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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. 1 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. 2 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 3 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
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