H3 Schedule of Procedures H3 Insurance Schedule of Procedures

H3 Schedule of Procedures

H3 Insurance Schedule of Procedures

This schedule is based on the CCSD schedule of procedures.

H3 Schedule of Procedures Version 2020

All codes listed detail the maximum amount we will pay towards the fee a specialist and anaesthetist will charge for the operation/procedure.

H3 Insurance is a trading name of Insure I Limited which is authorised and regulated by the Financial Conduct Authority. Insure I Ltd is registered in Northern Ireland, Registered number NI072940. H3 Insurance Registered address is Channel Wharf, 21 Old Channel Road, Belfast, BT3 9DE. T: 028 9046 9990 www.h3insurance.com

H3 Schedule of Procedures

Index

Guidance Notes ...... 1

Abdomen – excluding urinary / reproductive organs...... 3

Bones, joints & connective tissue / tendon muscle ...... 13

Brain, cranium & other intracranial organs ...... 29

Breasts ...... 32

Consultations, simple investigations & general procedures ...... 35

Ear, nose & throat… ...... 38

Endoscopic GIT procedures ...... 45

Eye & orbital contents ...... 47

Face, mouth, salivary & thyroid ...... 54

Female reproductive organs ...... 59

Nuclear medicine ...... 63

Pathology… ...... 66

Radiology ...... 69

Radiotherapy ...... 73

Skin & subcutaneous tissue ...... 74

Spine, spinal cord & peripheral nerves ...... 78

Thorax & intra thoracic organs ...... 85

Urinary system & male reproductive organs ...... 95

Vascular system ...... 104

H3 Schedule of Procedures

H3 Guidance notes

H3 procedure coding is based on the CCSD Schedule of Procedures. Fees included in the H3 Schedule of Procedures should be invoiced in accordance with the guidance notes below. Where a suitable code does not exist, please contact our Claims Team who will assist you at [email protected] or on 028 9046 9994.

1. Consultation fees Maximum consultation fees are as follows: • Medical excluding dermatology (includes Cardiology, General Medical, Gastroenterology, Genetics, Genitourinary, Haematology, Mental health, Neurology, Paediatrics, Pain, Respiratory, and Rheumatology): o New Consultation – maximum fee of £150 o Review Consultation – maximum fee of £120

• Surgical (including Breast, ENT, General surgery, Dermatology, Gynaecology, Maxillofacial, Neurosurgery, Ophthalmology, Orthopaedics, Paediatric surgery, Plastic surgery, Urology and Vascular surgery): o New Consultation – maximum fee of £130 o Review Consultation – maximum fee of £90

2. CCSD Procedure Codes & H3 Tariff Please observe the following in addition to the fee schedule included in this document when invoicing:

• The published prices are the maximum payable fee by H3 for each procedure; • Our fees encompass all pre and post-operative care associated with in-patient or day case surgery and include the management of all common complications related to the condition including bleeding, IV fluids, suction, catheterisation, uncomplicated sepsis and removal of sutures; • Where a surgeon administers local anaesthetic or sedation then the H3 multiple coding criteria applies only in instances where the combination of procedures is allowable under CCSD coding rules (please refer to Section 3 – Multiple Procedures); • Bilateral procedures are allocated a specific code in most cases. Where no code exists for a specific bilateral procedure you intend to perform, please contact [email protected] for guidance, quoting the patient’s claim reference number; • Where procedures are anticipated to be particularly complicated or a second surgeon will be required, please contact [email protected] for preauthorization; • Where procedures are not listed, please contact [email protected] for guidance.

H3 Schedule of Procedures

3. Multiple procedures H3 will only accept additional billing for multiple procedures when the additional procedure(s) are accepted as legitimate unbundled second or third procedures by CCSD coding criteria. Please refer to http://www.ccsd.org.uk/CCSDSchedule if further clarification is required. Multiple procedures must be billed as follows: • Two Procedures: 100% of first procedure + 50% of second procedure • Three or more Procedures: 100% of first procedure + 50% of second procedure + 25% of third procedure

4. Anaesthesia

• No additional benefit is payable for the application of local anaesthesia and/or sedation where H3 considers this to be an integral part of the procedure based on accepted, standard medical practice. These procedures are indicated by a * in the schedule and the published fee is the maximum payable by us, inclusive of any anaesthesia and/or sedation. • The same anaesthetic criteria applies irrespective of whether general or regional anaesthesia has been administered and the benefit maxima includes routine pre- operative assessment, induction, maintenance of anaesthesia and all support activities both intra and post-operative, pain control throughout the hospital stay and post- operative care including 72 hours Intensive Therapy; • When an epidural is administered in addition to general anaesthesia during the subsequent in-patient stay, then H3 multiple procedure charging criteria apply; • In certain instances below where co-morbidities exist and safe practice has required a separate pre-operative anaesthetic assessment in advance of surgery to determine choice of anaesthetic or to determine whether it is safe to proceed with surgery; a pre- operative anaesthetic fee applies. A maximum fee of £90 per patient is allowable for this.

5. Invoicing and Payment Invoices should be submitted by email or post within 30 days of the patient appointment to:

• [email protected] ; or

• H3 Insurance Finance Department 21 Old Channel Road Titanic Quarter Belfast BT3 9DE

Please include your H3 registration number on all invoices as omission may lead to processing delays.

H3 Schedule of Procedures

Abdomen - Excluding Urinary / Reproductive organs

CCSD Description Procedure Anaestheti Sub-Category Code Fee (£) c Fee (£)

T1640 Repair of congenital diaphragmatic hernia 780 444 Abdominal Wall

T1900 Simple excision of inguinal hernial sac (herniotomy) - unilateral 229 156 Abdominal Wall

T1910 Simple excision of inguinal hernial sac (herniotomy) - bilateral 425 240 Abdominal Wall

T2000 Primary repair of inguinal hernia 274 168 Abdominal Wall

T2002 Laparoscopic repair of inguinal hernia - unilateral 318 160 Abdominal Wall

T2010 Primary repair of inguinal hernia - bilateral 497 259 Abdominal Wall

T2012 Laparoscopic repair of inguinal hernia - bilateral 559 259 Abdominal Wall

T2080 Primary repair of strangulater inguinal hernia 318 198 Abdominal Wall

T2100 Repair of recurrent inguinal hernia 318 215 Abdominal Wall

T2102 Laparoscopic repair of recurrent inguinal hernia - unilateral 369 160 Abdominal Wall

T2110 Repair of recurrent inguinal hernia - bilateral 559 312 Abdominal Wall

T2112 Laparoscopic repair of recurrent inguinal hernia - bilateral 603 259 Abdominal Wall

T2200 Primary repair of femoral hernia 274 160 Abdominal Wall

T2280 Primary repair of strangulater femoral hernia 318 198 Abdominal Wall

T2300 Repair of recurrent femoral hernia 318 182 Abdominal Wall

T2400 Repair of umbilical hernia (irrespective of age) 229 168 Abdominal Wall

T2500 Primary repair of incisional hernia 318 160 Abdominal Wall

T2502 Laparoscopic repair of incisional hernia 369 182 Abdominal Wall

T2600 Repair of recurrent incisional hernia 369 215 Abdominal Wall

T2710 Repair of ventral hernia not requiring mesh 274 160 Abdominal Wall

H3 Schedule of Procedures

T2720 Repair of ventral hernia requiring mesh 318 160 Abdominal Wall

T2730 Repair of dorsal hernia including lumbar hernia 274 160 Abdominal Wall

T2740 Repair of perineal hernia including scrotal that are not inguinal 274 160 Abdominal Wall

T2750 Repair of sciatic hernias 274 160 Abdominal Wall

T2781 Repair epigastric hernia 274 127 Abdominal Wall

T2830 Resuture of previous incision in abdominal wall (burst abdomen) 318 180 Abdominal Wall

T7972 Exploration and repair of groin disruption (including repair of 369 160 Abdominal Wall muscle, fascia and tendons) (Gilmore's groin repair)

G5000 Open excision of lesion of duodenum 696 216 Duodenum

G5010 Open excision of congenital lesion of duodenum including mal- 732 242 Duodenum rotation

G5050 Endoscopic submucosal dissection of duodenal lesions 528 192 Duodenum

G5100 Bypass of duodenum 588 192 Duodenum

G5320 Closure of perforated ulcer of duodenum 552 192 Duodenum

H0210 Appendicectomy 425 182 Large Intestine

H0280 Laparoscopic appendicectomy 492 182 Large Intestine

H0310 Drainage of abscess of appendix or drainage of intra-abdominal 456 192 Large Intestine abscess

H0510 Total excision of colon and ileorectal anastomosis 1044 384 Large Intestine

H0610 Extended excision of right hemicolon 708 276 Large Intestine

H0700 Right hemicolectomy 708 240 Large Intestine

H0750 Laparoscopically assisted right hemicolectomy 708 276 Large Intestine

H0800 Excision of transverse colon 708 240 Large Intestine

H0900 Excision of left hemicolon 708 240 Large Intestine

H1000 Excision of sigmoid colon 708 240 Large Intestine

H3 Schedule of Procedures

H1200 Excision of lesion of colon (transabdominal) 552 240 Large Intestine

H1300 Bypass of colon 600 240 Large Intestine

H1542 Closure of colostomy 552 240 Large Intestine

H1581 Laparoscopic colostomy and stoma formation (including revision) 576 240 Large Intestine

H1590 Open formation of colostomy 588 240 Large Intestine

H1700 Intra abdominal manipulation of colon for intussusception 564 192 Large Intestine

H1880 Laparoscopically assisted left colon resection 708 240 Large Intestine

L7040 Open cannulation of intra abdominal artery for infusion 612 180 Major Vessels chemotherapy

L7710 Creation of portocaval shunt 1356 384 Major Vessels

L7920 Plication of vena cava 624 264 Major Vessels

L7980 Repair of wound of major artery or vein of abdomen (including 624 384 Major Vessels aorta and vena cava)

G0500 Bypass of oesophagus 720 468 Oesophagus

G0730 Repair of congenital oesophageal atresia (with or without fistula) 1144 419 Oesophagus

G2312 Transthoracic repair of paraoesophageal hiatus hernia 768 252 Oesophagus

G2340 Transabdominal repair of diaphragmatic hernia 840 228 Oesophagus

G2400 Transthoracic fundoplication & gastroplasty 768 252 Oesophagus

B2222 Adrenalectomy - bilateral (open) 660 192 Other organs (mainly digestive)

B2223 Adrenalectomy - bilateral (laparoscopic) 660 192 Other organs (mainly digestive)

B2224 Robot assisted laparoscopic adrenalectomy - bilateral 660 192 Other organs (mainly digestive)

B2232 Adrenalectomy - unilateral (open) 612 168 Other organs (mainly digestive)

B2233 Adrenalectomy - unilateral (laparoscopic) 612 168 Other organs (mainly digestive)

B2234 robot assisted laparoscopic adrenalectomy 612 168 Other organs (mainly digestive)

H3 Schedule of Procedures

G0920 Oesophagocardiomyotomy (Heller's operation) 588 288 Other organs (mainly digestive)

G0980 Thorascopic oesophogastric myotomy 588 288 Other organs (mainly digestive)

G2330 Transabdominal repair of hiatus hernia 660 216 Other organs (mainly digestive)

J0200 Partial excision of liver 1200 444 Other organs (mainly digestive)

J0210 Hemihepatectomy 1507 670 Other organs (mainly digestive)

J0310 Resection of liver tumour(s) 1200 324 Other organs (mainly digestive)

J0400 Repair of liver (including therapeutic laparoscopic operations on 696 288 Other organs (mainly digestive) liver)

J0510 Open drainage of liver 348 192 Other organs (mainly digestive)

J0740 Open liver resection and ablation 696 288 Other organs (mainly digestive)

J0780 Radiofrequency thermocoagulation of liver with scalpel liver 1507 492 Other organs (mainly digestive) resection

J0900 Diagnostic laparoscopy (including any biopsy) 384 144 Other organs (mainly digestive)

J1300 Percutaneous biopsy of lesion of liver 144 96 Other organs (mainly digestive)

J1400 Open puncture of liver 456 156 Other organs (mainly digestive)

J1800 Cholecystectomy (including mini-cholecystectomy) 564 216 Other organs (mainly digestive)

J1820 Cholecystectomy with exploration of common bile duct 624 240 Other organs (mainly digestive)

J1830 Laparoscopic cholecystectomy 648 396 Other organs (mainly digestive)

J1880 Laparoscopic cholecystectomy with peri-operative cholangiogram 732 492 Other organs (mainly digestive)

J1900 Anastomosis of gall bladder (to another viscus) 660 216 Other organs (mainly digestive)

J2720 Partial excision of bile duct and anastomosis of bile duct to 696 264 Other organs (mainly digestive) duodenum/jejunum

J2800 Excision of lesion of bile duct 624 264 Other organs (mainly digestive)

J2900 Anastomosis of hepatic duct 840 264 Other organs (mainly digestive)

J3000 Anastomosis of common bile duct 624 264 Other organs (mainly digestive)

H3 Schedule of Procedures

J3100 Open introduction of prosthesis into bile duct 672 204 Other organs (mainly digestive)

J3200 Repair of bile duct 696 288 Other organs (mainly digestive)

J3300 Incision of bile duct (including exploration for calculus removal) 681 264 Other organs (mainly digestive)

J3500 Sphincterotomy of bile duct and pancreatic duct using duodenal 624 228 Other organs (mainly digestive) approach

J5000 Percutaneous examination of bile duct 288 144 Other organs (mainly digestive)

J5500 Total pancreatectomy and excision of surrounding tissue 1680 528 Other organs (mainly digestive)

J5520 Total pancreatectomy 1507 528 Other organs (mainly digestive)

J5610 Pancreatoduodenectomy and excision of surrounding tissue 2233 575 Other organs (mainly digestive) (Whipple's procedure)

J5700 Distal pancreatectomy 780 288 Other organs (mainly digestive)

J5750 Laparascopic distal pancreatectomy 780 288 Other organs (mainly digestive)

J5800 Excision of lesion of pancreas 588 288 Other organs (mainly digestive)

J5900 Anastomosis of pancreatic duct (to another viscus) 780 264 Other organs (mainly digestive)

J6100 Open drainage of lesion of pancreas 612 216 Other organs (mainly digestive)

J6180 Drainage of pancreatic abscess 588 204 Other organs (mainly digestive)

J6200 Incision of pancreas 588 204 Other organs (mainly digestive)

J6300 Open examination of pancreas 384 144 Other organs (mainly digestive)

J6600 Therapeutic percutaneous operations on pancreas 456 180 Other organs (mainly digestive)

J6900 Open splenectomy 456 204 Other organs (mainly digestive)

J6980 Laparoscopic splenectomy 456 204 Other organs (mainly digestive)

T3010 Laparotomy for post operative haemorrhage 504 228 Peritoeum

T3080 Laparotomy and repair of multiple visceral trauma 1080 456 Peritoeum

T3410 Open drainage of subphrenic abscess 504 215 Peritoeum

H3 Schedule of Procedures

T3600 Wedge excision or removal of omentum (as sole procedure) 540 192 Peritoeum

T3910 Retroperitoneal tumour 860 264 Peritoeum

T3930 Retroperitoneal abscess 336 180 Peritoeum

T3980 Presacral tumour 384 264 Peritoeum

T3990 Excision of retroperitoneal neuro-endocrine lesion 804 300 Peritoeum

T4130 Freeing of adhesions of peritoneum 369 180 Peritoeum

T4300 Laparoscopic adhesiolysis (including biopsy) 360 168 Peritoeum

T4302 Open adhesiolysis (including biopsy) 360 168 Peritoeum

T4610 Paracentesis abdominis for ascites 96 72 Peritoeum

T4680 Suprapubic drainage of pelvic abscess 252 144 Peritoeum

BT252 Insertion and removal of radiopharmaceutical into rectal tumour 1032 408 Rectum / Anus (brachytherapy)

H0410 Panproctocolectomy and ileostomy 1452 575 Rectum / Anus

H0480 Abdominal revision of restorative proctocolectomy 1452 575 Rectum / Anus

H1550 Abdominal operation for Hirschsprung's disease (e.g. Duhamel, 860 492 Rectum / Anus Söave and Surcuson operations)

H2510 Rigid sigmoidoscopy including proctoscopy and biopsy* 100 0 Rectum / Anus

H3310 Abdominoperineal pull through resection with colo-anal 1524 575 Rectum / Anus anastomosis +/- colonic pouch and associated stoma

H3320 Abdominoperineal resection of rectum and anus 1356 575 Rectum / Anus

H3322 Laparoscopic abdominoperineal resection 1356 575 Rectum / Anus

H3332 Anterior resection - high (i.e. colorectal anastomosis above the 1144 575 Rectum / Anus peritoneal reflection)

H3334 Anterior resection - low (i.e. colorectal anastomosis at or below the 1507 575 Rectum / Anus peritoneal reflection)

H3362 Hartmann's procedure 860 480 Rectum / Anus

H3363 Colectomy and colostomy and preservation of rectum 860 480 Rectum / Anus

H3 Schedule of Procedures

H3364 Laparoscopic anterior resection - high (i.e. colorectal anastomosis 1212 492 Rectum / Anus above the peritoneal reflection)

H3365 Laparoscopic anterior resection - low (i.e. colorectal anastomosis at 1668 492 Rectum / Anus or below the peritoneal reflection)

H3380 Partial excision of rectum and sigmoid colon for prolapse 780 264 Rectum / Anus

H3381 Total Mesorectal Excision (TME) 1920 828 Rectum / Anus

H3390 Reversal of Hartmann's procedure 1044 492 Rectum / Anus

H3400 Open excision of lesion of rectum and colon 648 264 Rectum / Anus

H3500 Fixation of rectum for prolapse 636 264 Rectum / Anus

H3580 Laparoscopic rectopexy 564 264 Rectum / Anus

H3590 Stapled transanal rectal resection (STARR) for obstructed 348 180 Rectum / Anus defaecation syndrome

H4000 Transanal resection for rectal cancer 588 168 Rectum / Anus

H4122 Transanal endoscopic microsurgery 648 420 Rectum / Anus

H4130 Perianal excision of lesion of rectum (including sigmoidoscopy) 229 168 Rectum / Anus

H4180 Full or partial thickness rectal biopsy 129 72 Rectum / Anus

H4200 Perineal repair of prolapse of rectum 504 168 Rectum / Anus

H4420 Faecal disimpaction* 55 0 Rectum / Anus

H4430 Examination of rectum under anaesthetic (as sole procedure) 55 72 Rectum / Anus

H4480 Dilation of stricture of rectum 108 72 Rectum / Anus

H4680 Repair of faecal fistula 252 168 Rectum / Anus

H4800 Excision of lesion of anus 120 96 Rectum / Anus

H4900 Destruction of lesion of anus 118 96 Rectum / Anus

H5020 Primary repair of high/intermediate congenital ano-rectal anomaly 497 168 Rectum / Anus

H5042 Primary repair of high/intermediate congenital ano-rectal anomaly 1788 552 Rectum / Anus

H3 Schedule of Procedures

H5043 Primary repair of low congenital ano-rectal anomaly 852 552 Rectum / Anus

H5080 Repair of anal trauma 396 168 Rectum / Anus

H5100 Haemorrhoidectomy (including sigmoidoscopy) 229 160 Rectum / Anus

H5101 Laser haemorroidectomy (including sigmoidoscopy) 184 138 Rectum / Anus

H5230 Injection of sclerosing substance into haemorrhoids 108 96 Rectum / Anus

H5240 Banding of haemorrhoids 108 96 Rectum / Anus

H5250 Circular Stapling Haemorrhoidectomy 184 127 Rectum / Anus

H5400 Anorectal stretch 118 96 Rectum / Anus

H5510 Laying open of low anal fistula (including sigmoidoscopy) 252 160 Rectum / Anus

H5520 Laying open of high anal fistula (including sigmoidoscopy) 318 192 Rectum / Anus

H5530 Closure of anal fistula using a suturable bioprosthetic or synthetic 228 132 Rectum / Anus plugs

H5620 Lateral sphincterotomy of anus 144 160 Rectum / Anus

H5640 Excision of anal fissure 129 120 Rectum / Anus

H5800 Drainage through perineal region (including ischio-rectal abscess) 168 120 Rectum / Anus (including sigmoidoscopy)

H5940 Excision of pilonidal sinus and suture/skin graft 274 180 Rectum / Anus

H6020 Laying open of pilonidal sinus 168 72 Rectum / Anus

L7030 Haemorrhoidal artery ligation operation with or without recto-anal 312 168 Rectum / Anus repair

L7032 Ultrasound guided haemorrhoidal artery ligation 180 108 Rectum / Anus

G4020 Surgery for correction of congenital intestinal atresias 497 182 Small Intestine

G5810 Excision of jejunum 600 204 Small Intestine

G6000 Open formation of jejunostomy 504 192 Small Intestine

G6080 Laparoscopically assisted resection of small intestine 552 192 Small Intestine

H3 Schedule of Procedures

G6082 Open resection of small intestine tumour 552 192 Small Intestine

G6100 Bypass of jejunum 552 192 Small Intestine

G6710 Intubation of jejunum for decompression of intestine (without 288 0 Small Intestine laparotomy)*

G7100 Bypass of ileum 552 192 Small Intestine

G7250 Ileoanal anastomosis and creation of pouch 1368 492 Small Intestine

G7402 Open formation of ileostomy 588 192 Small Intestine

G7403 Laparoscopic ileostomy 588 192 Small Intestine

G7512 Revision of ileostomy - local 288 108 Small Intestine

G7513 Revision of ileostomy - laparotomy 480 182 Small Intestine

G7530 Closure of ileostomy (as sole procedure) 497 182 Small Intestine

G7810 Open operations on ileum (including reduction of intussusception) 552 192 Small Intestine

G7880 Redo-operations on ileum/colon 681 216 Small Intestine

A2720 Proximal gastric vagotomy 588 180 Stomach

A2780 Vagotomy with pyloroplasty 612 228 Stomach

G2710 Total gastrectomy and excision of surrounding tissue 936 324 Stomach

G2800 Partial gastrectomy 672 216 Stomach

G2810 Partial gastrectomy and excision of surrounding tissue 768 216 Stomach

G3070 Sleeve gastrectomy (including laparoscopic) 672 216 Stomach

G3090 Gastric bypass eg. Roux en Y for morbid obesity (including 936 348 Stomach laparoscopic)

G3100 Laparoscopic biliary gastric bypass 684 192 Stomach

G3210 Gastro-jejunostomy 612 192 Stomach

G3220 Revision of gastro-jejunostomy 732 192 Stomach

H3 Schedule of Procedures

G3400 Gastrostomy 369 156 Stomach

G3440 Closure of gastrostomy 456 156 Stomach

G3520 Closure of perforated ulcer of stomach 504 192 Stomach

G3580 Laparoscopic closure of peptic ulcer 576 192 Stomach

G3800 Other open operation(s) on stomach 552 192 Stomach

G4010 Pyloromyotomy 600 192 Stomach

G4030 Pyloroplasty 576 192 Stomach

G4680 Endoscopic mucosal resection (EMR) 274 127 Stomach

G4690 Endoscopic submucosal dissection of gastric lesions 528 192 Stomach

H3 Schedule of Procedures

Bones, Joints & Connective Tissue / Tendon Muscle

CCSD Code Description Procedure Anaesthetic Sub-Category Fee (£) Fee (£)

W0700 Excision of ectopic bone 168 120 Bone (Non-Specific)

W0850 Partial excision of bone (including exostoses) 229 138 Bone (Non-Specific)

W1800 Drainage/debridement of bone(s), including sequestrectomy for 384 108 Bone (Non-Specific) osteomylitis

W2700 Fixation of epiphysis, including epiphysiodesis, correction of angular 312 180 Bone (Non-Specific) deformity

W3650 Diagnostic aspiration and / or trephine biopsy of bone marrow* 180 0 Bone (Non-Specific)

W3680 Harvesting of bone marrow for transplantation 384 156 Bone (Non-Specific)

A6530 Carpal tunnel release (endoscopic) 274 132 Connective Tissue / Tendon Muscle

