmentary intramedullary nail A-3-18 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 234 SB841H Humerus, Proximal humerus or supracondylar 4A Existing SB841H fracture, ORIF 235 SB800J Joints (Finger), Contracture, 4A Existing SB800J Capsulectomy/Capsulotomy 236 SB801J Joints (Finger), Various Lesions, Arthrodesis 3C Existing SB801J 237 SB802J Joints (Finger), Various Lesions, Excision 3C Existing SB802J Arthroplasty 238 SB803J Joints (Finger), Various Lesions, Replacement 4C Existing SB803J Arthroplasty 239 SB804J Joints (Foot excluding Ankle), Synovitis, 2C Existing SB804J Synovectomy 240 SB805J Joints (Hand excluding Wrist), Synovitis, 2C Existing SB805J Synovectomy 241 SB806J Joints (Lower Limb) - small, Various Lesions, 3C Existing SB806J Arthroplasty 242 SB807J Joints (Lower Limb), Deformities, Corrective 4A Existing SB807J Surgery with Osteotomy alone 243 SB808J Joints (Lower Limb), Deformities, Corrective 5C Existing SB808J Surgery with Plate Fixation and Fluoroscopy 244 SB809J Joints (Lower Limb), Dislocations, Manipulation 3B Existing SB809J and Kirschner Wire Fixation 245 SB810J Joints (Lower Limb), Dislocations, Wound 2B Existing SB810J Debridement 246 SB811J Joints (Lower Limb), Loose Bodies, Removal 3B Existing SB811J 247 SB815J Joints (Lower Limb), Simple Implants, Removal 1C Existing SB815J (eg. K-wires, pins, screw only) 248 SB816J Joints (Lower Limb), Various Lesions, 5C Existing SB816J Epiphysiolysis with/without Microsurgery 249 SB813J Joints (Lower Limb, except Hip), Septic Arthritis, 3C Existing SB813J drainage with curettage and debridement 250 SB814J Joints (Lower Limb, except Hip), Septic Arthritis, 2B Existing SB814J simple drainage 251 SB703J Joints (Lower Limb, Hip), Septic Arthritis, 4A Existing SB703J Curettage/Debridement and Irrigation 252 SB704J Joints (Lower Limb, Hip), Septic Arthritis, simple 3A Existing SB704J drainage 253 SB817J Joints (Other than Finger), Various Lesions, Total 6A Existing SB817J Joint Replacement 254 SB818J Joints (Other than Hand and Wrist), Various 5C Existing SB818J Lesions, Arthrodesis 255 SB819J Joints (Other than Hand excluding Wrist), Various 4A Existing SB819J Lesions, Synovectomy 256 SB707J Joints (Shoulder), Various Lesions, Impingement 5A Existing SB707J Syndrome 257 SB821J Joints (Temporo-mandibular), Dislocation, 1C Existing SB821J Reduction under general anaesthesia 258 SB820J Joints (Temporo-Mandibular), Dislocation, MSP Existing SB820J Reduction without general anaesthesia 259 SB708J Joints (Temporomandibular), Various Lesions, 3A Existing SB708J Arthrocentesis (bilateral) 260 SB709J Joints (Temporomandibular), Various Lesions, 2B Existing SB709J Arthrocentesis (unilateral)

A-3-19 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 261 SB701J Joints (Temporomandibular), Various Lesions, 3B Existing SB701J Arthroscopy (bilateral) 262 SB700J Joints (Temporomandibular), Various Lesions, 2C Existing SB700J Arthroscopy (unilateral) 263 SB712J Joints (Temporo-mandibular), Various Lesions, 7A Existing SB712J Condylectomy with Reconstruction (Bilateral) 264 SB822J Joints (Temporo-mandibular), Various lesions, 6B Existing SB822J Condylectomy with Reconstruction (Unilateral) 265 SB710J Joints (Temporo-mandibular), Various Lesions, 4B Existing SB710J Condylectomy/Coronoidectomy/Menisectomy 266 SB711J Joints (Temporo-mandibular), Various Lesions, 4A Existing SB711J Condylotomy 267 SB824J Joints (Temporo-mandibular), Various Lesions, 4A Existing SB824J Plication of Disc 268 SB713J Joints (Temporo-mandibular), Various lesions, 7A Existing SB713J Reconstruction (Bilateral) 269 SB823J Joints (Temporo-mandibular), Various Lesions, 6B Existing SB823J Reconstruction (Unilateral) 270 SB825J Joints (Upper Limb), Contracture, 5C Existing SB825J Capsulectomy/Capsulotomy (multiple) 271 SB826J Joints (Upper Limb), Deformities/Contracture, 4B Existing SB826J Corrective Surgery 272 SB827J Joints (Upper Limb), Deformities/Contracture, 5C Existing SB827J Osteotomies and Fixation 273 SB828J Joints (Upper Limb), Fractures/Dislocation/Sprain, MSP Existing SB828J Full Cast 274 SB829J Joints (Upper Limb), Plates and Screws, Removal 2B Existing SB829J 275 SB830J Joints (Upper Limb), Rush Rods/Wires/Screws, 1C Existing SB830J Removal 276 SB833J Joints (Upper Limb), Various Lesions, 1A Existing SB833J Examination and Manipulation under General Anesthesia 277 SB834J Joints (Upper Limb), Various Lesions, 7C Existing SB834J Vascularised Joint Transfer 278 SB716J Joints (Upper Limb), Vascular Injury, Major 5A Existing SB716J vascular reconstruction/anastomosis/graft 279 SB831J Joints (Upper Limb, except Shoulder), Septic 3C Uptabled SB831J Arthritis, drainage with curretage and debridement 280 SB832J Joints (Upper Limb, except Shoulder), Septic 2B Existing SB832J Arthritis, simple drainage 281 SB714J Joints (Upper Limb, Shoulder), Septic 4A Existing SB714J Arthritis/Effusion, Curettage/Debridement and Irrigation 282 SB715J Joints (Upper Limb, Shoulder), Septic 3C Existing SB715J Arthritis/Effusion, simple drainage 283 SB835J Joints (Wrist), Various Lesions, Arthrodesis 4B Existing SB835J 284 SB702J Joints, Arthroscopy, diagnostic 2C Existing SB702J 285 SB717J Joints, Major intra-articular fracture with 5C Existing SB717J discontinuity or bone loss, Reconstruction (for lower limb) 286 SB718J Joints, Major intra-articular fracture with 5A Existing SB718J discontinuity or bone loss, Reconstruction (for upper limb) A-3-20 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 287 SB705J Joints, Various Lesions, Primary Total Joint 6B Existing SB705J Replacement with augmentation, requiring extra implants or bone grafts, open/MIS/navigated 288 SB706J Joints, Various Lesions, Revision Total Joint 6C Existing SB706J Replacement,open/MIS/navigated 289 SB800K Knee Ligaments, Disruption, Reconstruction and 5C Existing SB800K Repair 290 SB700K Knee, Arthroscopy, knee ligament reconstruction 5C Existing SB700K (1 or more) 291 SB801K Knee, Dislocation, Open Reduction with Repair of 5C Existing SB801K Ligaments 292 SB802K Knee, Hemarthrosis, Aspiration under General 1A Existing SB802K Anesthesia 293 SB702K Knee, Hemarthrosis, Aspiration Under Local MSP Existing SB702K Anesthesia 294 SB701K Knee, Ligaments/Meniscus/Cartilage/Bone 5C Existing SB701K combined, Arthroscopic ACL or PCL reconstruction 295 SB703K Knee, Ligaments/Meniscus/Cartilage/Bone 5C Existing SB703K combined, Arthroscopic ligament reconstruction with meniscal repair 296 SB704K Knee, Ligaments/Meniscus/Cartilage/Bone 5C Existing SB704K combined, Arthroscopic ligament reconstruction with meniscectomy 297 SB705K Knee, Ligaments/Meniscus/Cartilage/Bone 5C Existing SB705K combined, Arthroscopic ligament reconstruction with microfracture 298 SB706K Knee, Ligaments/Meniscus/Cartilage/Bone 6A Existing SB706K combined, Arthroscopic primary double bundle ACL or PCL reconstruction 299 SB707K Knee, Ligaments/Meniscus/Cartilage/Bone 5C Existing SB707K combined, Arthroscopic revision ACL reconstruction 300 SB708K Knee, Ligaments/Meniscus/Cartilage/Bone 5C Existing SB708K combined, Arthroscopic revision PCL reconstruction 301 SB709K Knee, Ligaments/Meniscus/Cartilage/Bone 6A Existing SB709K combined, Autologous chondrocyte implantation with osteotomy 302 SB710K Knee, Ligaments/Meniscus/Cartilage/Bone 6A Existing SB710K combined, Mosaicplasty or Osteoarticular Transfer System (OATS) with osteotomy 303 SB711K Knee, Ligaments/Meniscus/Cartilage/Bone 6A Existing SB711K combined, Multi-Ligamented Knee Reconstruction (3 or more ligaments) 304 SB712K Knee, Meniscus/Cartilage ( small defects ), 5C Existing SB712K Open/Arthroscopic Mosaicplasty or OATS 305 SB713K Knee, Meniscus/Cartilage, Arthroscopic assisted 5C Existing SB713K allograft meniscal transplantation 306 SB714K Knee, Meniscus/Cartilage, Arthroscopic cartilage 4A Existing SB714K harvesting 307 SB715K Knee, Meniscus/Cartilage, Arthroscopic meniscal 5A Existing SB715K repair 308 SB803K Knee, Various Lesions, Arthrodesis 5A Existing SB803K A-3-21 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 309 SB804K Knee, Various Lesions, Arthrotomy 3B Existing SB804K 310 SB805K Knee, Various Lesions, Arthrotomy and 4A Existing SB805K Synovectomy 311 SB806K Knee, Various Lesions, Excision/Interposition 4A Existing SB806K Arthroplasty 312 SB807K Knee, Various Lesions, Manipulation and 1A Existing SB807K Examination under Anesthesia 313 SB808K Knee, Various Lesions, Meniscectomy 4A Existing SB808K with/without Arthroscopy 314 SB716K Knee, Various Lesions, Primary Total Joint 6B Existing SB716K Replacement (Unilateral) with augmentation, requiring extra implants or bone grafts, open/MIS/navigated 315 SB810K Knee, Various Lesions, Primary Total Joint 6A Existing SB810K Replacement (Unilateral), open/MIS/navigated 316 SB717K Knee, Various Lesions, Revision Total Joint 6C Existing SB717K Replacement,open/MIS/navigated 317 SB809K Knee, Various Lesions, Total Joint Replacement 7B Existing SB809K (Bilateral) 318 SB800L Lower Limb, Crush Injuries (extensive), 6B Existing SB800L Debridement with Repair of Bone and Soft Tissues 319 SB801L Lower Limb, Crush Injuries (limited), Debridement 5A Existing SB801L with Repair of Bone and Soft Tissues 320 SB802L Lower Limb, Deformities, Epiphysiodesis 4A Existing SB802L 321 SB803L Lower Limb, Fractures, Open Reduction and 6B Existing SB803L Fixation with Repair of Arterial Injuries 322 SB804L Lower Limb, Fractures/Dislocation, Manipulation 1B Existing SB804L and Reduction with/without Application of Cast 323 SB805L Lower Limb, Length Discrepancies, Lengthening 4B Existing SB805L Procedures 324 SB806L Lower Limb, Length Discrepancies, Shortening 6B Existing SB806L Procedures 325 SB701L Lower Limb, Open tendon releases and cast 3A Existing SB701L application, Hamstring releases 326 SB700L Lower Limb, Open tendon releases and cast 4B Existing SB700L application, tibialis anterior lengthening (TAL) 327 SB702L Lower Limb, Percutaneous Tenotomy and cast 3A Existing SB702L application, Adductor tenotomy 328 SB703L Lower Limb, Percutaneous Tenotomy and cast 3A Existing SB703L application, TA tenotomy 329 SB808L Lower Limb, Traumatic Amputation, Major 7C Existing SB808L Replantation 330 SB809L Lower Limb, Various Lesions, Amputation 4A Existing SB809L 331 SB810L Lower Limb, Various Lesions, Application of cast MSP Existing SB810L 332 SB811L Lower Limb, Various Lesions, Hindquarter 6B Existing SB811L Amputation 333 SB812L Lower Limb, Various Lesions, Hip Disarticulation 6B Existing SB812L 334 SB800M Mandible (excluding alveolar margins), Various 6B Existing SB800M Lesions, Complex Osteotomy/Ostectomy 335 SB817M Mandible and / or Maxilla, Various Lesions, 5A Existing SB817M Insertion of Transmandibular Implant/ Subperiosteal Implant/ Zygomaticus Implant A-3-22 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 336 SB710M Mandible AND Maxilla, Old Fractures / 3B Existing SB710M Osteotomy, Removal of Plates or Wires 337 SB700M Mandible and Maxilla, Various Lesions, 7C Existing SB700M Osteotomy and Insertion of Device for Distraction Osteogenesis 338 SB801M Mandible and Maxilla, Various Lesions, 7C Existing SB801M Osteotomy including Segmental Osteotomy with/without Grafting 339 SB802M Mandible or Maxilla, Alveolar Defect/Deformity, 3A Existing SB802M Complex Alveoloplasty/Unilateral (lateral window) sinus lift/ ridge augmentation with bone graft from separate surgical site. 340 SB803M Mandible or Maxilla, Alveolar Defect/Deformity, 2C Existing SB803M Simple Alveoloplasty / Bone Regenerative Procedure 341 SB701M Mandible or Maxilla, Bony protuberance, Excision 1B Existing SB701M 342 SB702M Mandible or Maxilla, Dental Implant(s), 1C Existing SB702M Osseointegrated, Trephine Removal (x number of implants removed) 343 SB809M Mandible or Maxilla, Odontogenic Cyst (10mm or 2C Existing SB809M smaller), Enucleation 344 SB807M Mandible or Maxilla, Odontogenic Cyst (11- 3A Existing SB807M 20mm), Enucleation 345 SB808M Mandible or Maxilla, Odontogenic Cyst (20mm or 4A Existing SB808M larger or multiple cysts), Enucleation 346 SB810M Mandible or Maxilla, Odontogenic Cyst, 2B Existing SB810M Marsupialization 347 SB811M Mandible OR Maxilla, Old Fractures / Osteotomy, 2B Existing SB811M Removal of Plates or Wires 348 SB812M Mandible or Maxilla, Tumor, Marginal Resection 5C Existing SB812M 349 SB703M Mandible or Maxilla, Tumor, Marginal Resection 6B Existing SB703M with Bone Graft 350 SB814M Mandible or Maxilla, Various Lesions, 4A Existing SB814M Alveoloplasty with Epithelial Graft, OR Bilateral Sinus-lift procedure OR Ridge augmentation (multiple quadrants) with bone graft harvested from separate site 351 SB816M Mandible or Maxilla, Various Lesions, Insertion of 2C Existing SB816M Endosseous Dental Implant (single)(For multiple placement of implants, number of claims = number of implants placed ) 352 SB704M Mandible or Maxilla, Various Lesions, Segmental 5B Existing SB704M Osteotomy and Insertion of Device for Distraction Osteogenesis and Bone Transport 353 SB705M Mandible or Maxilla, Various Lesions, 3C Existing SB705M Vestibuloplasty, Complex. 354 SB706M Mandible or Maxilla, Various Lesions, 2B Existing SB706M Vestibuloplasty, Simple. 355 SB707M Mandible or Maxilla, Various 5A Existing SB707M Lesions,Dentoalveolar Osteotomy and Insertion of Device for Distraction Osteogenesis 356 SB708M Mandible, Atrophy, Lateralisation of Inferior Dental 5A Existing SB708M with Implant Fixtures Placement, Bilateral.

A-3-23 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 357 SB709M Mandible, Atrophy, Lateralisation of Inferior Dental 4B Existing SB709M Nerve with Implant Fixtures Placement, Unilateral 358 SB804M Mandible, Fracture (comminuted), Open 5C Existing SB804M Reduction and Fixation 359 SB805M Mandible, Fracture, Closed Reduction and 3B Existing SB805M Fixation 360 SB806M Mandible, Fracture, Open Reduction and Fixation 5A Existing SB806M 361 SB813M Mandible, Various Lesions, Alveolectomy (per 2C Existing SB813M quadrant) 362 SB711M Mandible, Various Lesions, Body or Ramus 5C Existing SB711M Osteotomy with Insertion of Distraction Osteogenesis Device 363 SB815M Mandible, Various Lesions, Genioplasty (Complex 5C Existing SB815M - not as a combined procedure) 364 SB823M Mandible, Various Lesions, Genioplasty (Simple - 5A Existing SB823M not as a combined procedure) 365 SB818M Mandible, Various Lesions, Mandibular 6B Existing SB818M Ramus/Body Ostectomy/ Osteotomy with Segmental Osteotomy 366 SB819M Mandible, Various Lesions, Mandibular 5C Existing SB819M Ramus/Body Ostectomy/ Osteotomy without Segmental Osteotomy 367 SB820M Mandible, Various Lesions, Reconstruction with 5C Existing SB820M Bone 368 SB821M Mandible, Various Lesions, Segmental 5A Existing SB821M Ostectomy/Osteotomy (one segment only) 369 SB822M Mandible, Various Lesions, Segmental Resection 6B Existing SB822M with Bone Graft 370 SB824M Maxilla (excluding alveolar margins) and/or 6B Existing SB824M Zygoma, Various Lesions, Complex Ostectomy/Osteotomy 371 SB833M Maxilla Deformity, Le Fort II Osteotomy and 6B Existing SB833M Insertion of Distraction Osteogenesis Device 372 SB835M Maxilla Deformity, Le Fort III Osteotomy and 7B Existing SB835M Insertion of Distraction Osteogenesis Device 373 SB825M Maxilla, Alveolar Cleft (Bilateral Complete), Bone 6B Existing SB825M Graft and Closure of Naso Buccal Fistula 374 SB838M Maxilla, Alveolar Cleft (Unilateral Complete), Bone 5B Existing SB838M Graft and Closure of Naso Buccal Fistula 375 SB839M Maxilla, Alveolar Cleft (Unilateral Incomplete), 4B Existing SB839M Bone Graft 376 SB826M Maxilla, Bilateral Incomplete Alveolar Cleft, Bone 6A Existing SB826M Graft 377 SB827M Maxilla, Deformity - Lefort I, Osteotomy 5C Existing SB827M 378 SB828M Maxilla, Deformity - Lefort II, Osteotomy 6B Existing SB828M 379 SB829M Maxilla, Deformity - Lefort III, Osteotomy 7C Existing SB829M 380 SB713M Maxilla, Deformity, Le Fort I Osteotomy and 5C Existing SB713M Insertion of Distraction Osteogenesis Device 381 SB831M Maxilla, Fracture - Lefort I, Open Reduction and 5C Existing SB831M fixation 382 SB830M Maxilla, Fracture - Lefort I, Closed Reduction and 4A Existing SB830M Fixation

A-3-24 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 383 SB834M Maxilla, Fracture - Lefort II (complex), Open 6B Existing SB834M Reduction and Fixation. 384 SB832M Maxilla, Fracture - Lefort II / III, Closed Reduction 5A Existing SB832M and Fixation. 385 SB836M Maxilla, Fracture - Lefort III, Open Reduction and 6B Existing SB836M Fixation 386 SB837M Maxilla, Fracture - Lefort III, Open Reduction and 7C Existing SB837M Fixation using Craniofacial approach 387 SB840M Maxilla, Various Lesions, Ostectomy/Osteotomy 6B Existing SB840M (more than 1 segment) 388 SB842M Maxilla, Various Lesions, Ostectomy/Osteotomy 5A Existing SB842M (one segment only) 389 SB712M Maxilla, Various Lesions, Resection with 6B Existing SB712M Reconstruction 390 SB841M Maxilla, Various Lesions, 5C Existing SB841M Resection/Hemimaxillectomy (open or endoscopic method) 391 SB843M Muscle (Lower Limb), Deep Abscess, Drainage 2A Existing SB843M 392 SB844M Muscle (Lower Limb), Rupture, Repair 2C Existing SB844M 393 SB845M Muscle (Lower Limb), Various Lesions, Marginal 2A Existing SB845M Excision 394 SB846M Muscle (Lower Limb), Various Lesions, Wide 3A Existing SB846M Excision 395 SB847M Muscle (Quadriceps)/Tendon (Lower Limb), 3A Existing SB847M Disruption, Repair 396 SB848M Muscle (Upper Limb), Deep Abscess,incision and 2A Existing SB848M drainage 397 SB849M Muscle (Upper Limb), Rupture, Repair 2C Existing SB849M 398 SB850M Muscle (Upper Limb), Various Lesions, Marginal 2C Existing SB850M Excision 399 SB851M Muscle (Upper Limb), Various Lesions, Wide 3C Existing SB851M Excision 400 SB852M Musculoskeletal System, Various Lesions, Free 7B Existing SB852M Composite Tissue Graft 401 SB853M Musculoskeletal System, Various Lesions, MSP Existing SB853M Steinman Pins Insertion 402 SB801N Nail Bed, Laceration, Repair (multiple) 2C Existing SB801N 403 SB802N Nail Bed, Laceration, Repair (single) 1C Existing SB802N 404 SB803N Nail, Infection/Injury, Avulsion 1A Existing SB803N 405 SB804N Neck, Torticollis, Correction 3B Existing SB804N 406 SB700O Others, Autologous chondrocyte implantation 5A Existing SB700O 407 SB800P Patella, Fracture, Open Reduction and Internal 3B Existing SB800P Fixation 408 SB700P Patella, Habitual dislocation- lateral release, 4B Existing SB700P Medial plication 409 SB801P Patella, Recurrent Dislocation/Chondromalacia, 4B Existing SB801P Reconstruction 410 SB802P Patella, Various Lesions, Patellectomy 3A Existing SB802P 411 SB803P Pelvis, Fracture (double columns), Open 6B Existing SB803P Reduction and Internal Fixation 412 SB701P Pelvis, Fracture, Fixation of anterior and posterior 5C Existing SB701P ring

A-3-25 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 413 SB804P Pelvis, Fracture, Open Reduction and Internal 5C Existing SB804P Fixation 414 SB702P Pelvis, Fracture, Plate/ screw fixation 5C Existing SB702P 415 SB800R Radius (head), Various Lesions, Excision 3B Existing SB800R 416 SB700R Radius and Ulna, Fracture/Dislocation, non 5A Uptabled SB700R union/delayed union bone grafting and re-fixation 417 SB701R Radius and Ulna, Fracture/Dislocation, non 3C Existing SB701R union/delayed union bone grafting only 418 SB801R Radius and Ulna, Fracture/Dislocation, Open 4B Existing SB801R Reduction and internal fixation with or without bone grafting 419 SB703S Sacrum, Fracture, Open Reduction and Internal 5C Existing SB703S Fixation 420 SB704S Sacrum, Fracture, Reconstruction 6A Existing SB704S 421 SB742S Scapula, Complex Scapular fracture (with/without 5B Expanded SB705S glenohumeral joint involvement), Open Reduction (New) / and Internal Fixation (ORIF) Description Change 422 SB705S Scapula, Scapular fracture, Open Reduction and 5A Expanded / SB705S Internal Fixation (ORIF) with plating Description Change 423 SB701S Shoulder Fracture/Dislocation, Open Reduction 4A Existing SB701S and Internal Fixation (2 part fracture) 424 SB702S Shoulder Fracture/Dislocation, Open Reduction 5A Existing SB702S and Internal Fixation (3 or more part fracture) 425 SB801S Shoulder, Acromioclavicular joint 5B Uptabled SB801S stabilisation/reconstruction 426 SB706S Shoulder, Deformities, Deformities, Osteotomies 5C Existing SB706S with Plate Fixation and with or w/o Fluoroscopy and with or without bone graft 427 SB800S Shoulder, Deformities, Corrective Surgery, 5C Existing SB800S Osteotomy 428 SB707S Shoulder, Shoulder soft tissue injury, 5A Existing SB707S Arthroscopic/Open Bankart or Superior Labrum from anterior to posterior (SLAP) repair 429 SB708S Shoulder, Shoulder soft tissue injury, 5B Existing SB708S Arthroscopic/Open Bankart repair with Superior Labrum from anterior to posterior (SLAP) repair/rotator cuff repair 430 SB709S Shoulder, Shoulder soft tissue injury, 5A Existing SB709S Arthroscopic/Open decompression alone 431 SB710S Shoulder, Shoulder soft tissue injury, 5B Existing SB710S Arthroscopic/Open decompression with cuff repair 432 SB711S Shoulder, Shoulder soft tissue injury, 5C Existing SB711S Arthroscopic/Open decompression with cuff repair & excision of distal clavicle 433 SB712S Shoulder, Shoulder soft tissue injury, 5A Existing SB712S Arthroscopic/Open decompression with excision of distal clavicle 434 SB713S Shoulder, Shoulder soft tissue injury, Shoulder 5B Existing SB713S reconstruction (eg, Bristow/Latarjet procedure) 435 SB700S Shoulder, Therapeutic arthroscopy 4A Existing SB700S

A-3-26 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 436 SB714S Shoulder, Various Lesions, Primary Total Joint 6B Existing SB714S Replacement with augmentation, requiring extra implants or bone grafts, open/MIS/navigated 437 SB802S Shoulder, Various Lesions, Hemiarthroplasty 5C Existing SB802S 438 SB715S Shoulder, Various Lesions, Primary Total Joint 6A Existing SB715S Replacement, open/MIS/navigated 439 SB716S Shoulder, Various Lesions, Revision Total Joint 6C Existing SB716S Replacement,open/MIS/navigated 440 SB803S Soft Tissue (Lower Limb), Small Tumors (Benign), MSP Existing SB803S Excision Under Local Anesthesia 441 SB804S Spinal , Various Lesions, Neurolytic Nerve MSP Existing SB804S Block 442 SB717S Spinal/Epidural, Epidural Adhesiolysis, multiple 4C Existing SB717S catheter, Cervical, Imaging Guided 443 SB805S Spine (cervical), Various Lesions, Laminoplasty 6B Existing SB805S 444 SB806S Spine, Cervical Rib, Excision 4C Existing SB806S 445 SB807S Spine, Chronic Pain/Stiffness, Manipulation 2A Existing SB807S 446 SB808S Spine, Deformities, Corrective Osteotomy – With / 7C Description SB808S Without Computer Navigation Change 447 SB718S Spine, Dorsal Root Entry Zone (DREZ) operation 6A Existing SB718S 448 SB809S Spine, Fracture-Dislocation, Open Reduction and 6B Existing SB809S Stabilisation 449 SB719S Spine, Image guided spinal injections with 2A Existing SB719S medications (1-3) 450 SB720S Spine, Image guided spinal injections with 2B Existing SB720S medications (4 or more) 451 SB810S Spine, Infection, Anterior Drainage and Fusion 6B Existing SB810S 452 SB721S Spine, Nerve pain, Image guided spinal 2B Existing SB721S radiofrequency/laser/cryotherapy 453 SB722S Spine, Prolapsed Disc, Discectomy, Multiple 6A Existing SB722S Levels 454 SB723S Spine, Prolapsed Disc, Discectomy, Single Level 5C Existing SB723S 455 SB812S Spine, Prolapsed Disc, Laminectomy/Fenestration 5C Description SB812S with Discectomy (open or MIS), Single Level Change 456 SB811S Spine, Prolapsed Disc, nuclear manipulations 3C Existing SB811S 457 SB724S Spine, Removal of spine implants 5A Existing SB724S 458 SB725S Spine, Removal, revision of port e.g. Port-a-cath MSP Existing SB725S 459 SB813S Spine, Scoliosis/Congenital Deformities, 7C Description SB813S Correction – With / Without Computer Navigation Change 460 SB814S Spine, Syringomyelia, Laminectomy and Posterior 6B Existing SB814S Fossa Decompression and Drainage 461 SB815S Spine, Various Lesions And Pain, Caudal/Epidural MSP Existing SB815S Injection 462 SB726S Spine, Various Lesions --Revision spinal surgery - 6A Existing SB726S decompression,laminectomy &/or Discectomy 463 SB728S Spine, Various Lesions, Anterior Decompression, 6B Description SB728S Corpectomy, Debridement, Biopsy Stabilisation Change without instrumentation 464 SB730S Spine, Various Lesions, Anterior Lumbar 7A Description SB730S Interbody Fusion, Multiple Levels Change 465 SB731S Spine, Various Lesions, Anterior Lumbar 6A Description SB731S Interbody Fusion, Single Level Change

