Ana P I 2.2 PROCEDURE CODE BOOK 1 Injections, Infusions And Inhalation Sedation 1.1 Injections, Infusions, And Inhalation Sedation Treatment Inhalation Sedation Use of analgesic nitrous oxide for alcohol and other withdrawal states (0203) A Per additional quarter-hour or part thereof (Rule: not applicable to UPFS – not to be charged) (0204) A Intravenous Treatment (see Note: How To Charge For Intravenous Infusions) Intravenous infusions (cutdown or push-in) (patients under two years): Cutdown and/or insertion of cannula - chargeable A once per 24 hours (0205) Intravenous infusions (push-in) (patients over two years): Insertion of cannula - chargeable once per 24 hours (0206) A Intravenous infusions (cutdown) (patients over two years): Cutdown and insertion of cannula - chargeable once per 24 A Hours (0207) Venesection Therapeutic venesection (Not to be used when blood is drawn for the purpose of laboratory investigations) (0208) A Umbilical artery cannulation at birth (0209) A Exchange transfusion: First and subsequent (including after-care) (0211) B Intravenous Treatment With Cytostatic Agents Chemotherapy: Intramuscular or subcutaneous: per injection.(0213) A Chemotherapy: Intravenous bolus technique: per injection.(0214) A Chemotherapy: Intravenous infusion technique: per injection.(0215) A 2 Integumentary System 2.1 Allergy Patch Tests First patch (0217) A Additional patch (0219) A Skin Prick Tests Skin-prick testing: Insect vemon, latex and drugs (0218) A Immediate hypersensitivity testing (Type I reaction): per antigen: Inhalant and food allergens (0220) A Delayed hypersensitivity testing (Type IV reaction): per antigen (0221) A 2.2 Skin (general) Intralesional Injection Into Areas Of Pathology E.g. Keloids Single (0222) A Multiple (0223) A Epilation: per session (0225) A Special treatment of severe acne cases, including draining of cysts, expressing of comedones and/or steaming, abrasive A A cleaning of skin and UVR per session (0227) PUVA Treatment (0228) A PUVA: Follow-up or maintenance once a week. (0229) A UVR-Treatment (0230) A UVR-Follow-up - for use of ultraviolet lamp (applied personally by the dermatologist) No charge to be levied if a nurse or A physiotherapist applies the ultraviolet lamp (0231) Biopsy Without Suturing First lesion (0233) A A Subsequent lesions (0234) A A Maximum for multiple additional lesions.(0235) A A Deep skin biopsy by surgical incision and suturing.(0237) A A Treatment Of Benign Skin Lesion By Chemo-cryotherapy First Lesion.(0241) A A Subsequent lesions (0242) A A Maximum for multiple additional lesions.(0243) A A Repair of nail bed.(0244) A A Removal Of Benign Lesion By Curetting Under Local Or General Anaesthesia Followed By Ana P I First Lesion.(0245) A A Subsequent lesions, each(0246) A A Removal Of Malignant Lesions By Curetting Under Local Or General Anaesthesia Followed By First Lesion.(0251) A A Subsequent lesions, each.(0252) A A Drainage of subcutaneous abscess onychia, paronychia, pulp space or avulsion of nail.(0255) A A Drainage of major hand or foot infection: drainage of major abscess with necrosis of tissue, involving deep fascia or requiring A B debridement, complete excision of pilonidal cyst or sinus(0257) Removal of foreign body superficial to deep deep fascia (except hands).(0259) A B Removal of foreign body deep to deep fascia (except hands).(0261) A A Kurtin Planing For Acne Scarring Whole face .(0271) B C Extensive.(0273) B B Limited .(0275) B A Subsequent planing of whole face within 12 months(0277) B B Surgical treatment for axillary hyperhidrosis.(0279) B B Laser Treatment For Small Skin Lesions First lesion.(0280) A B Subsequent lesions (0281) A B Maximum for multiple additional lesions.(0282) A B Laser Treatment For Large Skin Lesions Limited area.(0283) A B Extensive area.(0284) A B Whole face or other areas of equivalent size or larger (0285) A C 2.3 Major Plastic Repair (Rule: Only to be charged for medical indicated Procedures; otherwise cosmetic tariff grouping applies) Large skin grafts, composite skin grafts, large full thickness free skin grafts.(0289) B C Reconstructive procedures (including all stages) and skingraft by myocutaneous or fasciocutaneous flap (0290) B D Reconstructive procedures (including all stages) grafting by microvascular reanastomosis.(0291) C D Distant flaps: First stage.(0292) B C Contour grafts (0293) B C Vascularised bone graft with or without soft tissue with one or more sets microvascular anastomoses (0294) C D Local skin flaps (large, complicated).(0295) B C Other procedures of major technical nature.(0296) B C Subsequent major procedures for repair of same lesion.(0297) B B Lower abdominal dermo lipectomy.(0298) C C Major abdominal lipectomy with repositioning of umbilicus.