A6570 Carpal tunnel release (endoscopic) - bilateral 369 204 Connective Tissue / Tendon Muscle

A6740 Cubital tunnel release (endoscopic) (without transposition) 274 132 Connective Tissue / Tendon Muscle

A6750 Cubital tunnel release (endoscopic) bilateral (without transposition) 369 204 Connective Tissue / Tendon Muscle

A8460 Static single measurement of muscle compartment pressures 84 Connective Tissue / Tendon Muscle (including reporting)*

AA609 Peripheral bone density measurement performed by physician 84 Connective Tissue / Tendon Muscle

T5780 Extracorporeal shockwave therapy for plantar fascitis 118 Connective Tissue / Tendon Muscle

T5900 Excision of ganglion 184 132 Connective Tissue / Tendon Muscle

T6220 Excision of bursa 216 120 Connective Tissue / Tendon Muscle

T6800 Secondary repair of tendon (including graft, transfer and/or 540 144 Connective Tissue / Tendon Muscle prosthesis) (not otherwise specified)

T6910 Tenolysis, of extensor (not otherwise specified) 288 138 Connective Tissue / Tendon Muscle

T6980 Tenolysis, of flexor tendon (not otherwise specified) 408 138 Connective Tissue / Tendon Muscle

T7010 Percutaneous tenotomy 108 72 Connective Tissue / Tendon Muscle

T7050 Lengthening of tendon(s) or open tenotomy 336 120 Connective Tissue / Tendon Muscle

H3 Schedule of Procedures

T7110 Tenosynovectomy 318 138 Connective Tissue / Tendon Muscle

T7230 Release of constriction of sheath of tendon (e.g. trigger finger) 300 138 Connective Tissue / Tendon Muscle

T7440 Injection into cord for dupuytrens's contracture (including post 180 Connective Tissue / Tendon Muscle injection finger extension)*

T7481 Autologous blood injection for tendinopathy with/without dry 120 Connective Tissue / Tendon Muscle needling and ultrasound guidance*

T8002 Minor release of muscle for pain or contracture (involving small 229 120 Connective Tissue / Tendon Muscle joint)*

T8003 Major release of muscle for pain or contracture (e.g. Quadriceps) 369 182 Connective Tissue / Tendon Muscle (involving large joint)

W0640 Total excision of sesamoid bone 228 132 Connective Tissue / Tendon Muscle

W0960 Excision of benign tumour of bone with bone grafting 744 216 Connective Tissue / Tendon Muscle

W1080 Osteotomy of long bone, with/without fixation, including graft 588 180 Connective Tissue / Tendon Muscle

W2702 Epiphysiolysis (eg Langenskiold procedure) 312 180 Connective Tissue / Tendon Muscle

W3510 Introduction of therapeutic substance into bone) 180 72 Connective Tissue / Tendon Muscle

W3620 Open bone biopsy 204 108 Connective Tissue / Tendon Muscle

W3622 Needle biopsy of bone* 108 Connective Tissue / Tendon Muscle

W3719 Hip resurfacing arthroplasty bilateral 1296 552 Connective Tissue / Tendon Muscle

W5300 Bicompartmental knee resurfacing 876 348 Connective Tissue / Tendon Muscle

W5550 Excision of radial head (as sole procedure) 612 204 Elbow

T6782 Repair of distal biceps tendon 425 138 Elbow

T8050 Surgical release of humeral epicondylitis (lateral or medial) (e.g. 216 120 Elbow 'Tennis Elbow'

W5040 Replacement of elbow and shoulder (single operation) 1164 396 Elbow

W5502 Interposition arthroplasty of elbow 600 240 Elbow

W5510 Total prosthetic replacement of elbow 864 348 Elbow

W5512 Prosthetic replacement of radial head 384 156 Elbow

H3 Schedule of Procedures

W5520 Revisional prosthetic replacement of elbow 1152 552 Elbow

W5560 OK (Outerbridge and Kashiwagi) procedure 600 240 Elbow

W7850 Open arthrolysis of elbow 559 138 Elbow

W2910 Application of skeletal traction to bone 168 144 External Fixation / Traction

W2930 Removal of skeletal traction from bone 129 96 External Fixation / Traction

W3010 Application of external fixation to bone 168 96 External Fixation / Traction

W3030 Removal of external fixation from bone 168 96 External Fixation / Traction

T6720 Tendo Achilles lengthening percutaneous* 192 Foot - Ankle

T6722 Tendo Achilles lengthening primary open 288 138 Foot - Ankle

T6723 Tendo Achilles lengthening repeat procedure 369 138 Foot - Ankle

T6770 Peroneal sling/groove reconstruction & replacement of dislocated 420 138 Foot - Ankle peroneal tendons

T6780 Primary repair of Achilles tendon 336 120 Foot - Ankle

T6810 Secondary repair of Achilles tendon 552 120 Foot - Ankle

T6822 Secondary repair of Achilles tendon with tendon or fascial graft 732 138 Foot - Ankle

T7250 Extracorporeal shockwave therapy for achilles tendonitis 118 Foot - Ankle

W4410 Total prosthetic replacement of ankle joint 900 297 Foot - Ankle

W4420 Complex total replacement of ankle (i.e. including custom prosthesis, 1144 297 Foot - Ankle wedges, internal fixation of fractures)

W4430 Complex total replacement of ankle (i.e. including custom prosthesis, 1152 396 Foot - Ankle wedges, internal fixation of fractures)

W4441 Harvesting for autologous chondrocyte transplantation into ankle 336 156 Foot - Ankle

W4442 Implantation of autologous chondrocyte into ankle 768 264 Foot - Ankle

W6015 Ankle arthrodesis - open 600 204 Foot - Ankle

W6016 Ankle arthrodesis with autogenous graft 636 215 Foot - Ankle

H3 Schedule of Procedures

W6017 Ankle arthrodesis with internal fixation - arthroscopic 780 215 Foot - Ankle

W6018 Ankle arthrodesis - revision, including conversion from total ankle 804 242 Foot - Ankle replacement

W6019 Ankle syndesmosis reconstruction 720 252 Foot - Ankle

W7430 Reconstruction of lateral collateral ligament complex 588 192 Foot - Ankle

W7530 Repair of lateral collateral ligament complex 384 132 Foot - Ankle

W7880 Open or arthroscopic release of ankle joint contracture (excluding 552 144 Foot - Ankle Achilles tendon lengthening)

W8630 Therapeutic arthroscopy of ankle with either soft tissue procedure or 318 144 Foot - Ankle bony +/or joint surface procedure (as sole procedure)

W8640 Complex therapeutic arthroscopy of ankle, with multiple bony, joint 425 168 Foot - Ankle surface and soft tissue procedures

W8840 Diagnostic arthroscopic examination of ankle, including anterior 274 138 Foot - Ankle synovectomy to gain vision (as sole procedure)

W0420 Triple fusion of joints of hindfoot without autogenous graft 759 215 Foot - Hind Foot / Mid Foot

W0422 Triple fusion of joints of hindfoot with autogenous graft 815 215 Foot - Hind Foot / Mid Foot

W0432 Isolated subtalar fusion or mid foot fusion with autogenous graft 648 204 Foot - Hind Foot / Mid Foot (adult)

W0434 Isolated subtalar fusion or mid foot fusion without autogenous graft 564 204 Foot - Hind Foot / Mid Foot (adult)

W0460 Complex procedure to mid foot or hindfoot without autogenous 660 228 Foot - Hind Foot / Mid Foot bone graft (osteotomy/fusion +/- tendon transfers)

W0462 Complex procedure to mid foot or hindfoot with autogenous bone 732 252 Foot - Hind Foot / Mid Foot graft (osteotomy/fusion +/- tendon transfers/fixation)

W0463 Complex procedure to mid foot and hindfoot without autogenous 732 252 Foot - Hind Foot / Mid Foot graft (osteotomy/fusion +/- tendon transfers/fixation)

W0464 Complex procedure to mid foot and hindfoot with autogenous graft 996 300 Foot - Hind Foot / Mid Foot (osteotomy/fusion +/- tendon transfers, fixation)

W8650 Therapeutic subtalar arthroscopy additional to synovectomy to gain 369 144 Foot - Hind Foot / Mid Foot vision

W8850 Diagnostic subtalar arthroscopy including synovectomy to gain vision 276 138 Foot - Hind Foot / Mid Foot (as sole procedure)

W0300 Multiple procedures on forefoot, distal to and including the 681 240 Foot - Forefoot tarsometatarsal joints

W0310 Multiple procedures on forefoot, distal to and including, the 860 348 Foot - Forefoot tarsometatarsal joints - bilateral

W1040 Osteotomy of small bone of foot (excluding hallax valgus and 252 120 Foot - Forefoot including internal fixation)

H3 Schedule of Procedures

W1590 Correction of retracted/dislocated metatarso-phalangeal joint 528 240 Foot - Forefoot including tendon transfer, division/realignment of bone and internal fixation

W0321 Osteotomy/ies (eg Scarf and Akin) for Hallux Valgus correction with 564 228 Foot - Hallux or without internal fixation and soft tissue correction

W0322 Osteotomy/ies (eg Scarf and Akin) for Hallux Valgus correction with 948 360 Foot - Hallux or without internal fixation and soft tissue correction - bilateral

W0330 Fusion of first metatarso-phalangeal joint 348 160 Foot - Hallux

W0380 Fusion of first metatarso-phalangeal joint - bilateral 600 252 Foot - Hallux

W0860 Metatarso-phalangeal cheilectomy - unilateral 264 156 Foot - Hallux

W0861 Metatarso-phalangeal cheilectomy - bilateral 468 204 Foot - Hallux

W5700 Excision arthroplasty of first metatarso-phalangeal joint with 504 180 Foot - Hallux prosthetic implantation or interposition arthroplasty

W5701 Excision arthroplasty of first metatarso-phalangeal joint with 660 288 Foot - Hallux prosthetic implantation or interposition arthroplasty - bilateral

W5710 Excision arthroplasty of first metatarso-phalangeal joint, including 336 160 Foot - Hallux Keller's

W5780 Excision arthroplasty of first metatarso-phalangeal joint, including 552 228 Foot - Hallux Keller's - bilateral

W7910 Metatarsal osteotomy (e.g. scarf) for hallux valgus, +/- internal 564 228 Foot - Hallux fixation and soft tissue correction

W7980 Metatarsal osteotomy (e.g. scarf) for hallux valgus, +/- internal 681 312 Foot - Hallux fixation and soft tissue correction - bilateral

T6460 Tendon transfer of toe - unilateral 144 108 Foot - Toes

T6461 Tendon transfer of toe - bilateral 228 168 Foot - Toes

T6462 Excision or partial excision of IP joint of lesser toe with tendon 288 138 Foot - Toes transfer

W0881 Excision of joint of toe with release of contracture and soft tissue 288 132 Foot - Toes correction

W5940 Excision or partial excision of IP joint of lesser toe with tendon 288 132 Foot - Toes transfer

W5980 Fusion of interphalangeal joint(s) of toe (including internal fixation) - 504 204 Foot - Toes bilateral

T6762 Repair of tendon of foot - flexor 151 120 Foot - Other

T6763 Repair of tendon of foot - extensor 132 120 Foot - Other

H3 Schedule of Procedures

W7900 Excision of medial eminence 1st/5th MT head with soft tissue repair 204 108 Foot - Other (bunionectomy)

X0822 Amputation of whole ray 288 132 Foot - Other

X0930 Amputation of leg/foot (including Symes Lisfranc & Chopart) 612 192 Foot - Other

X1110 Amputation of toe 288 120 Foot - Other

X2130 Release of joined/fused digit(s) 156 108 Foot - Other

W1920 Primary open reduction of long bone with fixation 600 240 Fractures - Long Bones

W2100 Primary open reduction of intra-articular fracture of long bone with 588 240 Fractures - Long Bones internal fixation, eg proximal humerus or proximal tibia (with or without arthroscopic assistance)

W2310 Secondary open reduction of fractured long bone-and 576 204 Fractures - Long Bones intramedullary fixation or internal fixation for non-union/mal union - including intra articular (including bone graft)

W2380 Locked intramedullary nailing of fractured long bone 768 228 Fractures - Long Bones

W2500 Closed reduction of fracture of long bone with external fixation 552 204 Fractures - Long Bones (excluding fixation by cast or percutaneous K-wires)

W2502 Closed reduction of fracture of long bone (including cast or 300 120 Fractures - Long Bones percutaneous K-wires)

W1940 Primary open reduction of small bone with fixation, including intra- 384 182 Fractures - Small Bones articular

W2300 Secondary open reduction of fracture of small bone, including intra- 384 144 Fractures - Small Bones articular fracture for delayed/non-union (including bone graft)

W2580 Closed reduction of fracture of small bone with external fixator 240 144 Fractures - Small Bones

W2582 Closed reduction of fracture of small bone, including cast or 204 120 Fractures - Small Bones percutaneous K-wires

W1320 Osteotomy of proximal femur 660 264 Fractures - Pelvis / Acetabulum & Femur

W1380 Arthroscopic femoro-acetabular surgery for hip impingement 921 358 Fractures - Pelvis / Acetabulum & syndrome Femur

W1390 Open femoro-acetabular surgery for hip impingement syndrome 864 348 Fractures - Pelvis / Acetabulum & Femur

W1642 Open reduction/internal fixation of posterior rim of acetabulum 600 144 Fractures - Pelvis / Acetabulum & Femur

W1643 Open reduction/internal fixation of either posterior wall/column of 612 228 Fractures - Pelvis / Acetabulum & acetabulum or anterior column of acetabulum Femur

W1644 Open reduction/internal fixation of both columns of acetabulum 1080 408 Fractures - Pelvis / Acetabulum & Femur

H3 Schedule of Procedures

W1645 Open reduction/internal fixation plus bone graft symphysis pubis 456 180 Fractures - Pelvis / Acetabulum & Femur

W1646 Open reduction/internal fixation of sacro-iliac joint 696 264 Fractures - Pelvis / Acetabulum & Femur

W1647 Open reduction/internal fixation of fractures of the greater 384 144 Fractures - Pelvis / Acetabulum & trochanter, including fixation of non-union of greater trochanter Femur after trochanteric osteotomy

W1910 Primary reduction of fracture of neck of femur and internal fixation 660 240 Fractures - Pelvis / Acetabulum & Femur

W6522 Primary open reduction of dislocation of small joint 204 120 Fractures - Joints

W6523 Primary open reduction of dislocation of large joint 300 144 Fractures - Joints

W6630 Primary closed reduction of fracture or dislocation of joint, with or 204 108 Fractures - Joints without fixation including cast application

W6702 Secondary open reduction of dislocation of small joint 252 120 Fractures - Joints

W6703 Secondary open reduction of dislocation of small joint 274 138 Fractures - Joints

W2830 Removal of internal fixation from bone / joint, excluding K-wires 408 138 Fractures - Fixation Devices

W3020 Adjustments to IIizarov frame/rings 504 144 Fractures - Fixation Devices

W3032 Removal of fixator/frame/pins/wires and change of plaster 180 108 Fractures - Fixation Devices

W3040 Application of IIizarov frame for secondary non-union/mal-union 1248 444 Fractures - Fixation Devices including osteotomy

W3050 Adjustments to pin sites secondary for non-union/mal-union 168 0 Fractures - Fixation Devices

W3530 Removal of percutaneous wire* 120 0 Fractures - Fixation Devices

S5730 Surgical toilet and debridement of deep wound, including traumatic 144 108 Fractures - Other or post-operative aeteology

T5540 Fasciotomy of limb 504 168 Fractures - Other

W3100 Bone graft (except where part of another procedure) 456 156 Fractures - Other

X4810 Change of cast without general anaesthetic 84 0 Fractures - Other

X4822 Change of cast under general anaesthetic 84 72 Fractures - Other

T5202 Dupuytren's fasciectomy palm only 360 138 Hand - Incision / Excision

T5203 Dupuytren's fasciectomy single digit with proximal interphalangeal 420 138 Hand - Incision / Excision joint

H3 Schedule of Procedures

T5210 Dupuytren's fasciectomy multiple digits with proximal 540 192 Hand - Incision / Excision interphalangeal joints

T5222 Dupuytren's dermofasciectomy and graft, or for recurrent disease - 540 192 Hand - Incision / Excision single digit

T5223 Dupuytren's dermofasciectomy and graft, or for recurrent disease - 744 259 Hand - Incision / Excision multiple digits

T5410 Dupuytren's subcutaneous fasciotomy 180 96 Hand - Incision / Excision

W0282 Total excision of trapezium 480 168 Hand - Incision / Excision

W0283 Total excision of trapezium with spacer 540 192 Hand - Incision / Excision

W0284 Total excision of trapezium and ligament reconstruction 720 252 Hand - Incision / Excision

W0285 Trapezio-metacarpal joint 720 252 Hand - Incision / Excision

T6402 Tendon transfer of hand - single 300 138 Hand - Repair / Reconstruction

T6410 Tendon transfer of hand - multiple (e.g. for radial nerve injury) 660 180 Hand - Repair / Reconstruction

T6710 Primary repair of extensor of hand 204 120 Hand - Repair / Reconstruction

T6750 Primary repair of flexor of hand (excluding Zone II) 492 120 Hand - Repair / Reconstruction

T6752 Primary repair of flexor of hand in Zone II 492 132 Hand - Repair / Reconstruction

T6820 Secondary repair or reconstruction of extensor of hand/forearm 497 120 Hand - Repair / Reconstruction

T6830 Secondary repair or 1st stage reconstruction of flexor of hand 552 156 Hand - Repair / Reconstruction

T6832 Second stage reconstruction of flexor of hand 552 156 Hand - Repair / Reconstruction

T6914 Tenolysis of extensor tendon of hand 360 138 Hand - Repair / Reconstruction

T6982 Tenolysis of flexor tendon of hand 420 138 Hand - Repair / Reconstruction

T7981 Extensive, greater than 2cm tear repair of large muscle including 559 198 Hand - Repair / Reconstruction arthroscopic (excluding rotator cuff)

W0110 Toe to hand transfer (as sole procedure) including closure of 1144 138 Hand - Repair / Reconstruction secondary defect

W0120 Pollicisation of finger for thumb reconstruction 1020 137.5 Hand - Repair / Reconstruction

W0512 Interpositional silastic arthroplasty of MCP/PIP joint- single 264 132 Hand - Repair / Reconstruction

H3 Schedule of Procedures

W0514 Prosthetic surface arthroplasty of interphalangeal/ metacarpo- 540 138 Hand - Repair / Reconstruction phalangeal joint - single joint (both cemented and uncemented)

W1641 Osteotomy of small bone of hand including fixation and bone 288 138 Hand - Repair / Reconstruction grafting

W5310 Total prosthetic replacement of wrist joint 788 259 Hand - Repair / Reconstruction

W6230 Vascular implantation to carpal bone 612 228 Hand - Repair / Reconstruction

W7482 Scaphoid lunate ligament reconstruction 612 182 Hand - Repair / Reconstruction

W7483 Triquetrolunate ligament reconstruction 612 182 Hand - Repair / Reconstruction

W7484 Reconstruction of three or more ligaments not elsewhere specified 792 198 Hand - Repair / Reconstruction

W7485 Small joint (e.g. interphalangeal/ metacarpo-phalangeal joint) 540 182 Hand - Repair / Reconstruction ligament reconstruction

W7486 Carpo-metacarpal joint ligament reconstruction 540 198 Hand - Repair / Reconstruction

W7715 Coracoid bone block transfer for recurrent instability of shoulder 860 312 Hand - Repair / Reconstruction (Bristow-Latarjet procedure)

W8602 Therapeutic arthroscopy of wrist joint (as sole procedure) 384 108 Hand - Repair / Reconstruction

W8830 Diagnostic arthroscopic examination of wrist joint, with or without 240 108 Hand - Repair / Reconstruction biopsy (as sole procedure)

W3200 Open reduction and internal fixation of cancellous bone graft 552 168 Hand - Fixation / Arthrodesis scaphoid non-union

W3202 Open reduction and internal fixation wedge reconstruction bone 603 198 Hand - Fixation / Arthrodesis graft scaphoid non-union

W3203 Early open reduction and internal fixation of scaphoid fracture, i.e. 432 168 Hand - Fixation / Arthrodesis within 6 weeks of fracture

W5930 Fusion of digit joint(s) of hand with or without graft & with or 288 156 Hand - Fixation / Arthrodesis without internal fixation

W6200 Total fusion of all joints of wrist with or without graft & with or 588 228 Hand - Fixation / Arthrodesis without internal fixation

W6202 Partial fusion of wrist 528 204 Hand - Fixation / Arthrodesis

X0710 Forequarter amputation 1020 336 Hand - Other

X0720 Disarticulation of shoulder 660 216 Hand - Other

X0750 Amputation of arm 384 192 Hand - Other

X0820 Partial amputation of digit 288 132 Hand - Other

H3 Schedule of Procedures

X0880 Amputation through mid-carpal/transmetacarpal 288 132 Hand - Other

X0910 Hindquater amputation 1140 419 Hand - Other

W0702 Excision of ectopic bone around a total hip replacement 184 138 Hip, Leg & Pelvis - Incision / Excision

T7930 Repair of abductor mechanism of hip 229 168 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

W1648 Osteotomy/transfer of greater trochanter as sole procedure 432 180 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

W1700 Shelf augmentation of acetabulum, e.g. Wainwright or Trillat 588 360 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

W1911 Core decompression of hip 732 242 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

W3712 Primary total hip replacement with or without cement 860 348 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

W3713 Complex primary total hip replacement including bone grafting or 921 358 Hip, Leg & Pelvis - Repair / femoral osteotomy Reconstruction / Replacement

W3714 Total hip replacement, with or without cement, after excision 921 358 Hip, Leg & Pelvis - Repair / arthroplasty or arthrodesis, including conversion of hemiarthroplasty Reconstruction / Replacement or revision of other previous hip surgery which involved internal fixation

W3715 Hip resurfacing arthroplasty 864 348 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

W3716 Minimally invasive hip replacement (2 incisions) 1008 408 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

W3717 Minimally invasive hip replacement (one incision) 864 348 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

W3718 Minimally invasive hip resurfacing 864 348 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

W3732 Revision of uncemented or cemented total hip replacement without 1144 600 Hip, Leg & Pelvis - Repair / adjunctive procedures Reconstruction / Replacement

W3733 Revision of total hip replacement including insertion of 1507 600 Hip, Leg & Pelvis - Repair / reconstruction rings, plates, screws, etc., and/or impaction bone Reconstruction / Replacement grafting to acetabulum and/or femur

W3734 Second, third or further revision total hip replacement or proximal 1507 600 Hip, Leg & Pelvis - Repair / femoral replacement (excluding acetabular liner and head changes) Reconstruction / Replacement

W3780 Total prosthetic replacement of the hip, with or without cement, 1296 516 Hip, Leg & Pelvis - Repair / bilateral Reconstruction / Replacement

W3942 Removal of total hip replacement and creating a pseudarthrosis 660 264 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

W3943 Removal of total hip replacement and complete clearance of cement 1296 516 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

W3944 Acetabular liner and head changes 1296 192 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

H3 Schedule of Procedures

W4600 Acetabular liner and head changes 516 192 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

W6540 Open reduction of dislocated hip prosthesis 564 204 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

W6600 Closed reduction of dislocated hip prosthesis 204 120 Hip, Leg & Pelvis - Repair / Reconstruction / Replacement

W8620 Therapeautic arthroscopic examination of hip joint, with or without 732 264 Hip, Leg & Pelvis - Repair / biopsy Reconstruction / Replacement

W8800 Diagnostic arthroscopic examination of hip joint including wash-out, 276 192 Hip, Leg & Pelvis - Repair / with or without biopsy (as sole procedure) Reconstruction / Replacement

W1640 Simple pelvic osteotomy and fixation, e.g. Salter or Chiari 696 264 Hip, Leg & Pelvis - Fixation / osteotomies Arthrodesis

W1649 Complex pelvic osteotomies and fixation, e.g. triple osteotomy, peri- 1296 552 Hip, Leg & Pelvis - Fixation / acetabular osteotomy Arthrodesis