A-3-27 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 466 SB733S Spine, Various Lesions, Artificial disc replacement 7A Description SB733S of the cervical/lumbar spine, Multiple Levels Change 467 SB734S Spine, Various Lesions, Artificial disc replacement 6A Description SB734S of the cervical/lumbar spine, Single Level Change 468 SB727S Spine, Various Lesions, Decompression 6B Existing SB727S Laminectomy, Multiple Levels (open or MIS) 469 SB816S Spine, Various Lesions, Decompression 6A Existing SB816S Laminectomy, single level (1 or 2 roots) 470 SB729S Spine, Various Lesions, Decompression, Spinal 7B Description SB729S Instrumentation, Multiple Levels Change 471 SB735S Spine, Various lesions, Discogram, > 2 levels 3A Existing SB735S 472 SB736S Spine, Various lesions, Discogram, 1 to 2 levels 2B Existing SB736S 473 SB737S Spine, Various lesions, Imaging Guided 4C Existing SB737S Percutaneous Disc ablation, 2 levels (eg IDET - Intradiscal Electrothermal Annuloplasty) 474 SB738S Spine, Various lesions, Imaging Guided 4A Existing SB738S Percutaneous Disc ablation, single level (eg IDET - Intradiscal Electrothermal Annuloplasty) 475 SB817S Spine, Various Lesions, Injection of Oradexon 1A Existing SB817S 476 SB743S Spine, Various Lesions, Revision spinal 7A Expanded SB732S instrumentation, Multiple Levels (New) 477 SB744S Spine, Various Lesions, Revision spinal 6C Expanded SB732S instrumentation, Single Level (New) 478 SB818S Spine, Various Lesions, Spinal Rhizolysis 6B Existing SB818S involving Exposure of Spinal Nerve Roots 479 SB739S Spine, Various lesions, Vertebroplasty or 4C Existing SB739S kyphoplasty, 2 levels or more 480 SB740S Spine, Various lesions, Vertebroplasty or 4A Existing SB740S kyphoplasty, Single level 481 SB741S Spine, Various Lesions--Decompression, 7A Existing SB741S Interbody Fusion (circumferential fusion with instrumentation and cages) - Open or MIS or with Computer Navigation 482 SB800T Tendon (Peroneal), Subluxation, Reconstruction 4A Existing SB800T 483 SB801T Tendon (Upper Limb), Bowstringing/Entrapment, 3B Existing SB801T Pulley Reconstruction 484 SB802T Tendon (Upper Limb), Contracture, Tenotomy 2C Existing SB802T 485 SB700T Tendon (Upper Limb), Various Lesions, Tendon 5C Existing SB700T Transfer (multiple) 486 SB803T Tendon (Upper Limb), Various Lesions, Tendon 4A Existing SB803T Transfer (single) 487 SB804T Tendon Sheath (Upper Limb), De Quervain's 3C Existing SB804T (bilateral), Release 488 SB805T Tendon Sheath (Upper Limb), De Quervain's 3A Existing SB805T (unilateral), Release 489 SB806T Tendon Sheath (Upper Limb), Ganglion/Villo- 2B Existing SB806T Nodular Synovitis, Excision 490 SB807T Tendon Sheath (Upper Limb), Tenosynovitis 3B Existing SB807T (multiple), Drainage 491 SB808T Tendon Sheath (Upper Limb), Tenosynovitis 2B Existing SB808T (single), Drainage 492 SB809T Tendon-Achilles (Lower Limb), Disruption, Repair 3A Existing SB809T

A-3-28 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 493 SB810T Tendon-Extensor (Upper Limb), Adhesion, 5A Existing SB810T Tenolysis (multiple) 494 SB811T Tendon-Extensor (Upper Limb), Adhesion, 4A Existing SB811T Tenolysis (single) 495 SB812T Tendon-Extensor (Upper Limb), Injury, Repair 3A Existing SB812T (multiple) 496 SB813T Tendon-Extensor (Upper Limb), Injury, Repair 2C Existing SB813T (single) 497 SB814T Tendon-Flexor (Lower Limb), Disruption, Repair 2C Existing SB814T (single) 498 SB815T Tendon-Flexor (Upper Limb), Adhesion, Tenolysis 5C Existing SB815T (multiple) 499 SB816T Tendon-Flexor (Upper Limb), Adhesion, Tenolysis 4A Existing SB816T (single) 500 SB817T Tendon-Flexor (Upper Limb), Defect, Grafting 6B Existing SB817T (multiple) 501 SB818T Tendon-Flexor (Upper Limb), Defect, Grafting 5C Existing SB818T (single) 502 SB819T Tendon-Flexor (Upper Limb), Injury, Repair 4B Existing SB819T (multiple) 503 SB820T Tendon-Flexor (Upper Limb), Injury, Repair 3B Existing SB820T (single) 504 SB821T Tendon-Flexor (Upper Limb), Injury, Tendon Graft 4C Existing SB821T 505 SB822T Tendons-Flexor (Lower Limb), Disruption, Repair 3B Existing SB822T (multiple) 506 SB823T Thumb, Deformities, Correction 4A Existing SB823T 507 SB824T Thumb, Paralysis, Opponens Plasty 4B Existing SB824T 508 SB825T Thumb, Various Lesions, Pollicisation or 6B Existing SB825T Microsurgical reconstruction 509 SB826T Tibia, Delayed/Non-Union, Reconstruction 5C Existing SB826T 510 SB827T Tibia, Fracture(s), Open Reduction and Internal 4B Existing SB827T Fixation with Intramedullary Rod 511 SB701T Tibia, Fracture, Open Reduction and Internal 5C Existing SB701T Fixation with Plates and Screws, comminuted 512 SB828T Tibia, Fracture, Open Reduction and Internal 5A Existing SB828T Fixation with Plates and Screws, simple 513 SB702T Tibia, Tibial plateau, comminuted bicondylar , 5B Existing SB702T ORIF 514 SB703T Tibia, Tibial plateau, unicondylar comminuted/ 5A Existing SB703T simple bicondylar , ORIF 515 SB704T Tibia, Tibial plateau, unicondylar, ORIF 4B Existing SB704T 516 SB705T Tibia, Tibial Shaft Fracture, Intramedullary nailing 4B Combined / SB705T (locked/unlocked) Description Change 517 SB709T Toes, Toe deformity 1C Existing SB709T 518 SB710T Toes, Toe deformityMultiple/complex 3B Existing SB710T 519 SB829T Toes, Various Lesions, Amputation (multiple) 2C Existing SB829T 520 SB830T Toes, Various Lesions, Amputation (single) 1C Existing SB830T 521 SB831T Toes, Various Lesions, Arthrodesis 2C Existing SB831T 522 SB707T Toes, Various Lesions, Ray Amputation (multiple) 2C Existing SB707T 523 SB708T Toes, Various Lesions, Ray Amputation (single) 1C Existing SB708T

A-3-29 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 524 SB800U Upper Limb, Congenital Deformity, Major 6B Existing SB800U Reconstruction 525 SB801U Upper Limb, Deformity, Bony and Soft Tissue 5C Existing SB801U Reconstruction 526 SB802U Upper Limb, Fracture/Dislocation, Manipulation 1B Existing SB802U and Reduction 527 SB803U Upper Limb, Ischemia, Fasciotomy 2B Existing SB803U 528 SB804U Upper Limb, Trauma, Major Replantation 7B Existing SB804U 529 SB805U Upper Limb, Various Lesions, Amputation 5C Existing SB805U 530 SB806U Upper Limb, Various Lesions, Forequarter 6B Existing SB806U Amputation 531 SB807U Upper Limb, Various Lesions, Vascularised Free 7A Existing SB807U Muscle Transfer 532 SB700U Upper Limb/Lower Limb, Fracture, External 5A Existing SB700U fixation, multiple planes 533 SB701U Upper Limb/Lower Limb, Major soft tissue defects, 7C Existing SB701U Free flap 534 SB702U Upper Limb/Lower Limb, Major soft tissue defects, 5C Existing SB702U Pedicled flap 535 SB703U Upper Limb/Lower Limb, Malignant tumour, soft 5C Existing SB703U tissue, Radical excision 536 SB807L Upper Limb/Lower Limb, Open fractures with 4B Existing SB807L debridement and External fixation 537 SB704U Upper Limb/Lower Limb, Upper limb fractures, 4B Existing SB704U Minimally invasive fixation 538 SB701W Wrist, Avascular necrosis, radial recession/ulnar 4C Existing SB701W lengthening, 539 SB702W Wrist, Distal or radial ulnar joint (DRUJ) instability, 4B Existing SB702W complex ligament reconstruction 540 SB703W Wrist, Distal or radial ulnar joint (DRUJ) instability, 3A Existing SB703W Darrach or similar procedure 541 SB704W Wrist, Distal radius fracture, M&R, percutaneous 3B Existing SB704W pinning 542 SB706W Wrist, Distal radius fracture, Open Reduction and 4C Description SB706W Internal Fixation (ORIF) (complex, with autologous Change bone graft) 543 SB705W Wrist, Distal radius fracture, Open Reduction and 3C Description SB705W Internal Fixation (ORIF) (simple open reduction Change and pinning) 544 SB707W Wrist, Distal radius fracture, Open Reduction and 4C Description SB707W Internal Fixation (ORIF) (with ulnar head/styloid Change fixation/TFCC repair) 545 SB708W Wrist, Joint, various lesions, proximal row 5C Existing SB708W carpectomy or 4 corner fusion 546 SB709W Wrist, Lunate dislocation / Perilunate dislocation / 6B Existing SB709W complex ligament injury, Reconstruction 547 SB710W Wrist, Scaphoid fracture, Open Reduction and 4B Uptabled / SB710W Internal Fixation (ORIF) with bone grafting Description Change 548 SB711W Wrist, Scaphoid or carpus, Vascularised bone 4C Existing SB711W graft 549 SB700W Wrist, Therapeutic arthroscopy 4A Existing SB700W

A-3-30 CONFIDENTIAL

SB – MUSCULOSKELETAL

S/N New Description Table Classification Current code code 550 SB712W Wrist, Ulnar head/styloid fracture, Percutaneous 2B Downtabled SB712W Pinning/Fixation 551 SB713W Wrist, Various Lesions, Primary Total Joint 6B Existing SB713W Arthroplasty with augmentation, requiring extra implants or bone grafts, open/MIS/navigated 552 SB714W Wrist, Various Lesions, Primary Total Joint 6A Existing SB714W Arthroplasty, open/MIS/navigated 553 SB715W Wrist, Various Lesions, Revision Total Joint 6C Existing SB715W Arthroplasty, open/MIS/navigated 554 SB800Z Zygoma, Down Fracture, Ostectomy/Articular 5C Existing SB800Z Eminectomy/Augmentation 555 SB801Z Zygoma, Fracture, Elevation 5A Existing SB801Z

A-3-31 CONFIDENTIAL

SC – RESPIRATORY

S/N New Description Table Classification Current code code 1 SC700A Autofluorescence/ Narrow Band Imaging (NBI) 3A Existing SC700A bronchoscopy 2 SC700B Lung, Bronchoscopy, insertion of prosthesis 3B Description SC700B Change 3 SC800B Bronchus, Foreign Body, Removal via 4A Existing SC800B Bronchotomy 4 SC801B Bronchus, Various Lesions, Bronchoplastic 5C Existing SC801B Procedure 5 SC704B Bronchus/Lung, Bronchoscopy with biopsy, 2A Description SC704B bronchoalveolar lavage Change 6 SC703B Bronchus/Lung, Bronchoscopy with/without 1B Downtabled / SC703B biopsy Description Change 7 SC705B Bronchus/Lung, Bronchoscopy, blind 2A Description SC705B transbronchial lung biopsy for diffuse disease Change 8 SC706B Bronchus/Lung, Bronchoscopy, targeted 2C Description SC706B transbronchial lung biopsy for focal lesions Change (imaging-guided) 9 SC707B Bronchus/Lung, Bronchoscopy, with dilatation of 3A Description SC707B Tracheal and Bronchial stricture Change 10 SC702B Bronchus/Lung, Endobronchial ultrasound 3A Existing SC702B (EBUS) biopsy 11 SC802B Bronchus/trachea, Various Lesions, Laser 4A Existing SC802B Application 12 SC800D Diaphragm, Tumor, Excision 5A Existing SC800D 13 SC801D Diaphragm, Tumor, Excision with Wedge 6B Existing SC801D Resection of Lung 14 SC700L Larynx, Laryngeal mask airway MSP Existing SC700L 15 SC702L Lung, Massive hemoptysis, Bronchial Artery 4B Existing SC702L Embolisation 16 SC703L Lung, Tumour, Imaging Guided Percutaneous 3C Existing SC703L Local Ablation (Radiofrequency, Cryotherapy, microwave, laser, alcohol, etc) 17 SC800L Lung, Various Lesions, 5A Existing SC800L Pneumonectomy/Lobectomy/Segmental Resection, open 18 SC801L Lung, Various Lesions, Repeat/Multiple/Complex 5A Existing SC801L Resections 19 SC802L Lung, Various Lesions, Wedge Resection 3C Existing SC802L 20 SC701L Lung, Various 5B Existing SC701L lesions,Pneumonectomy/Lobectomy,Thoracosco pic 21 SC800M Mouth, Various Lesions, Laser Application 2B Existing SC800M 22 SC700T , Catheter blockage, Imaging Guided 1A Existing SC700T Catheter Change / Catheter Adjustment / Check tube 23 SC701T Thorax, Coastal Cartilage, Harvest and Creation 5A Existing SC701T of Ear Cartilage Framework 24 SC803T Thorax, Effusion / Fluid / Abscess collection, 1A Existing SC803T Imaging Guided Percutaneous Aspiration / Diagnostic Tap

A-3-32 CONFIDENTIAL

SC – RESPIRATORY

S/N New Description Table Classification Current code code 25 SC715T Thorax, Effusion / Fluid / Abscess collection, 1C Existing SC715T Imaging Guided Percutaneous Drainage Catheter Insertion 26 SC800T Thorax, Empyema, Resection of Rib and Open 2C Existing SC800T Drainage 27 SC702T Thorax, Evacuation of retained haemothorax 4A Existing SC702T (open and thorascopic) 28 SC801T Thorax, Mediastinal Lesions, Cervical 1A Existing SC801T Exploration with/without Biopsy 29 SC703T Thorax, Mediastinum, mediastinoscopy 3B Existing SC703T with/without Biopsy 30 SC802T Thorax, Pectus Excavatum/Pectus Carinatum, 4B Existing SC802T Radical Correction 31 SC716T Thorax, Pleural Effusion, Aspiration 1A Existing SC716T 32 SC704T Thorax, Pleural effusion, biopsy 1C Existing SC704T 33 SC705T Thorax, Resuscitative Trauma Thoracotomy 5A Existing SC705T (haemostasis, damage control, organ repair) 34 SC706T Thorax, Ribs, Open fixation of rib fractures (>3 5A Existing SC706T ribs) 35 SC707T Thorax, Ribs, Open fixation of rib fractures (1 - 3 4A Existing SC707T ribs) 36 SC708T Thorax, Subxyphoid pericardial window 3C Existing SC708T 37 SC709T Thorax, Thoracoscopic decortication 4B Existing SC709T 38 SC710T Thorax, Thoracoscopic pleurodesis bilateral 4B Existing SC710T 39 SC711T Thorax, Thoracoscopic thymectomy 6B Existing SC711T 40 SC712T Thorax, Thoracoscopy for pleurodesis 3C Existing SC712T 41 SC714T Thorax, Thoracoscopy, with/without division of 1C Existing SC714T pleural adhesions 42 SC713T Thorax, Trauma Relook Thoracotomy (includes 4A Existing SC713T haemostasis, removal of packs) 43 SC717T Thorax, Tumour (mediastinal), Complex 5C Existing SC717T resection 44 SC804T Thorax, Tumour (mediastinal), Resection 4B Existing SC804T 45 SC805T Thorax, Various Lesions, Chest Wall Resection 5B Existing SC805T and Major Reconstruction 46 SC806T Thorax, Various Lesions, Chest Wall Resection 4A Existing SC806T and Minor Reconstruction 47 SC718T Thorax, Various Lesions, Imaging guided 2A Existing SC718T Percutaneous Biopsy 48 SC807T Thorax, Various Lesions, Intercostal Drain 1C Existing SC807T (insertion without resection of rib) 49 SC808T Thorax, Various Lesions, Intrathoracic Operation 4A Existing SC808T on Lungs/Bronchial Tree/Mediastinum 50 SC809T Thorax, Various Lesions, Thoracoplasty 4A Existing SC809T (complete) 51 SC810T Thorax, Various Lesions, Thoracoplasty (in 4A Existing SC810T stages) - each stage 52 SC811T Thorax, Various Lesions, Thoracotomy 3B Existing SC811T (exploration) with/without Biopsy 53 SC812T Thorax, Various Lesions, Thoracotomy for 3C Existing SC812T Pleurectomy/Pleurodesis/ Enucleation Hydatid Cysts

A-3-33 CONFIDENTIAL

SC – RESPIRATORY

S/N New Description Table Classification Current code code 54 SC813T Thorax, Various lesions, Thoracotomy with 5A Existing SC813T Pulmonary Decortication 55 SC719T Trachea, Endotracheal intubation MSP Existing SC719T 56 SC720T Trachea, Endotracheal intubation rapid MSP Existing SC720T sequence induction 57 SC814T Trachea, Foreign Body, Removal 1C Existing SC814T 58 SC815T Trachea, Tracheo-esophageal Fistula, Ligation 5C Existing SC815T and Division 59 SC721T Trachea, Tracheostomy, Replacement MSP Existing SC721T 60 SC722T Trachea, Tracheostomy, Revision and 3C Existing SC722T Reinsertion 61 SC816T Trachea, Various Lesions, Trachea 5C Existing SC816T Reconstruction 62 SC817T Trachea, Various Lesions, Tracheostomy 2C Existing SC817T 63 SC723T Trachea/Bronchus, Stricture, Imaging Guided 2C Existing SC723T Balloon Dilatation 64 SC724T Trachea/Bronchus, Stricture, Imaging Guided 3A Existing SC724T Stent Placement 65 SC725T Transbronchial needle aspiration of mediastinal 3A Existing SC725T lymph nodes

A-3-34 CONFIDENTIAL

SD – CARDIOVASCULAR

S/N New Description Table Classification Current code code 1 SD800A Aorta, Abdominal Aortic Aneurysm, Excision and 6B Existing SD800A Insertion of Graft 2 SD700A Aorta, Aneurysm, Juxtarenal Type 6B Existing SD700A 3 SD801A Aorta, Descending Aortic Aneurysm, Excision and 7A Existing SD801A Insertion of Graft 4 SD701A Aorta, Ruptured Aortic Aneurysm (thoracic or 6C Existing SD701A abdominal), Endo-Vascular Aortic Repair (EVAR) 5 SD802A Aorta, Ruptured Abdominal Aortic Aneurysm, 6B Existing SD802A Excision and Insertion of Graft 6 SD803A Aorta, Thoraco-abdominal Aneurysm, Excision 7C Existing SD803A and Insertion of Graft 7 SD804A Aorta, Various Lesions, Insertion/Removal of Intra 3A Existing SD804A aortic Balloon 8 SD702A Aortic dissection, Endovascular fenestration 3B Existing SD702A 9 SD703A Aortic dissection, Endovascular stent graft repair 5C Existing SD703A 10 SD704A Arrhythmia Surgery MAZE (Includes the Mini- 6B Existing SD704A maze procedure with radiofrequency clam) 11 SD705A Arteriovenous fistula graft, thrombectomy 3A Existing SD705A 12 SD706A Arteriovenous fistula, angiogram 2A Existing SD706A 13 SD707A Arteriovenous fistula, angioplasty with/without 3A Existing SD707A stenting 14 SD708A Arteriovenous fistula, ligation of side branch 2A Existing SD708A 15 SD709A Arteriovenous fistula, synthetic graft 5A Existing SD709A 16 SD710A Artery - large, Injury, Repair with Grafting 5A Existing SD710A 17 SD711A Artery - small, Injury, Repair (multiple) 5C Existing SD711A 18 SD712A Artery - small, Injury, Repair (single) 4A Existing SD712A 19 SD805A Artery (distal extremity/digit), Various Lesions, 6B Existing SD805A Microvascular Repair 20 SD806A Artery (extremity), Thrombosis, Endarterectomy 4C Existing SD806A 21 SD807A Artery (femoral/iliac), Thrombosis, 4C Existing SD807A Endarterectomy 22 SD808A Artery (large), Various Lesions, Ligation 3A Existing SD808A 23 SD809A Artery (major), Aneurysm, Excision and Insertion 5C Existing SD809A of Graft 24 SD810A Artery (major), Trauma, Repair 5C Existing SD810A 25 SD811A Artery (neck and extremities), Embolism, 3A Existing SD811A Embolectomy 26 SD812A Artery (others), Thrombosis, Endarterectomy 4C Existing SD812A 27 SD813A Artery (temporal), Various Lesions, Biopsy 2A Existing SD813A 28 SD814A Artery (trunk), Embolism, Embolectomy 4A Existing SD814A 29 SD815A Artery, Arterio-venous Fistula (large), Excision 6B Existing SD815A 30 SD816A Artery, Arterio-venous Fistula (small), Excision 4A Existing SD816A 31 SD817A Artery, Arterio-venous Fistula, Dissection and 5A Existing SD817A Repair with Restoration of Continuity 32 SD713A Artery, Bypass, Above/below-knee with Vein 5C Existing SD713A 33 SD714A Artery, Bypass, Distal leg/pedal with vein 6B Existing SD714A 34 SD715A Artery, Bypass, Visceral, multiple 7A Existing SD715A 35 SD716A Artery, Bypass, Visceral, single 6B Existing SD716A 36 SD818A Artery, Defect, Arterial Patch Graft 4A Existing SD818A 37 SD717A Artery, Femoral Artery Angioplasty 3A Existing SD717A 38 SD718A Artery, Placement arterial (PA) line insertion MSP Existing SD718A A-3-35 CONFIDENTIAL

SD – CARDIOVASCULAR

S/N New Description Table Classification Current code code 39 SD719A Artery, Stenosis / Occlusion, Percutaneous 3B Existing SD719A Atherectomy (mechanical or laser) 40 SD720A Artery, Stenosis / Occlusion, Percutaneous 4A Existing SD720A Transluminal Angioplasty (PTA), Difficult (eg subintimal PTA, below knee PTA) 41 SD721A Artery, Stenosis / Occlusion, Percutaneous 3A Existing SD721A Transluminal Angioplasty (PTA), Simple 42 SD722A Artery, Thrombosis, Percutaneous Catheter 4A Existing SD722A Directed Thrombolysis, with or without angioplasty / stenting 43 SD819A Artery, Trauma/Resection, Arterial Anastomosis 5A Existing SD819A 44 SD820A Artery, Trauma/Resection, Micro-vascular Graft 6B Existing SD820A 45 SD723A Artery, Tumour, Trans-Arterial Chemo- 4A Existing SD723A Embolization (TACE) 46 SD724A Artery, Tumour, Trans-Arterial Radio Nuclide 4B Existing SD724A infusion 47 SD821A Artery, Various Lesions, Arterio-venuous Fistula 3C Existing SD821A Creation 48 SD822A Artery, Various Lesions, Axillary- 5C Existing SD822A femoral/Subclavian-femoral By-pass 49 SD823A Artery, Various Lesions, By-pass/Graft 5C Existing SD823A 50 SD725A Artery, Various lesions, Diagnostic Angiogram of 3A Existing SD725A multiple vessels 51 SD726A Artery, Various lesions, Diagnostic Angiogram 3B Existing SD726A using Microcatheter 52 SD727A Artery, Various lesions, Endovascular Stent Graft 3B Existing SD727A / Covered Stent Placement 53 SD728A Artery, Various lesions, Endovascular Stent 3B Existing SD728A Placement 54 SD729A Artery, Various lesions, Flush Aortogram or single 2C Existing SD729A vessel Diagnostic Angiogram 55 SD824A Artery, Various Lesions, Intra-arterial Infusion 3A Existing SD824A 56 SD825A Artery, Various lesions, Invasive Blood Pressure MSP Existing SD825A Measurement 57 SD826A Artery, Various Lesions, Ligation (include repair of 2A Existing SD826A artificial arterio-venous fistula) 58 SD730A Artery, Various lesions, Percutaneous 4A Existing SD730A Transcatheter Embolisation of 1 to 2 vessels 59 SD731A Artery, Various lesions, Percutaneous 4B Existing SD731A Transcatheter Embolisation of more than 2 vessels 60 SD827A Artery, Various Lesions, Transluminal 3A Existing SD827A Arterioplasty 61 SD828A Artery-Carotid, Thrombosis, Endarterectomy 5C Existing SD828A 62 SD829A Artery-Profunda Femoris, Stenosis, 4A Existing SD829A Profundoplasty 63 SD732A Artery-pseudoaneurysm, Excision and ligation 4A Existing SD732A 64 SD733A Artery-pseudoaneurysm, Excision and patch 5A Existing SD733A repair 65 SD734A Artery-pseudoaneurysm, Thrombin injection 2A Existing SD734A 66 SD830A Artery-Pulmonary, Pulmonary Embolism, 6C Existing SD830A Pulmonary Embolectomy using Cardiopulmonary Bypass A-3-36 CONFIDENTIAL

SD – CARDIOVASCULAR

S/N New Description Table Classification Current code code 67 SD735A Artery-visceral, Stenosis, Angioplasty of visceral 3A Existing SD735A artery 68 SD736A Artery-visceral, Stenosis, Stenting 3B Existing SD736A 69 SD701B Blood vessels (large), Disruption/Obstruction, 5C Existing SD701B Repair with Autogenous Vein Grafting 70 SD700B Blood Vessels, Defect, Major Grafts (multiple) 6B Existing SD700B 71 SD703B Blood Vessels, Hickman line insertion 2A Existing SD703B 72 SD704B Blood Vessels, Iliac Angioplasty 3A Existing SD704B 73 SD705B Blood Vessels, Lower Limb Intervention, 3A Existing SD705B Superficial Femoral Angioplasty 74 SD706B Blood Vessels, Portacath, Insertion 3A Existing SD706B 75 SD707B Blood Vessels, Portacath, removal 2A Existing SD707B 76 SD708B Blood Vessels, Pulmonary Embolectomy 6B Existing SD708B 77 SD800B Blood Vessels, Reactionary/Secondary MSP Existing SD800B Hemorrhage after minor operation, Hemostasis 78 SD709B Blood Vessels, Renal Angiography 2C Existing SD709B 79 SD710B Blood Vessels, Renal Angioplasty 3A Existing SD710B 80 SD711B Blood Vessels, Saphenous Vein, Harvest, 4A Existing SD711B Minimally Invasive Endoscopic 81 SD712B Blood vessels, Vascular System, Various Lesions, 2A Existing SD712B Insertion of Tenckhoff Catheter 82 SD702B Blood vessels-Umbilical, Various Lesions, MSP Existing SD702B Catheterisation/Cannulation 83 SD800H Heart (great vessels), Various Lesions, 4A Existing SD800H Intrathoracic Operation 84 SD801H Heart, Aortic/Mitral Valve Lesions, Balloon 5A Existing SD801H Valvuloplasty 85 SD802H Heart, Arrhythmia, Catheter Ablation, with/without 4A Existing SD802H Electroanatomical Mapping 86 SD803H Heart, Arrhythmia, Implantable Cardioverter 4C Uptabled SD803H Defibrillator (ICD) Implantation 87 SD702H Heart, Automatic Implantable Cardioverter 4A Existing SD702H Defibrillator (AICD)/Pacemaker Lead Extraction 88 SD703H Heart, Automatic Implantable Cardioverter 4C Existing SD703H Defribrillator dual chamber (inclusive of defibrillation threshold testing (DFT)) 89 SD705H Heart, Automatic Implantable Cardioverter 4B Existing SD705H Defribrillator single chamber (inclusive of DFT) 90 SD706H Heart, Bivent Automatic Implantable Cardioverter 5A Existing SD706H Defribrillator (Inclusive of DFT) 91 SD804H Heart, Biventricular Pacing 3C Existing SD804H 92 SD734H Heart, Cardiac Catheterisation (left & right) - 3B Existing SD734H involving pressure or saturation measurement (with Left and/or Right Ventriculography) 93 SD707H Heart, Cardiac Catheterisation (left) and 3C Existing SD707H Intracoronary Pressure Wire without Percutaneous Transluminal Coronary Angioplasty (PTCA) 94 SD708H Heart, Cardiac Catheterisation (left) and 3C Existing SD708H Intravascular Ultrasound (IVUS) without Percutaneous Transluminal Coronary Angioplasty (PTCA)