(0299) C D 2.4 Lacerations, Scars, Tumours, Cysts And Other Skin Lesions Stitching Of Soft-tissue Injuries Stitching of wound (with or without local anaesthesia): Including normal after-care (0300) A B Multiple stitching of wound stitched at same session (0301) A A Deep laceration involving limited muscle damage (0302) B B Deep laceration involving extensive muscle damage (0303) B B Major debridement of wound, sloughectomy or secondary suture (0304) B A Needle biopsy - soft tissue (0305) A B Excision and repair by direct suture; excision nail fold or other minor procedures of similar magnitude (0307) A A Each additional small procedure done at the same time (0308) A A Radical excision of nailbed (0310) A A Excision of large benign tumour (more than 5 cm) (0311) A A Extensive resection for malignant soft tissue tumour including muscle (0313) B B Requiring repair by large skin graft or large local flap or other procedures of similar magnitude (0314) B B Requiring repair by small skin graft or small local flap or other procedures of similar magnitude (0315) B A 2.5 Breasts (Rule: Only to be charged for medical indicated Procedures; otherwise cosmetic tariff grouping applies) Fine needle aspiration for soft tissue (all body areas) (0316) B Aspiration of cyst or tumour.(0317) A A Mastotomy with exploration, drainage of abscess or removal of mammary implant.(0319) A A Biopsy or excision of cyst, benign tumour, aberrant breast tissue, duct papilloma.(0321) A B Subareola cone excision of ducts or wedge excision of breast (0323) A B Wedge excision of breast and axillary dissection.(0324) C C Total mastectomy.(0325) C C Total mastectomy with axillary gland biopsy.(0327) C C Total mastectomy with axillary gland dissection.(0329) C D Nipple and areola reconstruction (0330) B B Ana P I Subcutaneous Mastectomy For Disease Of Breast; Including Reconstruction But Excluding Cost Unilateral.(0331) B C Bilateral.(0333) B D Removal of breast implant by means of capsulectomy: Per breast (0334) B C Implantation of internal subpectoral mammary prosthesis in post mastectomy patients.(0335) B C Reduction: Mammoplasty For Pathological Hypertrophy Unilateral.(0337) C C Bilateral.(0339) C D Gynaecomastia Unilateral.(0341) A B Bilateral.(0343) B C 2.6 Burns Major Burns: Resuscitation (including supervision and intravenous therapy - first 48 hours) (0351) B D Tangential excision and grafting: Small (0353) B B Tangential excision and grafting: Large (0354) C C 2.7 Hands (skin) Skin flap in acute hand injuries where a flap is taken from a site remote from the injured finger or in cases of advancement C B flap e.g. Cutler(0355) Small skin graft in acute hand injury.(0357) C A Release of extensive skin contracture and or excision of scar tissue with major skin graft resurfacing (0359) C C Z-plasty (0361) B B Local flap and skin graft.(0363) B C Cross finger flap (all stages) (0365) B C Palmar flap (all stages) (0367) B C Distant flap: First stage (0369) B C Distant flap: Subsequent stage (0371) A B Transfer neurovascular island flap (0373) B C Syndactyly: Separation of, including skin graft for one web (0374) B C Dupuytren's Contracture Fasciotomy (0375) A A Fasciectomy (0376) A C 2.8 Acupuncture (Rule: charge Allied Health Professional Fee where applicable) Standard acupuncture (0377) A Laser acupuncture using more than 6 points (0378) A Electro-acupuncture (0379) A Scalp acupuncture (0380) A Micro-acupuncture (ear, hand) (0381) A 3 Musculo-skeletal System 3.1 Bones 3.1.1 Fractures (reduction – open/closed Under General Anaesthetic) Scapula (0383) A Clavicle (0387) A Percutaneous pinning of supracondylar fracture: Elbow - stand alone procedure (0388) B C Humerus (0389) A B Radius and/or Ulna (0391) A B Open reduction of both radius and ulna (0392) A C Carpal bone (0402) A B Bennett's fracture-dislocation (0403) A A Metacarpal: Simple (0405) A A Finger Phalanx: Distal Simple (0409) A Compound (0411) A A Proximal Or Middle Simple (0413) A A Compound (0415) A B Pelvis Closed (0417) B Operative reduction and fixation.(0419) B D Femur: Neck or Shaft.(0421) A C Ana P I Patella (0425) A A Tibia with or without fibula.(0429) A B Fibula shaft (0433) A Malleolus of ankle.(0435) A A Fracture-dislocation of ankle.(0437) A B Open reduction Talus fracture (0438) A B Tarsal bones and Os calcis.(0439) A A Calcanius reduction (0440) A B Toe Phalanx Distal: Simple.(0443) A Compound (0445) A A Other Simple (0447) A A Compound (0449) A A Sternum And/or Ribs Closed (0451) C Open reduction and fixation of multiple fractured ribs for flail chest (0452) C C Spine: With Or Without Paralysis Cervical (0455) C Rest (0456) C Compression Fracture Cervical (0461) C Rest (0462) C Spinous Or Transverse Processes Cervical (0463) C Rest (0464) C 3.1.1.1 Operations For Fractures Fractures involving large joints