W1912 Pinning of head of femur - open or percutaneous (e.g. slipped 516 204 Hip, Leg & Pelvis - Fixation / femoral epiphysis, undisplaced neck fracture) Arthrodesis

W1913 Pinning for bilateral slipped upper femoral epiphysis 588 264 Hip, Leg & Pelvis - Fixation / Arthrodesis

W3945 Open reduction and internal fixation for periprosthetic fracture 660 242 Hip, Leg & Pelvis - Fixation / around hip Arthrodesis

W4542 Open reduction, internal fixation and revision of femoral component 860 215 Hip, Leg & Pelvis - Fixation / for periprosthetic fracture Arthrodesis

W4543 Primary arthrodesis of hip joint with or without graft & with or 660 215 Hip, Leg & Pelvis - Fixation / without internal fixation - hip Arthrodesis

T6213 Soft tissue operations in the region of the greater trochanter 229 138 Hip, Leg & Pelvis - Other (trochanteric bursitis, snapping hip)

W9018 Percutaneous biopsy/arthrography/aspiration in assessment of total 118 Hip, Leg & Pelvis - Other hip replacement*

X2200 Closed reduction and Frog POP for congenital dislocation of hip 708 192 Hip, Leg & Pelvis - Other (including dynamic arthrogram, traction and soft tissue release)

X2260 Open reduction and Frog POP for congenital dislocation of hip 924 264 Hip, Leg & Pelvis - Other (including traction and innominate/femoral ostetotomy)

X2262 Complex open reduction for congenital dislocation of hip (i.e. pelvic 1020 300 Hip, Leg & Pelvis - Other & femoral or Pemberton osteotomy or revision of open reduction)

X2280 Manipulation of hip and casting 168 120 Hip, Leg & Pelvis - Other

W5540 Debridement of infected total joint replacement 516 192 Joints - not listed elsewhere

W5722 Excision reconstruction of small joint 252 120 Joints - not listed elsewhere

W5723 Excision reconstruction of large joint 504 180 Joints - not listed elsewhere

W6912 Total synovectomy of small joint 300 120 Joints - not listed elsewhere

H3 Schedule of Procedures

W6913 Total synovectomy of large joint 456 168 Joints - not listed elsewhere

W7400 Reconstruction of one or two ligaments not elsewhere specified 456 160 Joints - not listed elsewhere

W7500 Prosthetic open repair of ligament 456 144 Joints - not listed elsewhere

W7881 Release of contracture of inter-phalangeal joint of finger (excluding 312 120 Joints - not listed elsewhere trigger finger or dupytrens disease)

W8150 Arthrotomy of large joint, including removal of loose body from joint 336 120 Joints - not listed elsewhere

W8180 Arthrotomy of small joint, including removal of loose body from joint 229 108 Joints - not listed elsewhere

W8300 Therapeutic arthroscopic operation on articular cartilage (other than 369 132 Joints - not listed elsewhere W8200 and W8230) (as sole procedure)

W8380 Therapeutic arthroscopic operation on articular cartilage (other than 588 228 Joints - not listed elsewhere W8200) - bilateral (as sole procedure)

W8600 Therapeutic arthroscopic operation on cavity of joint (not otherwise 318 240 Joints - not listed elsewhere specified) (as sole procedure)

W8680 Therapeutic arthroscopic operation on cavity of joint - bilateral (not 603 276 Joints - not listed elsewhere otherwise specified) (as sole procedure)

W8700 Diagnostic arthroscopic examination of joint, with or without biopsy 274 192 Joints - not listed elsewhere (not otherwise specified) (as sole procedure)

W8780 Diagnostic arthroscopic examination of joint, with or without biopsy 420 242 Joints - not listed elsewhere - bilateral (not otherwise specified) (as sole procedure)

W8782 Flexible arthroscopy, +/- biopsy (as sole procedure) * 180 Joints - not listed elsewhere

W9012 Therapeutic local anaesthetic/aspiration - large joint - single* 108 Joints - not listed elsewhere

W9013 Therapeutic local anaesthetic/aspiration - large joint - more than 1 129 Joints - not listed elsewhere joint*

W9014 Therapeutic local anaesthetic/aspiration - small joint - single* 118 Joints - not listed elsewhere

W9015 Therapeutic local anaesthetic/aspiration - small joint - more than 1 129 Joints - not listed elsewhere joint*

W9016 Therapeutic local anaesthetic/aspiration of joint under imaging 129 Joints - not listed elsewhere control*

W9017 Therapeutic local anaesthetic/aspiration of joint under imaging 144 Joints - not listed elsewhere control*

W9020 Dynamic arthrogram of joint* 100 Joints - not listed elsewhere

W9030 Image guided injection(s) into joint(s), cysts, bursa or soft tissue, +/- 129 Joints - not listed elsewhere aspiration*

W9040 Injection(s) into joint(s) without X-ray control* 100 Joints - not listed elsewhere

H3 Schedule of Procedures

W9240 Examination/manipulation of joint under anaesthetic +/- injection 96 72 Joints - not listed elsewhere (as sole procedure)

W9282 Joint fluid examination (e.g. polarising microscopy) performed by 100 Joints - not listed elsewhere consultant including tapping of fluid*

W1660 Tibial osteotomy 648 215 Knee - Incision / Excision

W0630 Patellectomy 444 144 Knee - Repair / Reconstruction

W0632 Prosthetic patello-femoral replacement (as sole procedure) 768 297 Knee - Repair / Reconstruction

W3090 Core decompression of knee 732 242 Knee - Repair / Reconstruction

W3110 Osteochondal grafting as a single stage procedure 816 264 Knee - Repair / Reconstruction

W3122 Harvesting for autologous chondrocyte transplantation into knee 336 144 Knee - Repair / Reconstruction including arthroscopy

W3123 Implantation of autologous chondrocyte into knee (including knee 816 264 Knee - Repair / Reconstruction surgery, debridement and periosteal flap or membrane cover)

W4200 Complex primary total knee replacement (i.e. including bone graft, 1144 358 Knee - Repair / Reconstruction augmentation or osteotomy)

W4210 Total prosthetic replacement of knee joint, cemented or 864 348 Knee - Repair / Reconstruction uncemented, +/- patella

W4212 Minimally invasive knee replacement 948 358 Knee - Repair / Reconstruction

W4230 Revision of total replacement of knee joint 1507 552 Knee - Repair / Reconstruction

W4240 2 stage revision of total knee replacement for infection - first stage 864 348 Knee - Repair / Reconstruction

W4242 2 stage revision of total knee replacement for infection - second 948 396 Knee - Repair / Reconstruction stage

W4280 Total prosthetic replacement of knee joint - bilateral 1296 516 Knee - Repair / Reconstruction

W5200 Unicompartmental knee replacement 804 297 Knee - Repair / Reconstruction

W7410 Mutiple ligament reconstruction of knee always including posterior 1144 358 Knee - Repair / Reconstruction cruciate ligament

W7420 Autograft anterior cruciate ligament reconstruction 780 297 Knee - Repair / Reconstruction

W7440 Allograft anterior cruciate ligament reconstruction 780 336 Knee - Repair / Reconstruction

W7470 Revision of anterior cruciate ligament reconstruction 876 358 Knee - Repair / Reconstruction

W7490 Reconstruction of posterior lateral corner of knee 444 156 Knee - Repair / Reconstruction

H3 Schedule of Procedures

W7492 Arthroscopic lateral release 204 120 Knee - Repair / Reconstruction

W7580 Open surgical stabilisation of patella, including application of cast 600 264 Knee - Repair / Reconstruction (adult)

W7582 Open surgical stabilisation of patella, including application of cast 720 264 Knee - Repair / Reconstruction (child)

W7583 Repair of patellar/quadricep tendon 497 198 Knee - Repair / Reconstruction

W8200 Arthroscopic meniscectomy (including debridement) 318 240 Knee - Repair / Reconstruction

W8230 Arthroscopic meniscal repair 369 240 Knee - Repair / Reconstruction

W8280 Arthroscopic meniscectomy (including debridement) - bilateral 603 336 Knee - Repair / Reconstruction

W8400 Repair of knee ligaments (open or arthroscopic) 552 156 Knee - Repair / Reconstruction

W8500 Multiple arthroscopic operation on knee (including meniscectomy, 369 240 Knee - Repair / Reconstruction chondroplasty, drilling or microfracture)

W8520 Arthroscopy of knee (including examination under anaesthetic, 274 192 Knee - Repair / Reconstruction washout and biopsy) (as sole procedure)

W8580 Multiple arthroscopic operation on knee (including meniscectomy, 681 336 Knee - Repair / Reconstruction chondroplasty, drilling or microfracture) - bilateral

W8880 Arthroscopy of elbow (as sole procedure) 274 138 Knee - Repair / Reconstruction

W6014 Primary arthrodesis of knee joint with or without graft & with or 504 216 Knee - Fixation / Arthrodesis without internal fixation

A6030 Transection of peripheral nerve for neuroma 252 120 Nerves

A6080 Neurectomy (major nerve) 384 144 Nerves

A6110 Excision of lesion of peripheral nerve (e.g. neurilemoma) 300 132 Nerves

A6300 Graft to peripheral nerve 468 216 Nerves

A6580 Carpal tunnel release (open) - bilateral 318 204 Nerves

A6600 Release of entrapment of deeply placed peripheral nerve 274 120 Nerves

A6710 Cubital tunnel release (open) (without transposition) 229 132 Nerves

A6711 Cubital tunnel release (open) bilateral (without transposition) 318 204 Nerves

A6810 Neurolysis and transposition of peripheral nerve (includes ulnar at 312 144 Nerves elbow)

H3 Schedule of Procedures

A6900 Revision of release of peripheral nerve 456 144 Nerves

A7310 Biopsy of peripheral nerve 252 108 Nerves

W0610 Total excision of cervical rib 660 228 Shoulder - Incision / Excision

W0890 Excision distal clavicle, as sole procedure 456 168 Shoulder - Incision / Excision

A7340 Exploration and grafting of brachial plexus 1020 612 Shoulder - Repair / Reconstruction

T6450 Tenodesis of biceps tendon (as sole procedure) 168 120 Shoulder - Repair / Reconstruction

T7480 Extracorporeal shockwave therapy of calcific tendonitis of the 118 0 Shoulder - Repair / Reconstruction shoulder

T7910 Extensive (i.e. greater than 2cm tear) repair of rotator cuff muscle 636 204 Shoulder - Repair / Reconstruction including sub-acromial decompression +/- excision of distal clavicle

T7915 Arthroscopic rotator cuff repair greater than 2cm (as sole procedure) 636 204 Shoulder - Repair / Reconstruction

T7982 Arthroscopic sub-acromial decompression and limited, less than 2cm 588 168 Shoulder - Repair / Reconstruction tear rotator cuff repair (including arthroscopic procedures in glenohumeral joint)

T7983 Open sub-acromial decompression and limited (i.e. less than 2cm 588 168 Shoulder - Repair / Reconstruction tear) rotator cuff repair (open or closed)

T7990 Revision rotator cuff repair 612 198 Shoulder - Repair / Reconstruction

T8052 Extracorporeal shockwave therapy of lateral epicondylitis 118 0 Shoulder - Repair / Reconstruction

W4900 Shoulder hemiarthroplasty, as sole procedure 660 192 Shoulder - Repair / Reconstruction

W4902 Shoulder hemiarthroplasty with reconstruction for fracture 780 215 Shoulder - Repair / Reconstruction

W4920 Conversion of hemiarthroplasty to total shoulder replacement 921 215 Shoulder - Repair / Reconstruction

W4930 Revisional shoulder hemiarthroplasty 815 215 Shoulder - Repair / Reconstruction

W5000 Primary total shoulder replacement 864 297 Shoulder - Repair / Reconstruction

W5030 Revision total shoulder replacement 1152 492 Shoulder - Repair / Reconstruction

W5060 Resurfacing arthroplasty of shoulder 860 297 Shoulder - Repair / Reconstruction

W5201 Unicompartmental knee replacement - bilateral 1212 456 Shoulder - Repair / Reconstruction

W5600 Primary repair of rupture of acromioclavicular or sternoclavicular 759 192 Shoulder - Repair / Reconstruction joint including internal fixation

H3 Schedule of Procedures

W5630 Secondary repair of acromioclavicular or sternoclavicular joint +/- 780 204 Shoulder - Repair / Reconstruction internal fixation

W7712 Stabilisation of unidirectional instability of shoulder joint, including 504 215 Shoulder - Repair / Reconstruction anterior, posterior and arthroscopic

W7713 Stabilisation of multi-directional instability of shoulder joint 552 215 Shoulder - Repair / Reconstruction

W7760 Labral Repair (shoulder stabilisation) 552 180 Shoulder - Repair / Reconstruction

W7780 Revision stabilisation of shoulder joint 684 216 Shoulder - Repair / Reconstruction

W7810 Open arthrolysis of shoulder contracture 612 192 Shoulder - Repair / Reconstruction

W7872 Arthroscopic arthrolysis of shoulder contracture 612 138 Shoulder - Repair / Reconstruction

W8192 Open sub-acromial decompression, as sole procedure 456 204 Shoulder - Repair / Reconstruction

W8193 Arthroscopic sub-acromial decompression as sole procedure 588 228 Shoulder - Repair / Reconstruction

W8194 Arthroscopic sub-acromial decompression and excision of distal 504 240 Shoulder - Repair / Reconstruction clavicle (including arthroscopic procedures in glenohumeral joint)

W8603 Therapeutic arthroscopy of shoulder (as sole procedure) 318 180 Shoulder - Repair / Reconstruction

W8820 Diagnostic arthroscopic examination of shoulder joint, with or 240 108 Shoulder - Repair / Reconstruction without biopsy (as sole procedure)

W2810 Plating and bone grafting for non-union of clavicle 588 192 Shoulder - Fixation / Arthrodesis

W4940 Scapulo-thoracic fusion 696 242 Shoulder - Fixation / Arthrodesis

W6012 Primary arthrodesis of joint with or without graft & with or without 660 216 Shoulder - Fixation / Arthrodesis internal fixation - shoulder

W6030 Revision or conversion to arthrodesis of shoulder 660 216 Shoulder - Fixation / Arthrodesis

W9112 Manipulation of joint (including intra-articular injection) for 'Frozen 108 108 Shoulder - Other Shoulder' (as sole procedure)

H3 Schedule of Procedures

Brain, Cranium & Other Intracranial Organs

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

A0110 Hemispherectomy 2004 840 Brain

A0180 Excision of abscess of brain 1356 600 Brain

A0200 Excision of lesion of tissue of brain 1898 720 Brain

A0280 Awake craniotomy with ablation of lesion of brain with or 2040 720 Brain without cortical mapping/stereotaxy

A0300 Stereotactic ablation of tissue of brain 1356 516 Brain

A0310 Stereotactic biopsy of lesion or tissue of brain 1144 444 Brain

A0380 Stereotactic radiosurgery (gamma knife surgery) 1356 516 Brain

A0400 Open biopsy of lesion of tissue of brain 1020 384 Brain

A0900 Implantation/removal of neurostimulator from brain (any 624 228 Brain route)

A1060 Fiducial placement 318 Brain

A1070 Robotic stereotactic radiosurgery, first/sole session using 1507 Brain Cyberknife

A1080 Robotic stereotactic radiosurgery, second to fifth 184 Brain sessions per course of treatment, including adjustments using Cyberknife

A1220 Creation of ventriculovascular anastomosis 588 228 Brain

A1240 Creation of ventriculoperitoneal shunt 588 228 Brain

A1250 Creation of subcutaneous cerebrospinal fluid reservoir 588 228 Brain

A1300 Maintenance of cerebroventricular shunt (including 444 180 Brain revision)

A1430 Removal of cerebroventricular shunt 384 160 Brain

A1440 Irrigation of cerebroventricular shunt 168 180 Brain

A1700 Therapeutic endoscopic operations on ventricle of brain 744 228 Brain

H3 Schedule of Procedures

(including examination and biopsy of lesion)

A2080 Ventricular puncture (as sole procedure) 156 144 Brain

A2220 Puncture of cistern of brain 156 144 Brain

A2223 Cerebral angiogram* 229 Brain

A4280 Intracranial infection : burrhole 528 192 Cranium

V0110 Reconstructive cranioplasty 780 264 Cranium

V0130 Surgery for craniostenosis (single suture) 612 204 Cranium

V0180 Surgery for craniostenosis (more than one suture) 860 264 Cranium

V0310 Exploratory open craniotomy 780 384 Cranium

V0330 Exploratory burrhole of cranium 480 180 Cranium

V0382 Total petrosectomy (for tumour) 1044 612 Cranium

V0383 Lateral petrosectomy (for tumour) 1044 612 Cranium

V0390 Foramen magnum decompression 1368 444 Cranium

V0510 Excision of lesion of cranium 681 228 Cranium

V0530 Elevation of depressed fracture of cranium 492 204 Cranium

V0580 Repair of compound fracture of cranium 860 384 Cranium

A2210 Drainage of subarachnoid space of brain 456 168 Meninges

A3810 Excision of lesion of meninges of brain 2040 720 Meninges

A3830 Operation for arachnoidal cyst 804 264 Meninges

A3900 Repair of dura 1020 324 Meninges

A4010 Evacuation of extradural haematoma 1020 324 Meninges

A4110 Evacuation of subdural haematoma or abscess 1020 324 Meninges

H3 Schedule of Procedures

A4180 Subdural haemorrhage – tap 100 120 Meninges

A2500 Intracranial transection of cranial nerve 1728 528 Nerves

A2600 Other intracranial destruction of cranial nerve 1728 528 Nerves

A2900 Excision of lesion of cranial nerve (intracranial) 2004 840 Nerves

A2953 Acoustic and cerebellopontine angle neuroma surgery – 2233 840 Nerves tumours more than 2.5 cms or compressing brain stem (performed by single surgeon)

A3000 Repair of cranial nerve (intracranial) 852 528 Nerves

A3200 Decompression of cranial nerve (craniotomy) 1704 516 Nerves

A3300 Neurostimulation of cranial nerve (intracranial) 624 228 Nerves

A3330 Removal of neurostimulator from cranial nerve 552 144 Nerves

A3680 Excision of cerebellopontine angle tumour 2028 840 Nerves

A8300 Electro–convulsive therapy 100 72 Other

B0100 Open hypophysectomy (including total) 1728 540 Other

B0210 Cryotherapy to pituitary gland 744 168 Other

B0410 Transsphenoidal hypophysectomy (including total) 1728 540 Other

B0610 Excision of pineal gland 1728 540 Other

A0260 Excision of arteriovenous malformation from vessels of 2040 670 Vessels brain

A4080 Craniotomy – postoperative haemorrhage 804 384 Vessels

L3320 Ligation/clipping of aneurysm of cerebral artery 1728 540 Vessels

L3380 Reinforcement of aneurysm of cerebral artery 1728 540 Vessels

L3400 Open operations on cerebral artery 1728 612 Vessels

H3 Schedule of Procedures

Breasts

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

B2800 Excision of breast lump/fibroadenoma 300 156 Excision / Biopsy

B2820 Wide local excision of lesion of breast 369 160 Excision / Biopsy

B2830 Re-excision of lesion of breast if resection margins are 312 160 Excision / Biopsy not clear (as sole procedure)

B2880 Excision biopsy of breast lesion after localisation 318 156 Excision / Biopsy

B2890 Ultrasound guided interstitial laser ablation of breast 504 168 Excision / Biopsy lesion

B3212 Percutaneous suction core biopsy* 118 Excision / Biopsy

B3220 Core biopsy of lesion of breast* 108 Excision / Biopsy

T9000 Sentinel node mapping for breast cancer with blue dye or 274 60 Excision / Biopsy radioactive probe alone

B2710 Radical mastectomy including block dissection 636 240 Mastectomy (excl implant / reconstruction)

B2742 Modified radical mastectomy including lymph node 576 214.5 Mastectomy (excl implant / sampling reconstruction)

B2743 Modified radical mastectomy excluding lymph node 504 214.5 Mastectomy (excl implant / sampling reconstruction)

B2744 Modified radical mastectomy including lymph node 600 214.5 Mastectomy (excl implant / clearance reconstruction)

B2752 Subcutaneous mastectomy 456 181.5 Mastectomy (excl implant / reconstruction)

B2760 Skin/nipple sparing mastectomy (including axillary node 720 240 Mastectomy (excl implant / biopsy) reconstruction)

B2780 Simple mastectomy (including axillary node biopsy) - 468 214.5 Mastectomy (excl implant / unilateral reconstruction)

B2782 Prophylactic mastectomy - unilateral 468 216 Mastectomy (excl implant / reconstruction)

B3100 Reduction mammoplasty – unilateral 497 192 Other

B3120 Augmentation mammoplasty – unilateral 468 192 Other

H3 Schedule of Procedures

B3130 Unilateral mastopexy (following reconstruction) 408 192 Other

B3140 Therapeutic mammoplasty for breast cancer 528 192 Other

B3310 Drainage of breast abscess including haematoma and 168 0 Other seroma*

B3440 Microdochotomy 312 120 Other

B3592 Tattooing of nipple* 144 0 Other

B3593 Microdochectomy or mammodochectomy (Hadfield's 312 120 Other procedure)

B3594 Plastic procedures on nipple 274 127 Other

B3595 Excision of mammary fistula 216 137.5 Other

S4760 Fine needle aspiration cytology* 96 0 Other

B2700 Subcutaneous mastectomy with immediate implant 588 240 Reconstruction

B2912 Mastectomy and immediate reconstruction of breast 1128 372 Reconstruction using latissimus dorsi

B2913 Reconstruction of breast using latissimus dorsi including 912 264 Reconstruction implantation of prosthesis (including delayed reconstruction)

B2915 Reconstruction of breast using extended latissimus dorsi 912 264 Reconstruction flap (delayed reconstruction)

B2916 Mastectomy and immediate reconstruction of breast 1128 372 Reconstruction using extended latissimus dorsi flap

B2981 Local mobilisation of glandular breast tissue to fill 336 159.5 Reconstruction surgical cavity

B2985 Reconstruction of breast using free TRAM (including 1507 456 Reconstruction delayed reconstruction)

B2986 Reconstruction of breast using Deep Inferior Epigastric 2556 1044 Reconstruction Perforator Flap (DIEP) (including delayed reconstruction)

B2987 Reconstruction of breast using transverse upper gracillis 1608 456 Reconstruction (TUG) flap (including delayed reconstruction and nipple reconstruction)

B2988 Reconstruction of breast using ALT (anteriolateral thigh) 2004 1008 Reconstruction flap including delayed reconstruction

B2991 Laparoscopic mobilisation of the greater omentum for 336 180 Reconstruction reconstruction of breast (including delayed

H3 Schedule of Procedures

reconstruction)

B3012 Mastectomy and immediate reconstruction of breast 648 240 Reconstruction using expandable prosthesis

B3013 Mastectomy and immediate reconstruction of breast 648 240 Reconstruction using fixed prosthesis

B3014 Reconstruction of breast using expandable prosthesis 384 192 Reconstruction (including delayed reconstruction)

B3015 Reconstruction of breast using fixed prosthesis (including 384 192 Reconstruction delayed reconstruction)

B3016 Mastectomy and immediate reconstruction of breast 768 240 Reconstruction using fat transfer

B3017 Reconstruction of breast using fat transfer (including 425 215 Reconstruction delayed reconstruction)

B3018 Redo reconstruction of breast using fat transfer 336 180 Reconstruction

B3020 Fat transfer, including extraction and transfer for volume 425 215 Reconstruction adjustment following mastectomy and reconstruction (as sole procedure)

B3032 Removal of prosthesis from breast, including 274 132 Reconstruction capsulectomy

B3033 Simple removal of prosthesis from breast 184 120 Reconstruction

B3034 Removal and/or reinsertion or prosthesis into breast, 369 160 Reconstruction including capsulectomy - unilateral

B3035 Removal and/or reinsertion or prosthesis into breast, 516 258.5 Reconstruction including capsulectomy - bilateral

B3180 Implantation of prosthesis into breast (as sole procedure) 384 192 Reconstruction

B3580 Nipple reconstruction with or without liposuction and fat 264 120 Reconstruction transfer

B3810 Reconstruction of breast using SGAP (superior gluteal 2004 1008 Reconstruction artery perforator) flap including delayed reconstruction

H3 Schedule of Procedures

Consultations, Simple Investigations & General Procedures

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

11300 Initial Consultation Refer to Consultations Guidance Notes

11320 Consultation (exceeding 40 minutes) Refer to Consultations Guidance Notes

12760 Follow–up Consultation Refer to Consultations Guidance Notes

X0001 Clinical supervision and planning for the delivery of 120 Consultations chemotherapy regimens 0 to 7 days (include all planned in-patient, out-patient and day-patient care (e.g. / consultations / routine diagnostics / dosage adjustments relating to the administration of the chemotherapy) during the specified number of days for the chemotherapy regimen.)