A-3-37 CONFIDENTIAL

SD – CARDIOVASCULAR

S/N New Description Table Classification Current code code 95 SD709H Heart, Carotid angioplasty and stenting (with 5A Existing SD709H embolic protection) 96 SD805H Heart, Congenital Heart Disease (complex), Open 7A Existing SD805H Heart Surgery 97 SD807H Heart, Congenital Heart Disease, Blalock - 4A Existing SD807H Taussig Operation 98 SD806H Heart, Congenital Heart Disease, Open Heart 6C Existing SD806H Surgery 99 SD811H Heart, Coronary angiography (Selective) 3A Existing SD811H 100 SD715H Heart, Coronary angiography (with Left 3A Existing SD715H Ventriculography) 101 SD813H Heart, Coronary Artery Bypass Graft and Valve 7C Existing SD813H Surgery 102 SD809H Heart, Coronary Artery Disease, Cardiac 4A Existing SD809H Catherisation and Coronary Angiogram 103 SD810H Heart, Coronary Disease, Coronary Angioplasty 4A Existing SD810H (transluminal), with/without angiocardiography 104 SD812H Heart, Coronary Disease, Coronary Artery Bypass 6C Existing SD812H Graft 105 SD710H Heart, Defibrillation MSP Existing SD710H 106 SD711H Heart, External Cardiac pacing MSP Existing SD711H 107 SD814H Heart, Heart Block, Replacement of Transvenous 2C Existing SD814H Electrode 108 SD716H Heart, Heart Block/Arrhythmia, Insertion of Dual 3C Existing SD716H chamber Pacemaker (permanent) 109 SD815H Heart, Heart Block/Arrhythmia, Insertion of Single 3B Existing SD815H chamber Pacemaker (permanent) 110 SD718H Heart, Implant of Epicardial Leads for Permanent 4A Existing SD718H Pacemakers 111 SD719H Heart, Implantation of Mechanical Heart Device 7C Existing SD719H (left ventricular Assist Device Implant) 112 SD720H Heart, Insertable loop recorder 1B Existing SD720H 113 SD816H Heart, Left Ventricular Aneurysm, Resection 6C Existing SD816H without Coronary Artery Bypass 114 SD721H Heart, Lung, Extra Corporeal Membrane 6B Existing SD721H Oxygenation 115 SD722H Heart, Off Pump Coronary Artery Bypass Graft 6C Existing SD722H 116 SD817H Heart, Patent Ductus Arteriosus, Ligation 4A Existing SD817H 117 SD723H Heart, Percutaneous Closure of congenital heart 4A Existing SD723H defect 118 SD724H Heart, Percutaneous Transluminal Coronary 5A Existing SD724H Angioplasty (PTCA) + arterectomy (e.g rotablation) 119 SD712H Heart, Percutaneous Transluminal Coronary 4A Existing SD712H Angioplasty (PTCA) + stenting (1 vessel) - Complex (defined as > 1 hr) 120 SD713H Heart, Percutaneous Transluminal Coronary 4B Existing SD713H Angioplasty (PTCA) + stenting (more than 1 vessel) - Intravascular Ultrasound (IVUS), Fractional Flow Reserve (FFR) 121 SD818H Heart, Pericardial Disease, Pericardiectomy 4B Existing SD818H 122 SD819H Heart, Pericardial Effusion, Paracentesis 1A Existing SD819H

A-3-38 CONFIDENTIAL

SD – CARDIOVASCULAR

S/N New Description Table Classification Current code code 123 SD820H Heart, Pericardial Effusion, Transthoracic 3B Existing SD820H Drainage 124 SD725H Heart, Placement of epicardial pacing wires (open 5A Existing SD725H and video-assisted thoracic surgery (VATS)) 125 SD714H Heart, Primary Percutaneous Transluminal 4B Existing SD714H Coronary Angioplasty for ST-elevation Myocardial Infarction 126 SD821H Heart, Proximal Aortic Aneurysm, Aortic Root 7C Existing SD821H Replacement with Coronary Artery Reimplantation 127 SD822H Heart, Pulmonary Incompetence, Pulmonary 4A Existing SD822H Artery Banding 128 SD823H Heart, Pulmonary Valve Lesions, Balloon 4A Existing SD823H Valvuloplasty 129 SD717H Heart, Replacement of Pacemaker 2B Existing SD717H 130 SD726H Heart, Robotic Surgery – for CABG, Mitral Valve 7B Existing SD726H Repair, Thymectomy and Atrial Septal Defect (ASD) 131 SD808H Heart, Simple Congenital Open-heart Surgery 6B Existing SD808H (Atrial Septal Defect & Ventricular Septal Defect) 132 SD727H Heart, Synchronised cardioversion 1A Existing SD727H 133 SD733H Heart, Trans-cathetar Percutaneous Atrial Septal 5A Existing SD733H Defects (Atrial Septal Defect)/ Patent Foramen Ovale (PFO) Device Closure 134 SD728H Heart, Trans-cathetar Percutaneous Patent 5A Existing SD728H Ductus Arteriosus (PDA) Occlusion 135 SD729H Heart, Trans-myocardial Revascularisation (TMR) 6B Existing SD729H as a sole procedure 136 SD730H Heart, Trans-myocardial Revascularisation (TMR) 2C Existing SD730H as an adjunct procedure 137 SD731H Heart, Valve (Repair / Replacement) - 1 Valve 6C Existing SD731H 138 SD732H Heart, Valve (Repair / Replacement) - more than 7B Existing SD732H 1 Valve 139 SD824H Heart, Valvular Disease, Open Heart Surgery 6C Existing SD824H 140 SD825H Heart, Valvular Disease, Open Heart Surgery on 7B Existing SD825H more than one valve/involving more than one chamber 141 SD826H Heart, Various Lesions, Aneurysmectomy and/or 7B Existing SD826H Combined Valve Replacement and/or Repair and Coronary Bypass Grafting 142 SD827H Heart, Various Lesions, Balloon Atrial Septostomy 4A Existing SD827H 143 SD828H Heart, Various Lesions, Cardiac Biopsy 2B Existing SD828H 144 SD829H Heart, Various Lesions, Heart Transplantation 7C Existing SD829H 145 SD830H Heart, Various Lesions, Left Heart Catheterisation 2C Existing SD830H (direct) 146 SD831H Heart, Various Lesions, Right Heart 2C Existing SD831H Catheterisation (direct) 147 SD832H Heart, Various Lesions, Right Heart 3A Existing SD832H Catheterisation with Left Heart Catheterisation (indirect) 148 SD833H Heart/Lung, Various Lesions, Cardiopulmonary 3B Existing SD833H Perfusion 149 SD834H Heart/Lung, Various Lesions, Heart and Lung 7C Existing SD834H Transplantation A-3-39 CONFIDENTIAL

SD – CARDIOVASCULAR

S/N New Description Table Classification Current code code 150 SD835H Heart-Atrium, Arrhythmia, Arrhythmia Surgery 6B Existing SD835H 151 SD836H Heart-Ventricle, Arrhythmia, Arrhythmia Surgery 7B Existing SD836H 152 SD800Z Organ Procurement Costs: Heart 4B Existing SD800Z 153 SD801Z Organ Procurement Costs: Lung 4B Existing SD801Z 154 SD700S Surface Lesions: Angiosarcoma, With Biopsy 1B Existing SD700S 155 SD704V Vein - Central veins (Superior Vena Cava, 2A Existing SD704V brachiocephalic veins, Inferior Vena Cava, iliac veins) Various Lesions, Diagnostic Venography 156 SD705V Vein - Hepatic, Portal Hypertension, Diagnostic 2B Existing SD705V Hepatic Venography with or without Pressure Measurements 157 SD706V Vein - Peripheral veins (upper / lower limbs / 2A Existing SD706V dialysis Arteriovenus Fistula/Arteriovenus graft Fistula), Various Lesions, Diagnostic Venography 158 SD800V Vein (distal extremity/digit), Various Lesions, 5C Existing SD800V Microvascular Repair 159 SD801V Vein (large), Various Lesions, Ligation 3A Existing SD801V 160 SD802V Vein (major), Trauma, Repair 5C Existing SD802V 161 SD700V Vein (small), Injury, Repair (single) 4A Existing SD700V 162 SD707V Vein, (Spider veins), Injection <3 hand-size area 2C Existing SD707V 163 SD803V Vein, Arterio-venous Fistula, Dissection and 2A Existing SD803V Ligation 164 SD708V Vein, Catheter blockage, Fibrinsheath stripping 2A Existing SD708V 165 SD709V Vein, Catheter blockage, Imaging Guided 1A Existing SD709V Catheter Change / Catheter Adjustment 166 SD701V Vein, Pseudoaneurysm, thrombin injection MSP Existing SD701V 167 SD710V Vein, Stenosis / Occlusion, Percutaneous 4A Existing SD710V Transluminal Angioplasty (PTA), Difficult 168 SD711V Vein, Stenosis / Occlusion, Percutaneous 3A Existing SD711V Transluminal Angioplasty (PTA), Simple 169 SD712V Vein, Thrombosis, Percutaneous Catheter 4A Existing SD712V Directed Thrombolysis, with or without angioplasty / stenting 170 SD713V Vein, Varicose Veins, Imaging Guided 3B Existing SD713V Endovenous Laser Treatment, 1 leg 171 SD714V Vein, Varicose Veins, Imaging Guided 4A Existing SD714V Endovenous Laser Treatment, 2 legs 172 SD715V Vein, Varicosities (recurrent) surgery 4A Existing SD715V 173 SD716V Vein, Varicosities, Endovascular Laser Treatment 3B Existing SD716V (1 leg) 174 SD717V Vein, Varicosities, Ultrasound guided 3B Existing SD717V sclerotherapy injection 175 SD804V Vein, Varicosity, Bilateral 4A Existing SD804V Stripping/Excision/Multiple Ligations 176 SD702V Vein, Varicosity, High Ligation and Complete 4A Existing SD702V Stripping/Excision of Long/Long & Short Saphenous Vein (endoscopic) 177 SD805V Vein, Varicosity, High Ligation and Complete 3B Existing SD805V Stripping/Excision of Long/Long and Short Saphenous Vein 178 SD806V Vein, Varicosity, High Ligation and Complete 3B Existing SD806V Stripping/Excision of Short Saphenous Vein

A-3-40 CONFIDENTIAL

SD – CARDIOVASCULAR

S/N New Description Table Classification Current code code 179 SD807V Vein, Varicosity, High Ligation of Short 3B Existing SD807V Saphenous Vein at Sapheno-Popliteal Junction 180 SD808V Vein, Varicosity, Multiple Ligations with/without 3B Existing SD808V Local Stripping/Excision 181 SD816V Vein, Varicosity, Sub-Fascial Ligation of Multiple 4C Existing SD816V Perforator (endoscopic) 182 SD809V Vein, Varicosity, Sub-fascial Ligation of Single 1C Existing SD809V Deep Perforator 183 SD703V Vein, Varicosity, Sub-Fascial Ligation of Single 2B Existing SD703V Deep Perforator (endoscopic) 184 SD810V Vein, Various Lesions, Bypass/Graft 5C Existing SD810V 185 SD718V Vein, Various lesions, Endovascular Stent Graft / 3B Existing SD718V Covered Stent Placement 186 SD729V Vein, Various lesions, Endovascular Stent 3B Existing SD729V Placement 187 SD720V Vein, Various Lesions, Imaging guided Insertion 1C Existing SD720V of Non Tunnelled Central Venous Catheter 188 SD721V Vein, Various Lesions, Imaging guided Insertion 2A Existing SD721V of Tunnelled Central Venous Catheter 189 SD722V Vein, Various Lesions, Imaging Guided Peripheral 1C Existing SD722V Insertion of Central Catheter (PICC) 190 SD723V Vein, Various Lesions, Imaging Guided Venous 2C Existing SD723V Port Insertion 191 SD811V Vein, Various Lesions, Insertion of Central 1A Existing SD811V Venous Line 192 SD724V Vein, Various Lesions, Insertion of Inferior Vena 2C Existing SD724V Caval Filter 193 SD812V Vein, Various Lesions, Intra-arterial Infusion of 3A Existing SD812V Arteries of Neck/Thorax/Abdomen 194 SD813V Vein, Various Lesions, Ligation (include repair of 2A Existing SD813V artificial arterio-venous fistula) 195 SD725V Vein, Various lesions, Percutaneous 4B Existing SD725V Transcatheter Embolisation of more than 2 vessels 196 SD726V Vein, Various lesions, Percutaneous 4A Existing SD726V Transcatheter Embolization of 1 to 2 vessels 197 SD727V Vein, Various Lesions, Retrieval of Inferior Vena 3A Existing SD727V Caval Filter 198 SD814V Vein, Various Lesions, Saphenol Femoral/Accelo 5C Existing SD814V Femoral Bypass Graft 199 SD728V Vein,(Spider veins), Injection 3 or more hand-size 3A Existing SD728V area 200 SD815V Vein-Portal, Portal Hypertension, Bypass 5C Existing SD815V 201 SD817V Vena Cava Inferior, Various Lesions, 4C Existing SD817V Plication/Ligation

A-3-41 CONFIDENTIAL

SE – HEMIC & LYMPHATIC

S/N New Description Table Classification Current code code 1 SE701L Lymph node (axillary), Various Lesions, Sentinel 3A Existing SE701L LN Biopsy only 2 SE715L Lymph Node (cervical), Radical with Flap 6B New - Reconstruction 3 SE707L Lymph Node (pelvic) Dissection, 5A Existing SE707L Laparoscopic/open 4 SE716L Lymph Node (retropharyngeal), Block Dissection 5A New - (open/transoral) 5 SE710L Lymph node excision for Mycobacterium Aviare 2C Existing SE710L Intracellulare Scrophyllorium 6 SE711L Lymph node, Various lesions, Imaging Guided 2A Existing SE711L Percutaneous Biopsy - Deep (Intra thoracic / abdominal / pelvic, retroperitoneal) 7 SE712L Lymph node, Various lesions, Imaging Guided 1B Existing SE712L Percutaneous Biopsy - Superficial 8 SE800L Lymph node (axillary), Various Lesions, Limited 3A Existing SE800L Excision/Biopsy 9 SE801L Lymph node (axillary), Various Lesions, Radical 4A Existing SE801L Excision 10 SE700L Lymph node (axillary), Various Lesions, Radical 4A Existing SE700L Excision /Clearance with or without sentinel LN biopsy 11 SE702L Lymph Node (cervical) - Deep, Various Lesions, 2C Existing SE702L Biopsy 12 SE703L Lymph Node (cervical) - Superficial, Various 1B Existing SE703L Lesions, Biopsy 13 SE704L Lymph node (cervical), Various Lesions, Block 5A Existing SE704L Dissection bilateral 3 or less levels 14 SE705L Lymph node (cervical), Various Lesions, Block 6A Existing SE705L Dissection bilateral at least with one side 4 to 5 levels 15 SE803L Lymph node (cervical), Various Lesions, Block 4A Existing SE803L Dissection unilateral 1-3 levels 16 SE706L Lymph node (cervical), Various Lesions, Block 5C Existing SE706L Dissection unilateral 4-5 levels 17 SE802L Lymph node (cervical), Various Lesions, Excision 2C Existing SE802L Biopsy 18 SE804L Lymph node (cervical), Various Lesions, Radical 5C Existing SE804L Block Dissection 19 SE805L Lymph node (inguinal), Various Lesions, Limited 3B Existing SE805L Excision 20 SE806L Lymph node (inguinal), Various Lesions, Radical 4B Existing SE806L Excision 21 SE807L Lymph node (retroperitoneal), Various Lesions, 4B Existing SE807L Limited Excision 22 SE808L Lymph Node (single), Various Lesions, MSP Existing SE808L Aspiration/Biopsy 23 SE809L Lymph node (single), Various Lesions, Excision 1A Existing SE809L Biopsy 24 SE708L Lymph node (single), Various Lesions, Excision 1C Existing SE708L Biopsy (laparoscopic) 25 SE713L Lymph Node, Various Lesions, Biopsy 1B Existing SE713L

A-3-42 CONFIDENTIAL

SE – HEMIC & LYMPHATIC

S/N New Description Table Classification Current code code 26 SE810L Lymphatics (face & neck), Cystic Hygroma, 5C Existing SE810L Excision (large) 27 SE811L Lymphatics (face & neck), Cystic Hygroma, 4A Existing SE811L Excision (moderate) 28 SE812L Lymphatics (face & neck), Cystic Hygroma, 3A Existing SE812L Excision (small) 29 SE709L Lymphatics (Upper Limb), Lymphangioma, 6B Existing SE709L Excision 30 SE714L Lymphatics and Subcutaneous Tissue, 6B Existing SE714L Lymphedema, Major Excision and Grafting 31 SE813L Lymphatics, Cystic Hygroma, Excision (extensive) 5C Existing SE813L with/without Thoracotomy 32 SE814L Lymphatics, Lymphangiectasis, Limited Excision 2C Existing SE814L 33 SE815L Lymphatics, Lymphangiectasis, Radical Excision 4A Existing SE815L 34 SE816L Lymphatics, Lymphedema, Excision (extensive 7C Existing SE816L and complex) 35 SE817L Lymphatics, Lymphedema, Excision (large & 5C Existing SE817L deep seated) 36 SE818L Lymphatics, Lymphedema, Excision (large) 4A Existing SE818L 37 SE819L Lymphatics, Lymphedema, Excision (moderate) 3A Existing SE819L 38 SE820L Lymphatics, Lymphedema, Excision (small) 2A Existing SE820L 39 SE821L Lymphatics, lymphedema, lympho- 7C Existing SE821L venous/lymphatico-venular anastomoses, unilateral(microsurgery) 40 SE822L Lymphatics, Lymphedema, Major Excision & 6B Existing SE822L Grafting 41 SE823L Lymphatics, Lymphedema, Thomson's Procedure 5C Existing SE823L 42 SE800M Marrow, for Various Lesions, Harvesting & 5A Existing SE800M Grafting 43 SE801M Marrow, Various Lesions, Diagnostic Aspiration 1A Existing SE801M 44 SE800S Spleen, Hypersplenism/Massive Enlargement, 5C Existing SE800S Splenectomy (laparoscopic or open) 45 SE801S Spleen, Trauma, Conservation 4A Existing SE801S 46 SE802S Spleen, Trauma, Splenectomy 4A Existing SE802S 47 SE803S Spleen, Various Non-Traumatic Lesions, 4A Existing SE803S Splenectomy (laparoscopic or open)

A-3-43 CONFIDENTIAL

SF – DIGESTIVE

S/N New Description Table Classification Current code code 1 SF701A Abdomen / Pelvis, Catheter blockage, Imaging 1A Existing SF701A Guided Catheter Change / Catheter Adjustment / Check tube 2 SF702A Abdomen / Pelvis, Various Lesions, Imaging 2A Existing SF702A guided Percutaneous Biopsy 3 SF704A Abdomen, Laparotomy, Trauma Reoperation 5A Existing SF704A 4 SF705A Abdomen, Laparotomy, Trauma, damage 5A Existing SF705A control, haemostasis, packing 5 SF710A Abdomen, Major / Multiple organ repair (Trauma) 6B Existing SF710A 6 SF706A Abdomen, Peritoneal cavity, Ascites / Fluid / 1B Existing SF706A Abscess collection, Imaging Guided Percutaneous Aspiration / Diagnostic Tap/Catheter 7 SF707A Abdomen, Retroperitoneum, Abscess, Drainage 3A Existing SF707A with/without Laparotomy 8 SF708A Abdomen, Retroperitoneum, Tumor, Removal 5C Existing SF708A 9 SF800A Abdominal Cavity, Adhesions (Extensive), Lysis 4A Existing SF800A as primary procedure, extensive with or without bowel resection (Laparoscopic or Open) where time taken is more than 2hours 10 SF801A Abdominal Cavity, Adhesions (Limited), Lysis as 3B Existing SF801A primary procedure (Laparoscopic or Open) where time taken is less than 2hours 11 SF802A Abdominal Cavity, Lymphoma,for grading 4B Existing SF802A Lymphoma with Splenectomy/Liver/Lymph Node Biopsy (laparoscopic or open) 12 SF803A Abdominal Cavity, Multiple Ruptures, Major 6B Existing SF803A Repair/Removal 13 SF804A Abdominal Cavity, Neonatal Alimentary 5C Existing SF804A Obstruction, Laparotomy 14 SF709A Abdominal Cavity, Recurrent Abdominal Tumor, 7A Existing SF709A Resection with Complete Abdominopelvic Peritonectomy and Hyperthermic intraoperative Chemotherapy 15 SF806A Abdominal Cavity, Ruptured Viscus, Simple 3B Existing SF806A Repair 16 SF807A Abdominal Cavity, Subphrenic Abscess, 3B Existing SF807A Drainage 17 SF808A Abdominal Cavity, Various Lesions, Exploratory 3A Combined SF808A Laparotomy (open or laparoscopic) 18 SF809A Abdominal Cavity, Various Lesions, including 4A Existing SF809A Colostomy/Enterostomy/Gastrostomy (laparoscopic or open) 19 SF810A Abdominal Cavity, Various Lesions, not classified 4A Existing SF810A elsewhere (laparoscopic or open) 20 SF811A Abdominal Cavity, Various Lesions, Paracentesis MSP Existing SF811A 21 SF812A Abdominal Cavity, Volvulus, Reduction 3B Existing SF812A 22 SF813A Abdominal Wall, Burst Abdomen, Repair 3A Existing SF813A 23 SF814A Abdominal Wall, Epigastric/Umbilical Hernia, 3A Existing SF814A Repair (laparoscopic or open) 24 SF815A Abdominal Wall, Exomphalos/Gastroschisis, 5B Existing SF815A Operating by Plastic Flap

A-3-44 CONFIDENTIAL

SF – DIGESTIVE

S/N New Description Table Classification Current code code 25 SF816A Abdominal Wall, Exomphalos/Gastroschisis, 4A Existing SF816A Repair 26 SF817A Abdominal Wall, Inguinal Hernia (infants & 4A Description SF817A children), Herniotomy (Bilateral) Change 27 SF818A Abdominal Wall, Inguinal Hernia (infants & 3A Description SF818A children), Herniotomy (Unilateral) Change 28 SF850A Abdominal Wall, Inguinal Hernia (neonates), 4C New But - Herniotomy (Bilateral) Additional Description Change 29 SF851A Abdominal Wall, Inguinal Hernia (neonates), 3C New But - Herniotomy (Unilateral) Additional Description Change 30 SF820A Abdominal Wall, Inguinal/Femoral Hernia, 4C Existing SF820A Bilateral Herniorrhaphy (laparoscopic or open) 31 SF819A Abdominal Wall, Inguinal/Femoral Hernia, 3B Existing SF819A Unilateral Herniorrhaphy (laparoscopic or open) 32 SF821A Abdominal Wall, Strangulated/Obstructed 4C Description SF821A Hernia, Repair with Bowel Resection Change 33 SF822A Abdominal Wall, Strangulated/Obstructed 3C Uptabled SF822A Hernia, Repair without Bowel Resection 34 SF823A Abdominal Wall, Ventral/Incisional/Recurrent 4A Description SF823A Hernia, Repair (laparoscopic or open) Change 35 SF805A Abdominal/Retroperitoneal Tumour, Recurrent 6B Existing SF805A resection with or without vascular involvement and vascular repair 36 SF711A Anal Incontinence - Artificial Bowel Sphincter 5A Existing SF711A Insertion 37 SF712A Anal Incontinence Complex Procedures 5C Existing SF712A including Muscle Transposition 38 SF713A Anal Sphincter Bulking Injection with or without 2C Existing SF713A Rectal Ultrasound Guidance 39 SF716A Anus, Ano-Rectal Malformation (cloaca / 6C Description SF716A abdominoperineal) Change 40 SF714A Angioembolisation for Trauma 4B Existing SF714A 41 SF715A Anus, Ano-Rectal Malformation, Anoplasty 2C Combined / SF715A Description Change 42 SF719A Anus, Ano-Rectal Malformation, Anorectoplasty 5C Description SF719A (laparoscopic) Change 43 SF717A Anus, Ano-Rectal Malformation, Limited 4A Description SF717A Posterior Sagittal Anorectoplasty (PSARP) Change 44 SF718A Anus, Ano-Rectal Malformation, Posterior 5C Uptabled / SF718A Sagittal Anorectoplasty (PSARP) Combined / Description Change 45 SF826A Anus, Ano-Rectal Prolapse, Circumanal Suture 1A Existing SF826A 46 SF827A Anus, Ano-Rectal Prolapse, Injection 1A Existing SF827A 47 SF829A Anus, Ano-Rectal Prolapse, Radical Operation 4A Existing SF829A with Resection 48 SF828A Anus, Ano-Rectal Prolapse, Radical Operation 5C Existing SF828A without Resection

A-3-45 CONFIDENTIAL

SF – DIGESTIVE

S/N New Description Table Classification Current code code 49 SF830A Anus, Fissure, Examination under Anesthesia 1B Existing SF830A 50 SF831A Anus, Fissure, Excision/Lateral Sphincterotomy 2B Existing SF831A 51 SF832A Anus, Fistula-in-ano (high), Fistulectomy & 3C Existing SF832A Colostomy, or complex and recurrent fistulectomy 52 SF833A Anus, Fistula-in-ano, Excision/ Fistulectomy 2B Existing SF833A 53 SF720A Anus, Fistula-in-ano, insertion of seton 1C Existing SF720A 54 SF835A Anus, Hemorrhoids, Cryosurgery 1A Existing SF835A 55 SF836A Anus, Hemorrhoids, Hemorrhoidectomy with or 2C Existing SF836A without sigmoidoscopy 56 SF834A Anus, Hemorrhoids, Injection/Ligation/Banding MSP Existing SF834A 57 SF838A Anus, Hemorrhoids, Removal of External Anal 1B Existing SF838A Tags 58 SF721A Anus, Hemorrhoids, transanal haemorrhoidal 2C Existing SF721A dearterialization (THD) 59 SF837A Anus, Hemorrhoids,Stapled haemorrhoidectomy 3A Existing SF837A 60 SF839A Anus, Incontinence, Operation 4A Existing SF839A 61 SF840A Anus, Ischiorectal Abscess, Saucerisation 1B Existing SF840A 62 SF841A Anus, Perineal Abscess, Saucerisation/Drainage 1B Existing SF841A 63 SF722A Anus, Sphincteroplasty for Anal Incontinence 4B Existing SF722A 64 SF842A Anus, Stricture, Dilatation 1B Existing SF842A 65 SF843A Anus, Stricture, Repair 3B Existing SF843A 66 SF844A Anus, Thrombosed External Hemorrhoid, MSP Existing SF844A Incision And Drainage 67 SF845A Anus, Tumor, Abdomino-Perineal Resection 6B Existing SF845A (open or lap) 68 SF846A Anus, Various Lesions, Biopsy of 1B Existing SF846A Muscle/Mucosa 69 SF847A Appendix, Abscess, Drainage only 2C Existing SF847A 70 SF848A Appendix, Tumor, Right Hemicolectomy 5C Existing SF848A With/Without Adhesiolysis (open or lap) 71 SF849A Appendix, Various Lesions, Appendicectomy 3B Existing SF849A Without Drainage, Open/Laparoscopic 72 SF723A Appendix, Various Lesions/Abscess, 4A Existing SF723A Appendicectomy with Drainage (Open/Laparoscopic) 73 SF800B Bile Duct, Biliary Atresia, Porto-Enterostomy 6B Existing SF800B 74 SF700B Bile Duct, Choledochal cyst, excision 6A Existing SF700B 75 SF711B Bile Duct, Endoscopic Retrograde 3B Existing SF711B Cholangiopancreatography (ERCP) 76 SF708B Bile Duct, Endoscopic Retrograde 3C Existing SF708B Cholangiopancreatography (ERCP) with sphincerotomy /removal of stone/ insertion of biliary stent 77 SF801B Bile Duct, Various Lesions, Choledocho- 4A Existing SF801B Duodenostomy/Choledocho-Gastrostomy 78 SF802B Bile Duct, Various Lesions, Choledocho- 4C Existing SF802B Jejunostomy 79 SF803B Bile Duct, Various Lesions, Choledochotomy 4C Existing SF803B (Exploration Common Bile Duct only) 80 SF804B Bile Duct, Various Lesions, Hepatico- 5C Uptabled SF804B Jejunostomy A-3-46 CONFIDENTIAL