X0002 Clinical supervision and planning for delivery of 240 Consultations chemotherapy cycle 1 - 14 days (include all planned in- patient, out-patient and day-patient care (e.g. / consultations / routine diagnostics / dosage adjustments relating to the administration of the chemotherapy) during the specified number of days for the chemotherapy regimen.)

X0003 Supervision and planning for delivery of chemotherapy 360 Consultations cycle 1 - 21 days (include all planned in-patient, out- patient and day-patient care (e.g. / consultations / routine diagnostics / dosage adjustments relating to the administration of the chemotherapy) during the specified number of days for the chemotherapy regimen.)

X0004 Clinical supervision and planning for delivery of 480 Consultations chemotherapy cycle 1 to 28 days (include all planned in- patient, out-patient and day-patient care (e.g. / consultations / routine diagnostics / dosage adjustments relating to the administration of the chemotherapy) during the specified number of days for the chemotherapy regimen.)

17180 Professional attendance on (initiation of care of) patient 360 Medical Care requiring intensive care in an emergency up to 3 hours

18100 Professional attendance on patient in serious condition 84 Medical Care whether or not in intensive care, per day

H3 Schedule of Procedures

18110 Professional attendance on patient in intermediate 60 Medical Care condition per day

18120 Professional attendance on patient in less serious 36 Medical Care condition or admission for investigation, per day

17170 Professional attendance on (initiation of care of) patient 240 Simple Investigations requiring intensive care in an emergency up to 2 hours

17190 Professional attendance on (initiation of care of) patient 480 Simple Investigations requiring intensive care in an emergency over 3 hours

20110 ECG (including reporting) 96 Simple Investigations

20150 Patch testing (inclusive of application, reading and 96 Simple Investigations reporting)

20170 Blind challenge test for food allergy under medical 120 Simple Investigations supervision

20210 Pure tone audiogram (air conduction) 50 Simple Investigations

20220 Pure tone audiogram (air and bone conduction) 50 Simple Investigations

20230 Impedance audiogram 50 Simple Investigations

25040 IV regional anaesthesia (Bier’s block) administered by 120 Simple Investigations operator

26000 Planning for introduction of radio-active implant into 204 168 Simple Investigations prostate (Brachytherapy Stage 1)

G2180 Ambulatory 24h pH and impedance monitoring* 252 Simple Investigations

X3800 Ophthalmic local anaesthetic injection administered by 84 Simple Investigations operator

20130 Exercise ECG (including reporting) 132 General Procedures

20132 Exercise or Dobutamine stress echocardiography 360 General Procedures (including reporting)

20140 24 hour ECG Holter monitoring (including reporting) 144 General Procedures

20141 Long term ambulatory ECG monitoring (event recording) 144 General Procedures (including reporting)

20142 Insertion of implantable ECG loop recorder (including 240 180 General Procedures reporting)

20143 Removal of implantable ECG loop recorder (including 108 General Procedures reporting)*

H3 Schedule of Procedures

25000 Incision and drainage (not elsewhere covered) 84 General Procedures

64300 Echocardiography (including reporting) as sole procedure 120 General Procedures

S4780 Aspiration of subcutaneous haematoma* 108 General Procedures

S5210 Injection into subcutaneous tissue/painful trigger point 108 General Procedures under local anaesthetic*

S5300 Introduction of substance into skin (including hormone 108 General Procedures pellet)*

V4800 Injection around apophyseal facet(s) of vertebrae* 108 General Procedures

X3770 Intramuscular injection with XRC (e.g. piriformis block) 168 General Procedures

H3 Schedule of Procedures

Ear, Nose & Throat

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

D0110 Total excision of pinna 480 240 External ear

D0132 Excision accessory auricle/preauricular appendage 274 108 External ear

D0140 Excision of preauricular sinus 288 108 External ear

D0210 Excision of lesion of pinna 228 120 External ear

D0280 Removal of multiple bony exostoses external auditory 559 144 External ear canal

D0310 Reconstruction of external ear for anotia/microtia using 816 192 External ear cartilage graft

D0330 Pinnaplasty (including bilateral) 600 120 External ear

D0340 Soft tissue meatoplasty of external auditory canal 468 144 External ear

D0342 Bony meatoplasty 672 144 External ear

D0410 Drainage of haematoma/abcess of pinna 129 108 External ear

D0610 Biopsy of lesion of pinna (as sole procedure)* 100 External ear

D0630 Repair of pinna 129 108 External ear

D0702 Aural toilet - including microsuction and/or suction of 60 External ear exteriorised mastoid cavity*

D0730 Removal of foreign body from external auditory canal 108 72 External ear (and bilateral)

D0810 Excision of lesion of external auditory canal 132 120 External ear

D0812 Removal of solitary osteoma of external auditory canal 132 120 External ear

D0820 Reconstruction of external auditory canal 780 324 External ear

E4850 Therapeutic bronchoscopy for removal of foreign body 229 144 Fibreoptic Endoscopic Procedures

E4990 Panendoscopy +/- incisional biopsy* 300 Fibreoptic Endoscopic Procedures

H3 Schedule of Procedures

E4991 Therapeutic panendoscopy +/- excision or destruction of 318 156 Fibreoptic Endoscopic lesions Procedures

A2952 Acoustic and cerebello–pontine angle neuroma surgery - 2112 840 Inner ear tumours less than 2.5 cms (performed by single surgeon)

A2954 Acoustic and cerebello–pontine angle neuroma surgery - 2112 840 Inner ear tumours managed by combined oto–neurosurgical team irrespective of tumour size

A8480 Transtympanic electro–cochleography 204 Inner ear

AA489 Transtympanic chemical labyrinthectomy 612 264 Inner ear

D2610 Operation(s) on endolymphatic sac 681 264 Inner ear

D2620 Membranous labyrinthectomy 636 264 Inner ear

D2630 Osseous labyrinthectomy 732 264 Inner ear

E2140 Reconstruction using stomach pull up following 1716 684 Larynx and trachea pharyngolaryngectomy

E2150 Reconstruction free jejunal graft following 1776 552 Larynx and trachea pharyngolaryngectomy

E2300 Pharyngeal myotomy 229 160 Larynx and trachea

E2910 Total laryngectomy 1140 552 Larynx and trachea

E2920 Horizontal supra–glottic laryngectomy 756 312 Larynx and trachea

E2930 Vertical hemi–laryngectomy 708 312 Larynx and trachea

E2940 Partial laryngectomy 624 288 Larynx and trachea

E2950 Laryngofissure and cordectomy of vocal cord 492 168 Larynx and trachea

E2952 Laryngofissure 408 168 Larynx and trachea

E2970 Sub total laryngectomy 624 288 Larynx and trachea

E3010 Glottoplasty 504 180 Larynx and trachea

E3100 Reconstruction of larynx with graft 1140 552 Larynx and trachea

E3400 Cordectomy (endoscopic) 384 168 Larynx and trachea

H3 Schedule of Procedures

E3410 Laser surgery to vocal cord (including microlaryngoscopy) 492 120 Larynx and trachea

E3520 Microlaryngoscopy/laryngoscopy +/– endoscopic excision 384 180 Larynx and trachea of lesion of larynx

E3810 Injection into larynx 348 144 Larynx and trachea

E3900 Partial excision of trachea with reconstruction 1044 612 Larynx and trachea

E4100 Insertion of voice prosthesis (TOF) 504 144 Larynx and trachea

E4210 Tracheostomy 288 156 Larynx and trachea

E4230 Mini–tracheostomy (percutaneous) 168 120 Larynx and trachea

D1010 Radical mastoidectomy (including meatoplasty) 756 264 Middle ear and mastoid

D1020 Modified radical mastoidectomy (including meatoplasty) 756 264 Middle ear and mastoid

D1040 Simple mastoidectomy 576 168 Middle ear and mastoid

D1060 Revision of mastoidectomy (including meatoplasty) 648 264 Middle ear and mastoid

D1240 Exploration of facial nerve, mastoid segment 756 264 Middle ear and mastoid

D1420 Myringoplasty 588 216 Middle ear and mastoid

D1440 Combined approach tympanoplasty - intact canal wall 756 264 Middle ear and mastoid tympanoplasty

D1510 Myringotomy and insertion of tube through tympanic 151 156 Middle ear and mastoid membrane (and bilateral)

D1520 Suction clearance of middle ear (as sole procedure) 108 96 Middle ear and mastoid

D1530 Myringotomy (and bilateral) 118 96 Middle ear and mastoid

D1540 Exploration of entire middle ear course of VII 1144 372 Middle ear and mastoid

D1610 Ossiculoplasty 816 264 Middle ear and mastoid

D1710 Stapedectomy 588 216 Middle ear and mastoid

D1720 Revision stapedectomy 648 242 Middle ear and mastoid

D1900 Middle ear tumour excision 588 216 Middle ear and mastoid

H3 Schedule of Procedures

D1910 Middle ear polypectomy 168 72 Middle ear and mastoid

D2030 Removal of grommets 108 72 Middle ear and mastoid

D2040 Diagnostic tympanotomy (as sole procedure) 300 120 Middle ear and mastoid

D2050 Tympanic neurectomy 425 160 Middle ear and mastoid

D2822 Examination of ear under general anaesthetic (as sole 108 72 Middle ear and mastoid procedure)

T8950 Repair of peri–lymph fistula 540 108 Middle ear and mastoid

W1870 Drainage of petrous apex for sepsis 1140 180 Middle ear and mastoid

C2542 Dacryocysto-rhinostomy (endoscopic/laser assisted), 648 264 Nasal Sinuses including insertion and later removal of tube

E1220 Caldwell-Luc approach to maxillary sinus 276 120 Nasal Sinuses

E1240 Vidian neurectomy (including endoscopic) 528 192 Nasal Sinuses

E1260 Image guided endoscopic frontal, sphenoid and/or 600 259 Nasal Sinuses ethmoid sinus surgery (FESS)

E1310 Antral puncture and wash–out (and bilateral) 144 72 Nasal Sinuses

E1330 Intranasal antrostomy including endoscopic and washout 252 132 Nasal Sinuses (including bilateral)

E1350 Closure of oro–antral fistula 384 120 Nasal Sinuses

E1360 Endoscopic balloon dilation frontal sinuplasty (as sole 156 72 Nasal Sinuses procedure)

E1370 Endoscopic balloon dilation maxillary sinuplasty (as sole 156 72 Nasal Sinuses procedure)

E1380 Endoscopic balloon dilation sphenoid sinuplasty (as sole 156 72 Nasal Sinuses procedure)

E1410 External frontoethmoidectomy 636 216 Nasal Sinuses

E1420 Intranasal ethmoidectomy (and bilateral) 360 144 Nasal Sinuses

E1432 FESS: excision uncinate process and anterior ethmoid 552 215 Nasal Sinuses bulla, antrostomy/antral puncture, simple polypectomy and attention to turbinates (bilateral)

H3 Schedule of Procedures

E1450 Bone flap to frontal sinus (and bilateral) 744 180 Nasal Sinuses

E1460 Trephining of frontal sinus 184 72 Nasal Sinuses

E1470 Median drainage of frontal sinus (modified Lothrop 1416 575 Nasal Sinuses procedure)

E1480 Endoscopic exploration frontal sinus beyond 720 264 Nasal Sinuses frontoethmoid recess

E1500 Operation(s) on sphenoid sinus (including endoscopic) 252 144 Nasal Sinuses

E1742 Lateral rhinotomy into sinuses 559 198 Nasal Sinuses

E1750 Transnasal repair of leaking CSF (including endoscopic) 1144 138 Nasal Sinuses

E1780 Diagnostic endoscopy of sinus (as sole procedure) 96 108 Nasal Sinuses

V0700 Cranio–facial resection 1728 744 Nasal Sinuses

W2620 Manipulation under anaesthesia of fractured nose (as 144 108 Nasal Sinuses sole procedure)

E0110 Total excision of nose 456 216 Nose and nasal cavity

E0230 Septorhinoplasty +/– graft/implant following trauma or 612 198 Nose and nasal cavity excision of tumour

E0260 Rhinoplasty following trauma or excision of tumour 588 168 Nose and nasal cavity

E0310 Submucous resection of nasal septum 369 120 Nose and nasal cavity

E0330 Biopsy of septum of nose 108 72 Nose and nasal cavity

E0340 Closure of perforation of septum of nose 425 120 Nose and nasal cavity

E0360 Septoplasty of nose (including attention to turbinates) 468 156 Nose and nasal cavity

E0380 Nasal septum cauterisation (and bilateral) 108 84 Nose and nasal cavity

E0390 Extracorporeal septoplasty 876 312 Nose and nasal cavity

E0412 Reduction turbinates of nose (laser, diathermy, out 132 84 Nose and nasal cavity fracture etc)

E0420 Reduction turbinates of nose (trim,radical excision) 216 108 Nose and nasal cavity

H3 Schedule of Procedures

E0440 Division of adhesions of turbinate of nose (and bilateral) 118 108 Nose and nasal cavity

E0520 Ligation of artery of internal nose (including endoscopic, 384 144 Nose and nasal cavity as sole procedure)

E0610 Packing of cavity of nose (as sole procedure) 96 96 Nose and nasal cavity

E0810 Polypectomy of internal nose (and bilateral, including 132 120 Nose and nasal cavity endoscopic)

E0820 Excision of lesion of internal nose 129 120 Nose and nasal cavity

E0830 Correction of congenital atresia of choana (including 456 180 Nose and nasal cavity endoscopic)

E0850 Removal of foreign body from cavity of nose 96 96 Nose and nasal cavity

E0910 Excision of lesion of external nose 108 120 Nose and nasal cavity

E1910 Total pharyngectomy 1716 552 Throat

E1920 Partial pharyngectomy 660 552 Throat

E2010 Adenoidectomy 108 72 Throat

E2100 Repair of pharynx 660 240 Throat

E2320 Operation(s) on pharyngeal pouch (exterior approach) 552 192 Throat

E2330 Removal of lesion of para–pharyngeal space 660 138 Throat

E2400 Therapeutic endoscopic operation on pharynx 180 120 Throat

E2480 Pharyngeal pouch – endoscopic procedures 504 144 Throat

E2500 Diagnostic endoscopic examination of pharynx/larynx 168 120 Throat (including biopsy) (as sole procedure)

E3680 Endoscopic laryngo-pharyngoscopy as sole outpatient 118 Throat procedure*

F3400 Tonsillectomy – child (and bilateral) 300 168 Throat

F3430 Laser assisted serial tonsillectomy - first stage* 300 Throat

F3431 Laser assisted serial tonsillectomy - subsequent stages* 300 Throat

H3 Schedule of Procedures

F3440 Tonsillectomy – adult (and bilateral) 360 168 Throat

F3480 Adenotonsillectomy (and bilateral) 372 180 Throat

F3620 Drainage of peritonsillar abscess (""quinsy"")* 96 Throat

H3 Schedule of Procedures

Endoscopic GIT Procedures

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

G1900 Rigid oesophagoscopy +/– biopsy/removal/laser or 252 120 Endoscopic GIT Procedures diathermy destruction of lesions

G2110 Oesophageal physiology studies (including pH 100 Endoscopic GIT Procedures measurement)*

G2140 Oesphageal manometry* 120 Endoscopic GIT Procedures

G4410 Therapeutic gastroscopy with insertion of prosthesis, 318 Endoscopic GIT Procedures therapy for acutely bleeding ulcer or banding of varices*

G4430 Therapeutic oesophago-gastro-duodenoscopy (OGD) 184 120 Endoscopic GIT Procedures with dilatation*

G4440 Therapeutic gastroscopy with insertion percutaneous 229 Endoscopic GIT Procedures endoscopic gastrostomy/percutaneous endoscopic jejunostomy*

G4480 Therapeutic enteroscopy* 184 Endoscopic GIT Procedures

G4520 Diagnostic enteroscopy* 151 Endoscopic GIT Procedures

G4530 Catheterless oesophageal ph monitoring (e.g. Bravo)* 151 Endoscopic GIT Procedures

G6500 Diagnostic gastroscopy includes forceps biopsy, biopsy 120 Endoscopic GIT Procedures urease test and dye spray*

G7900 Ileoscopy via stoma with therapy* 168 Endoscopic GIT Procedures

G8080 Capsule endoscopy including interpretation and 300 Endoscopic GIT Procedures evaluation

G8082 Diagnostic oesophago-gastro-duodenoscopy (OGD) and 360 Endoscopic GIT Procedures immediate colonoscopy includes forcep biopies, biopsy test and dye spray (as sole procedure)*

G8083 Therapeutic oesophago-gastro-duodenoscopy (OGD) and 420 Endoscopic GIT Procedures immediate colonoscopy includes forcep biopies, biopsy test and dye spray (as sole procedure)*

G8090 Small bowel physiology studies including manometry* 151 Endoscopic GIT Procedures

H2001 Double Balloon Enteroscopy* 492 Endoscopic GIT Procedures

H2002 Diagnostic colonoscopy, includes forceps biopsy of colon 274 Endoscopic GIT Procedures and ileum*

H3 Schedule of Procedures

H2003 Therapeutic colonoscopy with snare loop biopsy or 318 Endoscopic GIT Procedures excision of lesion*

H2180 Fibreoptic colonscopy and recanalisation of tumour* 444 Endoscopic GIT Procedures

H2220 Endoscopic ultrasound for tumour staging* 369 Endoscopic GIT Procedures

H2502 Diagnostic flexible sigmoidoscopy, includes forceps 118 120 Endoscopic GIT Procedures biopsy and proctoscopy*

H2503 Therapeutic sigmoidoscopy with snare loop biopsy or 180 Endoscopic GIT Procedures excision of lesion*

H4190 Therapeutic high resolution anoscopy (HRA) in 132 Endoscopic GIT Procedures symptomatic patients (+/- biopsy or ablation of lesion of anus)*

H6260 Proctoscopy (+/- biopsy)* 55 Endoscopic GIT Procedures

J3900 Therapeutic ERCP with insertion of biliary or pancreatic 559 Endoscopic GIT Procedures stent(s), spincterotomy or stone extraction*

J4300 Diagnostic ERCP ( includes forceps biopsy)* 369 Endoscopic GIT Procedures

J6730 Endoscopic upper gastrointestinal ultrasound, e.g. for 369 Endoscopic GIT Procedures pancreatico–biliary diagnosis/transmucosal biopsy*

H3 Schedule of Procedures

Eye & Orbital Contents

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

C3910 Excision/biopsy of conjunctival lesion* 129 Conjunctiva

C3920 Cauterisation including cryotherapy to conjunctival lesion 84 144 Conjunctiva

C3950 Radiotherapy to conjunctival lesion 168 144 Conjunctiva

C4010 Mucosal graft to conjunctiva 336 144 Conjunctiva

C4050 Suture of conjunctiva 144 144 Conjunctiva

C4100 Drainage of conjunctival cyst 96 120 Conjunctiva

C4340 Subconjunctival injection 96 120 Conjunctiva

C4350 Exploration of conjunctiva (including removal of foreign 108 120 Conjunctiva body)

C3960 Excision of pterygium 151 138 Cornea

C4520 Excision of lesion of cornea 151 120 Cornea

C4620 Lamellar graft (keratoplasty) to cornea 720 264 Cornea

C4630 Perforating graft (keratoplasty) to cornea 720 264 Cornea

C4640 Descemets stripping endothelial keratoplasty (DSEK) 720 264 Cornea

C4650 Revision of corneal graft 720 264 Cornea

C4690 Implantation of synthetic corneal rings for keratoconus 228 Cornea (including INTACS)*

C4710 Repair of corneal wound 180 144 Cornea

C4730 Removal of corneal suture 96 120 Cornea

C4810 Removal of superficial corneal foreign body 120 120 Cornea

C4980 Tension sutures 516 180 Cornea

C5122 Chelation of cornea/photo therapeutic keratectomy 229 138 Cornea

H3 Schedule of Procedures

C5180 Corneal scraping for culture 120 120 Cornea

C1010 Excision of lesion of eyebrow* 118 Eyebrow & Lid

C1040 Suture of eyebrow* 96 Eyebrow & Lid

C1110 Excision of lesion of canthus 151 144 Eyebrow & Lid

C1130 Correction of epicanthus 204 144 Eyebrow & Lid

C1140 Correction of telecanthus 336 144 Eyebrow & Lid

C1150 Graft of skin to canthus 288 144 Eyebrow & Lid

C1160 Canthotomy 129 144 Eyebrow & Lid

C1210 Excision of lesion of eyelid* 129 Eyebrow & Lid

C1230 Curettage/cryotherapy of lesion of eyelid* 100 Eyebrow & Lid

C1320 Blepharoplasty - one eyelid 425 168 Eyebrow & Lid

C1340 Blepharoplasty - two eyelids 603 168 Eyebrow & Lid

C1341 Blepharoplasty - three or four eyelids 708 192 Eyebrow & Lid

C1420 Graft of skin to eyelid 288 144 Eyebrow & Lid

C1512 Correction of lower lid ectropion without graft/flap 300 120 Eyebrow & Lid

C1513 Correction of lower lid ectropion with graft/flap 425 138 Eyebrow & Lid

C1522 Correction of entropion - lower lid, including graft/flap 300 120 Eyebrow & Lid

C1523 Correction of entropion – upper lid, including graft/flap 425 138 Eyebrow & Lid

C1532 Correction of trichiasis by 120 120 Eyebrow & Lid electrolysis/diathermy/cryotherapy/laser

C1540 Surgical correction of trichiasis /upper lid entropion, 240 120 Eyebrow & Lid including graft/flap

C1640 Tarsorrhaphy 240 120 Eyebrow & Lid

C1700 Total reconstruction of eyelid – unilateral 540 144 Eyebrow & Lid

H3 Schedule of Procedures

C1710 Suture of eyelid (laceration) (as sole procedure) 120 120 Eyebrow & Lid

C1810 Correction of ptosis of eyelid – simple, including 369 168 Eyebrow & Lid tarsomullerectomy

C1812 Correction of ptosis of eyelid – complex 425 198 Eyebrow & Lid

C1813 Correction of ptosis of eyelid with autologous fascia lata 559 198 Eyebrow & Lid

C2220 Biopsy of lesion of eyelid 118 96 Eyebrow & Lid

S0140 Browlift (following nerve damage) 504 168 Eyebrow & Lid

C2920 Insertion of canalicular or punctal plugs 96 General

C8650 Fluorescein angiography of eye (including occular 96 72 General photography)

C8652 Occular photography (as sole procedure) 55 General

C8654 Insertion of radioactive plaque into eye (including later 603 360 General removal)

C0110 Exenteration of orbit 612 204 Globe & Orbit

C0120 Enucleation/evisceration of eyeball 600 180 Globe & Orbit

C0122 Enucleation/evisceration of eyeball (with implant) 600 180 Globe & Orbit

C0212 Excision of lesion of orbit – anterior approach 552 180 Globe & Orbit

C0213 Excision of lesion of orbit – lateral orbitomy 600 180 Globe & Orbit

C0512 Simple reconstruction of socket (not including implant or 276 144 Globe & Orbit graft)

C0513 Reconstruction of socket with either implant or graft 552 180 Globe & Orbit