SF – DIGESTIVE

S/N New Description Table Classification Current code code 81 SF805B Bile Duct, Various Lesions, Operative 1B Existing SF805B Choledochoscopy 82 SF806B Bile Duct, Various Lesions, Revision High Biliary 7C Existing SF806B Stricture 83 SF807B Bile Duct, Various Lesions, Transduodenal 5C Existing SF807B Sphincteroplasty/ Sphincterotomy 84 SF707B Bile duct/gall bladder, Endoscopic dilation of 3C Existing SF707B biliary stricture 85 SF709B Bile duct/gall bladder, Endoscopic Retrograde 3C Existing SF709B Cholangiopancreatography (ERCP) with Insertion of Nasobiliary Drain 86 SF712B Bile duct/gall bladder, Endoscopy, Endoscopic 3C Existing SF712B Sphincterotomy +/- extraction of stone 87 SF701B Bile Ducts, Catheter blockage, Imaging Guided 1A Existing SF701B Catheter Change / Catheter Adjustment / Check Cholangiogram 88 SF713B Bile ducts, Stones, Percutaneous Transhepatic 3B Existing SF713B Biliary Stones Removal 89 SF702B Bile Ducts, Stricture, Percutaneous Transhepatic 3B Existing SF702B Balloon Dilatation 90 SF703B Bile Ducts, Stricture, Percutaneous Transhepatic 3B Existing SF703B Biliary Stent Placement 91 SF704B Bile Ducts, Various lesions, Check 1A Existing SF704B Cholangiogram 92 SF705B Bile Ducts, Various lesions, Percutaneous 2C Existing SF705B Transhepatic Cholangiography (PTC) 93 SF706B Bile Ducts, Various lesions, Percutaneous 3A Existing SF706B Transhepatic Cholangiography and Drainage Catheter insertion (PTC and Drainage) 94 SF714B Bowel (Esophagus, stomach, duodenum, colon, 2C Existing SF714B rectum), stricture, Imaging Guided Balloon Dilatation 95 SF715B Bowel (Esophagus, stomach, duodenum, colon, 2C Existing SF715B rectum), stricture, Imaging Guided Stent Placement 96 SF716B Bowels, Endoscopic Ultrasound with Coeliac 3A Existing SF716B Axis Neurolysis 97 SF717B Bowels, Endoscopic Ultrasound with Fine Needle 3A Uptabled SF717B Aspiration 98 SF719B Bowels, Endoscopic Ultrasound with Pseudocyst 3C Existing SF719B Drainage 99 SF720B Bowels, Endoscopic Ultrasound with Stent 3C Existing SF720B Insertion 100 SF718B Bowels, Endoscopic Ultrasound without Fine 2C Description SF718B Needle Aspiration Change 101 SF700C Capsule Endoscopy 3A Existing SF700C 102 SF701C Colon, Anterior Resection (open or laparoscopic) 6C Existing SF701C 103 SF704C Colon, Colonoscopy (diagnostic), fibreoptic with 3A Existing SF704C removal of polyp (single or multiple less than 1cm) 104 SF705C Colon, Colonoscopy (diagnostic), fibreoptic with 3B Existing SF705C removal of polyps (multiple more than 1cm)

A-3-47 CONFIDENTIAL

SF – DIGESTIVE

S/N New Description Table Classification Current code code 105 SF702C Colon, Colonoscopy (diagnostic), fibreoptic 2C Description SF702C with/without biopsy Change 106 SF706C Colon, Colonoscopy (screening), fibreoptic with 3A Existing SF706C removal of polyp (single or multiple less than 1cm) 107 SF707C Colon, Colonoscopy (screening), fibreoptic with 3B Existing SF707C removal of polyps (multiple more than 1cm) 108 SF703C Colon, Colonoscopy (screening), fibreoptic 2C Description SF703C with/without biopsy Change 109 SF708C Colon, Colonoscopy with endoscopic mucosal 3C Description SF708C resection (EMR) and/or endoscopic submucosal Change dissection (ESD) of large polyps (>3cm) 110 SF800C Colon, Colostomy, Closure without resection of 4A Combined SF800C bowel 111 SF709C Colon, Hirschsprung’s disease, Endorectal 5B Description SF709C pullthrough (MIS) Change 112 SF714C Colon, Hirschsprung's disease, Pullthrough for 6A New - long segment disease (laparoscopic/open) 113 SF710C Colon, Sigmoid, Sigmoidoscopy (flexible), 1B Existing SF710C Fibreoptic with/without biopsy 114 SF711C Colon, Sigmoid, Sigmoidoscopy with 1B Existing SF711C Polypectomy with Biopsy 115 SF712C Colon, Total Colectomy / Subtotal Colectomy 6A Existing SF712C 116 SF713C Colon, Total Proctocolectomy & Ileo-Anal Pouch 6C Existing SF713C Reconstruction 117 SF802C Colon, Various Lesions, Colostomy 4A Existing SF802C 118 SF803C Colon, Various Lesions, Right/Left 5C Existing SF803C Hemicolectomy (laparoscopic or open) 119 SF804C Colon, Various Lesions, Total Colectomy with 6A Existing SF804C Ileorectal Anastomosis/Ileostomy 120 SF805C Colon, Various Lesions, Total Procto-Colectomy 6B Existing SF805C and Ileostomy 121 SF806C Colon, Various Lesions, Tranverse/Sigmoid 5C Existing SF806C Colectomy (laparoscopic or open) 122 SF800D Diaphragm, Diaphragmatic/Hiatus Hernia, Repair 4A Existing SF800D (laparoscopic or open) 123 SF700D Double Balloon Enteroscopy-Diagnostic 3A Existing SF700D 124 SF701D Double Balloon Enteroscopy-Therapeutic 3C Existing SF701D 125 SF801D Duodenum Various Lesions, 4A Existing SF801D Gastroenterostomy/Gastroduodenostomy 126 SF802D Duodenum, Trauma, Bypass Operation 5A Existing SF802D 127 SF803D Duodenum, Tumor, Pancreatico-Duodenectomy 7C Existing SF803D 128 SF702D Duodenum, Tumour, Pancreas preserving 7C Existing SF702D duodenectomy with reconstruction of ampulla 129 SF804D Duodenum, Ulcer, Partial Gastrectomy 5C Existing SF804D 130 SF805D Duodenum, Ulcer, Vagotomy - all types 5C Existing SF805D 131 SF710B Endoscopic Retrograde 3C Existing SF710B Cholangiopancreatography (ERCP) with sphincerotomy /removal of stone/ insertion of biliary stent 132 SF800E Esophagus, Achalasia, Cardiomyotomy 4A Existing SF800E 133 SF701E Esophagus, Achalasia, Cardiomyotomy 4A Existing SF701E (laparoscopic) A-3-48 CONFIDENTIAL

SF – DIGESTIVE

S/N New Description Table Classification Current code code 134 SF801E Esophagus, Atresia, Repair and Anastomosis 6B Description SF801E Change 135 SF802E Esophagus, Benign tumour, Resection 5B Existing SF802E (laparoscopic/Open) 136 SF702E Esophagus, Diverticulum, Excision 5B Existing SF702E (laparoscopic/Open) 137 SF703E Esophagus, Motility disorder, long myotomy 4B Existing SF703E (Thoracoscopic/Open) 138 SF803E Esophagus, Stricture, Dilatation (Endoscopic) 2B Existing SF803E 139 SF804E Esophagus, Tumor, Allison/Ivor-Lewis Operation 6B Existing SF804E 140 SF805E Esophagus, Tumor, Bypass with 5C Existing SF805E Stomach/Intestine (laparoscopic or open) 141 SF806E Esophagus, Tumor, 7C Existing SF806E Cervical/Laryngopharyngectomy with Tracheostomy with/without Plastic Reconstruction 142 SF809E Esophagus, Tumor, Total Esophagectomy 7B Existing SF809E 143 SF810E Esophagus, Varices, Esophageal/Transection 6B Existing SF810E with Splenectomy 144 SF811E Esophagus, Varices, Gastro Esophageal 6B Existing SF811E Devascularisation with Esophageal Transection 145 SF812E Esophagus, Various Lesions, Cervical 3A Existing SF812E Esophagostomy 146 SF807E Esophagus/Intestine/Stomach, Upper GI 3A Existing SF807E endoscopy with insertion of Prosthesis (e.g. insertion of Celestin Tube/complicated Polypectomy) 147 SF700E Esophagus/Stomach, Gastroscopy and 2C Existing SF700E Dilatation 148 SF808E Esophagus/Stomach, Gastroscopy with Therapy- 3A Existing SF808E eg APC-Fulgarisation of Tumor 149 SF704E Esophagus/Stomach/Colon, Gastrointestinal 3B Existing SF704E Endoscopy (GI), Laser Treatment for Tumors 150 SF706G Gallbladder (acute/complicated) open or 4C Existing SF706G laparascopic cholecyestectomy 151 SF700G Gallbladder, Cholecystitis, Imaging Guided 2C Existing SF700G Percutaneous Cholecystostomy 152 SF701G Gallbladder, Tumour, Radical cholecystectomy 6C Existing SF701G with segment 4b and 5 liver resection and radical lymphadenectomy 153 SF702G Gallbladder, Tumour, Radical cholecystectomy 7A Existing SF702G with segment 4b and 5 liver resection and radical lymphadenectomy and choledochectomy with Hepatico-enteric anastomosis 154 SF707G Gallbladder, Various lesions, cholecystectomy, 5C Existing SF707G choledochotomy, common bile duct exploration with choledocho-duodenostomy (open or lap) 155 SF801G Gallbladder, Various Lesions, Cholecystectomy 4A Existing SF801G (open or lap) 156 SF802G Gallbladder, Various Lesions, Cholecystectomy 5C Existing SF802G and Choledocho- Jejunostomy/Duodenostomy/Gastrostomy

A-3-49 CONFIDENTIAL

SF – DIGESTIVE

S/N New Description Table Classification Current code code 157 SF703G Gallbladder, Various lesions, cholecystectomy 6A Existing SF703G and repair of cholecysto-enteric/ cholecysto- choledochal fistula (open or lap) 158 SF704G Gallbladder, Various lesions, cholecystectomy 4B Existing SF704G with intraoperative cholangiogram (open or lap) 159 SF803G Gallbladder, Various Lesions, Cholecysto- 4A Existing SF803G Duodenostomy/Cholecysto- Gastrectomy/Cholecysto Jejunostomy 160 SF800G Gallbladder, Various Lesions, Cholecystostomy 3B Existing SF800G (Partial, Open) 161 SF705G Gallbladder, Various lesions, open/laparoscopic 4C Existing SF705G cholecystectomy and transcystic common bile duct exploration 162 SF702I Intestine, GIT, Mesenteric Artery 4B Existing SF702I Embolisation 163 SF800I Intestine, Enterostomy, Closure 3B Existing SF800I 164 SF801I Intestine, Intussusception, Reduction (lap or 3B Existing SF801I open) 165 SF802I Intestine, Intussusception, Reduction by Fluid 2A Existing SF802I 166 SF803I Intestine, Intussusception, Resection 4A Existing SF803I 167 SF805I Intestine, Meckel's Diverticulum, Various 3B Existing SF805I Lesions, Resection (lap/open) 168 SF703I Intestine, Small Bowel, Ileostomy Stenosis, 3A Existing SF703I Revision 169 SF704I Intestine, Small Bowel, Various Lesions, 4A Existing SF704I Enterostomy 170 SF706I Intestine, Small Bowel, Various Lesions, 4C Existing SF706I Extensive Resection with Anastomoses, With or Without Stoma (laparoscopic or open) 171 SF705I Intestine, Small Bowel, Various Lesions, 1B Existing SF705I Intubation with/without Biopsy 172 SF707I Intestine, Small Bowel, Various Lesions, Simple 4A Existing SF707I Resection with Anastomoses, With or Without Stoma (laparoscopic or open) 173 SF708I Intestine, Small Bowel, Vitello-Intestinal Fistula, 3A Existing SF708I Excision 174 SF804I Intestine, Total Aganglionosis, Reconstruction 6B Existing SF804I 175 SF701I Intestine/Stomach, Upper GI endoscopy with / 1B Existing SF701I without biopsy 176 SF700I Intestine/Stomach, Upper GI endoscopy with 2C Existing SF700I polypectomy/ removal of foreign body/diathermy of bleeding lesions / injection of varices / removal of single polyp 177 SF800L , Mucous Cyst/Mucocele, Removal 1B Existing SF800L 178 SF801L Lip, Various Lesions, Full Thickness Wedge 2C Existing SF801L Excision with Repair 179 SF802L Lip, Various Lesions, Reconstruction using Full 5C Existing SF802L Thickness Flap 180 SF803L Lip, Various Lesions, Vermilionectomy 2C Existing SF803L 181 SF700L Liver transplant, donation (Cadaveric donor) 5C Existing SF700L 182 SF701L Liver transplant, donation (Live donor) 6B Existing SF701L 183 SF702L Liver transplant, recipient 7C Existing SF702L

A-3-50 CONFIDENTIAL

SF – DIGESTIVE

S/N New Description Table Classification Current code code 184 SF703L Liver, Abscess, Imaging Guided Percutaneous 2A Existing SF703L Aspiration 185 SF704L Liver, Abscess, Imaging Guided Percutaneous 2C Existing SF704L Drainage Catheter Insertion 186 SF804L Liver, Abscess, Trans-Abdominal Drainage 3C Existing SF804L (open or lap) 187 SF805L Liver, Hydatid Cyst, Trans-Abdominal Drainage 3B Existing SF805L (percutaneous) 188 SF806L Liver, Obstructive Jaundice, Longmire 4C Existing SF806L Operation/Chlodedocho Jejunostomy 189 SF705L Liver, Portal Hypertension, Transjular 5A Existing SF705L Intrahepatic Porto-Systemic Shunt creation (TIPSS) 190 SF807L Liver, Trauma, Major Repair Laceration 6B Existing SF807L 191 SF808L Liver, Trauma, Minor Repair Laceration 4A Existing SF808L 192 SF809L Liver, Trauma/Tumor, Extended Lobectomy (5 7C Existing SF809L segments/more) 193 SF810L Liver, Trauma/Tumor, Hepatic Artery Ligation 4B Existing SF810L 194 SF811L Liver, Trauma/Tumor, Liver Transplant 7C Existing SF811L 195 SF706L Liver, Tumour, Imaging Guided Percutaneous 3C Existing SF706L Local Ablation (Radiofrequency, Cryotherapy, microwave, laser, alcohol,etc) 196 SF707L Liver, Tumour, Trans-Arterial Chemo- 4A Existing SF707L Embolization (TACE) 197 SF708L Liver, Tumour, Trans-Arterial Radio Nuclide 4B Existing SF708L infusion 198 SF711L Liver, Various lesions, Imaging Guided 2A Existing SF711L Percutaneous Biopsy (Focal lesions, targeted) 199 SF814L Liver, Various lesions, Imaging Guided 1C Existing SF814L Percutaneous Biopsy (Liver parenchyma, non directed) 200 SF709L Liver, Various lesions, laparoscopic ultrasound 4B Existing SF709L and local ablation including radio-frequency ablation 201 SF812L Liver, Various Lesions, Lobectomy (3 - 4 6B Existing SF812L segments), open or lap 202 SF813L Liver, Various Lesions, Partial 5C Existing SF813L Lobectomy/Segmental Resection (open or lap) 203 SF710L Liver, Various lesions, Transjugular Liver Biopsy 3B Existing SF710L 204 SF815L Liver, Various Lesions, Wedge/Local Excision 4C Existing SF815L (open or lap) 205 SF800M Mouth, Abscess (Deep), Drainage (Includes 2B Existing SF800M submasseteric, submandibular, temporal, and pterygomandibular spaces) 206 SF801M Mouth, Abscess, (superficial), Drainage 1A Existing SF801M 207 SF802M Mouth, Angular Cleft with Macrostomia (bilateral) 6A Existing SF802M repair 208 SF803M Mouth, Angular Cleft with Macrostomia 4C Existing SF803M (unilateral) repair 209 SF804M Mouth, Cleft Lip, Bilateral Primary Repair 6A Existing SF804M 210 SF806M Mouth, Cleft Lip, Secondary Correction 4A Existing SF806M 211 SF805M Mouth, Cleft Lip, Secondary Correction (Abbe 6A Existing SF805M flap) A-3-51 CONFIDENTIAL

SF – DIGESTIVE

S/N New Description Table Classification Current code code 212 SF807M Mouth, Cleft Lip, Secondary Correction of 4B Existing SF807M Nostril/Nasal Tip 213 SF808M Mouth, Cleft Lip, Unilateral Primary Repair 4C Existing SF808M 214 SF700M Mouth, Defect, mucous membrane/ connective 2A Existing SF700M tissue graft 215 SF809M Mouth, Dislocated Teeth/Dento-Alveolar 2C Existing SF809M Fracture, Reduction and Immobilisation 216 SF810M Mouth, Foreign Body (deep>3cm), Removal 3A Existing SF810M 217 SF811M Mouth, Foreign Body (superficial), Removal 1B Existing SF811M 218 SF701M Mouth, Frenal Attachment, Release 1B Existing SF701M 219 SF702M Mouth, Intra oral tumour radical excision with 7A Existing SF702M resection of mandible and bilateral neck dissection 220 SF812M Mouth, Intra oral tumour radical excision with 6C Existing SF812M resection of mandible and unilateral neck dissection 221 SF813M Mouth, Leukoplakia, Limited Excision 1B Existing SF813M 222 SF814M Mouth, Leukoplakia, Wide Excision and Skin 3A Existing SF814M Grafting 223 SF815M Mouth, Macrocheilia and Macroglossia, 3A Existing SF815M Reconstruction 224 SF816M Mouth, Malignant Tumor, Wide Excision and 6B Existing SF816M Major Reconstruction 225 SF818M Mouth, Mucous Cyst/Ranula of Floor of Mouth, 2C Existing SF818M Excision with/without Biopsy 226 SF817M Mouth, Mucous Cyst/Ranula of Floor of Mouth, 1B Existing SF817M Marsupialization /Biopsy 227 SF819M Mouth, Nasolabial Cyst, Excision Biopsy 2C Existing SF819M 228 SF820M Mouth, Oro-antral Fistula, Removal of 3B Existing SF820M Tooth/Roots in Antrum and Closure 229 SF703M Mouth, Periodontium (within 1 quadrant), 1A Existing SF703M Periodontitis, open flap debridement 230 SF704M Mouth, Periodontium (within 1 quadrant), Soft 1B Existing SF704M tissue defect/deformity, gingivoplasty 231 SF705M Mouth, Periodontium (within 1 quadrant), Soft 2B Existing SF705M tissue defect/deformity, gingivoplasty with autogenous soft/hard tissue graft 232 SF706M Mouth, Periodontium (within 2 quadrants), 1C Existing SF706M Periodontitis, Open flap debridement 233 SF707M Mouth, Periodontium (within 2 quadrants), Soft 2A Existing SF707M tissue defect/deformity, gingivoplasty 234 SF708M Mouth, Periodontium (within 2 quadrants), Soft 3A Existing SF708M tissue defect/deformity, gingivoplasty with autogenous soft/hard tissue graft 235 SF709M Mouth, Periodontium, Bone defect/deformity, 2C Existing SF709M augmentation (autogenous) /regeneration 236 SF710M Mouth, Periodontium, bone defect/deformity, 2A Existing SF710M augmentation (non-autogenous) /regeneration 237 SF711M Mouth, Salivary Gland, Various Lesions, MSP Existing SF711M Dilatation Of Duct 238 SF821M Mouth, Small Soft Tissue Tumor, Excision 1B Existing SF821M Biopsy < 3cm

A-3-52 CONFIDENTIAL

SF – DIGESTIVE

S/N New Description Table Classification Current code code 239 SF713M Mouth, Sublingual Gland, Tumor, Excision 2C Existing SF713M Biopsy 240 SF714M Mouth, Submandibular Gland, Calculus (deep), 3A Existing SF714M Removal Biopsy 241 SF715M Mouth, Submandibular Gland, Calculus, 1C Existing SF715M Removal with Biopsy 242 SF716M Mouth, Submandibular Gland, Various lesions, 3C Existing SF716M Excision with Biopsy 243 SF712M Mouth, Submucosal Resection, Endoscopic 4A Existing SF712M Excision with Biopsy 244 SF822M Mouth, Tumor, Radical Excision Biopsy with 7C Existing SF822M Resection of Mandible and Lymph Nodes and Reconstruction 245 SF824M Mouth, Various / Pathologic Lesions of Oral 2B Existing SF824M Mucosa, Cryosurgical/Laser Application with Biopsy 246 SF823M Mouth, Various Lesions of Oral Mucosa 3B Existing SF823M (large/multiple), Cryosurgica/Laser Application with Biopsy 247 SF800N Neck, Branchial Cyst, Removal with Biopsy 3B Existing SF800N 248 SF801N Neck, Branchial Fistula, Removal 3B Existing SF801N 249 SF800P , Cleft (complete), Primary Repair 5C Existing SF800P 250 SF801P Palate, Cleft (partial), Primary Repair 4B Existing SF801P 251 SF802P Palate, Cleft, Secondary Repair (closure of 3B Existing SF802P fistula) 252 SF804P Palate, Cleft, Uvulopharyngoplasty 5C Existing SF804P 253 SF803P Palate, Secondary Repair (lengthening 5A Existing SF803P procedure) 254 SF805P Pancreas, Cyst/Pseudocyst, Open or 5A Existing SF805P Laparoscopic drainage and anastomosis to Intestine/Stomach 255 SF700P Pancreas, Pseudocyst / abscess, Imaging 2C Existing SF700P Guided Percutaneous Drainage Catheter Insertion 256 SF701P Pancreas, Transplant (donation - Cadaveric 5C Existing SF701P donor) 257 SF702P Pancreas, Transplant (recipient) 7C Existing SF702P 258 SF806P Pancreas, Tumour, Triple Bypass 5C Existing SF806P 259 SF807P Pancreas, Various Lesions, Distal 5C Existing SF807P Pancreatectomy/Anastomosis of Pancreatic Duct 260 SF703P Pancreas, Various Lesions, duodenum 7A Existing SF703P preserving pancreatic head resection (Beger's operation) 261 SF704P Pancreas, Various Lesions, duodenum 7A Existing SF704P preserving pancreatic head resection with longitudinal pancreatico-enteric anastomosis (Frey's Operation) 262 SF705P Pancreas, Various Lesions, enucleation of 4C Existing SF705P lesions (1 to 2) 263 SF706P Pancreas, Various Lesions, enucleation of 5A Existing SF706P lesions (3 or more) 264 SF808P Pancreas, Various Lesions, External Drainage 3B Existing SF808P (Open) A-3-53 CONFIDENTIAL

SF – DIGESTIVE

S/N New Description Table Classification Current code code 265 SF707P Pancreas, Various lesions, Imaging Guided 2A Existing SF707P Percutaneous Biopsy 266 SF708P Pancreas, Various Lesions, open/laparoscopic 5B Existing SF708P distal pancreatectomy and splenectomy 267 SF709P Pancreas, Various Lesions, open/laparoscopic 5C Existing SF709P subtotal pancreatectomy (extending to the neck) and splenectomy 268 SF710P Pancreas, Various Lesions, Portal Venous 3B Existing SF710P Sampling 269 SF711P Pancreas, Various Lesions, segmental 6B Existing SF711P pancreatectomy with pancreatico-enteric anastomosis 270 SF809P Pancreas, Various Lesions, Whipple 7C Existing SF809P Operation/Total Pancreatectomy 271 SF712P Pancreas, Various Lesions,open/laparoscopic 5C Existing SF712P spleen-preserving distal pancreatectomy 272 SF811P Parotid, Calculus (deep), Removal 3A Existing SF811P 273 SF812P Parotid, Calculus (Superficial), Removal 1C Existing SF812P 274 SF813P Parotid, Fistula, Repair 3A Existing SF813P 275 SF713P Parotid, Total parotidectomy with neck dissection 6B Existing SF713P 276 SF714P Parotid, Total Parotidectomy, with/without 6A Existing SF714P preservation of facial nerve 277 SF814P Parotid, Tumor, Superficial Parotidectomy 5C Existing SF814P 278 SF815P Parotid, Tumor, Total Parotidectomy with 7B Existing SF815P Parapharyngeal Space Resection and Flap Reconstruction 279 SF817P Parotid, Tumor, Total Parotidectomy with Radical 6B Existing SF817P Neck Dissection 280 SF816P Parotid, Tumour, Total Parotidectomy with 6B Existing SF816P Reconstruction Facial Nerve 281 SF810P /Larynx, Parapharyngeal Space Tumor 6A Existing SF810P Excision 282 SF800R Rectum, Foreign Body, Manual Removal MSP Existing SF800R 283 SF801R Rectum, Hirschsprung's Disease, Anal 2C Existing SF801R Sphincterotomy 284 SF802R Rectum, Hirschsprung's Disease, Rectal 3B Existing SF802R Myectomy 285 SF803R Rectum, Hirschsprung's Disease, Recto- 5C Existing SF803R Sigmoidectomy 286 SF700R Rectum, Perineal Rectosigmoidectomy for Rectal 5C Existing SF700R Prolapse 287 SF701R Rectum, Resection - Rectopexy for Rectal 5C Existing SF701R Prolapse (open or laparascopic) 288 SF702R Rectum, STARR - Stapled Hemorroidectomy 3A Existing SF702R 289 SF804R Rectum, Stricture, Laser Treatment 1C Existing SF804R 290 SF805R Rectum, Tumor, Anterior Resection/Abdomino - 6C Existing SF805R perineal Resection with Salpingo-Oophorectomy and Total Hysterectomy 291 SF806R Rectum, Tumor, Laser Vaporisation/Endoscopic 2C Existing SF806R Fulguration 292 SF703R Rectum, Ultra-low Anterior Resection (Total 6C Existing SF703R Mesorectal Excision) With/Without PLND

A-3-54 CONFIDENTIAL

SF – DIGESTIVE

S/N New Description Table Classification Current code code 293 SF807R Rectum, Various Lesions, Abdomino-Perineal 6B Existing SF807R Pull Through Resection with Colo-Anal Anastomosis 294 SF808R Rectum, Various Lesions, Hartmann's Procedure 5C Existing SF808R 295 SF809R Rectum, Various Lesions, Transphincteric 4A Existing SF809R Removal with Biopsy 296 SF700S Sacral Nerve Stimulation 4B Existing SF700S 297 SF800S Sacrum & Coccyx, Pilonidal Sinus/Cyst, Excision 2C Existing SF800S with Biopsy 298 SF801S Sacrum & Coccyx, Tumor, Excision with Biopsy 6B Existing SF801S 299 SF802S Sacrum & Coccyx, Various Lesions, Excision 2C Existing SF802S with Biopsy 300 SF701S Stomach, Gastroesophageal Reflux, 5C Existing SF701S fundoplication, open/laparoscopic with/without gastrotomy 301 SF713S Stomach, Obesity, Biliopancreatic Diversion 5C New - with/without Duodenal Switch 302 SF803S Stomach, Obesity, Bypass only 4A Existing SF803S 303 SF702S Stomach, Obesity, Gastric Banding 5C Description SF702S (laparoscopic) Change 304 SF804S Stomach, Obesity, Reduction & Bypass 5C Existing SF804S (laparoscopic or open) 305 SF703S Stomach, Obesity, Sleeve gastrectomy 5B Existing SF703S (open/laparoscopic) 306 SF705S Stomach, Partial/Subtotal Gastrectomy for 5C Existing SF705S benign gastric diseases 307 SF805S Stomach, Pyloric Stenosis, Pyloroplasty 3B Existing SF805S 308 SF806S Stomach, Pyloric Tumor (infant), 3A Existing SF806S Pyloroplasty/Pyloromyotomy 309 SF708S Stomach, Pyloromyotomy, Laparoscopic 3A Existing SF708S 310 SF812S Stomach, Total/Proximal Gastrectomy for benign 6B Existing SF812S gastric diseases 311 SF807S Stomach, Tumor of Cardia, Endoscopic YAG 3B Existing SF807S Laser Surgery/Vaporisation 312 SF808S Stomach, Tumor/Ulcer, Gastrojejunostomy 4A Existing SF808S 313 SF709S Stomach, Tumour, Subtotal Gastrectomy and 6B Existing SF709S radical lymphadenectomy 314 SF710S Stomach, Tumour, Total Gastrectomy and 6B Existing SF710S radical lymphadenectomy 315 SF809S Stomach, Ulcers, Vagotomy - all types 5C Existing SF809S (laparoscopic or open) 316 SF711S Stomach, Various Lesions, Imaging guided 1C Existing SF711S insertion of Naso-gastric tube / Naso-jejunal tube 317 SF704S Stomach, Various Lesions, Imaging Guided 3A Existing SF704S Percutaneous Gastrostomy / Gastrojejunostomy 318 SF810S Stomach, Various Lesions, Partial/Subtotal 5C Existing SF810S Gastrectomy 319 SF706S Stomach, Various Lesions, Total/Proximal 6B Existing SF706S Gastrectomy with/without Splenectomy 320 SF813S Stomach, Various Lesions, Wedge Resection 4A Existing SF813S 321 SF811S Stomach, Various Lesions/Post-Gastrectomy 5C Existing SF811S Complications, Revision Gastrectomy