C0514 Reconstruction of socket with implant and graft 660 204 Globe & Orbit

C0610 Biopsy of lesion of orbit 336 144 Globe & Orbit

C0620 Drainage of orbit 420 126.5 Globe & Orbit

C0630 Decompression of orbit 624 214.5 Globe & Orbit

C0640 Removal of foreign body from orbit 564 192 Globe & Orbit

H3 Schedule of Procedures

C0650 Exploration of orbit (as sole procedure) 497 180 Globe & Orbit

C0840 Orbital injection 96 72 Globe & Orbit

C5910 Iridocyclectomy 660 264 Iris and anterior chamber

C5920 Surgical iridectomy 348 180 Iris and anterior chamber

C6010 Surgical trabeculectomy or other penetrating glaucoma 624 228 Iris and anterior chamber procedures

C6110 Laser trabeculoplasty 318 182 Iris and anterior chamber

C6130 Goniotomy (surgical treatment of glaucoma) 576 156 Iris and anterior chamber

C6150 Revision of previous glaucoma surgery 624 156 Iris and anterior chamber

C6160 Complex glaucoma surgery (including anti– 648 182 Iris and anterior chamber metabolites/insertion of seton devices)

C6170 Goniosynechialysis or goniopuncture (with laser or 348 Iris and anterior chamber operatively)

C6230 Laser iridotomy 336 144 Iris and anterior chamber

C6410 Repair of prolapsed iris 552 180 Iris and anterior chamber

C6420 Excision of lesion of iris 552 192 Iris and anterior chamber

C6450 Removal of foreign body from iris 552 180 Iris and anterior chamber

C6610 Ciliary body ablation 369 160 Iris and anterior chamber

C6710 Cyclodialysis (separation of ciliary body) 504 192 Iris and anterior chamber

C6910 Reformation of anterior chamber 420 156 Iris and anterior chamber

C6920 Paracentesis 129 132 Iris and anterior chamber

C6930 Injection into anterior chamber 129 132 Iris and anterior chamber

C6940 Irrigation/aspiration of anterior chamber 151 132 Iris and anterior chamber

C6980 Removal of foreign body from anterior chamber 336 132 Iris and anterior chamber

C6990 Insertion of valve into anterior chamber of eye 603 182 Iris and anterior chamber

H3 Schedule of Procedures

C2510 Canaliculo-dacryocysto-rhinostomy (including intubation) 684 264 Lacrimal system

C2520 Conjunctivo-dacryocysto-rhinostomy (including tubation) 684 264 Lacrimal system

C2540 Dacryocysto–rhinostomy, including insertion of tube 603 264 Lacrimal system

C2550 Lacrimal intubation (as sole procedure) 180 108 Lacrimal system

C2610 Excision/Biopsy of lacrimal sac 151 144 Lacrimal system

C2640 Incision of lacrimal sac 118 120 Lacrimal system

C2650 Probing of nasolacrimal system with/without syringing 96 72 Lacrimal system and/or irrigation

C2910 Puncto–canaliculoplasty 312 72 Lacrimal system

C7100 Extracapsular extraction without implant – bilateral 559 384 Lens

C7110 Extracapsular extraction without implant – unilateral 318 228 Lens

C7122 Phakoemulsification of lens with implant – unilateral 318 anaestheti Lens st LA and/or sedation fee 108

C7123 Phakoemulsification of lens without implant – unilateral 274 anaestheti Lens st LA and/or sedation fee 108

C7124 Phakoemulsification of lens without implant – bilateral 497 anaestheti Lens st LA and/or sedation fee 168

C7125 Phakoemulsification of lens with implant – bilateral 559 anaestheti Lens st LA and/or sedation fee 168

C7180 Extracapsular extraction with implant – unilateral 369 252 Lens

C7190 Extracapsular extraction with implant – bilateral 603 444 Lens

H3 Schedule of Procedures

C7340 Yag laser photodisruption of posterior capsule of lens 151 144 Lens (including laser capsulotomy)

C7510 Secondary insertion of lens implant 497 180 Lens

C7520 Lens implant/exchange 504 180 Lens

C7530 Removal of lens implant 384 144 Lens

C3112 Surgical correction of squint – horizontal 1 muscle 300 120 Muscles

C3113 Surgical correction of squint – horizontal 2 muscles (in 600 198 Muscles one eye, or one muscle in each of two eyes)

C3114 Surgical correction of squint – inferior oblique surgery 252 120 Muscles

C3115 Surgical correction of squint – other vertical muscles 252 120 Muscles

C3180 Revision of squint surgery 681 156 Muscles

C3530 Surgical correction of squint with adjustable sutures 681 180 Muscles

C3780 Injection of botulinum toxin into extraocular or 84 Muscles periocular musles

C5432 Conventional retinal surgery (may include scleral 612 228 Retina buckling, injection of gas, drainage and retinopexy)

C5480 Removal of silicone oil 240 108 Retina

C8200 Laser photocoagulation/cryotherapy of lesion of retina 151 120 Retina

C8440 Retinal examination under anaesthetic including 132 Retina retinopexy if necessary*

C5300 Excision of lesion of sclera 228 156 Sclera

C5340 Insertion of tantalum marker ring 600 252 Sclera

C5720 Repair of scleral laceration 228 156 Sclera

C5730 Scleral graft 312 120 Sclera

C7910 Anterior vitrectomy 274 180 Vitreous

C7920 Pars plana vitrectomy with internal tamponade, scleral 780 396 Vitreous buckling and retinopexy

H3 Schedule of Procedures

C7922 Pars plana vitrectomy/vitreous biopsy 559 180 Vitreous

C7923 Intravitreal injection of pharmaceutical for neovascular 129 Vitreous age related macular degeneration

C7924 Intravitreal injection of pharmaceutical for central retinal 129 Vitreous vein occlusion

C7982 Pars plana vitrectomy with internal tamponade, scleral 1044 516 Vitreous buckling and retinopexy, including dissection or excision of epiretinal membrane/macular surgery

H3 Schedule of Procedures

Face, Mouth, Salivary & Thyroid

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

S0120 Facelift following disease or trauma 504 168 Face & Jaws

V0820 Open reduction and fixation of fractured jaw 384 192 Face & Jaws

V0830 Closed reduction and fixation of fractured jaw 216 168 Face & Jaws

V0910 Open reduction and fixation of nasal ethmoidal fracture 708 264 Face & Jaws

V0930 Closed reduction of fracture of zygomatic complex of 288 144 Face & Jaws bones

V0980 Open reduction of fracture of zygomatic complex of 456 156 Face & Jaws bones

V1040 Osteotomy of maxilla (and bilateral) 840 264 Face & Jaws

V1082 Partial maxillectomy for malignancy 516 264 Face & Jaws

V1083 Hemi–maxillectomy for malignancy 815 297 Face & Jaws

V1150 Removal of internal fixation and/or intermaxillary 180 156 Face & Jaws fixation from jaw

V1330 Biopsy of lesion of facial bone 120 108 Face & Jaws

V1422 Extensive segmental excision of mandible 696 288 Face & Jaws

V1423 Extensive excision of mandible with disarticulation 696 288 Face & Jaws

V1440 Excision of lesion of jaw 324 137.5 Face & Jaws

V1622 Backward / forward sliding mandibular osteotomy 660 252 Face & Jaws

V1730 Extra–oral fixation of mandible 276 192 Face & Jaws

V1910 Reconstruction of jaw (non–vascularised reconstruction) 840 264 Face & Jaws

V1930 Alveolar bone graft – unilateral 396 168 Face & Jaws

V1931 Alveolar bone graft – bilateral 516 264 Face & Jaws

H3 Schedule of Procedures

V2020 Prosthetic replacement of temporomandibular joint 660 168 Face & Jaws

V2030 Arthroplasty of temporomandibular bone joint 552 180 Face & Jaws

V2110 Temporomandibular menisectomy 336 144 Face & Jaws

V2120 Reduction of dislocation of temporomandibular joint 204 108 Face & Jaws

F0110 Excision of vermilion border of lip and advance of 288 132 Lips mucosa of lip

F0200 Excision of lesion of lip 274 108 Lips

F0312 Primary closure of cleft lip - unilateral 480 204 Lips

F0313 Primary closure of cleft lip – bilateral 552 240 Lips

F0314 Primary closure of cleft lip - unilateral including anterior 552 240 Lips palate

F0315 Primary closure of cleft lip - bilateral including anterior 576 264 Lips palate

F0320 Revision of primary closure of cleft lip 480 204 Lips

F0420 Reconstruction of lip using skin flap 600 216 Lips

F0530 Suture of lip 144 120 Lips

F1140 Vestibuloplasty 336 120 Mouth Cavity

F3810 Excision/destruction of lesion of mouth 168 108 Mouth Cavity

F4040 Suture of mouth (as sole procedure) 180 156 Mouth Cavity

F4050 Graft of skin or mucosa to mouth 300 168 Mouth Cavity

F4210 Biopsy of lesion of mouth* 118 Mouth Cavity

F4230 Removal of excess mucosa from mouth 252 120 Mouth Cavity

T8610 Biopsy/Sampling of cervical lymph nodes 120 144 Neck

T8722 Selective dissection of cervical lymph nodes, levels 1 to 4 732 228 Neck

T9400 Operations on branchial cyst 384 240 Neck

H3 Schedule of Procedures

T9420 Operations on branchial fistula 576 240 Neck

F2810 Excision/destruction of lesion of palate 240 144 Palate

F2910 Primary repair of cleft palate 588 240 Palate

F2920 Revision of repair of cleft palate 444 180 Palate

F3070 Suture of palate 168 132 Palate

F3240 Operations on uvula 204 120 Palate

F4400 Excision of parotid gland (other than F4410/F4430) 552 192 Salivary Glands

F4410 Total excision of parotid gland and preservation of facial 1056 288 Salivary Glands nerve

F4430 Partial excision of parotid gland and preservation of facial 840 288 Salivary Glands nerve

F4440 Excision of submandibular gland 396 168 Salivary Glands

F4450 Excision of sublingual gland 276 159.5 Salivary Glands

F4600 Incision or drainage of abscess or haematoma of salivary 120 120 Salivary Glands glands (i.e. including submandibular, parotid and sublingual glands)

F4640 Fine needle aspiration of parotid gland* 100 Salivary Glands

F4810 Open biopsy of lesion of salivary gland 168 120 Salivary Glands

F4830 Therapeutic Sialendoscopy * 216 Salivary Glands

F5010 Transposition of parotid duct (inc. bilateral) 324 120 Salivary Glands

F5020 Transposition of submandibular duct (inc bilateral) 324 120 Salivary Glands

F5110 Open extraction of calculus from parotid duct 252 108 Salivary Glands

F5120 Open extraction of calculus from submandibular duct 216 120 Salivary Glands

F5510 Dilatation of parotid duct 120 72 Salivary Glands

F5610 Manipulative removal of calculus from parotid duct 216 108 Salivary Glands

H3 Schedule of Procedures

F0830 Replantation of natural tooth/teeth following trauma 240 126.5 Teeth

F0910 Surgical removal of impacted/buried tooth/teeth 312 156 Teeth

F0950 Surgical removal of complicated buried roots 228 137.5 Teeth

F1210 Apicectomy 204 156 Teeth

F1450 Exposure of buried tooth 204 156 Teeth

F1810 Enucleation of cyst of jaw 264 137.5 Teeth

B0812 Total thyroidectomy/near total thyroidectomy 600 252 Thyroid & parathyroid glands

B0813 Total thyroidectomy including block dissection of lymph 660 252 Thyroid & parathyroid glands nodes

B0820 Bilateral subtotal thyroidectomy 600 242 Thyroid & parathyroid glands

B0830 Total thyroid lobectomy & isthmectomy 600 242 Thyroid & parathyroid glands

B0850 Isthmectomy of thyroid gland 300 168 Thyroid & parathyroid glands

B0860 Partial thyroidectomy (not elsewhere classified) 588 242 Thyroid & parathyroid glands

B0900 Operations on aberrant thyroid tissue (including 660 192 Thyroid & parathyroid glands excision/removal of retrosternal goitre)

B1012 Excision of thyroglossal cyst/tract 384 180 Thyroid & parathyroid glands

B1220 Fine needle aspiration of thyroid gland 100 84 Thyroid & parathyroid glands

B1230 Core biopsy of thyroid gland 184 96 Thyroid & parathyroid glands

B1250 Thyroid : re–operation 600 242 Thyroid & parathyroid glands

B1450 Parathyroidectomy 732 264 Thyroid & parathyroid glands

B1680 Parathyroid : re–operation 759 264 Thyroid & parathyroid glands

BT210 Oral introduction of liquid radiopharmaceutical for 312 Thyroid & parathyroid glands thyroid tumour ablation (brachytherapy)

E3180 Thyroplasty (Isshiki Type 1) 504 180 Thyroid & parathyroid glands

F2210 Total glossectomy 696 216 Tongue

H3 Schedule of Procedures

F2220 Partial glossectomy for malignancy 624 156 Tongue

F2310 Excision/destruction of lesion of tongue 252 144 Tongue

F2620 Frenotomy/frenectomy of tongue 144 120 Tongue

F2640 Freeing of adhesions of tongue 96 120 Tongue

F2650 Suture of tongue 144 120 Tongue

F2660 Tongue flap – first stage and second stage 504 228 Tongue

H3 Schedule of Procedures

Female Reproductive Organs

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

BT341 Planning insertion and removal of radiopharmaceutical 204 168 Cervix Uteri into carcinoma of the cervix (brachytherapy)

BT342 Insertion and removal of radiopharmaceutical into 921 408 Cervix Uteri carcinoma of the cervix (brachytherapy)

P2730 Colposcopy (+/- biopsy or polypectomy)* 132 0 Cervix Uteri

Q0100 Amputation of cervix uteri 336 132 Cervix Uteri

Q0220 Laser destruction of lesion of cervix uteri (+/- colposcopy 168 84 Cervix Uteri or polypectomy)

Q0230 Cauterisation of lesion of cervix uteri (+/- loop diathermy, 118 84 Cervix Uteri colposcopy or polypectomy)

Q0330 Cone biopsy of cervix uteri and/or (+/- laser, colposcopy 252 156 Cervix Uteri or polypectomy)

Q0340 Punch biopsy of cervix uteri 100 84 Cervix Uteri

Q1010 Dilatation of cervix uteri and curettage of retained 144 108 Cervix Uteri products of conception

Q1030 Dilatation of cervix uteri and curettage of uterus 151 84 Cervix Uteri including polypectomy and diathermy of cervix

M5100 Combined abdominal and vaginal operations to support 552 240 Suspension outlet of female bladder (including sling procedures) (including cystoscopy)

M5180 Combined abdominal and vaginal operations to support 603 259 Suspension outlet of female bladder (including sling procedures) - redo operation (including cystoscopy)

M5220 Retropubic suspension of neck of bladder (including 552 215 Suspension colposuspension and cystoscopy)

M5300 Vaginal operations to support outlet of female bladder 552 215 Suspension (including cystoscopy)

Q2080 Ventro–suspension of uterus including laparoscopic 396 168 Suspension

Q0710 Radical hysterectomy and lymphadenectomy 1368 492 Uterus/Adnexa (Wertheim's)

Q0712 Radical trachelectomy including laparoscopic and 1188 312 Uterus/Adnexa removal of lymph nodes

H3 Schedule of Procedures

Q0740 Total abdominal hysterectomy (+/– oopherectomy) 648 288 Uterus/Adnexa

Q0750 Subtotal abdominal hysterectomy (+/– oopherectomy) 636 288 Uterus/Adnexa

Q0751 Laparoscopic subtotal hysterectomy (+/- oophorectomy) 636 288 Uterus/Adnexa

Q0752 Robot assisted laparoscopic subtotal hysterectomy (+/- 636 288 Uterus/Adnexa oophorectomy)

Q0790 Laparoscopic total hysterectomy (+/- oophorectomy) 648 288 Uterus/Adnexa

Q0791 Robot assisted laparoscopic total hysterectomy (+/- 648 288 Uterus/Adnexa oophorectomy)

Q0800 Vaginal hysterectomy without laparoscopic assistance 636 288 Uterus/Adnexa

Q0880 Hysterectomy with excision / biopsy and/or removal of 876 297 Uterus/Adnexa omentum and uterine adnexa for ovarian malignancy

Q0890 Vaginal hysterectomy including salpingo-oophorectomy 756 312 Uterus/Adnexa (including laparoscopically assisted)

Q0920 Myomectomy (including laparoscopically) 600 240 Uterus/Adnexa

Q0950 Plastic reconstruction of uterus 648 192 Uterus/Adnexa

Q1280 Introduction of a mirena coil 48 0 Uterus/Adnexa

Q1700 Therapeutic endoscopic operations on uterus (including 516 215 Uterus/Adnexa endometrial ablation excluding microwave or radiofrequency ablation)

Q1701 Laparoscopic excision of endometriosis 780 324 Uterus/Adnexa

Q1702 Microwave Endometrial Ablation including hysteroscopy 384 144 Uterus/Adnexa

Q1703 Impedance controlled bipolar radiofrequency ablation for 384 144 Uterus/Adnexa menorraghia including hysteroscopy

Q1800 Hysteroscopy including biopsy, dilatation, curettage and 229 144 Uterus/Adnexa polypectomy with/without mirena coil insertion

Q1802 Hysteroscopy with resection of fibroid 497 204 Uterus/Adnexa

Q2020 Endometrial biopsy or aspiration 120 84 Uterus/Adnexa

Q2230 Oophorectomy and salpingectomy (in isolation) 600 215 Uterus/Adnexa (including bilateral)

H3 Schedule of Procedures

Q3110 Removal of products of conception from fallopian tube 516 216 Uterus/Adnexa (ectopic pregnancy) including laparoscopically

Q3800 Laparoscopy and therapeutic procedures including laser, 576 240 Uterus/Adnexa diathermy and destruction e.g. endometriosis, adhesiolysis, tubal and ovarian surgery

Q3900 Laparoscopy (including e.g. puncture of ovarian cysts, +/– 360 204 Uterus/Adnexa biopsy, minor endometriosis)

Q3980 Hysterosalpingo contrast echo sonography * 151 Uterus/Adnexa

Q4130 Hydrotubation of fallopian tubes 264 120 Uterus/Adnexa

Q4400 Ovarian cystectomy +/- omental biopsy (as sole 576 215 Uterus/Adnexa procedure and including bilateral)

R1820 Caesarean Delivery 540 228 Uterus/Adnexa

X1410 Total exenteration of pelvis 1728 552 Uterus/Adnexa

X1420 Anterior exenteration of pelvis 1368 528 Uterus/Adnexa

X1430 Posterior exenteration of pelvis 1368 528 Uterus/Adnexa

BT281 Planning for insertion and removal of 204 168 Vagina/Perineum radiopharmaceutical into vaginal tumour (brachytherapy)

BT282 Insertion and removal of radiopharmaceutical into 1032 408 Vagina/Perineum vaginal tumour (brachytherapy)

M3710 Cystourethroplasty (including cystoscopy) 504 192 Vagina/Perineum

M5582 Diathermy of urethral caruncle 108 72 Vagina/Perineum

P1300 Operations on female perineum 144 84 Vagina/Perineum

P1400 Incision of introitus of vagina 144 144 Vagina/Perineum

P1800 Other obliteration of vagina 576 204 Vagina/Perineum

P1920 Excision of septum of vagina 216 144 Vagina/Perineum

P2000 Excision of lesion of vagina (e.g. warts and cysts) 252 144 Vagina/Perineum

P2100 Reconstruction of vagina 816 228 Vagina/Perineum

P2210 Anterior +/– posterior colporrhaphy and amputation of 660 215 Vagina/Perineum cervix uteri (including primary repair of enterocele)

H3 Schedule of Procedures

P2230 Posterior colporrhaphy 420 198 Vagina/Perineum

P2310 Anterior +/– posterior colporrhaphy (including primary 612 215 Vagina/Perineum repair of enterocele) (including cystoscopy)

P2340 Repair of enterocele (+/- posterior colporrhaphy) 552 215 Vagina/Perineum

P2380 Anterior (+/- posterior) colporrhaphy with vaginal 792 264 Vagina/Perineum hysterectomy (including primary repair of enterocele and cystoscopy)

P2390 Anterior (+/- posterior) colporrhaphy with vaginal 792 264 Vagina/Perineum hysterectomy with laparoscopic assistance (including primary repair of enterocele and cystoscopy)

P2420 Sacrocolpopexy (including laparoscopic) 660 228 Vagina/Perineum

P2450 Sacrospinous fixation 612 180 Vagina/Perineum

P2520 Repair of urethrovaginal fistula (including cystoscopy) 552 228 Vagina/Perineum

P2530 Repair of rectovaginal fistula 768 228 Vagina/Perineum

P0310 Excision of Bartholin gland 264 108 Vulva/Labia

P0320 Marsupialisation of Bartholin cyst 252 108 Vulva/Labia

P0510 Simple vulvectomy 612 228 Vulva/Labia

P0580 Radical vulvectomy (including block dissection of inguinal 921 288 Vulva/Labia gland)