A-3-55 CONFIDENTIAL

SF – DIGESTIVE

S/N New Description Table Classification Current code code 322 SF707S Stomach, Wedge Resection/Stomach for benign 4A Existing SF707S gastric diseases 323 SF712S Stomach/duodenum, perforated ulcer, repair 4B Existing SF712S (laparoscopic or open) 324 SF703T Teeth (2 or more) Unerupted/partially 2B Existing SF703T erupted/impacted, Surgical exposure 325 SF801T Teeth (2 to 3), Impacted, Excision with removal 3B Existing SF801T of bone (without tooth division) 326 SF800T Teeth (2 to 3), Impacted, Excision with removal 3C Existing SF800T of bone and tooth division 327 SF704T Teeth (2 to 3), Unerupted/partially 3C Existing SF704T erupted/impacted, Surgical Exposure and Bonding for traction and assisted eruption 328 SF705T Teeth (4 or more) Unerupted/ partially erupted/ 4A Existing SF705T impacted, Surgical Exposure and Bonding for Traction and assisted eruption 329 SF803T Teeth (4 or more), Impacted, Excision with 4A Existing SF803T removal of bone (without tooth division) 330 SF802T Teeth (4 or more), Impacted, Excision with 4B Existing SF802T removal of bone and tooth division 331 SF706T Thoracoscopic repair of esophageal fistula and 6B Existing SF706T esophageal atresia 332 SF804T , Tongue Tie, Release 1A Existing SF804T 333 SF805T Tongue, Tongue Tie, Revision 1B Existing SF805T 334 SF806T Tongue, Tumor, with Radical Neck 6B Existing SF806T Dissection 335 SF807T Tongue, Tumor, Hemi-Glossectomy 4A Existing SF807T 336 SF808T Tongue, Tumor, Total Glossectomy 4A Existing SF808T 337 SF707T Tongue, Various Lesions (Benign Condition) 1B Existing SF707T Excision Biopsy <3cm 338 SF809T Tongue, Various Lesions, Partial Excision 3A Existing SF809T 339 SF810T Tooth (deep, i.e. completely buried in bone), 3A Existing SF810T Excision with removal of bone and tooth division 340 SF818T Tooth (Multiple-Rooted or more than 1 tooth), 3A Existing SF818T Various Lesions, Peri-Radicular Surgery 341 SF708T Tooth (Single-Rooted), Various Lesions, Peri- 2C Existing SF708T radicular surgery 342 SF811T Tooth (Superficial), Unerupted/Partially MSP Existing SF811T Erupted/Impacted, Excision with Incision Of Overlying Soft Tissue And Removal Of Tooth 343 SF812T Tooth (superficial), Unerupted/Partially 1B Existing SF812T Erupted/Impacted, Excision with removal of bone (without tooth division) 344 SF813T Tooth (superficial), Unerupted/Partially 2C Existing SF813T Erupted/Impacted, Excision with removal of bone and tooth division 345 SF814T Tooth, Dislocation, Reimplantation and 3A Existing SF814T Transplantation 346 SF815T Tooth, Fracture/dislocation, Removal Of Arch MSP Existing SF815T Bar/Dental Cap Splint 347 SF816T Tooth, Simple Unerupted/Partially 2C Existing SF816T erupted/Impacted/Fractured, Removal of Multiple Roots A-3-56 CONFIDENTIAL

SF – DIGESTIVE

S/N New Description Table Classification Current code code 348 SF817T Tooth, Unerupted/Partially Erupted/Impacted, 4A Existing SF817T Excision with Release of Neurovascular Bundle 349 SF701T Tooth, Unerupted/Partially Erupted/Impacted, 1C Existing SF701T Surgical Exposure 350 SF702T Tooth, Unerupted/Partially Erupted/Impacted, 2C Existing SF702T Surgical Exposure and Bonding for traction and assisted eruption

A-3-57 CONFIDENTIAL

SG – URINARY

S/N New Description Table Classification Current code code 1 SG800B Bladder, Bladder Neck Contracture, 3B Existing SG800B (Acquired/Congenital), Wedge Excision 2 SG801B Bladder, Broken Cable Connection to Neurogenic 4A Existing SG801B Bladder, Reconnection of Cable 3 SG802B Bladder, Calculus, 2C Existing SG802B Vesicolithotomy/Litholapaxy/Ultrasonic Lithotripsy 4 SG803B Bladder, Cutaneous Fistula, Closure 2C Existing SG803B 5 SG700B Bladder, Cystoscopic intradetrusor injection of 2C Existing SG700B botulinum 6 SG708B Bladder, Cystoscopy, external sphincterotomy for 2C Existing SG708B neurogenic bladder neck obstruction 7 SG709B Bladder, Cystoscopy, removal of foreign 2C Existing SG709B body/ureteric stent 8 SG710B Bladder, Cystoscopy, with controlled 1B Existing SG710B hydrodilatation of the bladder 9 SG711B Bladder, Cystoscopy, with endoscopic 3B Existing SG711B removal/manipulation of ureteric calculus 10 SG712B Bladder, Cystoscopy, with endoscopic 3B Existing SG712B resection/incision of bladder neck 11 SG713B Bladder, Cystoscopy, with or without biopsy 1B Existing SG713B 12 SG717B Bladder, Cystoscopy, with ureteric 3B Existing SG717B meatotomy/with resection of Ureterocele 13 SG702B Bladder, Diverticulum, Laparoscopic Excision 4A Existing SG702B 14 SG804B Bladder, Diverticulum, Open Excision 3B Existing SG804B 15 SG805B Bladder, Ectopia Vesicae/Ectopia Cloacae with 7B Existing SG805B Congenital Incontinence, Sphincter Reconstruction 16 SG806B Bladder, Incontinence, Correction, Abdominal 5A Existing SG806B Approach 17 SG807B Bladder, Mild Stress Incontinence, Cyctoscopic 3B Existing SG807B Injection of 18 SG808B Bladder, Retention of Urine, Suprapubic 1B Existing SG808B Cystostomy 19 SG809B Bladder, Tumor, Anterior Exenteration (Female) 6B Existing SG809B 20 SG704B Bladder, Urachal Fistula, Laparoscopic Excision 4A Existing SG704B 21 SG810B Bladder, Urachal Fistula, Open Excision 3B Existing SG810B 22 SG811B Bladder, Various Lesion, Aspiration MSP Existing SG811B 23 SG705B Bladder, Various Lesions, Catheterisation MSP Existing SG705B 24 SG812B Bladder, Various Lesions, Enlargement 6B Existing SG812B Cystoplasty with Bowel 25 SG703B Bladder, Various lesions, Image guided 1C Existing SG703B suprapubic cystostomy 26 SG813B Bladder, Various Lesions, Open Partial Excision 3B Existing SG813B 27 SG814B Bladder, Various Lesions, Total Cystectomy with 6B Existing SG814B ileal conduit 28 SG707B Bladder, Various Lesions, Total Radical 6C Existing SG707B Cystectomy, for malignancy + creation of ileal neobladder 29 SG706B Bladder, Various Lesions,Laparoscopic Partial 4A Existing SG706B Excision 30 SG815B Bladder, Vesico-Intestinal Fistula, Closure 5C Existing SG815B 31 SG818B Bladder, Vesicostomy 3A New -

A-3-58 CONFIDENTIAL

SG – URINARY

S/N New Description Table Classification Current code code 32 SG816B Bladder, Vesico-Ureteric Fistula, Correction 5C Existing SG816B 33 SG817B Bladder, Vesico-Vaginal Fistula, Closure by 5C Existing SG817B Abdominal Route 34 SG716B Bladder/Ureter, Cystoscopy, with ureteric 1C Existing SG716B catheterisation 35 SG701B Bladder/Ureter, Lympholysis for chyluria, 4A Existing SG701B laparoscopic 36 SG718B Bladder/Urethra, Cystoscopy, with urethral 1C Existing SG718B dilatation 37 SG714B Bladder/Urethra, Transurethral Resection of 4A Existing SG714B Bladder Tumour (<3cm) 38 SG715B Bladder/Urethra, Transurethral Resection of 4B Existing SG715B Bladder Tumour (>3cm) 39 SG800K Kidney and Ureter, Various Lesions, 5C Existing SG800K Nephroureterectomy Open 40 SG700K Kidney and Ureter, Various Lesions, 6A Existing SG700K Nephroureterectomy, Laparoscopic 41 SG705K Kidney transplant, donation (Cadaveric donor) 5A Existing SG705K 42 SG706K Kidney transplant, donation (Live donor), 5C Existing SG706K laparoscopic 43 SG707K Kidney transplant, donation (Live donor), open 5B Existing SG707K 44 SG708K Kidney transplant, recipient 6C Existing SG708K 45 SG801K Kidney, Blocked Nephrostomy Tube, Change 1A Existing SG801K 46 SG802K Kidney, Calculus, Extra Corporeal Shockwave 4B Existing SG802K Lithotripsy (ESWL) 47 SG803K Kidney, Calculus, Nephrolithotomy/Pyelolithotomy 4B Existing SG803K 48 SG709K Kidney, Calculus, Percutaneous Nephrolithotomy 4C Existing SG709K or Percutaneous Nephrostolithotomy (PCNL) 49 SG804K Kidney, Carcinoma, Radical Nephrectomy open 5C Existing SG804K 50 SG701K Kidney, Catheter blockage, Imaging Guided 1A Existing SG701K Nephrostomy Catheter Change / Catheter Adjustment 51 SG805K Kidney, Cyst, Excision 3A Existing SG805K 52 SG702K Kidney, Cyst, Imaging Guided Percutaneous 2B Existing SG702K Alcohol Ablation 53 SG703K Kidney, Cyst, Imaging Guided Percutaneous 2A Existing SG703K Aspiration 54 SG704K Kidney, Cyst, Marsupialisation, Laparoscopic 4A Existing SG704K 55 SG711K Kidney, Hydronephrosis, Percutaneous 2B Existing SG711K Nephrostomy and Drainage Catheter Insertion (PCN and Drainage) 56 SG806K Kidney, Injury, Repair 5C Uptabled SG806K 57 SG807K Kidney, Nephroptosis, Nephropexy 3B Existing SG807K 58 SG808K Kidney, Pelvi-ureteric Junction Obstruction, Open 5C Existing SG808K Pyeloplasty/Ureterocalycostomy 59 SG809K Kidney, Perinephric Abscess, Drainage (Open) 3B Existing SG809K 60 SG810K Kidney, Pyonephrosis, Drainage (Open) 3B Existing SG810K 61 SG811K Kidney, Pyonephrosis, Nephrostomy/Pyelostomy 3B Existing SG811K (Open) 62 SG713K Kidney, Renal abscess / Perinephric Abscess, 2A Existing SG713K Imaging Guided Percutaneous Aspiration

A-3-59 CONFIDENTIAL

SG – URINARY

S/N New Description Table Classification Current code code 63 SG712K Kidney, Renal abscess / Perinephric Abscess, 2C Existing SG712K Imaging Guided Percutaneous Drainage 64 SG812K Kidney, Staghorn Calculus, Nephrolithotomy or 5C Existing SG812K percutaneous nephrostolithotomy (PCNL) 65 SG714K Kidney, Stones, Imaging Guided Percutaneous 3B Existing SG714K Renal Stones Removal 66 SG715K Kidney, Tumour, Laparoscopic Guided 4A Existing SG715K Percutaneous Local Ablation (Radiofrequency, Cryotherapyetc) 67 SG813K Kidney, Various Lesions, Biopsy (closed) 1B Existing SG813K 68 SG814K Kidney, Various Lesions, Biopsy (open) 3A Existing SG814K 69 SG716K Kidney, Various Lesions, Check Nephrostogram 1A Existing SG716K 70 SG815K Kidney, Various Lesions, Exploration 3A Existing SG815K 71 SG719K Kidney, Various lesions, Imaging Guided 2A Existing SG719K Percutaneous Biopsy (Focal lesions, targeted) 72 SG717K Kidney, Various Lesions, Imaging guided 1C Existing SG717K Percutaneous Biopsy (Renal parenchyma, non directed) 73 SG720K Kidney, Various Lesions, Partial Nephrectomy, 6A Existing SG720K laparascopic 74 SG721K Kidney, Various Lesions, Partial Nephrectomy, 5C Existing SG721K open 75 SG718K Kidney, Various Lesions, Percutaneous 1C Existing SG718K Antegrade Nephrostography (PCN) 76 SG710K Kidney, Various Lesions, Radical Nephrectomy, 6A Existing SG710K Laparoscopic 77 SG722K Kidney, Various Lesions, Simple Nephrectomy, 4C Existing SG722K laproscopic 78 SG816K Kidney, Various Lesions, Simple Nephrectomy, 4B Existing SG816K open 79 SG723K Kidney/Ureter, Endopyelotomy (percutaneous) 4B Existing SG723K 80 SG724K Kidney/Ureter, Pyeloplasty, Bilateral 6A Existing SG724K Open/Laparoscopic 81 SG725K Kidney/Ureter, Pyeloplasty, Unilateral 5A Existing SG725K Open/Laparoscopic 82 SG726K Kidney/Ureter, Retrograde Intrarenal Surgery or 2C Existing SG726K RIRS using flexible ureteroscopy (diagnostic) 83 SG727K Kidney/Ureter, Retrograde Intrarenal Surgery or 4A Existing SG727K RIRS using flexible ureteroscopy (therapeutic - e.g. lithotripsy and/or basket extraction of stones) 84 SG703P Prostate Gland, Laser Transurethral Resection of 5A Existing SG703P Prostate (TURP), Large gland > 30gm 85 SG701P Prostate Gland, Laser Transurethral Resection of 4A Existing SG701P Prostate (TURP), Small gland < 30gm 86 SG700P Prostate Gland, Various Lesions, Transurethral 4B Existing SG700P Resection of Prostate (TURP) (less than 30 gm) 87 SG702P Prostate Gland, Various Lesions, Transurethral 5C Existing SG702P Resection of Prostate (TURP) (more than 30 gm) 88 SG702U Ureter, Calculus, Ultrasound Lithotripsy 4A Existing SG702U 89 SG801U Ureter, Calculus, Ureterolithotomy 4A Existing SG801U 90 SG832U Ureter, Calculus, Ureterolithotomy 4B New - (laparoscopic/robotic) 91 SG802U Ureter, Cutaneous Ureterostomy, Closure 2C Existing SG802U A-3-60 CONFIDENTIAL

SG – URINARY

S/N New Description Table Classification Current code code 92 SG700U Ureter, Cystoscopy and insertion of double J stent 2C Existing SG700U 93 SG701U Ureter, Extra Corporeal Shockwave Lithotripsy 4A Existing SG701U (ESWL) for ureteric stone 94 SG803U Ureter, Previous Diversion, Revision 6A Existing SG803U 95 SG704U Ureter, Stricture, Percutaneous Antegrade 2B Existing SG704U Balloon Dilatation 96 SG709U Ureter, Ureteroscopy 2C Existing SG709U 97 SG800U Ureter, Ureteroscopy and lithotripsy 4A Existing SG800U 98 SG706U Ureter, Various Lesions, Reimplantation, Bilateral 5A Existing SG706U 99 SG807U Ureter, Various Lesions, Reimplantation, 4A Existing SG807U Unilateral 100 SG804U Ureter, Various Lesions, Boari Flap 5C Existing SG804U Reimplantation 101 SG805U Ureter, Various Lesions, Intestinal Conduit 5C Existing SG805U 102 SG707U Ureter, Various lesions, Percutaneous Antegrade 2C Existing SG707U Insertion of Double J Stent 103 SG806U Ureter, Various Lesions, Reduction Ureteroplasty 5C Existing SG806U 104 SG808U Ureter, Various Lesions, Repair 4A Existing SG808U 105 SG809U Ureter, Various Lesions, Replacement By Bowel 5C Existing SG809U 106 SG810U Ureter, Various Lesions, Ureterocalycostomy 5C Existing SG810U 107 SG811U Ureter, Various Lesions, Ureterostomy 3C Existing SG811U 108 SG812U Ureter, Various Lesions, Ureterotomy/Insertion of 3B Existing SG812U Double J Stent 109 SG813U Ureter, Various Lesions, Ureteroureterostomy 4B Existing SG813U 110 SG814U Urethra, Excision of urethral diverticulum 3B Existing SG814U 111 SG711U Urethra, Excision of urethral diverticulum, with 4A Existing SG711U Martius flap 112 SG815U Urethra, Fistula, Closure 2C Existing SG815U 113 SG816U Urethra, Injury, Repair/Urethroplasty of Anterior 4A Existing SG816U Urethra 114 SG817U Urethra, Meatal Stenosis, Meatotomy 1B Existing SG817U 115 SG703U Urethra, Mid-urethral slings 3A Existing SG703U 116 SG818U Urethra, Prolapse, Excision 1B Existing SG818U 117 SG819U Urethra, Stricture, Dilatation MSP Existing SG819U 118 SG820U Urethra, Stricture, Urethral Wall Stenting 2C Existing SG820U 119 SG821U Urethra, Stricture, Urethrotomy 2C Existing SG821U 120 SG705U Urethra, Substitution urethroplasty - flap or graft 5C Existing SG705U 121 SG822U Urethra, Urethro-rectal Fistula, Closure 4B Existing SG822U 122 SG712U Urethra, Urethroscopy, with related procedures 1B Existing SG712U 123 SG823U Urethra, Valves/Membrane, Resection 3B Existing SG823U (endoscopic) 124 SG824U Urethra, Valves/Membrane, Resection (open) 4A Existing SG824U 125 SG825U Urethra, Various Lesions, Anterior Urethroplasty 4B Existing SG825U 126 SG826U Urethra, Various Lesions, Excision 3B Existing SG826U 127 SG827U Urethra, Various Lesions, Posterior Urethroplasty 5C Existing SG827U 128 SG828U Urethra, Various Lesions, Staged Urethroplasty 3B Existing SG828U (each stage) 129 SG829U Urethra, Various Lesions, Transpubic 5A Existing SG829U Urethroplasty 130 SG830U Urethra, Various Lesions, Urethropexy 3A Existing SG830U

A-3-61 CONFIDENTIAL

SG – URINARY

S/N New Description Table Classification Current code code 131 SG831U Urethra, Various Lesions, Urethrotomy 2C Existing SG831U

A-3-62 CONFIDENTIAL

SH – MALE GENITAL

S/N New Description Table Classification Current code code 1 SH700G Genital Tract, Various Lesions, MSP Existing SH700G Hysterosalpingography 2 SH800M Male Genitalia, Transsexualism (Transvestism), 5A Existing SH800M Sex Reassignment (Male to Female) 3 SH801M Male Genitalia, Transsexualism (Transvestism), 6B Existing SH801M Sex Reassignment with Mammoplasty (Male to Female) 4 SH800P Penis, Epispadias, Repair involving Bladder 4C Existing SH800P Neck Closure 5 SH801P Penis, Epispadias, Repair Not involving 3B Existing SH801P Sphincter (each stage) 6 SH700P Penis, Glanular hypospadias: meatoplasty and 2A Existing SH700P circumcision 7 SH802P Penis, Hypospadias, Correction of Chordee 2C Existing SH802P 8 SH803P Penis, Hypospadias, Correction of Chordee with 3B Existing SH803P Transplantation of Prepuce 9 SH804P Penis, Hypospadias, Meatotomy & 1B Existing SH804P Hemicircumcision 10 SH805P Penis, Hypospadias, Secondary Correction 2C Existing SH805P 11 SH806P Penis, Hypospadias, Urethral Reconstruction 4A Uptabled SH806P 12 SH807P Penis, Hypospadias, Urethral Reconstruction & 5C Existing SH807P Correction of Chordee 13 SH701P Penis, Paraphimosis/Phimosis, Reduction MSP Existing SH701P 14 SH808P Penis, Paraphimosis/Phimosis/Reduction 1B Existing SH808P Prepuce, Circumcision 15 SH809P Penis, Penile Warts, Laser Vaporisation 1B Existing SH809P 16 SH702P Penis, Peyronie's Disease - incision and grafting 3C Existing SH702P 17 SH810P Penis, Peyronie's Disease, Operation 2C Existing SH810P 18 SH811P Penis, Priapism, Decompression (Shunt Op) 3C Existing SH811P 19 SH812P Penis, Priapism, Decompression (Single) 1B Existing SH812P 20 SH703P Penis, Removal of "penile" implant 3B Existing SH703P 21 SH813P Penis, Sex Reassignment (Female to Male), 2B Existing SH813P Implantation of Penile Prosthesis 22 SH814P Penis, Trauma (Amputation), Microvascular 7C Existing SH814P Reattachment 23 SH815P Penis, Trauma, Reconstruction (1st Stage) 6B Existing SH815P 24 SH816P Penis, Trauma, Reconstruction (2nd Stage) 5A Existing SH816P 25 SH817P Penis, Trauma, Repair of Avulsion 4A Existing SH817P 26 SH818P Penis, Trauma, Repair of Laceration/Fracture 2C Existing SH818P Involving Cavernous Tissue 27 SH704P Penis, Tumor, Amputation (Partial) + bilateral 5C Existing SH704P radical LN dissection 28 SH820P Penis, Tumor, Amputation (Total) 4A Existing SH820P 29 SH821P Penis, Tumor, Amputation (total) with Block 5C Existing SH821P Dissection 30 SH819P Penis, Tumour, Amputation (Partial) 3A Uptabled SH819P 31 SH822P Penis, Various Lesions, Androscopic MSP Existing SH822P examination 32 SH823P Penis, Various Lesions, Excision 1B Existing SH823P 33 SH824P Penis, Various Lesions, Injection MSP Existing SH824P 34 SH825P Penis, Various Lesions, Insertion of Penile 5A Existing SH825P Prosthesis A-3-63 CONFIDENTIAL

SH – MALE GENITAL

S/N New Description Table Classification Current code code 35 SH826P Prostate Gland, Abscess, 2C Existing SH826P Retropubic/Endoscopic Drainage 36 SH827P Prostate Gland, Hypertrophy, Insertion of 2C Existing SH827P Prostatic Stent 37 SH705P Prostate Gland, Prostate IMRT (intensity 2C Existing SH705P modulated radiation therapy) gold seeds insertion 38 SH832P Prostate Gland, Prostate, Benign Hyperplasia, 3B Existing SH832P Transurethral microwave thermotherapy (TUMT) 39 SH829P Prostate Gland, Simple Prostatectomy 4B Existing SH829P (open/laparoscopic/robotic) 40 SH830P Prostate Gland, Various Lesions, Radical 6A Existing SH830P Prostatectomy (open/laparascopic/robotic) 41 SH835P Prostate Gland, Various Lesions, Saturation 2A New - Prostate Biopsy 42 SH831P Prostate Gland, Various Lesions, Saturation 1B Description SH831P Robotic Transrectal/Transperineal Biopsy Change 43 SH833P Prostate Gland, Various Lesions, Trans-Rectal 1A New - Ultrasound (TRUS) 44 SH834P Prostate Gland, Various Lesions, Trans-Rectal 1B New - Ultrasound (TRUS) guided biopsy 45 SH804T Scrotum, Exploration, Detorsion of testis and 2A Existing SH804T bilateral testes fixation 46 SH801S Scrotum, Hydrocele/Varicocele (Bilateral) 3A Existing SH801S 47 SH802S Scrotum, Hydrocele/Varicocele (Unilateral) 2B Existing SH802S 48 SH800S Spermatic Cord, Hydrocele, Tapping MSP Existing SH800S 49 SH803S Spermatic Cord, Spermatocele/Epididymal Cyst, 2A Uptabled SH803S Excision 50 SH804S Spermatic Cord, Various Lesions, 2A Uptabled SH804S Epididymectomy 51 SH700T Testis, Torsion testis, orchidectomy done with 2B Existing SH700T fixation of contralateral testis 52 SH800T Testis, Tumor, Retroperitoneal Lymph Node 5C Existing SH800T Dissection following Orchidectomy 53 SH801T Testis, Undescended/Ectopic (bilateral), 4A Existing SH801T Orchidopexy/Transplantation with Hernia Repair 54 SH802T Testis, Undescended/Ectopic (unilateral), 3B Existing SH802T Orchidopexy/Transplantation with Hernia Repair 55 SH803T Testis, Undescended/Ectopic, Orchidopexy with 5C Existing SH803T Microvascular Anastomosis 56 SH702T Testis, Variocoele, Spermatic Vein Embolisation 4A Existing SH702T 57 SH805T Testis, Various Lesions, Biopsy 1C Existing SH805T 58 SH806T Testis, Various Lesions, Exploration/Repair 1C Existing SH806T 59 SH807T Testis, Various Lesions, Insertion of Testicular 3A Existing SH807T Prosthesis 60 SH808T Testis, Various Lesions, Orchidectomy (simple) 2B Existing SH808T 61 SH701T Testis, Various Lesions, Orchidectomy (simple) 3C Existing SH701T (laparoscopic) 62 SH809T Testis, Various Lesions, Orchidectomy with 3A Existing SH809T Complete Excision of Spermatic Cord 63 SH810T Testis, Various Lesions, Orchidoplasty 1C Existing SH810T 64 SH700U Urethra, Examination under anaesthesia / 1A Existing SH700U urethral dilatation A-3-64 CONFIDENTIAL

SH – MALE GENITAL

S/N New Description Table Classification Current code code 65 SH800V Vas Deferens, Various Lesions, Exploration 5C Existing SH800V (Microsurgical) and Testicular Biopsy 66 SH801V Vas Deferens, Various Lesions, Reanastomosis 4C Existing SH801V (Microsurgical) 67 SH802V Vas Deferens, Various Lesions, Varicocelectomy 3C Existing SH802V (Microsurgical) 68 SH803V Vas Deferens, Various Lesions, Vasectomy 1C Existing SH803V 69 SH804V Vas Deferens, Various Lesions, 1B Existing SH804V Vasoepididymography & Vasovesiculography 70 SH805V Vas Deferens, Various Lesions, 5C Existing SH805V Vasoepididymostomy (Microsurgical)

A-3-65 CONFIDENTIAL

SI – FEMALE GENITAL

S/N New Description Table Classification Current code code 1 SI700C Cervix, Cancer, Radical trachelectomy 5B Existing SI700C with/without lymphadenectomy 2 SI802C Cervix, Cervical Incompetence, Cerclage 2B Existing SI802C 3 SI701C Cervix, Cervical Incompetence, Removal of 1C Existing SI701C Suture 4 SI803C Cervix, Cervical Intraepithelial Neoplasia, Cone 3A Existing SI803C Biopsy with/without laser 5 SI804C Cervix, Ectropion, Amputation/Repair of Cervix 3B Existing SI804C (Trachelorrhaphy) 6 SI801C Cervix, Polyp, Excision (Outpatient) MSP Existing SI801C 7 SI805C Cervix, Polyp, Excision/Erosion (complicated) 2B Existing SI805C includes D&C with Biopsy 8 SI806C Cervix, Polyp, Excision/Erosion (simple) with 1B Existing SI806C Biopsy 9 SI807C Cervix, Polyp/Erosion, Laser Therapy without 1B Existing SI807C Colposcopy 10 SI808C Cervix, Stenosis, Dilatation 1B Existing SI808C 11 SI809C Cervix, Tear, Repair under Anesthesia 1C Existing SI809C 12 SI800C Cervix, Tear, Simple Repair Without Anesthesia MSP Existing SI800C 13 SI702C Cervix, Transcervical resection (TCR) Myoma 3A Existing SI702C (<3cm), hysteroscopic 14 SI703C Cervix, Transcervical resection (TCR) Myoma 3B Existing SI703C (>3cm), hystereoscopic 15 SI704C Cervix, Transcervical resection (TCR) Polyp 2B Existing SI704C (<2cm), hysteroscopic 16 SI705C Cervix, Transcervical resection (TCR) Polyp 2C Existing SI705C (>2cm), hysteroscopic 17 SI706C Cervix, Transcervical resection (TCR) Septum, 3A Existing SI706C hysteroscopic 18 SI811C Cervix, Various Lesions, Colposcopy MSP Existing SI811C 19 SI810C Cervix, Various Lesions, Colposcopy and Biopsy 1C Existing SI810C 20 SI707C Cervix, Various Lesions, Colposcopy, Laser 2A Existing SI707C Vapourisation/Loop Electrosurgical Excision Procedure/Laser Excision of Transformation Zone with Biopsy 21 SI812C Cervix, Various Lesions, Cryosurgery MSP Existing SI812C 22 SI813C Cervix, Various Lesions, Punch Biopsy 1A Existing SI813C 23 SI814C Clitoris, Clitoromegaly, Amputation 2C Existing SI814C 24 SI700F Fallopian Tube, Blocked tube, Fluoroscopic 2C Existing SI700F Transcervical Fallopian Tubal Recanalisation (FTR) 25 SI801F Fallopian Tube, Blocked Tubes, Cornual 5C Existing SI801F Reanastomosis (microsurgery/laparoscopic/Robotic) 26 SI802F Fallopian Tube, Blocked Tubes, Plastic Repair 5C Existing SI802F (microsurgery/laparoscopic/Robotic) 27 SI803F Fallopian Tube, Blocked Tubes, Plastic Repair / 4C Existing SI803F Salpingostomy (macrosurgery) 28 SI701F Fallopian Tube, Blocked Tubes, Tubal 5C Existing SI701F Reanastomosis, MIS 29 SI800F Fallopian Tube, Blocked Tubes, Tuboplasty, 3B Existing SI800F Recanalisation, Hysteroscopic