P0600 Excision of lesion of vulva 180 108 Vulva/Labia

H3 Schedule of Procedures

Nuclear Medicine

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

72510 Bone scan (single view) 72 Nuclear Medicine

72530 Ectopic gastric mucosa localisation 72 Nuclear Medicine

72550 Iodine uptake 72 Nuclear Medicine

72560 Lacrimal drainage scan 72 Nuclear Medicine

72570 Liver–spleen scan 72 Nuclear Medicine

72610 Residual urine volume 72 Nuclear Medicine

72620 Salivary gland scan 72 Nuclear Medicine

72630 Spleen uptake study 72 Nuclear Medicine

72640 Static renal scan 84 Nuclear Medicine

72660 Thyroid scan (using pertechnetate) 84 Nuclear Medicine

72700 Thrombus localisation - clot/vessel/radiology 84 Nuclear Medicine

73510 First pass blood pool study 84 Nuclear Medicine

73520 Bone scan (axial skeleton) 84 Nuclear Medicine

73530 Bone marrow scan 84 Nuclear Medicine

73540 Brain scan 84 Nuclear Medicine

73550 C14 gastro–intestinal function test 84 Nuclear Medicine

73570 Dynamic renal scan (DTPA) 84 Nuclear Medicine

73590 First pass cardiac angiogram 84 Nuclear Medicine

73630 Gastro–oesophageal reflux 84 Nuclear Medicine

73640 Hepato–biliary scan 96 Nuclear Medicine

H3 Schedule of Procedures

73660 Lung perfusion scan 84 Nuclear Medicine

73670 Lung ventilation scan – any agent 84 Nuclear Medicine

73680 Lymph node scan 84 Nuclear Medicine

73700 Testicular scan 84 Nuclear Medicine

73720 Venography (isotope) using MAA 84 Nuclear Medicine

73730 Vitamin B12 absorption test 84 Nuclear Medicine

73740 C S F shuntography 84 Nuclear Medicine

73760 Glomerular filtration rate 84 Nuclear Medicine

73770 Plasma volume 84 Nuclear Medicine

73780 Probe renography 84 Nuclear Medicine

73790 Red cell mass 84 Nuclear Medicine

73800 Thyroid study (not using pertechnetate) 96 Nuclear Medicine

73801 Thyroid study including uptake and discharge 96 Nuclear Medicine

74510 Cardiac equilibrium blood pool imaging 96 Nuclear Medicine

74530 Duodenogastric reflux 96 Nuclear Medicine

74550 Gastric–emptying (dual isotope) 96 Nuclear Medicine

74580 Myocardial perfusion scan without stress 96 Nuclear Medicine

74590 P32 therapy – polycythaemia rubra vera 144 Nuclear Medicine

74600 Radionuclide cavity therapy 144 Nuclear Medicine

74620 Red blood cell sequestration 84 Nuclear Medicine

74650 Vesico–ureteric reflux 96 Nuclear Medicine

74660 Whole body 131 imaging 144 Nuclear Medicine

H3 Schedule of Procedures

74670 Cerebral blood flow 96 Nuclear Medicine

74680 Extra–cellular fluid volume 84 Nuclear Medicine

74690 Gastro–intestinal blood loss 96 Nuclear Medicine

74700 Gastro–intestinal protein loss 96 Nuclear Medicine

74710 131 Iodine–thyrotoxic therapy 144 Nuclear Medicine

74711 131 Iodine–carcinoma therapy 312 Nuclear Medicine

74720 Red blood cell survival 84 Nuclear Medicine

74721 Lung ventilation and perfusion scan 132 Nuclear Medicine

75510 Cardiac equilibrium blood pool scan with stress (including 132 Nuclear Medicine stress test)

75520 Ferrokinectics 84 Nuclear Medicine

75530 Myocardial perfusion scan with stress (including stress 132 Nuclear Medicine test)

75550 Total exchangeable potassium 84 Nuclear Medicine

75560 Total exchangeable sodium 132 Nuclear Medicine

76510 Adrenal scan 144 Nuclear Medicine

76540 Platelet localisation 144 Nuclear Medicine

76560 White cell (localisation) 144 Nuclear Medicine

76580 M I B G (Diagnosis) 144 Nuclear Medicine

76590 Radio–immune scintigraphy 144 Nuclear Medicine

76600 Parathyroid scan 144 Nuclear Medicine

76920 Yttrium – joint therapy 144 Nuclear Medicine

77580 M I B G (Therapy) 312 Nuclear Medicine

77910 Antibody therapy 312 Nuclear Medicine

H3 Schedule of Procedures

Pathology

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

32200 Thyroid function test 24 – 36 Chemical Pathology

32250 Hormone assays 24 – 36 Chemical Pathology

32300 Insulin stress test 36 – 60 Chemical Pathology

32350 Function tests 36 – 60 Chemical Pathology

33200 Transfusion serology 24 – 36 Haematology

33250 Full blood count 12 – 24 Haematology

33300 Coagulation tests not involving consultation 12 – 24 Haematology

33310 Coagulation tests involving consultation 24 – 36 Haematology

33350 Anticoagulation therapy 24 – 36 Haematology

33400 HIV test 12 – 24 Haematology

33410 In–vivo isotopic studies 24 – 36 Haematology

33450 Administration of cytotoxic therapy 36 – 60 Haematology

34100 Non–gynaecological cytology excluding fine needle 24 – 36 Histopathology aspiration

34110 Fine needle aspiration 24 – 60 Histopathology

34150 Uterine curettings 24 – 60 Histopathology

34200 Simple skin biopsy 24 – 60 Histopathology

34210 Appendix biopsy 24 – 60 Histopathology

34220 Gall bladder biopsy 24 – 60 Histopathology

34250 Inflammatory dermatoses 60 – 96 Histopathology

34300 Drill biopsies breast 24 – 60 Histopathology

H3 Schedule of Procedures

34310 Prostate biopsy 24 – 60 Histopathology

34320 Gastric biopsy 24 – 60 Histopathology

34330 Rectal biopsy 24 – 60 Histopathology

34340 Bronchial biopsy 24 – 60 Histopathology

34350 Uterus biopsy 24 – 60 Histopathology

34450 Prostatic chippings 60 – 96 Histopathology

34500 Breast resection (with frozen section) 96 – 204 Histopathology

34550 Colon – major resection 96 – 204 Histopathology

34570 Lung – major resection 96 – 204 Histopathology

34600 Immuno–cytochemistry/special cytology 24 - 60 Histopathology

34650 Melanotic lesions 60 – 96 Histopathology

34700 Hepatic and lymph node biopsy with immuno– 96 – 204 Histopathology histological studies

34750 Muscle biopsy with histochemistry 96 – 204 Histopathology

34800 Skin biopsy with immuno–fluorescence 60 – 96 Histopathology

35250 Bacterial microscopy – TB etc 24 – 36 Medical Microbiology

35300 Screening serology (syphilis/hepatitis/rubella/AIDs) 24 – 36 Medical Microbiology

35350 Pregnancy test with dilution 24 – 36 Medical Microbiology

35400 Semen analysis for infertility 24 – 36 Medical Microbiology

35450 Blood cultures 24 – 60 Medical Microbiology

35470 CSF examination 24 – 60 Medical Microbiology

35500 Diagnostic bacterial serology 24 – 60 Medical Microbiology

35550 Parasitological examination 24 – 60 Medical Microbiology

H3 Schedule of Procedures

35600 Virological culture and diagnostic serology 24 – 60 Medical Microbiology

35650 Mycological examination 24 – 60 Medical Microbiology

35700 Antibiotic assays 24 – 60 Medical Microbiology

35750 Tests involving consultant in collection of samples and 24 – 60 Medical Microbiology advice to clinicians

H3 Schedule of Procedures

Radiology

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

Please note that all procedures prefixed with XR are intended for use within Interventional Radiology only. The code and narrative for all these procedures includes imaging guidance by one of the following methods: X-ray, CT/MRI, Fluoroscopy or Ultrasound.

XR252 Venoplasty* 204 Angioplasty

XR254 Angioplasty of other arteries (e.g. sub–clavian, tibial, 432 Angioplasty femoro–popliteal)*

XR260 Angioplasty with insertion of metallic stent 600 144 Angioplasty

XR270 Angioplasty with insertion of metallic stent – graft 648 144 Angioplasty

XR280 Insertion of aortic metallic stent - graft 1308 456 Angioplasty

XR290 Cerebral angioplasty with or without insertion of metallic 936 144 Angioplasty stent

XR430 Renal angioplasty 504 Angioplasty

XR516 Angioplasty of iliac artery* 204 Angioplasty

XR100 Fluoroscopically guided biopsy(ies)* 204 Biopsy

XR110 Ultrasound guided biopsy(ies)* 264 Biopsy

XR120 CT/MRI guided biopsy(ies)* 318 Biopsy

XR121 Image guided vacuum assisted excision biopsy of breast 264 Biopsy lesions

XR130 Transjugular/Transfemoral/plugged liver biopsy (ies)* 408 Biopsy

XR140 Unilateral stereotactic core biopsy breast* 204 Biopsy

XR142 Bilateral stereotactic core biopsy breasts* 252 Biopsy

XR450 Dilatation of stricture under imaging control 369 120 Dilatation

XR565 Percutaneous dilatation of biliary stricture under imaging 600 Dilatation control*

XR302 Endovascular management of brain arteriovenous 1872 228 Embolisation malformation (including 2 separate interventions)

H3 Schedule of Procedures

XR303 Additional management of brain arteriovenous 1188 60 Embolisation malformation (per additional intervention)

XR306 Endovascular treatment of cerebral aneurysm 1872 180 Embolisation

XR352 Embolisation of artery / vein 600 120 Embolisation

XR360 Embolisation of vascular mass (including uterine 600 120 Embolisation embolisation)

XR370 Embolisation of bronchial artery 600 120 Embolisation

XR380 Embolisation of aneurysm 1200 504 Embolisation

XR390 Embolisation of arteriovenous malformation of brain or 1200 504 Embolisation major organs

XR442 Embolisation of varicocele of gonadal vein 432 Embolisation

XR951 Ultrasound-guided compression repair of aneurysm 432 Embolisation (including pseudoaneurysm)*

XR585 Percutaneous gastrostomy 300 84 Gastrointestinal

XR590 Percutaneous gastrojejunostomy 504 84 Gastrointestinal

XR315 Endoluminal stone extraction from salivary duct under 229 84 Head & Neck imaging control

XR320 Dilatation/stenting of nasolacrimal duct under imaging 240 84 Head & Neck control

T6290 Extracorporeal shockwave therapy for refractory greater 151 Other trochanteric pain syndrome*

XR910 Insertion of central venous catheter – non–tunnelled (X– 108 Other ray guided)*

XR915 Insertion of central venous catheter – tunnelled (X–ray 252 Other guided)

XR916 Removal of central venous catheter – tunnelled (X–ray 108 Other guided)*

XR917 Peripherally inserted central venous catheters (PICCs) 204 Other under X–ray guidance*

XR920 Cyst ablation under imaging control 240 84 Other

XR935 Insertion/removal of vena cava filter 204 84 Other

H3 Schedule of Procedures

XR936 Insertion of guidewire into breast lesion under imaging 264 Other control*

XR940 Retrieval of foreign body under X–ray guidance 497 84 Other

XR950 Occlusion of fistula under imaging control 252 84 Other

XR960 Percutaneous thermal coagulation of mass 1032 252 Other

XR962 Percutaneous chemical ablation of tumour – Ultrasound 240 84 Other guided

XR963 Percutaneous chemical ablation of tumour – CT guided 264 84 Other

XR964 Liver ablation (assume radiofrequency) 900 419 Other

XR967 CT guided thermocoagulation of osteoid osteoma 504 180 Other

XR968 Colonic stent insertion* 432 Other

XR500 Chemonucleolysis* 369 Spine

XR510 Fluoroscopically guided discectomy (including laser)* 504 Spine

XR520 CT guided discectomy (including laser)* 600 Spine

XR530 Fluoroscopically guided percutaneous vertebroplasty* 504 Spine

XR540 CT guided percutaneous vertebroplasty* 600 Spine

XR410 Thrombolysis or aspiration of thrombus under imaging 425 Thrombolysis control

M2680 Endoscopic removal and insertion of prothesis into ureter 348 156 Urinary (including cystoscopy)

M5580 Excision of urethral caruncle 108 72 Urinary

M5600 Therapeutic endoscopic operations on outlet of female 216 132 Urinary bladder (including cystoscopy)

M7330 Closure of fistula of urethra (including cystoscopy) 228 144 Urinary

M7360 Simple urethroplasty, i.e. first attempt, anterior urethra 504 144 Urinary (including cystoscopy)

M7361 Complex urethroplasty, i.e. posterior urethral repairs and 648 204 Urinary second (or further) anterior repairs (including cystoscopy)

H3 Schedule of Procedures

M7380 Repair of rupture of urethra (including cystoscopy) 348 144 Urinary

M7500 Excision of diverticulum of urethra (including cystoscopy) 369 160 Urinary

M7700 Diagnostic endoscopic examination of urethra (as sole 120 72 Urinary procedure) (including cystoscopy)

M7920 Dilatation of urethra (including cystoscopy) 100 127 Urinary

XR620 Renal/adrenal vein sampling 425 120 Urinary

XR630 Percutaneous nephrostomy* 204 Urinary

XR661 Insertion of stent into ureter - bilateral 468 215 Urinary

H3 Schedule of Procedures

Radiotherapy

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

X0010 Supervision of intraoperative radiation therapy (IORT) 180 Interstitial Radiotherapy

XR600 Insertion of oesophageal metallic stent under imaging 432 Interstitial Radiotherapy control*

XR640 Percutaneous removal of calculus* 504 Interstitial Radiotherapy

XR650 Percutaneous pyelolysis* 504 Interstitial Radiotherapy

51500 Intracavity radiotherapy – course using sealed sources 216 Intracavity Radiotherapy

51310 Simple therapy - megavoltage teletherapy 192 Megavoltage Teletherapy

51330 Radical course - megavoltage teletherapy 456 Megavoltage Teletherapy

51410 Complex features - megavoltage teletherapy 144 Megavoltage Teletherapy

51210 Single dose, per field - Orthovoltage radiotherapy 108 Orthovoltage Radiotherapy

51230 Fractionated course - per field - Orthovoltage 216 Orthovoltage Radiotherapy radiotherapy

51250 Each additional field, concurrent - Orthovoltage 60 Orthovoltage Radiotherapy radiotherapy

51270 Complex features - Orthovoltage radiotherapy 108 Orthovoltage Radiotherapy

54710 Radioisotope therapy – unsealed source, therapy dose 252 Radioisotope Therapy (referred patient)

51110 Single field, single dose - superficial radiotherapy 108 Superficial Radiotherapy

51130 Single field, fractionated - superficial radiotherapy 216 Superficial Radiotherapy

51150 Each additional field - concurrent - superficial 60 Superficial Radiotherapy radiotherapy

51170 Complex features - superficial radiotherapy 60 Superficial Radiotherapy

X6780 Preparation for intermediate radiotherapy 600 Superficial Radiotherapy

XR220 Seminal vesicle injection* 184 Superficial Radiotherapy

H3 Schedule of Procedures

Skin & Subcutaneous Tissue

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

S5520 Burn wound/scar excision, head, neck, hands, feet & 204 108 Burns genitalia, up to 9cm²

S5522 Burn wound/scar excision, head, neck, hands, feet & 408 138 Burns genitalia, 9cm² – 25cm²

S5523 Burn wound/scar excision, head, neck, hands, feet & 559 242 Burns genitalia, greater than 25cm²

S5524 Burn wound/scar excision, trunk & limbs (not more than 120 108 Burns 2% body surface area)

S5525 Burn wound/scar excision, trunk & limbs (between 2% 228 108 Burns and 10% of body area)

S5526 Burn wound/scar excision, trunk & limbs (between 10% 372 120 Burns and 25% of body area)

S5532 Dressing of burn of skin or subcutaneous tissue – less 108 108 Burns than 2%

S5533 Dressing of burn of skin or subcutaneous tissue – 2%– 120 108 Burns 10%

S5534 Dressing of burn of skin or subcutaneous tissue – 10%– 151 108 Burns 25%

S5535 Dressing of burn of skin or subcutaneous tissue – greater 151 108 Burns than 25%

S5560 Release of burn scar contracture, head, neck, hands, feet 204 108 Burns & genitalia

S5562 Release of burn scar contracture, trunk & limbs 156 108 Burns

H5680 Excision of pressure sore excluding repair 252 180 Lesions of the Skin

S0410 Wide excision of sweat glands - bilateral axillae 229 204 Lesions of the Skin

S0520 Microscopically controlled excision of lesion of skin or 720 144 Lesions of the Skin subcutaneous tissue (including Moh's chemosurgery)

S0602 Primary excision of malignant lesion – Head & Neck 312 138 Lesions of the Skin

S0603 Primary excision of malignant lesion – Trunk & Limbs 216 138 Lesions of the Skin

S0604 Secondary excision of malignant lesion – Head & Neck 336 138 Lesions of the Skin

H3 Schedule of Procedures

S0605 Secondary excision of malignant lesion – Trunk & Limbs 288 138 Lesions of the Skin

S0606 Photodynamic therapy to malignant lesion of skin – up to 156 Lesions of the Skin three

S0607 Photodynamic therapy to malignant lesion of skin – four 264 Lesions of the Skin or more

S0608 Sentinel lymph node biopsy for melanoma 336 108 Lesions of the Skin

S0632 Excision of lesion of skin or subcutaneous tissue - up to 129 120 Lesions of the Skin three, Head & Neck*

S0633 Excision of lesion of skin or subcutaneous tissue - up to 118 120 Lesions of the Skin three, Trunk & Limbs*

S0642 Excision of lesion of skin or subcutaneous tissue – four or 229 144 Lesions of the Skin more, Head & Neck

S0643 Excision of lesion of skin or subcutaneous tissue – four or 184 144 Lesions of the Skin more, Trunk & Limbs

S0651 Removal of benign lesion on trunk or limbs less than 156 Lesions of the Skin 10cm in diameter or on scalp less than 5cm in diameter*

S0652 Removal of benign lesion on trunk or limbs greater than 168 Lesions of the Skin 10cm in diameter or on scalp greater than 5cm in diameter*

S0653 Removal of benign lesion (including lipoma) in muscle or 168 Lesions of the Skin deeper tissue*

S0654 Removal of benign lesion on head and neck (excluding 168 Lesions of the Skin scalp) which is closed by primary closure or advancement flap*

S0655 Removal of benign lesion on head and neck requiring flap 180* Lesions of the Skin closure (excluding advancement flap)

S0820 Curettage/cryotherapy of lesions of skin including 118 Lesions of the Skin cauterisation – four or more*

S0922 Laser destruction of lesion(s) of skin – up to 25cm² in 108 Lesions of the Skin area*

S0923 Laser destruction of lesion(s) of skin – over 25cm² in 168 Lesions of the Skin area*

S0940 Photodynamic therapy to non malignant lesions of skin 156 Lesions of the Skin

S1110 Curettage/cryotherapy of lesion of skin including 100 Lesions of the Skin cauterisation – up to three*

S1420 Shave biopsy of lesion of skin* 96 Lesions of the Skin

H3 Schedule of Procedures

S1500 Biopsy of skin or subcutaneous tissue* 100 Lesions of the Skin

S1510 Needle/tru–cut biopsy of muscle* 100 Lesions of the Skin

S4480 Removal of foreign body in deeper tissue 118 108 Lesions of the Skin

S4720 Drainage of lesion of skin including abscess 108 72 Lesions of the Skin

S4740 Drainage of large subcutaneous abscess/haematoma 129 138 Lesions of the Skin

S6022 Skin resurfacing (laser/dermabrasion) – up to 25cm² in 204 108 Lesions of the Skin area

S6023 Skin resurfacing (laser/dermabrasion) – over 25cm² in 276 108 Lesions of the Skin area

S6400 Excision of nail bed (Zadeks) (including anaesthetic)* 165 Lesions of the Skin

S7010 Wedge excision or avulsion of nail including chemical 144 Lesions of the Skin ablation of nail bed*

S4182 Debridement and primary suture of wound with 216 108 Repair involvement of deeper tissue – Head & Neck

S4183 Debridement and primary suture of wound with 192 108 Repair involvement of deeper tissue – Trunk & Limbs

S4212 Debridement and primary suture of wound without 120 108 Repair involvement of deeper tissue (skin & subcutaneous fat only) – Head & Neck

S4213 Debridement and primary suture of wound without 120 108 Repair involvement of deeper tissue (skin & subcutaneous fat only) – Trunk & Limbs

S4230 Secondary suture of skin 118 108 Repair

S4812 Insertion of skin expander into tissue 384 144 Repair

S4910 Adjustment to skin expander in subcutaneous tissue 84 Repair

S4930 Removal of skin expander or valve 180 108 Repair

S5710 Debridement of wound (and surgical toilet) – up to 120 108 Repair 25cm² in area

S5712 Debridement of wound (and surgical toilet) – over 25cm² 151 108 Repair in area

W0950 Radical clearance of sarcoma of trunk or limbs, with or 720 259 Repair without amputation or insertion of prosthesis

H3 Schedule of Procedures

W0951 Radical clearance of sarcoma of head and neck 708 300 Repair necessitating flap reconstruction

H3 Schedule of Procedures

Spine, Spinal Cord & Peripheral Nerves

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

A5780 Rhizolysis (open) 804 228 Nerve Roots

25150 Trigeminal ganglion injection (local anaesthetic under x– 336 Other Nerve Blocks ray control)

A7300 Permanent lesion of major nerve trunk (radio frequency, 204 Other Nerve Blocks cryoprobe or phenol)*

A7350 Local anaesthetic blockade of major nerve trunk 156 Other Nerve Blocks (including occipital block, spheno–palatine block, diagnostic block of trigeminal branch, intercostal nerve block & supra–scapular nerve block)*

AA460 Destruction of branch of trigeminal nerve 252 120 Other Nerve Blocks (neurolytic/RF/cryoprobe)

X3750 Botulinus toxin injections to muscle 84 Other Nerve Blocks

17250 Professional attendance on (initiation of care) patient 396 Other Procedures requiring intensive care over four hours

25160 Trigeminal ganglion radio frequency lesion (under x–ray 612 Other Procedures control)

A5540 Spinal angiogram * 229 Other Procedures

T6520 Tendon sheath injection 100 Other Procedures

T7290 Trigger point injection/Enthesis – 1 injection* 120 Other Procedures

T7292 Trigger point injection/Enthesis – more than 1 injection* 144 Other Procedures

V5484 Interspinous dynamic stabilisation procedure (eg X STOP) 600 204 Other Procedures

V5486 Pedicle based dynamic soft stabilisation procedure (eg 600 204 Other Procedures Graf ligament)

V5487 Pedicle based dynamic semi-rigid stabilisation procedure 804 300 Other Procedures (eg AccuFlex)

XR180 Ultrasound guided drainage of fluid collection* 360 Other Procedures

Y0910 Sclerosant injections (e.g. ligaments of back)* 168 Other Procedures

25010 Paravertebral block up to two levels (without x-ray 168 96 Paraspinal Injections control)

H3 Schedule of Procedures

25011 Paravertebral block up to two levels (under x-ray control) 180 96 Paraspinal Injections

25012 Sacral root block (under x–ray control) 180 Paraspinal Injections

25120 Dorsal root ganglion block (local anaesthetic or 228 96 Paraspinal Injections neurolytic)

25130 Dorsal root ganglion block (radio frequency) 456 Paraspinal Injections

25140 Intrathecal neurolysis 369 Paraspinal Injections

A5200 Epidural injection (cervical)* 229 Paraspinal Injections

A5210 Epidural injection (lumbar/caudal)* 168 112 Paraspinal Injections

A5220 Epidural injection (thoracic)* 229 Paraspinal Injections

A5230 Epidurogram 192 120 Paraspinal Injections

A5240 Epiduroplasty (Racz catheter or equivalent) 516 Paraspinal Injections

A5420 Injection of therapeutic substance into CSF 118 Paraspinal Injections

A5720 Facet or sacroiliac joint (RF)radiofrequency 348 120 Paraspinal Injections thermocoagulation including rhizolysis (under x–ray control) - up to 3 joints

A5730 Facet or sacroiliac joint (RF)radiofrequency 559 180 Paraspinal Injections thermocoagulation including rhizolysis (under x–ray control) - up to 6 joints

A5750 Medial Branch Block or Facet joint injection (under x-ray 184 Paraspinal Injections control)*

A5760 Medial Branch Block or Facet joint injection (under x-ray 229 Paraspinal Injections control) - 3 to 4 joints*

A5770 Medial Branch Block or Facet joint injection (under x-ray 274 Paraspinal Injections control) - 5 to 6 joints*

A5790 Sacroiliac joint injection* 144 Perpiheral nerves

A6180 Excision of lesion of major nerve 396 144 Perpiheral nerves

A6302 Graft to major nerve 684 242 Perpiheral nerves

A6400 Repair of peripheral nerve 274 144 Perpiheral nerves

H3 Schedule of Procedures

A6402 Repair of major nerve 318 144 Perpiheral nerves

A6510 Carpal tunnel release (open) 229 132 Perpiheral nerves

A6530 Carpal tunnel release (endoscopic) 274 132 Perpiheral nerves

A6700 Release of entrapment of peripheral nerve 264 120 Perpiheral nerves

A6740 Cubital tunnel release (endoscopic) (without 274 132 Perpiheral nerves transposition)

A6750 Cubital tunnel release (endoscopic) bilateral (without 369 204 Perpiheral nerves transposition)

V4280 Correction of degenerative scoliosis including 1320 432 Perpiheral nerves decompression +/- fusion

V2200 Posterior decompression +/– foraminotomy (cervical 828 300 Spinal Column - Cervical region)

V2282 Prosthetic intervertebral disc replacement in the cervical 1507 840 Spinal Column - Cervical spine

V2300 Revisional posterior decompression +/– foraminotomy 1152 419 Spinal Column - Cervical (cervical region)

V2900 Anterior discectomy (cervical region) 828 300 Spinal Column - Cervical

V2902 Revisional anterior discectomy (cervical region) 1152 420 Spinal Column - Cervical

V2950 Anterior discectomy, decompression and fusion 1116 408 Spinal Column - Cervical (including bone grafting / multiple levels) (cervical region)

V2980 Combined anterior and posterior fusion of cervical spine 1752 575 Spinal Column - Cervical

V2990 Open door laminoplasty of the cervical region 1044 360 Spinal Column - Cervical (Hirobyashi)

V3720 Posterior fusion (cervical region) 804 300 Spinal Column - Cervical

V3730 Transoral surgery–including posterior fixation 1898 492 Spinal Column - Cervical

V2400 Posterior decompression with fusion (thoracic region) 1144 396 Spinal Column - Thoracic

V2402 Posterior decompression (thoracic region) 900 312 Spinal Column - Thoracic

V2430 Revisional posterior decompression with fusion (thoracic 1476 419 Spinal Column - Thoracic region)

H3 Schedule of Procedures

V3100 Combined anterior discectomy and posterior fusion 1507 419 Spinal Column - Thoracic (thoracic region)

V3102 Revisional combined anterior discectomy and posterior 1898 660 Spinal Column - Thoracic fusion (thoracic region)

V3120 Transthoracic/ anterolateral excision of intervertebral 1428 419 Spinal Column - Thoracic disc +/– fusion

V3122 Revisional transthoracic/ anterolateral excision of 1752 600 Spinal Column - Thoracic intervertebral disc +/– fusion