A-3-66 CONFIDENTIAL

SI – FEMALE GENITAL

S/N New Description Table Classification Current code code 30 SI804F Fallopian Tube, Completed Family, 2B Existing SI804F Division/Ligation 31 SI805F Fallopian Tube, Ectopic Gestation, Laparotomy 3B Existing SI805F 32 SI702F Fallopian Tube, Falloposcopy 2B Existing SI702F 33 SI807F Fallopian Tube, Peritubal Adhesions, 4A Existing SI807F Salpingolysis (macrosurgery) 34 SI806F Fallopian Tube, Peritubal Adhesions, 5C Existing SI806F Salpingolysis (microsurgery/Robotic) 35 SI703F Fallopian Tube, Sterilization, Hysteroscopic 2B Existing SI703F 36 SI704F Fallopian Tube, Sterilization, MIS 2B Existing SI704F 37 SI808F Fallopian Tube, Tubal Pathology other than 4A Existing SI808F Ectopic, Salpingectomy/ Salpingostomy 38 SI705F Fallopian Tube, Tubal Pathology, Salpingectomy, 3C Existing SI705F MIS/Robotic 39 SI809F Fallopian Tube, Tubo-Ovarian Abscess, 3B Existing SI809F Drainage(transabdominal) 40 SI706F Fallopian tube/uterus/ovary, Laparoscopy, 3B Existing SI706F Diagnostic, with Hydrotubation 41 SI707F Fallopian tube/uterus/ovary, Laparoscopy, 4B Existing SI707F Therapeutic (with laser) 42 SI810F Female Genitalia, Transsexualism (Transvestism), 5A Existing SI810F Sex Reassignment (Female to Male) 43 SI811F Female Genitalia, Transsexualism (Transvestism), 6B Existing SI811F Sex Reassignment with Mastectomy (Female to Male) 44 SI800G Genital Tract, Cancer, Staging under General 1C Existing SI800G Anesthesia (includes Cystoscopy/Dilatation & Curettage/Biopsy) 45 SI801G Genital Tract, Pelvic Cyst, Ultrasound Guided 2C Existing SI801G Procedure-Aspiration 46 SI700L Laparoscopy, Therapeutic, except for Retrieval 3C Existing SI700L and Placement of Gametes and Placement of Embryos 47 SI701L Laparotomy Debulking (Advanced Disease - 6A Existing SI701L Primary/Recurrent) 48 SI703O Ovarian Veins, Pelvic Congestion Syndrome, 3B Existing SI703O Ovarian Vein Embolisation 49 SI702O Ovary, Malignant Tumor/Cyst, Staging 3C Existing SI702O Laparotomy, as the only procedure 50 SI800O Ovary, Malignant Tumor/Cyst, Total Hysterectomy 5C Existing SI800O Bilateral Salpingo-Oophorectomy with Omentectomy, Surgical Staging with/without Lymphadenectomy 51 SI801O Ovary, Tumor/Cyst, Aspiration except for Ovum 3B Existing SI801O Retrieval 52 SI802O Ovary, Tumor/Cyst, Cystectomy (complicated) 4A Existing SI802O (>5cm) 53 SI803O Ovary, Tumor/Cyst, Cystectomy (simple) (<5cm) 3B Existing SI803O 54 SI804O Ovary, Tumor/Cyst, Hysterectomy with Salpingo- 4A Existing SI804O Oophorectomy 55 SI806O Ovary, Tumor/Cyst, Oophorectomy/Salpingo- 4A Existing SI806O Oophorectomy (complicated)

A-3-67 CONFIDENTIAL

SI – FEMALE GENITAL

S/N New Description Table Classification Current code code 56 SI805O Ovary, Tumor/Cyst, Oophorectomy/Salpingo- 3B Existing SI805O Oophorectomy (simple) 57 SI700O Ovary, Tumor/Cyst, Ovarian Cystectomy, MIS 4B Existing SI700O /robotic(Complicated) (>5cm) 58 SI701O Ovary, Tumor/Cyst, Ovarian 3C Existing SI701O Cystectomy,MIS/robotic (Simple) (<5cm) With Biopsy 59 SI807O Ovary, Various Lesions, Biopsy 3A Existing SI807O 60 SI808O Ovary, Various Lesions, Ovariopexy 3B Existing SI808O 61 SI809O Ovary, Various Lesions, Ovarioplasty, 6B Existing SI809O Laparotomy/Laparoscopy (using microsurgical techniques)/robotic 62 SI810O Ovary, Various Lesions, Wedge Resection 3B Existing SI810O 63 SI700P Pelvic Floor Reconstruction, MIS/robotic 4C Existing SI700P 64 SI701P Pelvis, Artery / Vein, Ligation / Occlusion 3C Existing SI701P 65 SI702P Pelvis, Frozen/Dense Pelvic Adhesions, 5A Existing SI702P Conservative Reconstruction of ovaries, tubes, uterus, pelvic floor 66 SI703P Pelvis, Malignant, Second Look Laparotomy 4A Existing SI703P 67 SI800P Pelvis, Various Lesions, Examination under 1A Existing SI800P Anesthesia 68 SI800U Urethra, Caruncle/Polyp, Excision/Laser 1C Existing SI800U Vaporisation 69 SI801U Urethra, Stenosis, Dilatation 1A Downtabled SI801U 70 SI802U Uterus, Benign Conditions, Sub-Total 4A Existing SI802U Hysterectomy with/without Salpingo- Oophorectomy 71 SI702U Uterus, Benign Conditions, Total Abdominal 4C Existing SI702U Hysterectomy with/without Salpingo- Oophorectomy and Pelvic Floor Repair (combined operation) 72 SI803U Uterus, Benign Conditions, Total Hysterectomy 4A Existing SI803U with/without Salpingo-Oophorectomy 73 SI804U Uterus, Broad Ligament Tumor, Hysterectomy 5C Existing SI804U 74 SI806U Uterus, Congenital Organ Abnormality, Plastic 6A Existing SI806U Repair including Metroplasty 75 SI807U Uterus, Contraception, Intrauterine Contraceptive MSP Existing SI807U Device Insertion 76 SI808U Uterus, Delayed Menstruation, Menstrual MSP Existing SI808U Regulation 77 SI809U Uterus, Displaced Intrauterine Contraceptive 2A Existing SI809U Device, Removal under General Anesthesia 78 SI810U Uterus, Displaced Intrauterine Contraceptive MSP Existing SI810U Device, Removal Without General Anaesthesia 79 SI705U Uterus, Elongated Cervix, Cystocoele, 4B Existing SI705U Rectocoele, Amputation of Cervix + Anterior Repair + Posterior Repair 80 SI706U Uterus, Endometrial Ablation (balloon) 2B Existing SI706U 81 SI707U Uterus, Endometrial Ablation (hysteroscopic) 2C Existing SI707U 82 SI811U Uterus, Endometrial, Biopsy without General MSP Existing SI811U Anaesthesia 83 SI812U Uterus, Endometriosis, Hysterectomy with/without 5C Existing SI812U Salpingo-Oophorectomy A-3-68 CONFIDENTIAL

SI – FEMALE GENITAL

S/N New Description Table Classification Current code code 84 SI813U Uterus, Fetal Disorder, Ultrasound Guided Fetal 2C Existing SI813U Blood Sampling/Cordocentesis 85 SI814U Uterus, Fetal Disorder, Ultrasound Guided Fetal 4A Existing SI814U Therapy 86 SI703U Uterus, Fetal Surgery 3B Existing SI703U 87 SI815U Uterus, Fibroids, Myomectomy (complicated) 5A Existing SI815U (>5cm) 88 SI816U Uterus, Fibroids, Myomectomy (simple) (<5cm) 3B Existing SI816U 89 SI708U Uterus, Fibroids, Myomectomy, MIS 5A Existing SI708U (Complicated) (>5cm) 90 SI709U Uterus, Fibroids, Myomectomy, MIS (Simple) 3C Existing SI709U (<5cm) 91 SI710U Uterus, Fibroids, Uterine Artery Embolization 3C Existing SI710U 92 SI704U Uterus, Foetoscopy 4A Existing SI704U 93 SI817U Uterus, Genetic Abnormality, Ultrasound Guided 1C Existing SI817U Chorionic Biopsy 94 SI818U Uterus, Genetic Abnormality/Fetal Maturity, 1C Existing SI818U with/without Ultrasound Guided Amniocentesis 95 SI819U Uterus, Gravid, Evacuation (complicated) 2B Existing SI819U 96 SP819U Uterus, Gravid, Evacuation (complicated) 2B Existing SP819U 97 SI820U Uterus, Gravid, Evacuation (simple/TOP) 2A Existing SI820U 98 SP820U Uterus, Gravid, Evacuation (simple/TOP) 2A Existing SP820U 99 SI821U Uterus, Gravid, Hysterectomy 4A Existing SI821U 100 SI822U Uterus, Gravid, Hysterotomy 4A Existing SI822U 101 SI711U Uterus, Hysterectomy & Pelvic 6A Existing SI711U Lymphadenectomy, MIS 102 SI805U Uterus, Hysterectomy, Frozen Pelvis 5C Existing SI805U 103 SI712U Uterus, Hysterectomy, MIS (Complicated) (>12 5A Existing SI712U weeks) 104 SI713U Uterus, Hysterectomy, MIS (Simple) (<12 weeks) 4B Existing SI713U 105 SI714U Uterus, Intrauterine Insemination MSP Existing SI714U 106 SI823U Uterus, Inversion, Repositioning 3C Existing SI823U 107 SI715U Uterus, Laparoscopic ablation of Endometriosis, 3C Existing SI715U MIS (Simple) (As single procedure, not involving Rectum, Ureter) 108 SI716U Uterus, Lysis of Asherman's (Complicated), 3A Existing SI716U hysteroscopic 109 SI717U Uterus, Lysis of Asherman's (Simple), 2C Existing SI717U hysteroscopic 110 SI824U Uterus, Malignant Condition, Anterior Pelvic 6B Existing SI824U Exenteration 111 SI825U Uterus, Malignant Condition, Extended 5C Existing SI825U Hysterectomy with/without lymphadenectomy 112 SI826U Uterus, Malignant Condition, Posterior Pelvic 6B Existing SI826U Exenteration 113 SI827U Uterus, Malignant condition, Total Hysterectomy 5A Existing SI827U with/without salpingo-oophorectomy, with lymph node dissection (without ureteric dissection) 114 SI828U Uterus, Malignant Conditions, Total Hysterectomy 4A Existing SI828U with/without Salpingo-Oophorectomy 115 SI829U Uterus, Malignant Conditions, Total Pelvic 7C Existing SI829U Exenteration A-3-69 CONFIDENTIAL

SI – FEMALE GENITAL

S/N New Description Table Classification Current code code 116 SI830U Uterus, Malignant Conditions, Wertheim's 6B Existing SI830U Operation including pelvic lymphadenectomy 117 SI831U Uterus, Perforation, Repair 3C Existing SI831U 118 SI832U Uterus, Pregnancy and Multiparity, Lower 4B Existing SI832U Segment/Classical Caesarean Section and Tubal Ligation 119 SP832U Uterus, Pregnancy and Multiparity, Lower 4B Existing SP832U Segment/Classical Caesarean Section and Tubal Ligation 120 SI833U Uterus, Pregnancy, Assisted Vaginal Delivery ± 3A Existing SI833U Twins ± Breech 121 SP833U Uterus, Pregnancy, Assisted Vaginal Delivery ± 3A Existing SP833U Twins ± Breech 122 SI834U Uterus, Pregnancy, Caesarean Section 4A Existing SI834U (classical/lower segment) 123 SP834U Uterus, Pregnancy, Caesarean Section 4A Existing SP834U (classical/lower segment) 124 SI835U Uterus, Pregnancy, Caesarean Section with 5C Existing SI835U Hysterectomy 125 SP835U Uterus, Pregnancy, Caesarean Section with 5C Existing SP835U Hysterectomy 126 SI836U Uterus, Pregnancy, Vaginal Delivery (with or 2B Existing SI836U without episiotomy repair) 127 SP836U Uterus, Pregnancy, Vaginal Delivery (with or 2B Existing SP836U without episiotomy repair) 128 SI719U Uterus, Prolapse, Cystocoele, Rectocoele, 4B Existing SI719U Amputation of Cervix + Vaginal Sacrospinous Ligament Hysteropexy + Anteior Repair + Posterior Repair 129 SI720U Uterus, Prolapse, Cystocoele, Rectocoele, 4B Existing SI720U Transobturator Mesh + Transsacrospinous Ligament Mesh 130 SI721U Uterus, Prolapse, Cystocoele, Rectocoele, 4B Existing SI721U Vaginal Hysterectomy + Anterior Repair + Bilateral Salpingo-oophorectomy ± Posterior Repair 131 SI722U Uterus, Prolapse, Cystocoele, Rectocoele, 4B Existing SI722U Vaginal Sacrospinous Ligament Hysteropexy + Anterior Repair + Posterior Repair 132 SI837U Uterus, Prolapse, Vaginal Hysterectomy 4A Existing SI837U 133 SI723U Uterus, Prolapse, Vaginal Hysterectomy + 4B Existing SI723U Bilateral Salpingo-oophorectomy 134 SI838U Uterus, Retained Placenta, Manual Removal in 1B Existing SI838U OT/GA 135 SI839U Uterus, Retroversion, Ventrosuspension 3A Existing SI839U 136 SI840U Uterus, Ruptured, Repair (complicated) 4A Existing SI840U 137 SI841U Uterus, Ruptured, Repair (simple) 3B Existing SI841U 138 SI842U Uterus, Various Lesions, Curettage with 2C Existing SI842U Colposcopy/Biopsy/Diathermy/ Cryosurgery/Laser Therapy of Cervix 139 SI843U Uterus, Various Lesions, Curettage with/without 2A Existing SI843U Dilatation 140 SI724U Uterus/cervix, Hysteroscopic Cannulation 2B Existing SI724U A-3-70 CONFIDENTIAL

SI – FEMALE GENITAL

S/N New Description Table Classification Current code code 141 SI701U Uterus/cervix, Hysteroscopy, Diagnostic (without 1A Existing SI701U Anaesthesia) 142 SI700U Uterus/cervix, Hysteroscopy, diagnostic (with 1C Existing SI700U General Anesthesia) 143 SI725U Uterus/cervix, Hysteroscopy, Diagnostic, D&C 2B Existing SI725U 144 SI726U Uterus/vagina, Laparoscopic Reconstruction of 5C Existing SI726U Frozen Pelvis/Lateral Pelvic Wall Dissection; Extirpation of Rectovaginal Endometriosis 145 SI718U Uterus/vagina, Laparoscopically assisted vaginal 4B Existing SI718U hysterectomy (LAVH) with/without Pelvic Floor Repair (PFR) 146 SI800V Vagina, Atresia, Vaginoplasty 4B Existing SI800V 147 SI801V Vagina, Atresia/Stenosis, Dilatation 1B Existing SI801V 148 SI802V Vagina, Cystocoele, Anterior Repair / Kelly's 3B Existing SI802V Operation 149 SI700V Vagina, Cystocoele, Paravaginal Defect Repair 4A Existing SI700V (Abdominal) / Burch Colposuspension 150 SI701V Vagina, Cystocoele, Rectocoele, Anterior Repair / 3B Existing SI701V Kelly's Operation + Posterior Repair 151 SI702V Vagina, Cystocoele, Transobturator Mesh 3B Existing SI702V 152 SI703V Vagina, Enterocoele, Cystocoele, Rectocoele, 5A Existing SI703V Abdominal Sacrocolpopexy + Paravaginal Defect Repair/Burch Colposuspension + Posterior Repair 153 SI704V Vagina, Enterocoele, Cystocoele, Rectocoele, 4A Existing SI704V Vaginal Sacrospinous Ligament / Iliococcygeus Fixation + Anterior Repair + Posterior Repair 154 SI803V Vagina, Enterocoele, Repair/Vaginal Vault 5A Existing SI803V Suspension (abdominal) 155 SI804V Vagina, Fistula, Repair (complicated/Multiple) 5A Existing SI804V 156 SI805V Vagina, Fistula, Repair (simple) 4A Existing SI805V 157 SI806V Vagina, Foreign Body, Removal 1A Existing SI806V 158 SI807V Vagina, Incarcerated Pessary, Removal 2B Existing SI807V 159 SI705V Vagina, Intra-Epithelial Neoplasia 4B Existing SI705V Complete/Upper Vaginectomy 160 SI706V Vagina, Intra-Epithelial Neoplasia Vaginectomy 3C Existing SI706V (Partial) 161 SI808V Vagina, Lacerations (complex and involving anal 2C Existing SI808V sphincter) and Debridement/Suture under General Anaesthesia 162 SI809V Vagina, Lacerations (simple), Debridement/Suture 1C Existing SI809V (excludes Episiotomy) 163 SI810V Vagina, Malignant Condition, Vaginectomy 4B Existing SI810V 164 SI811V Vagina, Pelvic Abscess, Colpotomy and Drainage 2C Existing SI811V 165 SI812V Vagina, Prolapse, Colporrhaphy 4A Existing SI812V 166 SI813V Vagina, Prolapse, Insertion of Pessary MSP Existing SI813V 167 SI814V Vagina, Prolapse, Obliteration (Colpocleisis) 3B Existing SI814V 168 SI815V Vagina, Rectocoele, Posterior Repair 2C Existing SI815V 169 SI816V Vagina, Simple Tumor/Gartner's Cyst, Removal 2B Existing SI816V With Biopsy

A-3-71 CONFIDENTIAL

SI – FEMALE GENITAL

S/N New Description Table Classification Current code code 170 SI708V Vagina, Stress Incontience, Combined Prolapse, 4C Existing SI708V Total Abdominal Hysterectomy ± Bilateral Salpingo-oophorectomy + Burch Colposuspension/Paravaginal Defect Repair + Vault Suspension + Posterior Repair 171 SI818V Vagina, Stress Incontinence, Abdominal 4B Existing SI818V /combined Abdominovaginal Sling operations ( eg. Watkins Interposition, Aldridge sling and other pubovaginal sling operations) +/_ Cystoscopy 172 SI709V Vagina, Stress Incontinence, Combined Prolapse, 4B Existing SI709V Mid-Urethral Tape/Sling (± Cystoscopy) + Vaginal Hysterectomy + Anterior Repair + Posterior Repair 173 SI707V Vagina, Stress Incontinence, Cystocoele, 4B Existing SI707V Rectocoele, Mid-urethral Tape/Sling (± Cystoscopy) + Anterior Repair + Posterior Repair 174 SI817V Vagina, Stress Incontinence, Kelly's Operation +/- 3C Existing SI817V Anterior Repair. 175 SI710V Vagina, Tension Free Vaginal Tape (TVT/TVTO) 4A Uptabled SI710V 176 SI819V Vagina, Various Lesions, Biopsy 1A Existing SI819V 177 SI711V Vagina/rectum, Recto Vaginal Fistula, complex 5B Existing SI711V Rectal / Transperineal Approach with colostomy 178 SI712V Vagina/rectum, Recto Vaginal Fistula, complex 4C Existing SI712V Rectal / Transperineal Approach without colostomy 179 SI713V Vaginal Hysterectomy + Anterior Repair +/- 4A Existing SI713V Posterior Repair 180 SI714V Vaginal Septum, excision 2A Existing SI714V 181 SI820V Vulva, Abscess, Incision 1B Existing SI820V 182 SI821V Vulva, Atresia/Absence, Detachment of Skin 2B Existing SI821V Pedicle after Vaginoplasty 183 SI822V Vulva, Bartholin Cyst, Excision with/without use of 2B Existing SI822V Laser 184 SI823V Vulva, Bartholin Cyst, Incision/Marsupialization 1B Existing SI823V with or without use of Laser 185 SI824V Vulva, Chronic Dystrophy, Biopsy MSP Existing SI824V 186 SI826V Vulva, Hematoma, Evacuation <5cm (simple) 1A Existing SI826V 187 SI825V Vulva, Hematoma, Evacuation > 5cm 2A Existing SI825V (complicated/more than 1) 188 SI827V Vulva, Imperforate Hymen, Hymenectomy 1B Existing SI827V 189 SI715V Vulva, Labial Abnormality, Hymenoplasty 1B Existing SI715V 190 SI828V Vulva, Labial Abnormality, Labioplasty 1B Existing SI828V 191 SI830V Vulva, Laceration, Debridement/Suture <5cm MSP Existing SI830V (Simple) 192 SI829V Vulva, Laceration, Debridement/Suture >5cm 1C Existing SI829V (complicated/ more than 1) 193 SI716V Vulva, Malignant Condition Wide Local Excision 4B Existing SI716V with Skin Flap Closure 194 SI717V Vulva, Malignant Condition, Radical Vulvectomy + 6C Existing SI717V Groin + Pelvic Node Dissection 195 SI831V Vulva, Malignant Condition, Radical Vulvectomy 6B Existing SI831V with groin dissection and with or without skin flap closure A-3-72 CONFIDENTIAL

SI – FEMALE GENITAL

S/N New Description Table Classification Current code code 196 SI718V Vulva, Malignant Condition, Simple Vulvectomy + 5C Existing SI718V Groin Dissection 197 SI832V Vulva, Malignant Condition, Simple Vulvectomy 5A Existing SI832V with Skin Flap Closure 198 SI719V Vulva, Malignant Condition, Wide Local Excision 3C Existing SI719V 199 SI833V Vulva, Sebaceous Cyst/Epithelialcyst Etc, MSP Existing SI833V Exicision 200 SI834V Vulva, Tight Introitus, Fenton's Operation 1C Existing SI834V 201 SI835V Vulva, Warts, Laser Vaporisation 1B Existing SI835V 202 SI720V Vulva/Vagina, Various Lesions, Colposcopy and 1B Existing SI720V Laser Vaporisation

A-3-73 CONFIDENTIAL

SJ – ENDOCRINE

S/N New Description Table Classification Current code code 1 SJ700A Adrenal, Various Lesions, Adrenal Venous 3B Existing SJ700A Sampling 2 SJ800A Adrenals, Various Lesions, Biopsy/Excision (open 6B Existing SJ800A or lap) 3 SJ800P Parathyroid, Various Lesions, Excision 5C Existing SJ800P 4 SJ801P Parathyroid, Various Lesions, Re Exploration 6B Existing SJ801P 5 SJ700P Pituitary, Various lesions, Transphenoidal 7B Existing SJ700P transseptal or endoscopic 6 SJ802P Pituitary, Various Lesions, Transsphenoidal 7C Existing SJ802P Hypophysectomy with Resection of Nasal Septum & Grafting 7 SJ701P Pituitary, Various Lesions, Transsphenoidal 6B Existing SJ701P Hypophysectomy/Excision of Tumor 8 SJ800T Thyroglossal Duct, Cyst Fistula, Excision 3B Existing SJ800T 9 SJ801T Thyroid, Tumor, Excision 3B Existing SJ801T 10 SJ802T Thyroid, Various Lesions, 4A Existing SJ802T Hemithyroidectomy/Partial Thyroidectomy 11 SJ701T Thyroid, Various Lesions, Imaging Guided 1B Existing SJ701T Percutaneous Aspiration / Biopsy 12 SJ700T Thyroid, Various Lesions, Needle Biopsy MSP Existing SJ700T 13 SJ702T Thyroid, Various Lesions, Total Thyroidectomy 6A Existing SJ702T Complex (Recurrence) / with/without Sternal Split 14 SJ803T Thyroid, Various Lesions, Total/Subtotal 5C Existing SJ803T Thyroidectomy 15 SJ703T Thyroid, Various Lesions, Total/Subtotal 6C Existing SJ703T Thyroidectomy with Block Dissection (bilateral) 16 SJ804T Thyroid, Various Lesions, Total/Subtotal 6A Existing SJ804T Thyroidectomy with Block Dissection (unilateral)

A-3-74 CONFIDENTIAL

SK – NERVOUS

S/N New Description Table Classification Current code code 1 SK800A Artery, Arterio-Venous Fistula, Ligation 2A Existing SK800A 2 SK700A Artery, Carotico-Cavernous Fistula, Embolisation 6B Existing SK700A 3 SK701A Artery, Extracranial, Various Lesions, Balloon 3B Existing SK701A Test Occlusion 4 SK702A Artery, Extracranial, Various Lesions, Diagnostic 3A Existing SK702A Extracranial Angiography 5 SK703A Artery, Extracranial, Various Lesions, Infusion 3C Existing SK703A 6 SK704A Artery, Extracranial, Various Lesions, 4B Existing SK704A Percutaneous Transcatheter Embolization 7 SK705A Artery, Extracranial, Various Lesions, 4A Existing SK705A Percutaneous Transluminal Angioplasty 8 SK706A Artery, Extracranial, Various Lesions, Stenting 4B Existing SK706A 9 SK707A Artery, Intracranial, Aneurysm/Arterio-Venous 6B Existing SK707A Malformation, Embolisation 10 SK708A Artery, Intracranial, Thrombosis, Percutaneous 6B Existing SK708A Catheter Directed Thrombolysis/Thrombectomy 11 SK709A Artery, Intracranial, Tumour, Percutaneous 4B Existing SK709A Transcatheter Embolization 12 SK710A Artery, Intracranial, Various Lesions, Diagnostic 3A Existing SK710A Cerebral Angiography 13 SK711A Artery, Intracranial, Various Lesions, 6A Existing SK711A Percutaneous Transluminal Angioplasty 14 SK712A Artery, Intracranial, Various Lesions, Stenting 6B Existing SK712A 15 SK713A Artery, Spinal, Aneurysm/Arterio-Venous 6B Existing SK713A Malformation, Embolisation 16 SK714A Artery, Spinal, Tumour, Percutaneous 4B Existing SK714A Transcatheter Embolization 17 SK715A Artery, Spinal, Various Lesions, Diagnostic 3B Existing SK715A Angiography 18 SK716A Artery-Carotid, Aneurysm-repair/grafting 7B Existing SK716A 19 SK717A Artery-Carotid, Arterio-Occlusive Lesions, 7A Existing SK717A External Carotid Internal Carotid Bypass, Complex 20 SK801A Artery-Carotid, Arterio-Occlusive Lesions, 6B Existing SK801A External Carotid Internal Carotid Bypass, Simple 21 SK802A Artery-Carotid, Atherosclerosis, Carotid 6B Existing SK802A Endarterectomy 22 SK803A Artery-Carotid, Carotid Body Tumor, Excision 6C Existing SK803A 23 SK800B Brain and Spine, Arachnoidal Cyst, Operation 6B Existing SK800B 24 SK700B Brain, Acoustic Tumor/Cerebello-Pontine Angle 7C Existing SK700B Tumor, Excision, complex 25 SK801B Brain, Acoustic Tumor/Cerebello-Pontine Angle 7A Existing SK801B Tumor, Excision, simple 26 SK701B Brain, Aneurysm/Arterio-Venous Malformation, 7A Existing SK701B Clipping/Excision, Complex 27 SK802B Brain, Aneurysm/Arterio-Venous Malformation, 6C Existing SK802B Clipping/Excision, Simple 28 SK803B Brain, Carotico-Cavernous Fistula, Extracranial 7B Existing SK803B and Intracranial Trapping 29 SK702B Brain, Cortical Stimulation/Mapping for Functional 7A Existing SK702B Neurosurgery 30 SK703B Brain, Deep Brain Stimulation, Bilateral 7C Existing SK703B

A-3-75 CONFIDENTIAL

SK – NERVOUS

S/N New Description Table Classification Current code code 31 SK704B Brain, Deep Brain Stimulation, Unilateral 7A Existing SK704B 32 SK705B Brain, Epilepsy, Craniotomy, Complex (awake 7A Existing SK705B craniotomy) 33 SK804B Brain, Epilepsy, Craniotomy, simple 6B Existing SK804B 34 SK805B Brain, Hydrocephalus and Other Lesions, 4A Existing SK805B Ventriculoatrial/ Ventriculoperitoneal Shunt 35 SK706B Brain, Hydrocephalus and Other Lesions, 4C Existing SK706B Ventriculoatrial/Ventriculoperitoneal Shunt, Bilateral 36 SK707B Brain, Hydrocephalus, External Ventricular 4A Existing SK707B Drainage, Bilateral 37 SK806B Brain, Hydrocephalus, External Ventricular 3B Existing SK806B Drainage, Unilateral 38 SK807B Brain, Hydrocephalus, Revision/Removal of Shunt 4A Existing SK807B 39 SK808B Brain, Hydrocephalus, Spino-peritoneal Shunt 4A Existing SK808B 40 SK809B Brain, Hydrocephalus, Third Ventriculostomy 6A Existing SK809B 41 SK708B Brain, Intracerebral Tumor, Biopsy and/or 7A Existing SK708B Decompression/Removal via Craniotomy, Complex 42 SK810B Brain, Intracerebral Tumor, Biopsy and/or 6B Existing SK810B Decompression/Removal via Craniotomy, Simple 43 SK811B Brain, Intracranial Abscess, Craniectomy and 6A Existing SK811B Drainage 44 SK812B Brain, Intracranial Abscess, Drainage via Burr- 4A Existing SK812B hole 45 SK813B Brain, Intracranial Abscess, Excision 6B Existing SK813B 46 SK709B Brain, Intracranial Extracerebral Tumor, 7A Existing SK709B Craniotomy & Removal, Complex 47 SK814B Brain, Intracranial Extracerebral Tumor, 6B Existing SK814B Craniotomy & Removal, Simple 48 SK710B Brain, Intracranial Extracerebral Tumor, 6B Existing SK710B Craniotomy/ Hemispherectomy 49 SK815B Brain, Intracranial Tumor/Intracranial Cyst, 5C Existing SK815B Biopsy/Drainage via Burr-hole 50 SK816B Brain, Tumor, Ventricular Puncture through Burr- 4C Existing SK816B hole 51 SK818B Brain, Various Lesions, Insertion of Ommaya 4A Existing SK818B Reservoir 52 SK711B Brain, Various Lesions, 6A Existing SK711B Pallidotomy/Thalamotomy/Other Stereotactic Procedure - Bilateral 53 SK817B Brain, Various Lesions, 6A Existing SK817B Pallidotomy/Thalamotomy/Other Stereotactic Procedure - Unilateral 54 SK712B Brain/Spine Endoscopic CSF (Cerebrospinal Fluid 6B Existing SK712B Leak) leak repair 55 SK700C Cervical Roots, Brachial plexus block - catheter 1C Existing SK700C 56 SK701C Cervical Roots, Brachial plexus block - injection 1B Existing SK701C 57 SK702C Cervical Roots, Brachial plexus, Brachial plexus 6B Existing SK702C injury, Exploration and Neurotisation and/or multiple nerve grafting/crossed nerve transfers 58 SK703C Cervical Roots, Brachial plexus, Brachial plexus 7B Existing SK703C injury, Exploration, neurolysis A-3-76 CONFIDENTIAL

SK – NERVOUS

S/N New Description Table Classification Current code code 59 SK701F Facial, Trigeminal block, neurolytic 2A Existing SK701F 60 SK700F Facial, Trigeminal ganglion injection, anaesthetic, 3A Existing SK700F Imaging Guided 61 SK702F Facial, Trigeminal ganglion, radiofrequency, 3C Existing SK702F neurolytic, Imaging guided 62 SK701L Lumbar, Lumbar plexus, catheter 1C Existing SK701L 63 SK702L Lumbar, Lumbar plexus, single 1B Existing SK702L 64 SK700L Lumbar, Lumbar sympathetic nerve 2B Existing SK700L block/thoracic/lumbar, anaesthetic, catheter, Imaging Guided, unilateral 65 SK703L Lumbar, Lumbar sympathetic; anaesthetic 1B Existing SK703L 66 SK704L Lumbar, Lumbar sympathetic; neurolytic 2A Existing SK704L 67 SK800M Meninges, Myelomeningocele, Excision of Sac 6A Existing SK800M 68 SK801M Meninges, Myelomeningocele, Extensive Repair 6B Existing SK801M with Skin Flaps/Z-plasty 69 SK713N Nerve (Lower Limb), Disruption, Major 6B Existing SK713N Reconstruction with Repair and/or Neurovascular Transfer 70 SK714N Nerve (Lower Limb), Disruption, Major Repair 4A Existing SK714N (single) 71 SK715N Nerve (Lower Limb), Entrapment Syndrome, 3C Existing SK715N Decompression 72 SK707N Nerve (Orofacial), Defect, Graft (Multiple) Using 6A Existing SK707N Microsurgical Techniques (include harvesting) 73 SK708N Nerve (Orofacial), Defect, Graft (Single)/Nerve 5A Existing SK708N Share, Using Microsurgical Techniques (include harvesting) 74 SK709N Nerve (Orofacial), Injury, Decompression 4A Existing SK709N (Multiple/Single Intraosseous) 75 SK710N Nerve (Orofacial), Injury, Decompression (Single) 3A Existing SK710N 76 SK711N Nerve (Orofacial), Injury, Microsurgical Repair 5A Existing SK711N (Multiple/ Single Intraosseous) 77 SK712N Nerve (Orofacial), Injury, Microsurgical Repair 4A Existing SK712N (Single) 78 SK717N Nerve (Upper Limb), Carpal Tunnel Syndrome, 3A Existing SK717N Release (unilateral) (with Endoneurolysis) 79 SK716N Nerve (Upper Limb), Carpal Tunnel Syndrome, 4A Existing SK716N Release, Bilateral, (with Endoneurolysis) 80 SK719N Nerve (Upper Limb), Defect, Graft (single) using 4B Existing SK719N microsurgical techniques 81 SK720N Nerve (Upper Limb), Defect, 6B Existing SK720N Grafting/Interfascicular Repair/Neurovascular Transfer 82 SK721N Nerve (Upper Limb), Entrapment Syndrome 3C Existing SK721N (others), Decompression (bilateral) 83 SK722N Nerve (Upper Limb), Entrapment Syndrome 3A Existing SK722N (others), Decompression (unilateral) 84 SK723N Nerve (Upper Limb), Entrapment Syndrome 4A Existing SK723N (others), Decompression with Nerve Transposition/Endoneurolysis 85 SK724N Nerve (Upper Limb), Guyon's Tunnel Syndrome, 4A Existing SK724N Release (bilateral with Endoneurolysis)

A-3-77 CONFIDENTIAL

SK – NERVOUS

S/N New Description Table Classification Current code code 86 SK725N Nerve (Upper Limb), Guyon's Tunnel Syndrome, 3A Existing SK725N Release (unilateral) 87 SK726N Nerve (Upper Limb)-major, Injury, Microsurgical 5C Existing SK726N Repair (multiple) 88 SK727N Nerve (Upper Limb)-major, Injury, Microsurgical 4B Existing SK727N Repair (single) 89 SK718N Nerve defect, peripheral graft (microsurgery) 5C Existing SK718N 90 SK700N Nerve Root, Various lesions, Imaging Guided 2B Existing SK700N Nerve root block (injection of anaesthetic, therapeutic substance) - Cervical, > 1 level 91 SK701N Nerve Root, Various lesions, Imaging Guided 2A Existing SK701N Nerve root block (injection of anaesthetic, therapeutic substance) - Cervical, 1 level 92 SK737N Nerve Root, Various lesions, Imaging Guided 2A Existing SK737N Nerve root block (injection of anaesthetic, therapeutic substance) - Lumbar / Thoracic, > 1 level 93 SK738N Nerve Root, Various lesions, Imaging Guided 1C Existing SK738N Nerve root block (injection of anaesthetic, therapeutic substance) - Lumbar / Thoracic, 1 level 94 SK728N Nerve Roots, Dorsal root ganglion, anaesthetic, 3A Existing SK728N cervical, Imaging Guided, one to two 95 SK729N Nerve Roots, Dorsal root ganglion, anaesthetic, 3C Existing SK729N Imaging Guided more than two 96 SK730N Nerve Roots, Dorsal root ganglion, anaesthetic, 2B Existing SK730N Imaging Guided, one to two 97 SK731N Nerve Roots, Dorsal root ganglion, 4C Existing SK731N radiofrequency, neurolytic , Imaging Guided, more than two 98 SK732N Nerve Roots, Dorsal root ganglion, 4B Existing SK732N radiofrequency, neurolytic, Imaging Guided, one to two 99 SK702N Nerve, Cervical plexus, single 1B Existing SK702N neurolytic/anaesthetic 100 SK703N Nerve, Coeliac Plexus, Various lesions, Imaging 2B Existing SK703N Guided Injection of Anaesthetic 101 SK705N Nerve, Coeliac Plexus, Various lesions, Imaging 2C Existing SK705N Guided Injection of Neurolytic 102 SK704N Nerve, Coeliac plexus; anaesthetic 2A Existing SK704N 103 SK706N Nerve, Coeliac plexus; neurolytic 2B Existing SK706N 104 SK733N Nerve, Peripheral nerve block, anaesthetic 1A Existing SK733N 105 SK734N Nerve, Peripheral Nerve block, anaesthetic up to 1A Existing SK734N 2 106 SK735N Nerve, Peripheral Nerve block, anaesthetic,more 1C Existing SK735N than 2 107 SK736N Nerve, Peripheral nerve block, neurolytic 1B Existing SK736N 108 SK739N Nerve, Peripheral Nerve block, neurolytic, cryo, 1C Existing SK739N radiofrequency up to 2 109 SK740N Nerve, Peripheral Nerve block, neurolytic, cryo, 2B Existing SK740N radiofrequency,more than 2 110 SK741N Nerve, Vagus Nerve Stimulator 6A Existing SK741N 111 SK800N Nerve, Various Lesions, Biopsy 1B Existing SK800N A-3-78 CONFIDENTIAL

SK – NERVOUS

S/N New Description Table Classification Current code code 112 SK801N Nerve, various lesions, primary/secondary suture 4A Existing SK801N 113 SK802N Nerve-Cranial, Various Lesions, Microvascular 6B Existing SK802N Decompression/Neurectomy 114 SK803N Nerve-Cutaneous, Injury, Primary Suture 3B Existing SK803N 115 SK744N Nerve-Digital, Injury, Microsurgical Repair 4B Existing SK744N (multiple) 116 SK745N Nerve-Digital, Injury, Microsurgical Repair (single) 2C Existing SK745N 117 SK804N Nerve-Digital, Injury, Primary Repair 2C Existing SK804N 118 SK805N Nerve-Facial (Mastoid Portion), Entrapment, 5C Existing SK805N Decompression 119 SK746N Nerve-facial Paralysis, free fascia and/or nerve 3B Existing SK746N graft (microsurgical – stage 1) 120 SK748N Nerve-facial paralysis, free fascia sling/graft 3A Existing SK748N (single/unilateral) 121 SK747N Nerve-facial Paralysis, free muscle flap 7B Existing SK747N (microsurgical – stage 2) 122 SK749N Nerve-facial paralysis, local muscle transfer 5A Existing SK749N 123 SK806N Nerve-Facial, Various Lesions, Combined Middle 7C Existing SK806N Fosa and Transmastoid Facial Nerve Decompression 124 SK807N Nerve-Peripheral (deep), Tumor, Excision 4A Existing SK807N 125 SK808N Nerve-Peripheral (superficial), Tumor, Excision 3A Existing SK808N 126 SK809N Nerve-Sympathetic, Various Lesions, 5A Existing SK809N Sympathectomy, with/without Video-assistance, Bilateral 127 SK810N Nerve-Sympathetic, Various Lesions, 4B Existing SK810N Sympathectomy, with/without Video-assistance, Unilateral 128 SK811N Nerve-Trigeminal (Ganglion), Neurolagia, 4B Existing SK811N Injection with alcohol/Radiofrequency Ganglionotomy, imaging guided 129 SK812N Nerve-Ulnar, Entrapment, Transposition 5A Existing SK812N 130 SK742N Neurostimulator, Insertion of Internal Pulse 4B Existing SK742N Generator, involves opening of wound, tunneling, opening of pouch for IPG & testing of system 131 SK743N Neurostimulator, Revision/Replacement of 3B Existing SK743N Implantable Pulse Generator (does not involve tunneling) 132 SK800P Plexus-Brachial, Injury, Exploration 6B Existing SK800P 133 SK706S Sacral root block, neurolytic, radiofrequency, 2C Existing SK706S Imaging Guided, up to 2 134 SK707S Sacral root block, neurolytic, radiofrequency, 4A Existing SK707S Imaging guided, up to 4 135 SK715S Sacro-iliac Joint, Various lesions, Imaging Guided 4A Existing SK715S radiofrequency – Bilateral 136 SK716S Sacro-iliac Joint, Various lesions, Imaging Guided 2B Existing SK716S Sacro-iliac Joint Block (injection of anaesthetic, therapeutic substance) - Bilateral 137 SK717S Sacro-iliac Joint, Various lesions, Imaging Guided 1B Existing SK717S Sacro-iliac Joint Block (injection of anaesthetic, therapeutic substance) - Unilateral 138 SK718S Sacro-iliac Joint, Various lesions, Imaging 3A Existing SK718S Guided, radiofrequency - Unilateral A-3-79 CONFIDENTIAL

SK – NERVOUS

S/N New Description Table Classification Current code code 139 SK708S Sacrum, Sacral ganglion, radiofrequency, Imaging 4B Existing SK708S Guided 140 SK709S Sacrum, Sacral ganglion, therapeutic, 3A Existing SK709S anaesthetic, Imaging Guided 141 SK710S Sciatic nerve block 1A Existing SK710S 142 SK721S Skull, Burr hole, Insertion of intracranial pressure 3B Existing SK721S (ICP) monitor 143 SK722S Skull, Chiari Malformation/syringomyelia, 7A Existing SK722S Posterior fossa decompression with duraplasty 144 SK800S Skull, Compound Fracture with Dural Penetration 6B Existing SK800S and Brain Damage, Operation 145 SK801S Skull, Compound Fracture without Dural 5C Existing SK801S Penetration, Operation 146 SK802S Skull, Craniostenosis (multiple suture), Operation 6B Existing SK802S 147 SK803S Skull, Craniostenosis (single suture), Operation 6A Existing SK803S 148 SK719S Skull, Craniostenosis, Operation, Craniofacial 7A Existing SK719S Reconstruction 149 SK804S Skull, Defect, Cranioplasty (large) 5C Existing SK804S 150 SK805S Skull, Defect, Cranioplasty (small) 5A Existing SK805S 151 SK806S Skull, Depressed/Comminuted Fracture, Elevation 5C Existing SK806S 152 SK807S Skull, Fracture with Rhinorrhoea/Otorrhoea, 6B Existing SK807S Cranioplasty and Repair 153 SK809S Skull, Intracranial Hemorrhage, Burr-hole 4A Existing SK809S Craniotomy (unilateral) 154 SK808S Skull, Intracranial Hemorrhage, Burr-hole 5A Existing SK808S Craniotomy, Bilateral 155 SK720S Skull, Intracranial Hemorrhage, Osteoplastic 6A Existing SK720S Craniotomy/Extensive Craniectomy, Bilateral 156 SK810S Skull, Intracranial Hemorrhage, Osteoplastic 5C Existing SK810S Craniotomy/Extensive Craniectomy, Unilateral 157 SK811S Skull, Osteomyelitis, Craniectomy 5C Existing SK811S 158 SK723S Sphenopalatine ganglion radiofrequency, Imaging 3C Existing SK723S Guided 159 SK812S Spinal Cord, Aneurysm/Arterio-Venous 7A Existing SK812S Malformation Clipping/ Excision 160 SK813S Spinal Cord, Intractable Pain, Injection of 4A Existing SK813S Alcohol/Phenol 161 SK814S Spinal Cord, Intractable Pain, Percutaneous 5C Existing SK814S Cordotomy 162 SK724S Spinal Cord, Stimulation/Modulation, 5C Existing SK724S Closed/Percutaneous 163 SK725S Spinal Cord, Stimulation/Modulation, Open 5C Existing SK725S 164 SK726S Spinal Cord, Tumours, laminectomy and excision 6B Existing SK726S (extradural) 165 SK727S Spinal Cord, Tumours, laminectomy and excision 6C Existing SK727S (intradural extramedullary) 166 SK728S Spinal Cord, Tumours, laminectomy and excision 7A Existing SK728S (intradural intramedullary) 167 SK729S Spinal- implant of electrical pump device 5C Existing SK729S 168 SK815S Spinal Nerve Roots, Various Lesions, Spinal 6C Existing SK815S Rhizolysis involving Exposure of Spinal Nerve Roots

A-3-80 CONFIDENTIAL

SK – NERVOUS

S/N New Description Table Classification Current code code 169 SK730S Spinal/Epidural removal, revision of implanted 2C Existing SK730S Reservoir device (e.g. PAR) 170 SK731S Spinal/Epidural, Epidural Adhesiolysis, multiple 3C Existing SK731S catheter, Thoracic, lumbar, Imaging Guided 171 SK732S Spinal/Epidural, Epidural Adhesiolysis, Single 4B Existing SK732S catheter, Cervical, Imaging guided 172 SK733S Spinal/Epidural, Epidural Adhesiolysis, single 3B Existing SK733S catheter, Thoracic / Lumbar Imaging Guided 173 SK700S Spinal/Epidural, Epidural Blood Patch 1B Existing SK700S 174 SK734S Spinal/Epidural, Epiduroscopy 2A Existing SK734S 175 SK703S Spinal/Epidural, Facet Joint, Various lesions, 2C Existing SK703S Imaging Guided Facet Joint Block (injection of anaesthetic, therapeutic substance) - Cervical / Lumbar / Thoracic, More than 3 joints 176 SK702S Spinal/Epidural, Facet Joint, Various lesions, 2B Existing SK702S Imaging Guided Facet Joint Block (injection of anaesthetic, therapeutic substance) - Cervical / Lumbar / Thoracic, Up to 3 joints 177 SK705S Spinal/Epidural, Facet Joint, Various lesions, 4A Existing SK705S Imaging Guided, Radiofrequency, Cervical/Lumbar/Thoracic, More than 3 joints 178 SK704S Spinal/Epidural, Facet Joint, Various lesions, 3C Existing SK704S Imaging Guided, Radiofrequency, Cervical/Lumbar/Thoracic, Up to 3 joints 179 SK735S Spinal/Epidural, Ganglion Impar Block, neurolytic, 3C Existing SK735S imaging guided 180 SK750S Spinal/Epidural, Nerve root, Neurolytic 2B Existing SK750S 181 SK751S Spinal/Epidural, Spinal cord, Neurolytic 2B Existing SK751S 182 SK701S Spinal/Epidural/Subarachnoic, Implant of Port eg 2B Existing SK701S Port-a-cath 183 SK711S Spine, Paravertebral anaesthetic,more than 2 2A Existing SK711S 184 SK712S Spine, Paravertebral, anaesthetic, Imaging 2B Existing SK712S Guided, more than 2 185 SK713S Spine, Paravertebral, anaesthetic, Imaging 1C Existing SK713S Guided up to 2 levels 186 SK714S Spine, Paravertebral, anaesthetic, up to 2 1B Existing SK714S 187 SK736S Spine, Percutaneous implant of spinal cord 4B Existing SK736S stimulator, (permanent) and electrical generator 188 SK737S Spine, Percutaneous implant of spinal cord 3B Existing SK737S Stimulator, (trial), single lead 189 SK738S Spine, Percutaneous implant of spinal cord 3C Existing SK738S stimulator,(trial), double leads 190 SK739S Spine, Removal of spinal cord stimulator electrical 3A Existing SK739S generator 191 SK740S Spine, Replacement of computerized reservoir 3B Existing SK740S device (e.g. Synchromed) 192 SK741S Spine, Replacement of spinal cord stimulator, 3B Existing SK741S electrical generator 193 SK742S Spine, Single injection, anaesthetic, blood, 1C Existing SK742S therapeutic substance, lumbar, caudal, simple 194 SK743S Spine, Various lesions, Imaging Guided Epidural / 2A Existing SK743S Spinal catheter / drain Insertion

A-3-81 CONFIDENTIAL

SK – NERVOUS

S/N New Description Table Classification Current code code 195 SK744S Spine, Various lesions, Imaging Guided Epidural 2A Existing SK744S Injection (anaesthetic, therapeutic substance) - Lumbar / Caudal 196 SK745S Spine, Various lesions, Imaging Guided Epidural 2C Existing SK745S Injection (anaesthetic, therapeutic substance) - Thoracic / Cervical 197 SK746S Spine, Various lesions, Imaging Guided Lumbar 1C Existing SK746S Puncture / Myelogram / Intrathecal chemotherapy 198 SK748S Spine, Various lesions, Spinal Catheter, Insertion 1C Existing SK748S 199 SK749S Spine, Various lesions, Spinal injections, single 1B Existing SK749S 200 SK747S Spine, Various Lesions, Syringo- 6A Existing SK747S arachnoid/pleural/peritoneal shunt 201 SK752S Splanchnic nerves, anaesthetic, Imaging Guided 2B Existing SK752S 202 SK753S Splanchnic nerves, radiofrequency, neurolytic, 2C Existing SK753S Imaging Guided 203 SK754S Stellate ganglion block, anaesthetic 1B Existing SK754S 204 SK755S Stellate ganglion, Various lesions, Imaging 2A Existing SK755S Guided Injection of Anaesthetic 205 SK756S Stellate ganglion, Various lesions, Imaging 2B Existing SK756S Guided Injection of Neurolytic 206 SK757S Superior Hypogastric Plexus, Various lesions, 2B Existing SK757S Imaging Guided Injection of Anaesthetic 207 SK758S Superior Hypogastric Plexus, Various lesions, 3B Existing SK758S Imaging Guided Injection of Neurolytic, radiofrequency 208 SK702T Thorax, Intercostal nerve, Block - Neurolytic 2A Existing SK702T 209 SK700T Thorax, Intercostal nerve, Block, anaesthetic 1C Existing SK700T more than 3 levels 210 SK701T Thorax, Intercostal nerve, Block, anaesthetic up 1B Existing SK701T to 3 levels 211 SK705T Thorax, Intercostal nerve, Block, radiofrequency, 2C Existing SK705T cryo, neurolytic, more than 2 212 SK706T Thorax, Intercostal nerve, Block, radiofrequency, 2A Existing SK706T cryo, neurolytic, up to 2 213 SK703T Thorax, Interpleural block, catheter 1C Existing SK703T 214 SK704T Thorax, Interpleural block, single 1B Existing SK704T 215 SK701V Vein - Intracranial, Venous sampling 3B Existing SK701V 216 SK702V Vein, Intravenous sympathetic, Bier’s Block 1B Existing SK702V 217 SK700V Vein, Intravenous, anaesthetic 1A Existing SK700V

A-3-82 CONFIDENTIAL

SL – EYE

S/N New Description Table Classification Current code code 1 SL800A Anterior Chamber, Glaucoma, Paracentesis 2C Existing SL800A (diagnostic/therapeutic) 2 SL801A Anterior Chamber, Hyphema, Irrigation 3B Existing SL801A 3 SL802A Anterior Chamber, Various Lesions, Vitreous 3B Existing SL802A Removal 4 SL700B Brow, Browlift, Endoscopic, Bilateral 5A Existing SL700B 5 SL701B Brow, Browlift, Endoscopic, Bilateral with Mid- 5C Existing SL701B Face Lift 6 SL702B Brow, Browlift, Endoscopic, Unilateral 4A Existing SL702B 7 SL703B Brow, Direct browplasty, Bilateral 3C Existing SL703B 8 SL704B Brow, Direct browplasty, Unilateral 3A Existing SL704B 9 SL700C Conjunctiva, Excision of Pterygium, bare sclera 1A Existing SL700C 10 SL800C Conjunctiva, Limbic Tumor, Removal 2C Existing SL800C 11 SL801C Conjunctiva, Naevus, Removal 1B Existing SL801C 12 SL802C Conjunctiva, Pinguecula, Removal 1B Existing SL802C 13 SL803C Conjunctiva, Pterygium, Removal with 2C Existing SL803C conjunctival graft 14 SL701C Conjunctiva, Pterygium, Removal, complex 3B Existing SL701C (recurrent, double, symblepharon) 15 SL702C Cornea, astigmatic keratotomy (excluding Limbal 3A Existing SL702C relaxing incisions / graft refractive surgery) 16 SL804C Cornea, Band Keratopathy, Removal with 2A Existing SL804C ethylene diamine tetra-acetic acid 17 SL805C Cornea, Dendritic Ulcer, Epithelial Debridement MSP Existing SL805C 18 SL703C Cornea, Descemet's Membrane Endothelial 6B Existing SL703C Keratoplasty (DMEK) 19 SL708C Cornea, Foreign Body, Removal MSP Existing SL708C 20 SL807C Cornea, Laceration, Conjunctival Graft over 2C Existing SL807C Cornea 21 SL808C Cornea, Laceration, Conjunctival Peritomy/Repair 2C Existing SL808C by Conjunctival Flap 22 SL809C Cornea, Myopia, Phototherapeutic 3A Existing SL809C Keratectomy/Laser in-situ Keratomileusis 23 SL704C Cornea, Riboflavin-UVA Induced Collagen 3B Existing SL704C Crosslinking Treatment for Corneal Ectasia (CXL- Crosslinking Laser/Post Lasik Keratectomy/keratitis) 24 SL806C Cornea, Various Lesions, Keratoplasty, complex 6A Existing SL806C (tectonic, therapeutic, lamellar, Descemet stripping automated endothelial keratoplasty) 25 SL810C Cornea, Various Lesions, Transplantation 5B Existing SL810C (superficial/lamellar/full thickness) 26 SL811C Cornea, Various Lesions, Transplantation with 6B Existing SL811C Cataract Extraction and Intra-ocular Lens Implantation 27 SL705C Cornea/Conjunctiva, Gunderson flap 3B Existing SL705C 28 SL706C Corneal/Ocular surface, Osteo-odonto- 7C Existing SL706C keratoprosthesis Stage 1 29 SL707C Corneal/Ocular surface, Osteo-odonto- 5C Existing SL707C keratoprosthesis Stage 2 30 SL800E Eye, Exophthalmos due to Thyrotoxicosis, 5A Existing SL800E Retractor Recessions (bilateral)

A-3-83 CONFIDENTIAL

SL – EYE

S/N New Description Table Classification Current code code 31 SL801E Eye, Exophthalmos due to Thyrotoxicosis, 4A Existing SL801E Retractor Recessions (unilateral) 32 SL705E Eye, Glaucoma drainage implants eg. Ahmed 5C Existing SL705E Valve implant, Molteno implant , Baerveldt Tube Shunt 33 SL802E Eye, Glaucoma, Cyclodiathermy/Cyclocryotherapy 3B Existing SL802E 34 SL706E Eye, Glaucoma, Cyclophotocoagulation, 3B Existing SL706E Endoscopic 35 SL803E Eye, Glaucoma, Filtering and Allied Operations 3B Existing SL803E 36 SL700E Eye, Glaucoma, Filtering and Allied Operations 4A Existing SL700E with anti-metabolites 37 SL707E Eye, Glaucoma, Goniosynechiolysis 3B Existing SL707E 38 SL701E Eye, Glaucoma, Goniotomy/Trabeculotomy 4A Existing SL701E (Bilateral) 39 SL702E Eye, Glaucoma, Goniotomy/Trabeculotomy 5A Existing SL702E (Bilateral) - paediatric 40 SL804E Eye, Glaucoma, Goniotomy/Trabeculotomy 3B Existing SL804E (Unilateral) 41 SL703E Eye, Glaucoma, Goniotomy/Trabeculotomy 4A Existing SL703E (Unilateral) - paediatric 42 SL704E Eye, Glaucoma, Selective laser trabeculoplasty 2C Existing SL704E (Bilateral) 43 SL805E Eye, Glaucoma, Selective laser trabeculoplasty 2A Existing SL805E (Unilateral) 44 SL806E Eye, Intraocular Foreign Body, Removal from 3A Existing SL806E Anterior Segment 45 SL807E Eye, Intraocular Foreign Body, Removal from 3B Existing SL807E Posterior Segment 46 SL712E Eye, Medial canthal reconstruction, Bilateral 3C Existing SL712E 47 SL713E Eye, Medial canthal reconstruction, Unilateral 3A Existing SL713E 48 SL714E Eye, Needling of blebs with anti-metabolites 1A Existing SL714E 49 SL808E Eye, Perforating Wound (not involving intraocular 2C Existing SL808E structures), Repair 50 SL809E Eye, Perforating Wound (with 3C Existing SL809E incarceration/prolapse of uveal tissue/lens/vitreous), Repair 51 SL715E Eye, Socket, Complex Anophthalmic socket 5A Existing SL715E reconstruction 52 SL708E Eye, Squint, Complex Strabismus Surgery (4 or 5A Existing SL708E more muscles, transposition, muscle splitting) 53 SL810E Eye, Squint, Complex strabismus surgery (vessel 4C Existing SL810E sparing Sx, paralytic and restrictive strabismus, horizontal combined with oblique/vertical 54 SL726E Eye, Squint, Operation (one/both eyes - 2 3B Existing SL726E muscles) 55 SL811E Eye, Squint, Operation (one/both eyes - 3 4A Existing SL811E muscles or more) 56 SL812E Eye, Squint, Operation (one/both eyes - 4A Existing SL812E adjustable sutures) 57 SL813E Eye, Squint, Operation (one/both eyes - 4A Existing SL813E transposition) 58 SL709E Eye, Thermal photocoagulation of choroidal 3B Existing SL709E neovascularization and allied conditions A-3-84 CONFIDENTIAL