V3140 VATS percutaneous discectomy +/– fusion (thoracic 681 297 Spinal Column - Thoracic region)

V3181 Prosthetic intervertebral disc replacement in the thoracic 1380 540 Spinal Column - Thoracic spine

A5290 Transforaminal epidural* 264 Spinal Column - Lumbar

V2500 Primary posterior fusion +/– decompression +/– 921 324 Spinal Column - Lumbar discectomy (lumbar region)

V2510 Endoscopic Discectomy and or Decompression 840 288 Spinal Column - Lumbar (Transforminal) - Lumbar region

V2540 Posterior excision of disc prolapse including 804 264 Spinal Column - Lumbar microdiscectomy +/- decompression (lumbar region)

V2542 Posterior excision of disc prolapse with undercutting 815 288 Spinal Column - Lumbar facetectomy +/- decompression (lumbar region)

V2543 Revision of posterior excision of disc prolapse with 1144 358 Spinal Column - Lumbar undercutting facetectomy (lumbar region)

V2544 Revision of posterior excision of disc prolapse (lumbar 921 358 Spinal Column - Lumbar region)

V2560 Decompression for central spinal stenosis (1 or 2 levels) 815 300 Spinal Column - Lumbar

V2562 Decompression for central spinal stenosis (3 or more 921 419 Spinal Column - Lumbar levels)

V2570 Percutaneous vertebroplasty* 504 Spinal Column - Lumbar

V2652 Revision posterior fusion +/– instrumentation (lumbar 1368 357.5 Spinal Column - Lumbar region)

V2660 Revision of decompression for central spinal stenosis 1144 419.1 Spinal Column - Lumbar

V3340 Primary anterior discectomy, decompression and 1144 491.7 Spinal Column - Lumbar anterior fusion (lumbar region)

V3350 Combined anterior discectomy and fusion and posterior 1848 575.3 Spinal Column - Lumbar fusion (lumbar region)

H3 Schedule of Procedures

V3362 Primary posterior fusion with instrumentation +/- 1320 432 Spinal Column - Lumbar decompression +/- discectomy (including Graf Stabilisation and interbody fusion (PLIF)) (lumbar region)

V3380 Prosthetic replacement of lumbar disc 1507 516 Spinal Column - Lumbar

V3472 Revision of minimally invasive intradiscal surgery (lumbar 1056 348 Spinal Column - Lumbar region)

V4140 Removal of posterior spinal implant 420 156 Spinal Column - Lumbar

V4740 Percutaneous spinal biopsy (CT controlled) 372 120 Spinal Column - Lumbar

V4900 Open biopsy of lesion of spine where no other operative 552 180 Spinal Column - Lumbar procedure on the spine is performed

V5002 Manipulation of spine under GA/IV sedation (as sole 100 138 Spinal Column - Lumbar procedure)

V5003 Manipulation of spine without GA/IV sedation (as sole 55 Spinal Column - Lumbar procedure)

V5210 Chemonucleolysis (multiple levels) 432 120 Spinal Column - Lumbar

V5230 Discogram/Diagnostic intervertebral disc injection under 184 108 Spinal Column - Lumbar X-ray control

W0660 Coccygectomy (multiple levels) 264 120 Spinal Column - Lumbar

V4000 Combined anterior and posterior correction and 2233 847 Scoliosis instrumentation of idiopathic juvenile scoliosis including spinal cord monitoring

V4010 Posterior correction of idiopathic juvenile kyphosis with 2016 720 Scoliosis instrumentation and fusion (including spinal cord monitoring)

V4100 Posterior correction of idiopathic juvenile scoliosis with 2016 670 Scoliosis instrumentation and fusion including spinal cord monitoring

V4120 Anterior correction of idiopathic juvenile scoliosis with 2196 768 Scoliosis instrumentation and fusion including spinal cord monitoring

V4122 Anterior correction of idiopathic juvenile kyphosis with 2196 768 Scoliosis instrumentation and fusion (including spinal cord monitoring)

V4142 Removal of posterior scoliosis instrumentation (as sole 497 192 Scoliosis procedure)

V4150 Anterior correction of degenerative adult kyphosis with 2196 768 Scoliosis instrumentation and fusion (including spinal cord

H3 Schedule of Procedures

monitoring)

V4160 Posterior correction of degenerative adult kyphosis with 2016 720 Scoliosis instrumentation and fusion (including spinal cord monitoring)

V4280 Correction of degenerative scoliosis including 1320 432 Scoliosis decompression +/- fusion

V4300 Anterior vertebrectomy with decompression and implant 2233 847 Scoliosis

V4302 Combined anterior vertebrectomy with posterior fusion 2233 996 Scoliosis and instrumentation

V4451 Balloon kyphoplasty - single level* 504 Scoliosis

V4452 Balloon kyphoplasty - two levels* 612 Scoliosis

V4453 Balloon kyphoplasty - greater than two levels* 756 Scoliosis

A4400 Partial excision of spinal cord 1284 456 Spinal Cord

A4500 Open operations on spinal cord 1356 456 Spinal Cord

A4730 Percutaneous cordotomy of spinal cord 860 180 Spinal Cord

A4860 Implantation / removal of epidural delivery system 192 Spinal Cord

A4900 Repair of spinal myelomeningocele 984 384 Spinal Cord

A5110 Excision of intradural lesion 1320 456 Spinal Cord

A5300 Drainage of spinal canal (including insertion of shunt) 768 228 Spinal Cord

A5530 Lumbar puncture (including spinal manometry) 108 72 Spinal Cord

A5580 CSF infusion studies* 192 Spinal Cord

A7352 Ultrasound guided nerve block (as sole procedure)* 151 Spinal Cord

V4280 Correction of degenerative scoliosis including 1320 432 Spinal Cord decompression +/- fusion

V4980 Excision of intramedullary tumour 1356 444 Spinal Cord

25020 Intravenous regional sympathetic block (guanethidine 144 Sympathetic Nerves block) – 1 injection

H3 Schedule of Procedures

25022 Stellate ganglion block (local anaesthetic) 132 Sympathetic Nerves

25030 Stellate ganglion block (neurolytic) 168 Sympathetic Nerves

25100 Coeliac plexus block, splanchnic nerve block, hypogastric 300 Sympathetic Nerves block - diagnostic

25110 Coeliac plexus block, splanchnic nerve block, hypogastric 336 Sympathetic Nerves block – therapeutic

A7500 Lumbar sympathectomy : diagnostic (local anaesthetic 288 Sympathetic Nerves under x–ray control)*

A7510 Thorascopic cervical sympathectomy 720 228 Sympathetic Nerves

A7520 Thoracic sympathectomy : diagnostic (local anaesthetic 288 Sympathetic Nerves under x–ray control)*

A7530 Laparoscopic lumbar sympathectomy 576 228 Sympathetic Nerves

A7600 Lumbar sympathectomy : therapeutic (neurolytic under 408 108 Sympathetic Nerves x–ray control)

A7620 Thoracic sympathectomy : therapeutic (neurolytic under 456 120 Sympathetic Nerves x–ray control)

A7682 Presacral sympathectomy - diagnostic 408 120 Sympathetic Nerves

A7683 Presacral sympathectomy – therapeutic 456 120 Sympathetic Nerves

H3 Schedule of Procedures

Thorax & Intra Thoracic Organs

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

E4400 Carinal resection +/– pneumonectomy 1716 528 Bronchi Lungs Pluera

E4600 Sleeve resection of bronchus or pulmonary artery with 1032 480 Bronchi Lungs Pluera pulmonary resection

E5410 Pneumonectomy 1032 480 Bronchi Lungs Pluera

E5430 Lobectomy/segmental resection 1032 480 Bronchi Lungs Pluera

E5480 Lung resection with resection of chest wall 1716 528 Bronchi Lungs Pluera

E5520 Open excision of lesion of lung 840 384 Bronchi Lungs Pluera

E5532 Thoracotomy and lung biopsy as sole procedure 408 252 Bronchi Lungs Pluera

E5533 Percutaneous radiofrequency ablation of malignant 900 300 Bronchi Lungs Pluera neoplasm of lung*

E5700 Thoracotomy lung volume reduction – bilateral 852 384 Bronchi Lungs Pluera

E5702 Thoracotomy lung volume reduction – unilateral 768 228 Bronchi Lungs Pluera

E5703 Thoracotomy bullectomy – bilateral 768 228 Bronchi Lungs Pluera

E5704 Thoracotomy bullectomy – unilateral +/– pleurodesis in 684 228 Bronchi Lungs Pluera presence of emphesyma

E5705 Thoracotomy pleurectomy/pleurodesis +/– ligation of 540 192 Bronchi Lungs Pluera bullae for pneumothorax

E5910 Needle biopsy of lung 132 96 Bronchi Lungs Pluera

T0710 Decortication of pleura or lung 840 336 Bronchi Lungs Pluera

T0910 Open pleural biopsy 168 108 Bronchi Lungs Pluera

T1220 Drainage of pleural cavity* 168 Bronchi Lungs Pluera

T1240 Insertion of tube drain into pleural cavity* 168 Bronchi Lungs Pluera

T1300 Introduction of substance into pleural cavity with chest 96 72 Bronchi Lungs Pluera drain

H3 Schedule of Procedures

T1410 Needle biopsy of pleura* 168 Bronchi Lungs Pluera

T1480 Insertion of pleuro–peritoneal shunt 348 144 Bronchi Lungs Pluera

E4722 Thoracotomy and closure of bronchopleural fistula 804 324 Chest Wall

T0110 Thoracoplasty 840 264 Chest Wall

T0132 Excision of chest wall tumour – with chest wall 756 288 Chest Wall reconstruction

T0133 Excision of chest wall tumour – without chest wall 528 204 Chest Wall reconstruction

T0210 Correction of pectus deformity of chest wall (or other 921 297 Chest Wall congenital defect thereof)

T0212 Secondary correction of scoliosis–related chest wall 921 297 Chest Wall deformity (posterior costoplasty) (as sole procedure)

T0320 Exploratory thoracotomy 456 216 Chest Wall

T0810 Resection of rib and open drainage of pleural cavity 444 216 Chest Wall

T1500 Repair of rupture of diaphragm 900 358 Chest Wall

T1620 Plication of paralysed diaphragm 696 312 Chest Wall

E4510 Fibreoptic examination of trachea including 180 Fibreoptic Endoscopic biopsy/removal of foreign body* Procedures (GA or LA)

E4800 Therapeutic bronchoscopy (including laser, cryotherapy, 274 Fibreoptic Endoscopic lavage, snare, dilatation of stricture, insertion of stent) Procedures (GA or LA)

E4840 Dilatation of tracheal stricture including insertion of stent 274 Fibreoptic Endoscopic Procedures (GA or LA)

E5180 Diagnostic bronchoscopy +/- biopsy* 204 132 Fibreoptic Endoscopic Procedures (GA or LA)

L0200 Closed ligation of patent ductus arteriosus 1044 612 Great Vessels

L0230 VATS closure of patent ductus arteriosus 1044 612 Great Vessels

L0310 Percutaneous transluminal prosthetic occlusion of patent 864 336 Great Vessels ductus arteriosus

L0620 Creation of communication between pulmonary artery 1740 612 Great Vessels and aorta

L0710 Creation of shunt from subclavian artery to pulmonary 1507 612 Great Vessels

H3 Schedule of Procedures

artery

L0900 Formation of cavo–pulmonary shunt (Glenn) 1507 419 Great Vessels

L1080 Open operations/repair of pulmonary artery 1144 612 Great Vessels

L1240 Pulmonary embolectomy 1860 960 Great Vessels

L1300 Transluminal operations on pulmonary artery 696 444 Great Vessels

L1810 Repair of leaking aneurysm of ascending aorta 1704 456 Great Vessels

L1880 Repair of leaking aneurysm of arch of aorta 2028 960 Great Vessels

L1890 Repair of leaking aneurysm of thoracic aorta 2028 960 Great Vessels

L1892 Immediate repair of aortic dissection (i.e. within two 1507 575 Great Vessels weeks of happening)

L1910 Elective repair of aneurysm of ascending aorta 1356 840 Great Vessels

L1980 Elective repair of aneurysm of arch of aorta 2028 960 Great Vessels

L1992 Delayed repair of aortic dissection (i.e. more than two 2028 960 Great Vessels weeks after happening)

L2190 Replacement of graft of thoraco-abdominal aneurysm 2028 960 Great Vessels

L2302 Coarctation repair 1356 575 Great Vessels

L2303 Coarctation repair involving prosthetic graft 1500 575 Great Vessels

L2350 Redo procedures on ascending aorta and proximal 1932 900 Great Vessels descending aorta

L7042 Arterial switch procedure for transposition of great 1776 612 Great Vessels vessels

K0400 Correction of tetralogy of Fallot 2040 936 Heart Cardiac Surgery

K0500 Atrial inversion for transposition of great vessels 2040 936 Heart Cardiac Surgery

K0530 Double switch procedure (arterial and atrial) 2233 1008 Heart Cardiac Surgery

K0700 Correction of total anomalous pulmonary venous 2040 936 Heart Cardiac Surgery connection

H3 Schedule of Procedures

K0900 Repair of complete atrioventricular septal defect 2040 936 Heart Cardiac Surgery

K0930 Closure of partial atrioventricular septal defect 2004 828 Heart Cardiac Surgery

K1000 Closure of defect of interatrial septum (secundum atrial 2040 828 Heart Cardiac Surgery septal defect or patent foramen ovale)

K1100 Closure of defect of interventricular septum 2040 828 Heart Cardiac Surgery

K1200 Norwood stage 1 procedure 2233 828 Heart Cardiac Surgery

K1600 Therapeutic transluminal operations on atrial septum of 864 720 Heart Cardiac Surgery heart

K1680 Transluminal closure of atrial septal defect / patent 864 492 Heart Cardiac Surgery foramen ovale

K1800 Placement of valve to cardiac conduit 2040 936 Heart Cardiac Surgery

K1850 Redo operations for placement of valve to cardiac 2233 936 Heart Cardiac Surgery conduit

K2310 Excision of cardiac tumour 2040 936 Heart Cardiac Surgery

K2540 Replacement of mitral valve with sub–valve preservation 2040 840 Heart Cardiac Surgery

K2542 Replacement of mitral valve – redo operation 2280 840 Heart Cardiac Surgery

K2560 Robot assisted replacement of repair of mitral valve 2040 840 Heart Cardiac Surgery

K2580 Repair of mitral valve 2040 840 Heart Cardiac Surgery

K2600 Replacement or repair of aortic valve 2233 936 Heart Cardiac Surgery

K2610 Ross procedure 2233 1008 Heart Cardiac Surgery

K2612 Replacement of aortic valve with homograft or stentless 2040 840 Heart Cardiac Surgery porcine

K2613 Replacement of aortic valve – redo operation 2233 840 Heart Cardiac Surgery

K2700 Replacement of tricuspid valve (including valvuloplasty) 2040 840 Heart Cardiac Surgery

K2780 Repair of tricuspid valve, e.g. for Ebstein’s disease 2233 840 Heart Cardiac Surgery

K2800 Replacement of pulmonary valve (including 2040 840 Heart Cardiac Surgery valvuloplasty/valvotomy)

H3 Schedule of Procedures

K2810 Percutaneous replacement of pulmonary valve 1507 840 Heart Cardiac Surgery

K3100 Open valvotomy 2040 840 Heart Cardiac Surgery

K3210 Closed mitral valvotomy 936 612 Heart Cardiac Surgery

K3500 Therapeutic transluminal operation(s) on valve of heart 792 612 Heart Cardiac Surgery

K3580 Trans catheter aortic valve implantation (TAVI) 2233 900 Heart Cardiac Surgery

K4100 Bypass for coronary artery(ies) including harvesting of 2304 1008 Heart Cardiac Surgery grafts and endarterectomy

K4180 Robot assisted bypass for coronary artery(ies) including 2304 1008 Heart Cardiac Surgery harvesting of grafts and endarterectomy (CABG)

K4410 Redo of bypass for coronary artery(ies) including 2484 1104 Heart Cardiac Surgery harvesting of grafts

K4880 Correction of anomalous coronary arteries 2040 936 Heart Cardiac Surgery

K5120 Intravascular ultrasound of coronary arteries (as sole 504 Heart Cardiac Surgery procedure)*

K5283 Complex cox lesion set maze operation 1440 516 Heart Cardiac Surgery

K5330 Repair of post infarction ventricular septal defect 2233 1008 Heart Cardiac Surgery

K5380 Repair of ventricular aneurysm 1848 840 Heart Cardiac Surgery

K5530 Ventriculoplasty, including ventriculectomy (Batista 2040 840 Heart Cardiac Surgery operation)

K6700 Pericardiectomy 1044 324 Heart Cardiac Surgery

K6810 Decompression of cardiac tamponade or re–exploration 672 288 Heart Cardiac Surgery for bleeding

L0110 Correction of truncus arteriosus 1440 936 Heart Cardiac Surgery

L0610 Formation of atrio–pulmonary connection (or any 1440 670 Heart Cardiac Surgery modification of Fontan type procedure)

L2360 Repair of interrupted aortic arch 1800 900 Heart Cardiac Surgery

L2382 Aortic root replacement with valve conduit or homograft 1692 575 Heart Cardiac Surgery and/or remodelling

L2560 Percutaneous or open placement of intra–aortic balloon 168 Heart Cardiac Surgery (including subsequent removal)*

H3 Schedule of Procedures

K2280 Percutaneous occlusion of left atrial appendage 1152 408 Heart Cardiology

K2340 Direct (laser) percutaneous myocardial revascularisation 921 432 Heart Cardiology

K4900 Percutaneous transluminal angioplasty of coronary 744 Heart Cardiology artery(ies) (including laser)*

K4902 Percutaneous transluminal angioplasty of coronary 921 Heart Cardiology artery(ies) with intravascular ultrasound (including laser)*

K4910 Percutaneous transluminal angioplasty of coronary 960 Heart Cardiology artery(ies) with stent insertion*

K4912 Percutaneous transluminal angioplasty of coronary 996 Heart Cardiology artery(ies) with stent insertion and intravascular ultrasound*

K5000 Coronary angiography* 432 Heart Cardiology

K5020 Coronary angiography proceeding to angioplasty on the 1144 Heart Cardiology same day*

K5040 Rotoblation of coronary vessel(s) percutaneous 1008 Heart Cardiology transluminal rotational atherectomy (PCRS)*

K5050 Coronary angioplasty following angiography with 1200 Heart Cardiology intrvascular ultrasound on the same day*

K5280 Map guided surgery for ventricular arrhythmias 860 1050 Heart Cardiology (including mapping)*

K5710 Ablation of atrio-ventricular junction (including 684 Heart Cardiology mapping)*

K5720 Ablation of AV nodal re-entry tachycardia (including 1440 Heart Cardiology mapping)*

K5730 Ablation of atrial arrhythmia (including mapping)* 1296 Heart Cardiology

K5740 Ablation of ventricular arrhythmia (including mapping)* 759 Heart Cardiology

K5750 Internal cardioversion 396 180 Heart Cardiology

K5760 Ablation by isolation of the pulmonary veins (including 1440 Heart Cardiology mapping)*

K5770 Ablation of arrhythmia in complex congenital heart 1440 Heart Cardiology disease (including mapping)*

K5780 Ablation of accessory pathway or selected modification 1440 Heart Cardiology of AV node (including mapping)mapping)*

H3 Schedule of Procedures

K5790 Ablation of left atrial tachycardia (including mapping)* 1296 Heart Cardiology

K5810 Diagnostic intra cardiac electrophysiological study 497 228 Heart Cardiology including characterisation of intracardiac conduction and any testing of anti–arrhythmic drug efficacy by programmed stimulation

K6000 Cardiac pacemaker system introduced through vein 456 228 Heart Cardiology (single chamber)

K6010 Cardiac pacemaker system introduced through vein (dual 660 228 Heart Cardiology chamber)

K6015 Implantation of Bi-ventricular pacemaker* 1144 Heart Cardiology

K6020 Resiting of Pacemaker or implantable cardioverter 396 180 Heart Cardiology defibrillator (ICD)

K6030 Replacement of generator for intravenous cardiac 504 204 Heart Cardiology pacemaker system (without lead change)

K6040 Removal of pacing system with bypass 1368 840 Heart Cardiology

K6050 Replacement implantable cardioverter defibrillator (ICD), 504 Heart Cardiology without lead change*

K6060 Lead replacement for Pacemaker or implantable 744 Heart Cardiology cardioverter defibrillator (ICD)*

K6080 Removal of pacing system without bypass (including 184 264 Heart Cardiology leads)

K6082 Removal of pacing system (generator only) 168 168 Heart Cardiology

K6100 Implantation of single chamber automatic 1008 264 Heart Cardiology cardioverter/defibrillator (ICD)

K6105 Implantation of dual chamber automatic 1176 Heart Cardiology cardioverter/defibrillator (ICD)*

K6110 Implantation of a biventricular implantable cardioverter 1176 Heart Cardiology defibrillator (ICD)*

K6510 Adult cardiac catheterisation (including coronary 425 Heart Cardiology arteriography/catheterisation of right/left side of heart/contrast radiology)*

K6512 Pressure wire measurement study as sole procedure* 336 Heart Cardiology

K6520 Paediatric cardiac catheterisation 497 228 Heart Cardiology

K6580 Coronary angiography including fractional flow study* 559 Heart Cardiology

H3 Schedule of Procedures

K6581 Coronary angioplasty following angiography with 1200 Heart Cardiology fractional flow study on the same day*

K6590 Coronary angiography including intravascular 600 Heart Cardiology ultrasound*

K6820 Pericardiocentesis 425 192 Heart Cardiology

B1690 Mediastinal parathyroidectomy with sternotomy 780 264 Mediastinum

B1800 Thymectomy for myasthenia gravis 648 288 Mediastinum

E6100 Open resection of invasive mediastinal tumour 860 600 Mediastinum

E6110 Open excision of mediastinal tumour including congenital 600 252 Mediastinum cysts/posterior chest wall lesions

E6300 Diagnostic mediastinoscopy 408 144 Mediastinum

E6310 Endobronchial ultrasound-guided transbronchial needle 420 Mediastinum aspiration (EBUS-TBNA) for mediastinal masses*

A2781 Laparoscopic vagotomy/seromyotomy 588 180 Oesophagus

G0100 Oesophagectomy/Oesophagogastrectomy with 2233 847 Oesophagus anastomosis in chest

G0220 Total oesophagectomy and interposition of intestine 1728 744 Oesophagus

G0260 Endoscopically assisted oesophagectomy 1788 576 Oesophagus

G0300 Sub total oesophagectomy with anastomosis in neck 1144 528 Oesophagus

G0400 Open excision of lesion of oesophagus 540 358 Oesophagus

G0740 Repair of ruptured oesophagus 1080 396 Oesophagus

G1421 Endoscopic ablation of high-grade dysplasia in Barrett's 408 120 Oesophagus oesophagus

G1440 Injection sclerotherapy for oesophageal varices* 274 Oesophagus

G1460 Endoscopic mucosal resection of high-grade dysplasia in 408 120 Oesophagus Barrett's oesophagus

G2320 Transthoracic repair of diaphragmatic hernia (acquired) 660 276 Oesophagus

G2402 Transthoracic fundoplication 684 252 Oesophagus

H3 Schedule of Procedures

G2430 Transabdominal anti–reflux operations 840 228 Oesophagus

G2590 Revision of anti–reflux operations 1032 396 Oesophagus

G4610 Transoral incisionless fundoplication (TIF) 768 252 Oesophagus

64302 Transoesophageal echocardiography (including 288 120 Other reporting)

A2730 Highly selective vagotomy 588 180 Other

X5020 External cardioversion 108 72 Other

E4030 Tracheoplasty 504 168 Trachea

E4032 Tracheoplasty for congenital conditions 504 168 Trachea

A7560 VATS sympathectomy – unilateral 408 156 VATS

A7561 VATS sympathectomy – bilateral 684 228 VATS

E5432 VATS lobectomy 816 228 VATS

E5442 VATS wedge resection of lung 540 192 VATS

E5590 VATS bullectomy – unilateral 318 160 VATS

E5591 VATS bullectomy – bilateral 497 228 VATS

E5592 VATS lung volume reduction – unilateral 603 228 VATS

E5593 VATS lung volume reduction – bilateral 852 384 VATS

E5594 VATS debridement of empyema 408 156 VATS

E5932 VATS lung biopsy 369 156 VATS

E6200 VATS excision lesion of mediastinum including 600 160 VATS thymectomy

G0922 VATS oesophageal/oesophogastric myotomy 588 288 VATS

G1400 VATS excision lesion of oesophagus 588 288 VATS

G2331 Laparoscopic repair of hiatus hernia with anti–reflux 921 360 VATS procedure (e.g. fundoplication)