SL – EYE

S/N New Description Table Classification Current code code 59 SL815E Eye, Various Lesions, Enucleation without Implant 3A Existing SL815E 60 SL816E Eye, Various Lesions, Evisceration 2C Existing SL816E 61 SL817E Eye, Various Lesions, Examination under General 1B Existing SL817E Anesthesia 62 SL818E Eye, Various Lesions, Resuturing of wound 2A Existing SL818E following Intraocular Procedures 63 SL819E Eye, Various Lesions, Retrobular Injection MSP Existing SL819E 64 SL719E Eyeball, Enucleation with Acrylic & Scleral Ball 4C Existing SL719E Implant 65 SL720E Eyelid lowering (gold weight implant), Bilateral 3C Existing SL720E 66 SL721E Eyelid lowering (gold weight implant), Unilateral 3A Existing SL721E 67 SL822E Eyelid retractor repair for involutional entropion 3B Existing SL822E (unilateral one lid) 68 SL716E Eyelid, , Conjunctival Mullerectomy 4B Existing SL716E (bilateral) 69 SL717E Eyelid, ptosis, Conjunctival Mullerectomy 3B Existing SL717E (unilateral) 70 SL722E Eyelids, Botox injections for blepharospasm & 1C Existing SL722E hemifacial spasm 71 SL723E Eyelids, Chalazion Cyst, Excision under general 1A Existing SL723E anaesthesia 72 SL820E Eyelids, Chalazion Cyst/stye, Excision MSP Existing SL820E 73 SL821E Eyelids, Ectropion, Retropunctal Cautery MSP Existing SL821E 74 SL825E Eyelids, Ectropion/Entropion, Correction 4A Existing SL825E (complicated) (two lids) 75 SL823E Eyelids, Ectropion/Entropion, Correction (simple 2A Existing SL823E i.e. inverting sutures) (one lid) 76 SL824E Eyelids, Ectropion/Entropion, Correction (simple 2C Existing SL824E i.e. inverting sutures) (two lids) 77 SL710E Eyelids, Ectropion/Entropion, Correction with 3B Existing SL710E retractor repair for involutional entropion (complicated,one lid) 78 SL826E Eyelids, Entropion, Everting Sutures MSP Existing SL826E 79 SL827E Eyelids, Exposure, Tarsorrhaphy (permanent) 1B Existing SL827E 80 SL828E Eyelids, Exposure, Tarsorrhaphy (temporary) 1A Existing SL828E 81 SL829E Eyelids, Full Thickness Laceration, Repair 3A Existing SL829E 82 SL830E Eyelids, Hemangioma, Intra-lesion Injections (full 3A Existing SL830E course) 83 SL711E Eyelids, non-involutional entropion/ectropion 4A Existing SL711E (complicated) 84 SL831E Eyelids, Ptosis, Correction Fasanella (bilateral) 4A Existing SL831E 85 SL832E Eyelids, Ptosis, Correction Fasanella (unilateral) 3B Existing SL832E 86 SL833E Eyelids, Ptosis, Correction Levator Palpebrae 5B Existing SL833E Superioris Resection (bilateral) 87 SL834E Eyelids, Ptosis, Correction Levator Palpebrae 4A Existing SL834E Superioris Resection (unilateral) 88 SL835E Eyelids, Ptosis, Correction with Fascia Lata Graft 5B Existing SL835E (bilateral) 89 SL836E Eyelids, Ptosis, Correction with Fascia Lata Graft 4A Existing SL836E (unilateral) 90 SL837E Eyelids, Ptosis, Tarsorrhaphy (permanent) 1B Existing SL837E 91 SL838E Eyelids, Ptosis, Tarsorrhaphy (temporary) 1A Existing SL838E A-3-85 CONFIDENTIAL

SL – EYE

S/N New Description Table Classification Current code code 92 SL839E Eyelids, Simple Laceration, Repair 1B Existing SL839E 93 SL840E Eyelids, Stye, Incision MSP Existing SL840E 94 SL724E Eyelids, Stye, Incision under general anaesthesia 1A Existing SL724E 95 SL841E Eyelids, Trichiasis, Cryotherapy 1B Existing SL841E 96 SL842E Eyelids, Trichiasis, Electrolysis, Epilation MSP Existing SL842E 97 SL843E Eyelids, Tumor, Excision and Repair with Full 3B Existing SL843E Thickness Skin Grafting 98 SL844E Eyelids, Tumor, Excision and Repair with Local 4A Existing SL844E Flap 99 SL845E Eyelids, Tumor, Incisional Biopsy MSP Existing SL845E 100 SL846E Eyelids, Tumor, Shaving Excision 1A Existing SL846E 101 SL718E Eyelids, Various Lesions, Blepharoplasty (2 3C Existing SL718E eyelids) unilateral/bilateral (lower/upper) 102 SL847E Eyelids, Various lesions, Blepharoplasty (3 to 4 4A Existing SL847E eyelids) bilateral 103 SL848E Eyelids, Various lesions, Blepharoplasty (single 3A Existing SL848E eyelid) unilateral (upper/lower) 104 SL849E Eyelids, Various Lesions, Canthoplasty 1C Existing SL849E (medial/lateral) 105 SL850E Eyelids, Various Lesions, Composite Graft 4A Existing SL850E (chondro-cutaneous/chondro-mucosal) 106 SL851E Eyelids, Various Lesions, Full Thickness Wedge 3B Existing SL851E Resection with Repair 107 SL725E Eyelids, Various Lesions, Major reconstruction, 5B Existing SL725E involving anterior and posterior lamella and more than 1/3 lid 108 SL852E Eyelids, Various Lesions, Multiple Plastic Lid 5B Existing SL852E Procedures 109 SL853E Eyelids, Various Lesions, Reconstruction using 5A Existing SL853E Full Thickness Flap 110 SL854E Eyelids, Various Lesions, Whole Thickness 4A Existing SL854E Reconstruction (other than direct suture only) 111 SL700I Iris reconstruction / pupilloplasty 3A Existing SL700I 112 SL800I Iris, Tumor, Excision 3C Existing SL800I 113 SL801I Iris, Various Lesions, Laser Iridotomy 2C Existing SL801I 114 SL802I Iris, Various Lesions, Surgical 2C Existing SL802I Iridectomy/Iridotomy 115 SL800L Lacrimal Gland (Canaliculus), Various Lesions, 2C Existing SL800L Immediate Repair 116 SL801L Lacrimal Gland (Lacrimal Sac), Various Lesions, 3B Existing SL801L Excision 117 SL802L Lacrimal Gland (Punctum), Various Lesions, Snip 2C Existing SL802L Operation 118 SL803L Lacrimal Gland, Obstruction, Probing one/both 1B Existing SL803L Ducts 119 SL804L Lacrimal Gland, Various Lesions, 5C Existing SL804L Dacryocystorhinostomy (DCR) 120 SL805L Lacrimal Gland, Various Lesions, 5C Existing SL805L Dacryocystorhinostomy with Lester Jones Tube 121 SL700L Lacrimal Gland/Duct, Various Lesions, 5C Existing SL700L Endoscopic Dacryocystorhinostomy (DCR) 122 SL806L Lens, Cataract (juvenile), Removal and Needlings 3B Existing SL806L

A-3-86 CONFIDENTIAL

SL – EYE

S/N New Description Table Classification Current code code 123 SL701L Lens, Cataract (Paediatric), Extraction with 4B Existing SL701L anterior vitrectomy 124 SL702L Lens, Cataract (Paediatric), Extraction with 5A Existing SL702L anterior vitrectomy - bilateral 125 SL703L Lens, Cataract (Paediatric), Extraction with 4C Existing SL703L anterior vitrectomy and Intraocular Lens implantation 126 SL704L Lens, Cataract (Paediatric), Extraction with 5B Existing SL704L anterior vitrectomy and Intraocular Lens implantation - bilateral 127 SL807L Lens, Cataract, Extraction with Intra-ocular Lens 5A Existing SL807L Implant (Bilateral) 128 SL808L Lens, Cataract, Extraction with Intra-ocular Lens 4A Existing SL808L Implant (Unilateral Left) 129 SL809L Lens, Cataract, Extraction with Intra-ocular Lens 4A Existing SL809L Implant (Unilateral Right) 130 SL810L Lens, Cataract, Extraction with Intra-ocular Lens 5A Existing SL810L Implant and Trabeculectomy with/without antimetabolites 131 SL811L Lens, Cataract, Extraction with Trabeculectomy 4A Existing SL811L 132 SL705L Lens, Combined glaucoma implants with cataract 6A Existing SL705L extraction (w/wo Intraocular Lens implantation) 133 SL706L Lens, Complicated Cataract extraction with 4C Existing SL706L Intraocular Lens implant (Capsular Tension ring/Capsular Tension Segment/) 134 SL707L Lens, Implantation of posterior segment drug 4A Existing SL707L delivery device 135 SL708L Lens, Secondary Scleral fixated Intraocular Lens 5A Existing SL708L implantation 136 SL709L Lens, Sectorial laser photocoagulation 2C Existing SL709L 137 SL812L Lens, Various Lesions, Extraction 3B Existing SL812L 138 SL813L Lens, Various Lesions, Removal of Intra-ocular 2B Existing SL813L Artificial Lens 139 SL814L Lens, Various Lesions, Secondary Insertion of 4A Existing SL814L Intra-ocular Lens 140 SL815L Lens, Various Lesions, Yag Laser Capsulotomy 2A Existing SL815L 141 SL700O Ocular surface procedure including amniotic 5C Existing SL700O membrane transplant (complex, cultured grafts/extensive reconstruction) 142 SL701O Optic Nerve Sheath Fenestration 5A Existing SL701O 143 SL800O Orbit, Contracture, Reconstruction including 4A Existing SL800O Mucous Membrane Grafting and Stent Mould 144 SL702O Orbit, Reconstruction, Extensive Floor/Medial Wall 5A Existing SL702O Fracture 145 SL801O Orbit, Tumor, Exenteration/Flap Reconstruction 5C Existing SL801O 146 SL806O Orbit, Tumour, Exenteration with Orbitectomy & 5C Existing SL806O Primary reconstruction 147 SL703O Orbit, Various Lesions of Mid to Posterior Orbit, 5B Existing SL703O Excision 148 SL803O Orbit, Various Lesions, Anterior Orbitotomy 3B Existing SL803O 149 SL704O Orbit, Various Lesions, Anterior Orbitotomy 4A Existing SL704O (Extensive) 150 SL804O Orbit, Various Lesions, Decompression (bilateral) 5A Existing SL804O A-3-87 CONFIDENTIAL

SL – EYE

S/N New Description Table Classification Current code code 151 SL805O Orbit, Various Lesions, Decompression 4B Existing SL805O (unilateral) 152 SL705O Orbit, Various Lesions, Extended Lateral 6A Existing SL705O Orbitotomy 153 SL807O Orbit, Various Lesions, Lateral Orbitotomy 4A Existing SL807O 154 SL706O Orbit, Various Lesions, Optic Nerve 6C Existing SL706O Decompression (Bilateral) 155 SL707O Orbit, Various Lesions, Optic Nerve 5A Existing SL707O Decompression (Unilateral) 156 SL808O Orbit, Various Lesions, Reconstruction including 7C Existing SL808O Orbital Shift and Soft Tissue (craniofacial approach) 157 SL810O Orbit, Various lesions, Reconstruction of 4A Existing SL810O Floor/Roof with Alloplastic Material 158 SL809O Orbit, Various Lesions, Reconstruction of 4B Existing SL809O Floor/Roof with Bone Graft 159 SL802O Orbit, Various Lesions/Tumours, 5C Existing SL802O Exenteration/Removal via Craniotomy 160 SL814E Orbital, Enucleation with Integrated Orbital 4A Existing SL814E Implant 161 SL708O Orbital/Scleral, Evisceration with Implant & Scleral 4A Existing SL708O Ball 162 SL800Z Organ Procurement Costs: Cornea 2A Existing SL800Z 163 SL700P Photodynamic therapy 3A Existing SL700P 164 SL701P Photorefractive Keratectomy/Phototherapeutic 3B Existing SL701P Keratectomy (for diseased eye) 165 SL802R Retina, Detachment (complex), Operation (more 6B Existing SL802R than one plomb/encirclage) 166 SL800R Retina, Detachment, Removal of Encircling 2C Existing SL800R Silicone Band 167 SL801R Retina, Detachment, Resection/Buckling 5C Existing SL801R Operation/Revision Operation with Single Plomb 168 SL700R Retina, Laser retinopexy, complex (subretinal 3B Existing SL700R fluid, vitreous haemorrhage, multiple tears) 169 SL705R Retina, Pan retinal photocoagulation 3B Existing SL705R 170 SL701R Retina, Pneumatic retinopexy 4A Existing SL701R 171 SL702R Retina, ROP (Retinopathy of Prematurity) laser 3C Existing SL702R photocoagulation 172 SL804R Retina, Tears, Cryotherapy or Photocoagulation 3C Existing SL804R (laser) (Bilateral) 173 SL803R Retina, Tears, Diathermy/Cryotherapy (Unilateral) 3A Existing SL803R 174 SL805R Retina, Tears, Photocoagulation (laser) 3B Existing SL805R (Unilateral) 175 SL703R Retina, Trans pars plana posterior capsulectomy 3B Existing SL703R 176 SL704R Retina/Macula, Grid and focal laser 3A Existing SL704R photocoagulation 177 SL806R Retinal, Detachment, Removal Of Partially MSP Existing SL806R Extruded Plomb 178 SL700T Temporal artery biopsy 2B Existing SL700T 179 SL700V Vitreous, Intravitreal Injections 1B Existing SL700V 180 SL701V Vitreous, Various Lesions, Complex Posterior 6B Existing SL701V Vitrectomy (PVR, GRT, trauma)

A-3-88 CONFIDENTIAL

SL – EYE

S/N New Description Table Classification Current code code 181 SL801V Vitreous, Various Lesions, Posterior Vitrectomy 6B Existing SL801V (pars plana/ sclerotomy/lensectomy/endolaser) 182 SL800V Vitreous, Various Lesions, Simple Vitrectomy 5C Existing SL800V (pars plana) 183 SL802V Vitreous, Various Lesions, Vitrectomy (pars 4A Existing SL802V plana/removal of silicone oil)

A-3-89 CONFIDENTIAL

SM – ENT

S/N New Description Table Classification Current code code 1 SM700A Adenoids, Various Lesions, Removal 2C Existing SM700A 2 SM800E Ear (Middle), Abscess/Inflammation, Operation 1B Existing SM800E 3 SM701E Ear (middle), Cochlear implant 6A Existing SM701E 4 SM712E Ear (middle), Middle ear implant surgery 5B New - 5 SM801E Ear (Middle), Round Window Perforation, Repair 4A Existing SM801E 6 SM702E Ear (Middle), Various Lesions (Benign 2A Existing SM702E Condition), Excision Biopsy 7 SM802E Ear (Middle), Various Lesions, Exploration and 3A Existing SM802E Tympanotomy 8 SM803E Ear (Middle), Various Lesions, Stapedectomy 4B Existing SM803E 9 SM700E Ear, Auditory Meatus (Internal), Tumor, 6B Existing SM700E Transmastoid Removal with Extended Mastoidectomy 10 SM703E Ear, Aural toilet by microscopy (complex) eg. MSP Existing SM703E Impacted ear wax/Foreign Body/Discharge 11 SM706E Ear, Bilateral preauricular sinus excision 3A Existing SM706E 12 SM804E Ear, Cauliflower Ear, Correction 3A Existing SM804E 13 SM805E Ear, Congenital Atresia, Reconstruction of 4B Existing SM805E External Auditory Canal and Middle Ear 14 SM806E Ear, Deformity, Composite Graft 4A Existing SM806E 15 SM807E Ear, Deformity, Correction (bilateral) 3C Existing SM807E 16 SM808E Ear, Deformity, Correction (unilateral) 3A Existing SM808E 17 SM809E Ear, Deformity, Lobule Reconstruction (bilateral) 2C Existing SM809E 18 SM810E Ear, Deformity, Lobule Reconstruction 1C Existing SM810E (unilateral) 19 SM836E Ear, Eustachian Tube, Various Lesions, 1A Existing SM836E Catheterisation/Inflation 20 SM704E Ear, Excision pseudocyst pinna 2A Existing SM704E 21 SM811E Ear, Exostosis Obturans, Excision Biopsy 3A Existing SM811E 22 SM812E Ear, Foreign Body, Removal MSP Existing SM812E 23 SM813E Ear, Foreign Body, Complex Removal/Excision 1B Existing SM813E (Embedded/Large) 24 SM814E Ear, Hematoma/, Evacuation/Incision & 1B Existing SM814E Drainage 25 SM711E Ear, Implantation of bone-anchored hearing aid 4B New - 26 SM815E Ear, Keratosis Obturans moderate/severe, 1C Existing SM815E Excision Biopsy under GA 27 SM816E Ear, Laceration (full thickness), Repair > 3cm 3A Existing SM816E 28 SM817E Ear, Laceration, Wound Debridement MSP Existing SM817E 29 SM818E Ear, Microtia, Creation of Post-auricular Sulcus 3C Existing SM818E with Skin Graft 30 SM819E Ear, Microtia, Insertion of Cartilage/Silastic 4A Existing SM819E Framework 31 SM820E Ear, Microtia, Repositioning of Lobule 2A Existing SM820E 32 SM705E Ear, middle, Ossiculoplasty 4B Existing SM705E 33 SM821E Ear, Partial Amputation, Reconstruction 4A Existing SM821E 34 SM822E Ear, Polyp, Removal 1B Existing SM822E 35 SM824E Ear, Sebaceous Cyst, Excision 1B Existing SM824E 36 SM825E Ear, Total Amputation, Microvascular 7C Existing SM825E Reconstruction

A-3-90 CONFIDENTIAL

SM – ENT

S/N New Description Table Classification Current code code 37 SM826E Ear, Total Amputation, Staged Reconstruction 4A Existing SM826E (each stage) 38 SM708E Ear, Tympanic Membrane, Bilateral 2B Existing SM708E myringotomy with tube 39 SM707E Ear, Tympanic Membrane, Bilateral 1C Existing SM707E myringotomy without tube 40 SM709E Ear, Tympanic Membrane, Perforation, 1B Existing SM709E Cauterisation/Diathermy 41 SM710E Ear, Tympanic Membrane, Perforation, Round 4A Existing SM710E Window Repair 42 SM832E Ear, Tympanic Membrane, Unilateral 2A Existing SM832E myringotomy with tube 43 SM831E Ear, Tympanic Membrane, 1B Existing SM831E Unilateral,myringotomy without tube 44 SM823E Ear, Unilateral pre auricular sinus excision 2B Existing SM823E 45 SM827E Ear, Various Lesions, Meatoplasty with Split 3B Existing SM827E Skin Graft 46 SM828E Ear, Various Lesions, Meatotomy MSP Existing SM828E 47 SM837E Ear, Various Lesions, Middle Fossa extra-dural 6B New - approach to temporal bone with/without transmastoid approach combined access 48 SM838E Ear, Various Lesions, Myringoplasty (lateral 4B New - graft/onlay graft technique) with/without canalplasty 49 SM829E Ear, Various Lesions, Myringoplasty (post- 4A Existing SM829E aural/endaural approach) 50 SM830E Ear, Various Lesions, Myringoplasty (simple) 3B Existing SM830E 51 SM833E Ear, Various Lesions, Ossicular Chain 4B Existing SM833E Reconstruction with/without Myringoplasty 52 SM834E Ear, Various Lesions, Various Graft to 4A Existing SM834E Fenestration Cavity 53 SM835E Endolymphatic Sac, Various Lesions, 5C Existing SM835E Transmastoid Shunt Procedure 54 SM700I Inferior Turbinate reduction (submucous 1C Existing SM700I diathermy oblique radiofreqeuncy) 55 SM800L Labyrinth, Various Lesions, 5C Existing SM800L Destruction/Labyrinthotomy 56 SM702L Larynx and Esophagus, Tumor, Esophagectomy 7C Existing SM702L (total)/ Laryngopharyngectomy with Restoration of Alimentary Continuity 57 SM703L Larynx and Pharynx, Various Lesions, Laser 3B Existing SM703L Application 58 SM704L Larynx and Trachea, Various Lesions, Major 5C Existing SM704L Microsurgery without Reconstruction 59 SM705L Larynx and Trachea, Various Lesions, Major 5C Existing SM705L Plastic Operation 60 SM700L Larynx, Elms (Endoscopic Laryngeal 3A Existing SM700L Microsugery/Phonosurgery) 61 SM706L Larynx, Fractures, Operation 5C Existing SM706L 62 SM709L Larynx, Laryngectomy with bilateral neck 7A Existing SM709L dissection 63 SM710L Larynx, Laryngectomy with unilateral neck 6B Existing SM710L dissection A-3-91 CONFIDENTIAL

SM – ENT

S/N New Description Table Classification Current code code 64 SM707L Larynx, Larynogofissure, External Operation 5C Existing SM707L 65 SM711L Larynx, Microlaryngoscopy, with/without 2C Existing SM711L removal of tumor 66 SM701L Larynx, Transcutaneous injection of larynx 1A Existing SM701L 67 SM708L Larynx, Tumor, Laryngectomy (total) 5C Existing SM708L 68 SM712L Larynx, Tumor, Partial Laryngectomy 5C Existing SM712L 69 SM713L Larynx, Tumor, Partial Laryngectomy with Block 6B Existing SM713L Neck Dissection 70 SM714L Larynx, Various Disorders, open medialisation 4B Existing SM714L of vocal cord 71 SM715L Larynx, Various Lesions, Direct Examination 2C Existing SM715L with Removal of Tumor 72 SM716L Larynx, Various Lesions, Direct Examination 1B Existing SM716L with/without Biopsy 73 SM717L Larynx, Various Lesions, Hemi/Partial 5C Existing SM717L Laryngectomy 74 SM718L Larynx, Various Lesions, Hemi/Partial 6B Existing SM718L Laryngectomy with Radical Neck Dissection 75 SM800M Mastoid, Various Lesions, Mastoidectomy 3C Existing SM800M (cortical) 76 SM801M Mastoid, Various Lesions, Mastoidectomy 5C Existing SM801M (radical/modified radical) with Myringoplasty and Ossicular Chain Reconstruction 77 SM802M Mastoid, Various Lesions, Mastoidectomy 4B Existing SM802M (radical/modified) 78 SM803M Mastoid, Various Lesions, Mastoidectomy 5C Existing SM803M (radical/modified) with Myringoplasty 79 SM804M Mastoid, Various Lesions, Revision 4B Existing SM804M Mastoidectomy 80 SM700M Maxilla, Sinuses, Sinoscopy 1B Existing SM700M 81 SM701M Mouth, Cautery of soft palate /tongue base 2B Existing SM701M 82 SM703M Mouth, Various Lesions, Pharyngotomy (lateral) 4A Existing SM703M with Excision of Tongue 83 SM704M Mouth, Various Lesions, Uvulotomy 1B Existing SM704M 84 SM702M Mouth, Various/Pathologic Lesions of Oral 2B Existing SM702M Mucosa, Laser Application 85 SM701N Nose, Choanal Atresia, Plastic Repair 4A Existing SM701N 86 SM702N Nose, Choanal Atresia, Repair by Puncture and 2C Existing SM702N Dilatation 87 SM703N Nose, Foreign Body, Removal MSP Existing SM703N 88 SM704N Nose, Hematoma/Abscess, Evacuation/Incision 1A Existing SM704N & Drainage 89 SM705N Nose, Hemorrhage, Hemostasis 1B Existing SM705N (Packing)/Cryotherapy) 90 SM706N Nose, Laceration Full Thickness, Repair >3cm 3A Existing SM706N 91 SM700N Nose, Nasendoscopy 1A Existing SM700N 92 SM707N Nose, Polypi (complex), Excision Biopsy more 2B Existing SM707N than 2 93 SM708N Nose, Polypi (simple), Excision Biopsy, 1 to 2 1B Existing SM708N 94 SM709N Nose, Post-Nasal Space, Laser Application 4A Existing SM709N 95 SM710N Nose, Rhinophyma, Excision 3B Existing SM710N 96 SM711N Nose, Rhinophyma, Total Construction 6B Existing SM711N A-3-92 CONFIDENTIAL

SM – ENT

S/N New Description Table Classification Current code code 97 SM712N Nose, Simple Fracture, Manipulation 1B Existing SM712N 98 SM713N Nose, Various Lesions (postnasal space), Direct 1B Existing SM713N Examination with Biopsy and Nasendoscopy 99 SM714N Nose, Various Lesions (turbinates), 2C Existing SM714N turbinectomy/turbinoplasty/Submucous Resection (with or without endoscopes) 100 SM715N Nose, Various Lesions, Cauterisation/Diathermy 1A Existing SM715N 101 SM716N Nose, Various Lesions, Composite Graft 4A Existing SM716N (chondro-cutaneous/chondro-mucosal) 102 SM717N Nose, Various Lesions, Examination MSP Existing SM717N 103 SM718N Nose, Various Lesions, Rhinoplasty 3B Existing SM718N (augmentation excluding cost of implants) 104 SM719N Nose, Various Lesions, Rhinoplasty (correction 4C Existing SM719N of bony vault only) 105 SM720N Nose, Various Lesions, Rhinoplasty (correction 4C Existing SM720N of lateral and/or alar cartilages) 106 SM721N Nose, Various Lesions, Rhinoplasty (restoration 5A Existing SM721N of the face involving autogenous bone or costal cartilage graft) 107 SM722N Nose, Various Lesions, Rhinoplasty (secondary 5A Existing SM722N revision) 108 SM723N Nose, Various Lesions, Rhinoplasty (total) 5C Existing SM723N including Correction of all Bony and Cartilaginous Elements 109 SM724N Nose, Various Lesions, Septoplasty/Submucous 3B Existing SM724N Resection 110 SM700P Pharynx, Adhesions, Division 1B Existing SM700P 111 SM701P Pharynx, Cysts/Vallecular, Removal 2C Existing SM701P 112 SM702P Pharynx, Pouch, Removal 4A Existing SM702P 113 SM703P Pharynx, Tumor, Partial Pharyngectomy and 7B Existing SM703P Radical Neck Dissection with Flap 114 SM704P Pharynx, Various Lesions, Flap/Pharyngoplasty 4B Existing SM704P 115 SM705P Pharynx, Various Lesions, Partial 4B Existing SM705P Pharyngectomy with Primary Closure 116 SM706P Pharynx, Various Lesions, Pharyngotomy 7B Existing SM706P (lateral) with Excision of Tongue and Reconstruction 117 SM702S Sinal-nasal, Endoscopic hemostasis (complex, 3C Existing SM702S under general anaesthesia) 118 SM705S Sinuses - Ethmoidal, Various Lesions, External 5C Existing SM705S Operation 119 SM706S Sinuses - Nasal, Foreign Body/Other Lesions, 2B Existing SM706S Intranasal Operation/Removal of Foreign Body 120 SM707S Sinuses - Nasal, Hematoma/Abscess, Antral 2B Existing SM707S Drainage 121 SM708S Sinuses - Nasal, Infection, Functional 3B Existing SM708S Sinuscopic Drainage of Ethmoidal/ Maxillary Sinuses 122 SM703S Sinuses - Nasal, Infection, Functional 5A Existing SM703S Sinuscopic Ethmoidectomy (Bilateral) 123 SM709S Sinuses - Nasal, Infection, Functional 4A Description SM709S Sinuscopic Ethmoidectomy (Unilateral) Change 124 SM710S Sinuses - Nasal, Oro-antral Fistula, Closure 3A Existing SM710S A-3-93 CONFIDENTIAL

SM – ENT

S/N New Description Table Classification Current code code 125 SM711S Sinuses - Nasal, Various Lesions of Antrum, 1B Existing SM711S Roof Puncture and/or Lavage 126 SM712S Sinuses - Nasal, Various Lesions, Antrostomy 3A Existing SM712S (radical) 127 SM713S Sinuses - Nasal, Various Lesions, Fronto- 5C Existing SM713S Ethmoidectomy (radical) with Osteoplastic Flap 128 SM714S Sinuses - Nasal, Various Lesions, Fronto-nasal 5C Existing SM714S Ethmoidectomy with/without Sphenoidotomy 129 SM715S Sinuses - Nasal, Various Lesions, Intranasal 3B Existing SM715S Operation 130 SM716S Sinuses - Sphenoidal, Various Lesions, 5C Existing SM716S Intranasal Operation 131 SM717S Sinuses Frontal, Various Lesions, 1A Existing SM717S Catheterisation 132 SM718S Sinuses Frontal, Various Lesions, Radical 5C Existing SM718S Obliteration 133 SM719S Sinuses Frontal, Various Lesions, Trephine 2B Existing SM719S 134 SM704S Sinuses, Turbinoplasty, submucosal, 2C Existing SM704S Endoscopic 135 SM720S Sinuses-Nasal, Various Lesions, Lavage MSP Existing SM720S Through An Oro-Antral Perforation 136 SM721S Skull, Base, Endoscopic resection of skull base 5C Expanded SM701S soft tissue tumours with no bone involvement (New) 137 SM723S Skull, Base, Endoscopic resection of skull base 7C Expanded SM701S soft tissue tumours with resection of bone and (New) dura (intradural, including clivus, parasellar area or cavernous sinus) with skull base reconstruction 138 SM722S Skull, Base, Endoscopic resection of skull base 6C Expanded SM701S soft tissue tumours with resection of bone and (New) preservation of dura (extradural) 139 SM700S Skull/Face, Malignant tumour/Trauma, 7C Existing SM700S Craniofacial resection 140 SM700T Throat, Hyoid suspension 3B Existing SM700T 141 SM701T Throat, Uvulopalatopharyngoplasty (U3P) 4B Existing SM701T 142 SM702T Thyroglossal cyst, Sistrunk operation with hyoid 3B Existing SM702T bone removal 143 SM706T Tongue suspension 2B Existing SM706T 144 SM703T Tonsils, Abscess, Drainage 1A Existing SM703T 145 SM704T Tonsils, Hemorrhage, Hemostasis 1B Existing SM704T 146 SM705T Tonsils, Various Lesions, Removal with/without 3B Existing SM705T

~END~

A-3-94 CONFIDENTIAL