H3 Schedule of Procedures

T1030 VATS pleurodesis/pleurectomy 528 240 VATS

T1032 Thoracoscopy and drainage and chemical pleurodesis 312 144 VATS

T1100 Diagnostic thoracoscopy (+/– biopsy) 300 144 VATS

H3 Schedule of Procedures

Urinary System & Male Reproductive Organs

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

A7081 Percutaneous posterior tibial nerve stimulation (PTNS) 108 Bladder for overactive bladder (OAB) syndrome or faecal incontinence

M2981 Endoscopic anti-reflux procedure (and bilateral) 384 132 Bladder (including cystoscopy)

M3400 Open total cystectomy (with construction of intestinal 1728 516 Bladder conduit or bladder)

M3410 Robot assisted laparoscopic cystectomy with or without 1728 516 Bladder prostate removal

M3420 Laparoscopic cystectomy (including cystoscopy) 1728 516 Bladder

M3500 Partial cystectomy (including cystoscopy) 600 192 Bladder

M3510 Diverticulectomy of bladder 540 192 Bladder

M3600 Enlargement of bladder (including cystoscopy) 852 228 Bladder

M3602 Enterocystoplasty (including cystoscopy) 1032 264 Bladder

M3640 Repair of bladder exstrophy 681 215 Bladder

M3700 Repair of bladder (including cystoscopy) 600 192 Bladder

M3720 Repair of vesicocolic fistula 684 228 Bladder

M3780 Repair of cutaneous vesical fistula 336 228 Bladder

M3820 Cystostomy and insertion of suprapubic tube into 216 168 Bladder bladder (including cystoscopy)

M3880 Stab cystostomy 96 72 Bladder

M3900 Open removal of calculus from bladder (including 384 144 Bladder cystoscopy)

M4110 Open excision of lesion from bladder (including 540 192 Bladder cystoscopy)

M4210 Endoscopic resection of lesion of bladder (including 318 204 Bladder cystoscopy)

H3 Schedule of Procedures

M4230 Endoscopic destruction of lesion of bladder (including 274 138 Bladder cystoscopy)

M4310 Endoscopic transection of bladder (including cystoscopy) 564 215 Bladder

M4320 Endoscopic hydrostatic distention of bladder (including 168 72 Bladder cystoscopy)

M4400 Sphincterotomy 336 120 Bladder

M4410 Litholapaxy (including cystoscopy) 540 192 Bladder

M4420 Endoscopic extraction of calculus of bladder (including 288 120 Bladder cystoscopy)

M4430 Endoscopic removal of foreign body from bladder 288 120 Bladder (including cystoscopy)

M4480 Resection of bladder neck (including cystoscopy) 384 120 Bladder

M4510 Diagnostic endoscopic examination of bladder (including 204 132 Bladder any biopsy)*

M4712 Bladder instillation of pharmacolgic agent (including 151 Bladder cystoscopy)

M4780 Urodynamic studies/urodynamic assessment 118 Bladder

M4910 Closure of cystostomy 252 120 Bladder

M4932 Removal suprapubic catheter (as sole procedure) 72 72 Bladder

M5222 Laparoscopic colposuspension 552 240 Bladder

M5250 Needle suspension of bladder neck (including cystoscopy) 372 120 Bladder

M5280 Retropubic suspension of neck of bladder (including 603 215 Bladder colposuspension) – redo operation (including cystoscopy)

M5520 Implantation of artificial urinary sphincter at bladder 612 192 Bladder neck and/or removal (including cystoscopy)

M5630 Therapeutic injection into bladder neck for treatment of 228 138 Bladder stress incontinence (peri–urethral bulking agents), including cystoscopy

M5820 Dilatation of outlet of female bladder (with cystoscopy) 228 127 Bladder

M6480 Operation to support outlet of male bladder (including 360 192 Bladder sling procedures) (including cystoscopy)

H3 Schedule of Procedures

M6620 Endoscopic incision of outlet of male bladder (with 396 138 Bladder cystoscopy)

M7590 Insertion of suburethral tape including administration of 360 Bladder local anaesthetic by operating surgeon (including cystoscopy)*

P2510 Repair of vesicovaginal fistula (including cystoscopy) 660 228 Bladder

M8120 Meatoplasty 204 108 Genitalia

M8130 External meatotomy of urethral orifice 168 72 Genitalia

N0500 Bilateral excision of testes 504 168 Genitalia

N0630 Laparoscopic orchidectomy 384 120 Genitalia

N0680 Orchidectomy and excision of spermatic cord (+/- 384 120 Genitalia insertion of prosthesis)

N0700 Excision of lesion of testis 216 144 Genitalia

N0820 Orchiopexy – bilateral 504 252 Genitalia

N0920 Orchiopexy 264 160 Genitalia

N1000 Prosthesis of testis (insertion or removal) 204 108 Genitalia

N1100 Correction of hydrocele 252 138 Genitalia

N1320 Fixation of testis 264 138 Genitalia

N1340 Biopsy of testis 168 96 Genitalia

N1350 Exploration of testis (including biopsy) 264 120 Genitalia

N1352 Laparoscopy for impalpable testis 204 120 Genitalia

N1380 Bilateral fixation of testis 274 160 Genitalia

N1510 Bilateral epididymectomy 384 156 Genitalia

N1520 Unilateral epididymectomy 264 144 Genitalia

N1580 Excision of epididymal cyst* 264 Genitalia

H3 Schedule of Procedures

N1900 Operation(s) on varicocele 264 144 Genitalia

N1910 Laparoscopic varicocelectomy 264 144 Genitalia

N2050 Vasography (include scrotal exploration) 118 96 Genitalia

N2200 Operation(s) on seminal vesicle 456 144 Genitalia

N2610 Total amputation of penis 624 180 Genitalia

N2620 Partial amputation of penis 456 180 Genitalia

N2710 Excision of lesion of penis* 216 Genitalia

N2740 Extracorporeal shockwave therapy for peyronies 151 Genitalia disease*

N2780 Operation for Peyronie's disease 432 120 Genitalia

N2781 Lue's procedure for Peyronie's disease 456 180 Genitalia

N2820 Reconstruction of penis 540 192 Genitalia

N2840 Repair of avulsion on penis 168 96 Genitalia

N2842 Frenuloplasty of penis 168 96 Genitalia

N2880 Repair of injury to penis 384 144 Genitalia

N3010 Preputioplasty 129 108 Genitalia

N3020 Division of preputial adhesions 108 72 Genitalia

N3030 Circumcision 228 132 Genitalia

N3031 Circumcision with plastibell 192 108 Genitalia

N3210 Biopsy of lesion of penis 108 72 Genitalia

M0102 Transplantation of kidney – 1st and 2nd transplant 1368 600 Kidney/Renal Pelvic

M0103 Transplantation of kidney – 3rd transplant 1368 600 Kidney/Renal Pelvic

M0104 Transplantation of kidney into patient with abnormal, 1368 600 Kidney/Renal Pelvic augmented or absent bladder

H3 Schedule of Procedures

M0210 Nephrectomy and excision of perirenal tissue 708 336 Kidney/Renal Pelvic

M0220 Nephro–ureterectomy – unilateral 804 259 Kidney/Renal Pelvic

M0221 Nephro–ureterectomy – bilateral 1128 336 Kidney/Renal Pelvic

M0250 Nephrectomy – unilateral 600 300 Kidney/Renal Pelvic

M0251 Nephrectomy - bilateral 900 408 Kidney/Renal Pelvic

M0260 Transplant nephrectomy 600 204 Kidney/Renal Pelvic

M0280 Laparoscopic nephrectomy 672 252 Kidney/Renal Pelvic

M0282 Laparoscopic nephrectomy (including 852 360 Kidney/Renal Pelvic nephroureterectomy)

M0283 Robot assisted laparoscopic nephrectomy 672 252 Kidney/Renal Pelvic

M0300 Open partial excision of kidney 696 252 Kidney/Renal Pelvic

M0302 Laparoscopic partial excision of kidney 720 312 Kidney/Renal Pelvic

M0303 Robot assisted laparoscopic partial nephrectomy 720 312 Kidney/Renal Pelvic

M0312 Laparoscopic renal cryotherapy or cryoablation (including 1200 264 Kidney/Renal Pelvic endoscopic catheter insertion and retrograde pyleography)

M0510 Open pyeloplasty 648 192 Kidney/Renal Pelvic

M0550 Repair of kidney wound 696 216 Kidney/Renal Pelvic

M0610 Open removal of calculi from kidney 603 192 Kidney/Renal Pelvic

M0680 Drainage of pyonephrosis 504 216 Kidney/Renal Pelvic

M0800 Other open operations on kidney 603 215 Kidney/Renal Pelvic

M0812 Open biopsy of renal transplant 240 144 Kidney/Renal Pelvic

M0813 Percutaneous biopsy of renal transplant* 132 Kidney/Renal Pelvic

M0814 Open biopsy of native kidney 300 168 Kidney/Renal Pelvic

M0840 Exploration of renal transplant for bleeding 300 168 Kidney/Renal Pelvic

H3 Schedule of Procedures

M0880 Open drainage of perinephric abscess 528 192 Kidney/Renal Pelvic

M0910 Endoscopic fragmentation of calculi of kidney 600 192 Kidney/Renal Pelvic

M0940 Percutaneous nephrolithotomy (including cystoscopy and 1044 288 Kidney/Renal Pelvic retrograde catheterisation)

M1000 Therapeutic endoscopic operations on kidney (include 564 168 Kidney/Renal Pelvic cystoscopy and retrograde catheterisation)

M1080 Laparoscopic pyeloplasty 1020 492 Kidney/Renal Pelvic

M1090 Robot assisted laparoscopic pyeloplasty 1020 492 Kidney/Renal Pelvic

M1110 Diagnostic endoscopic examination of kidney (including 600 192 Kidney/Renal Pelvic biopsy)

M1310 Percutaneous fine needle biopsy of lesion of kidney* 144 Kidney/Renal Pelvic

M1360 Percutaneous insertion of nephrostomy tube * 384 Kidney/Renal Pelvic

M1380 Percutaneous tru-cut needle biopsy of lesion of kidney* 240 Kidney/Renal Pelvic

M1400 Extracorporeal fragmentation of calculus of kidney 184 Kidney/Renal Pelvic (lithotripsy) – single treatment*

M2890 Push manipulation of stone prior to lithotripsy (as sole 288 138 Kidney/Renal Pelvic procedure)

BT211 Planning for injection of low dose radiopharmaceutical 204 168 Prostate seeds into prostate tumour (brachytherapy)

BT212 Injection of low dose radiopharmaceutical seeds into 921 408 Prostate prostate tumour (brachytherapy)

BT221 Planning for insertion and removal of 204 168 Prostate radiopharmaceutical into prostate tumour (brachytherapy)

BT222 Insertion and removal of radiopharmaceutical into 1032 408 Prostate prostate tumour (brachytherapy)

M6100 Open excision of prostatic adenoma 552 192 Prostate

M6180 Radical prostatectomy, reconstruction of bladder neck 1728 492 Prostate including bilateral pelvic lymphadenectomy (including cystoscopy)

M6182 Laparoscopic Radical Prostatectomy, reconstruction of 1898 575 Prostate bladder neck including bilateral pelvic lymphadenctomy (including cystoscopy)

100

H3 Schedule of Procedures

M6192 Robot assisted laparoscopic prostatectomy (including 1898 575 Prostate cystoscopy)

M6530 Endoscopic resection of prostate (TURP) (including 660 252 Prostate cystoscopy)

M6532 Holmium laser resection of prostate (HoLRP) (including 660 252 Prostate cystoscopy)

M6533 Holmium Laser Enucleation of Prostatic Adenoma 660 252 Prostate (HoLEP)

M6580 Endoscopic biopsy of prostate (including cystoscopy) 264 138 Prostate

M6582 Transperineal template-guided biopsies of the prostate 229 144 Prostate

M6712 Prostatic cryotherapy 1032 336 Prostate

M6720 Transurethral microwave therapy 312 144 Prostate

M6730 Drainage of prostatic abscess 384 144 Prostate

M6750 Transurethral needle ablation (TUNA) 456 168 Prostate

M6760 Photoselective vaporisation of prostate 660 252 Prostate (GreenLight/Niagara laser PVP) (including cystoscopy)

M6762 Photoselective vaporisation of prostate (KTP laser PVP) 660 252 Prostate (including cystoscopy)

M6770 High intensity focused ultrasound of prostate (including 759 336 Prostate cystoscopy)

M6780 Prostatic hyperthermia (up to six courses) 456 156 Prostate

M6790 Introduction of radio-active implant into prostate 1032 336 Prostate (Brachytherapy Stage II)

M7020 Prostate needle biopsy with/without transrectal 120 72 Prostate ultrasound guidance

M7080 Insertion of urethral stent for relief of prostatic 540 192 Prostate obstruction (including cystoscopy)

M1820 Excision of segment of ureter 504 168 Ureter

M1910 Construction of ileal conduit including ureteric 696 288 Ureter implantation

M2012 Replantation of ureter into bowel (including bilateral) 780 264 Ureter

101

H3 Schedule of Procedures

M2030 Bilateral replantation of ureter into bladder 732 264 Ureter

M2080 Unilateral replantation of ureter into bladder (including 588 228 Ureter cystoscopy)

M2100 Other connection of ureter 672 228 Ureter

M2130 Ileal or colonic replacement of ureter 840 264 Ureter

M2160 Reconstruction of transplant ureter 681 252 Ureter

M2200 Ureterostomy – closure 300 96 Ureter

M2202 Ureterostomy – formation 624 192 Ureter

M2210 Open correction vesico–ureteric reflux – unilateral 648 192 Ureter

M2280 Open correction vesico–ureteric reflux – bilateral 1020 288 Ureter

M2310 Open ureterolithotomy (including cystoscopy) 564 192 Ureter

M2510 Excision of ureterocele (with or without ureteric 564 192 Ureter reimplantation) – unilateral

M2511 Excision of ureterocele (with or without ureteric 600 252 Ureter reimplantation) – bilateral

M2530 Ureterolysis – unilateral 624 192 Ureter

M2580 Ureterolysis – bilateral 708 348 Ureter

M2600 Therapeutic nephroscopic operations on ureter 504 228 Ureter (including cystoscopy)

M2730 Ureteroscopic extraction of calculus of ureter (includes 504 138 Ureter cystoscopy and insertion/removal of stent)

M2920 Endoscopic insertion/removal of prosthesis into ureter 312 138 Ureter (including bilateral and cystoscopy, +/- pyelography)

M2930 Removal of prosthesis from ureter (including 151 132 Ureter cystoscopy)*

M2932 Cystoscopy and removal of transplant stent 151 138 Ureter

M3000 Endoscopic examination of ureter (+/- cystoscopy and 264 132 Ureter insertion/removal of stent)

M3010 Endoscopic retrograde pyelography (including 240 132 Ureter cystoscopy)

102

H3 Schedule of Procedures

M3110 Extracorporeal shockwave lithotripsy of calculus of ureter 184 192 Ureter

M3111 Holmium Laser Lithotripsy for calculi of ureter (including 504 144 Ureter cystoscopy and insertion/removal of stent)

M3202 Operations on ureteric orifice (including endoscopic) 228 144 Ureter

M7940 Internal urethrotomy (including cystoscopy) 276 132 Ureter

103

H3 Schedule of Procedures

Vascular System

CCSD Description Procedure Anaesthet Sub-Category Code Fee (£) ic Fee (£)

L1620 Axillo–unifemoral bypass 852 456 Abdominal Vessels

L1680 Axillo–bifemoral bypass 852 456 Abdominal Vessels

L1940 Infrarenal abdominal aortic aneurysm tube graft 1476 456 Abdominal Vessels

L1960 Infrarenal abdominal aortic aneurysm bifurcation graft 1476 456 Abdominal Vessels

L2200 Revision of prosthesis of abdominal aorta 1356 612 Abdominal Vessels

L2600 Percutaneous transluminal balloon operations on aorta 504 168 Abdominal Vessels

L4530 Endarterectomy and patch repair of visceral branch of 1740 528 Abdominal Vessels abdominal aorta

L4600 Other open operations on other visceral branch of 1740 528 Abdominal Vessels abdominal aorta

L2930 Bypass of carotid artery from the arch 1356 540 Head & Neck

L2950 Carotid endarterectomy 1144 492 Head & Neck

L3710 Bypass of subclavian artery from the arch 1356 480 Head & Neck

L3711 Bypass of subclavian artery – extra–thoracic 852 384 Head & Neck

L3730 Endarterectomy and patch repair of subclavian artery 1356 480 Head & Neck

L5100 Aorto–iliac, aorto–femoral, ileo–femoral bypass 1440 480 Ileo-femoral Vessels

L5180 Aorto–bifemoral bypass 1368 480 Ileo-femoral Vessels

L5210 Endarterectomy and patch repair of iliac artery 1044 456 Ileo-femoral Vessels

L5300 Open operations on iliac artery 1044 456 Ileo-femoral Vessels

L5400 Transluminal operations on iliac artery 384 144 Ileo-femoral Vessels

L5910 Femoro–femoral bypass 840 419 Ileo-femoral Vessels

L5922 Femoro–popliteal bypass using prosthesis 840 456 Ileo-femoral Vessels

104

H3 Schedule of Procedures

L5923 Femoro–popliteal bypass using vein 1056 456 Ileo-femoral Vessels

L5924 Femoro–popliteal bypass using vein cuff/patch 924 456 Ileo-femoral Vessels

L5950 Femoro–distal calf bypass using prosthesis ± vein 1144 456 Ileo-femoral Vessels cuff/patch

L5960 Femoro–distal calf bypass using vein 1144 492 Ileo-femoral Vessels

L6000 Endarterectomy of femoral artery 828 324 Ileo-femoral Vessels

L6230 Reconstruction/bypass for popliteal aneurysm 1140 612 Ileo-femoral Vessels

L6300 Transluminal procedures on femoral artery 456 144 Ileo-femoral Vessels

L6530 Revision of femoral bypass graft 792 419 Ileo-femoral Vessels

T8510 Radical dissection of cervical lymph nodes 600 180 Lymphatic System

T8520 Block dissection of axillary lymph nodes (axilliary 497 180 Lymphatic System clearance) levels 1–3

T8540 Block dissection of para–aortic lymph nodes 744 216 Lymphatic System

T8550 Block dissection of inguinal lymph nodes 540 192 Lymphatic System

T8580 Block dissection of pelvic lymph nodes (as sole 588 216 Lymphatic System procedure)

T8620 Sampling of axillary lymph nodes 129 112 Lymphatic System

T8640 Sampling of internal mammary lymph nodes 180 120 Lymphatic System

T8700 Excision biopsy of lymph node for diagnosis (cervical, 120 72 Lymphatic System inguinal, axillary)

T8723 Selective dissection of cervical lymph nodes, levels 1 to 5 840 264 Lymphatic System (+/–6)

T8900 Operations on lymphatic duct 420 132 Lymphatic System

T9020 Sentinel node mapping for breast cancer with blue dye 318 120 Lymphatic System and radioactive probe

T9610 Excision of cystic hygroma 456 228 Lymphatic System

L6710 Biopsy of artery (including temporal) (as sole procedure) 168 72 Non-specific

105

H3 Schedule of Procedures

L6800 Repair of limb artery 672 180 Non-specific

L6840 Repair of limb artery using vein graft 792 264 Non-specific

L7010 Open embolectomy of artery 681 264 Non-specific

L7110 Percutaneous transluminal angioplasty of artery 384 168 Non-specific

L7410 Creation of arteriovenous shunt (synthetic graft) 384 198 Non-specific

L7420 Creation of arteriovenous fistula (including subsequent 384 228 Non-specific closure)

L7430 Removal of arteriovenous shunt (synthetic graft) 384 127 Non-specific

L7510 Excision of arteriovenous malformation (excluding 2028 612 Non-specific arteriovenous malformation of vessels of brain)

L7520 Repair of acquired arteriovenous fistula 840 288 Non-specific

L7580 Repair of arteriovenous fistula 603 348 Non-specific

L8110 Creation of peritoneo–venous shunt (Levine/Denver) 396 132 Non-specific

L9000 Open removal of thrombus from vein 612 192 Non-specific

L9110 Insertion of tunnelled central venous catheter (Hickman 229 144 Non-specific line)

L9115 Implantation of port device (PowerPort)* 228 Non-specific

L9180 Insertion of portacath/port-a-cath/vasoport unit 184 108 Non-specific

L9181 Removal of Portacath/Port-a-cath/Vasoport unit* 129 Non-specific

L9350 Basilic vein transposition 564 288 Non-specific

L9730 Isolated limb perfusion 780 372 Non-specific

L1990 Elective repair of aneurysm of thoracic aorta 2028 960 Thoracic

L2290 Excision of infected aortic graft with bypass 2028 960 Thoracic

L8510 Ligation/stripping of long or short saphenous vein 274 192 Varicose Veins (including local excision/multiple phlebectomy)

L8512 Endovenous laser treatment (EVLT) of single venous 274 Varicose Veins

106

H3 Schedule of Procedures

trunk +/- phlebectomies - unilateral

L8513 Endovenous laser treatment (EVLT) of single venous 425 Varicose Veins trunk +/- phlebectomies - bilateral

L8514 Endovenous laser treatment (EVLT) of more than one 425 204 Varicose Veins venous trunk +/- phlebectomies - unilateral

L8515 Endovenous laser treatment (EVLT) of more than one 648 300 Varicose Veins venous trunk +/-phlebectomies - bilateral

L8520 Ligation/stripping of long or short saphenous vein 425 288 Varicose Veins (including local excision/multiple phlebectomy) - bilateral

L8530 Operations for recurrent varicose veins with re- 318 242 Varicose Veins exploration of groin and / or popliteal fossa - unilateral

L8532 Operations for recurrent varicose veins without re- 274 144 Varicose Veins exploration of groin or popliteal fossa - unilateral

L8540 Radiofrequency ablation (VNUS) of more than one 274 198 Varicose Veins venous trunk +/- phlebectomies - unilateral

L8541 Radiofrequency ablation (VNUS) of more than one 425 300 Varicose Veins venous trunk +/- phlebectomies - bilateral

L8580 Operations for recurrent varicose veins with re- 497 358 Varicose Veins exploration of groin and / or popliteal fossa - bilateral

L8582 Operations for recurrent varicose veins without re- 425 252 Varicose Veins exploration of groin or popliteal fossa - bilateral

L8600 Unilateral varicose vein injection sclerotherapy 100 Varicose Veins

L8620 Ultrasound-guided foam sclerotherapy of varicose veins - 129 Varicose Veins unilateral

L8680 Bilateral varicose vein injection sclerotherapy 184 Varicose Veins

L8700 Ligation/stripping of long and short saphenous veins 425 242 Varicose Veins (including local excision/multiple phlebectomy)

L8750 Local excision (multiple phlebectomy) of varicose vein(s) 184 144 Varicose Veins of leg - unilateral

L8751 Local excision (multiple phlebectomy) of varicose vein(s) 274 204 Varicose Veins of leg - bilateral

L8770 Subfascial endoscopic perforator surgery (SEPS) - 274 144 Varicose Veins unilateral

L8780 Ligation/stripping of long and short saphenous veins 648 358 Varicose Veins (including local excision/multiple phlebectomy) - bilateral

L9510 Venography (and bilateral) 120 Varicose Veins

107

H3 Schedule of Procedures

L9580 Varicography for recurrent varicose veins 168 Varicose Veins

108