TABLE OF SURGICAL PROCEDURES

Ministry of Health
TABLE OF SURGICAL
PROCEDURES
(Updated as of 30 Dec 2013)
1
TABLE OF CONTENTS
SA - Integumentary ........................................................................... 3
SB - Musculoskeletal ......................................................................... 8
SC - Respiratory .............................................................................. 22
SD - Cardiovascular ........................................................................ 24
SE - Hemic & Lymphatic ................................................................. 29
SF - Digestive .................................................................................. 31
SG - Urinary .................................................................................... 40
SH - Male Genital ............................................................................ 43
SI - Female Genital ......................................................................... 45
SJ - Endocrine ................................................................................. 50
SK - Nervous ................................................................................... 51
SL - Eye........................................................................................... 57
SM - ENT......................................................................................... 61
[Note: Procedures labelled as MSP i.e “Minor Surgical Procedures” are not Medisave
claimable]
2
SA - INTEGUMENTARY
S/N
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
New
Code
SA800B
SA801B
SA802B
SA803B
SA804B
SA805B
SA806B
SA807B
SA808B
SA809B
SA810B
SA811B
SA812B
SA701B
SA702B
SA703B
SA704B
18
19
SA813B
SA705B
20
SA706B
21
22
23
SA814B
SA815B
SA816B
24
SA817B
25
SA818B
26
SA713B
27
SA819B
28
29
30
SA820B
SA821B
SA822B
31
SA707B
32
SA823B
33
SA824B
34
SA825B
35
SA826B
Description
Table
Breast (nipple), Various lesions, Graft +/or flap reconstruction (bilateral)
Breast (nipple), Various lesions, Graft +/or flap reconstruction (unilateral)
Breast, Diffuse Hypertrophy, Reduction Mammoplasty >500g (bilateral)
Breast, Diffuse hypertrophy, Reduction >250g (unilateral)
Breast, Drooping, mastopexy/reduction (bilateral)
Breast, Drooping, mastopexy/reduction (unilateral)
Breast, Gynecomastia, Reduction (bilateral)
Breast, Gynecomastia, Reduction (unilateral)
Breast, Hypoplasia, Augmentation Mammoplasty (prosthetic and bilateral)
Breast, Hypoplasia, Augmentation Mammoplasty (prosthetic and unilateral)
Breast, Inverted Nipples, Surgical Eversion (bilateral)
Breast, Inverted Nipple, Surgical Eversion (unilateral)
Breast, Lump (single), Excision biopsy
Breast, Ductal Lesions, Microdochectomy (bilateral)
Breast, Ductal Lesions, Microdochectomy (unilateral)
Breast, Lump, Percutaneous Biopsy under MRI
Breast, Lumps, Imaging Guided Vacuum assisted Biopsy / Mammotome,
Single lesion
Breast, Lumps (multiple/bilateral), Excision biopsy
Breast, Lump, more than 4 cm (removal) with parenchymal flap closure
(unilateral/bilateral)
Breast, Lumps, Imaging Guided Vacuum assisted Biopsy / Mammotome, > 1
lesions
Breast, Post Mastectomy, implant/expander reconstruction (bilateral)
Breast, Post Mastectomy, implant/expander reconstruction (unilateral)
Breast, Post Mastectomy, latissmus dorsi pedicled flap with or without implant
reconstruction (bilateral)
Breast, Post Mastectomy, latissmus dorsi pedicled flap with or without implant
reconstruction (unilateral)
Breast, Post Mastectomy, Reconstruction using pedicled Transverse Rectus
Abdominis Musculocutaneous Flap (bilateral)
Breast, Post mastectomy, reconstruction using pedicled transverse rectus
abdominis musculocutaneous flap (unilateral)
Breast, Post Mastectomy, reconstruction using transverse rectus abdominis
free musculocutaneous flap (unilateral)
Breast, Post Prosthetic Contraction, Capsulotomy (bilateral)
Breast, Post Prosthetic Contraction, Capsulotomy (unilateral)
Breast, Tumour (malignant), Wide Excision/ Lumpectomy/Segmental
Mastectomy/ Partial Mastectomy
Breast, Tumour (malignant), Wide Excision/ Lumpectomy/Segmental
Mastectomy/ Partial Mastectomy, with Sentinel Node Biopsy/ Axiliary Node
Sampling
Breast, Tumour (malignant), Wide Excision/ Lumpectomy/Segmental
Mastectomy/ Partial Mastectomy, with Axiliary Clearance, with/without Sentinel
Node Biopsy
Breast, Tumour (malignant), Simple Mastectomy with Axiliary Clearance,
with/without Sentinel Node Biopsy
Breast, Tumour (malignant), Radical mastectomy with/without Axiliary
Clearance
Breast, Tumour (malignant), Simple Mastectomy
3B
3A
5C
4B
5A
4A
4A
3A
4A
3A
3A
2C
2C
3A
2C
2C
2B
3
3A
4A
2C
5A
4A
6C
5C
7A
6A
7C
3A
2C
3B
3C
4B
5A
5C
4A
SA - INTEGUMENTARY
S/N
36
New
Code
SA827B
37
SA828B
38
39
SA829B
SA709B
40
SA710B
41
SA830B
42
43
44
45
46
SA711B
SA712B
SA800F
SA800H
SA800M
47
48
49
50
51
52
SA801M
SA802M
SA803M
SA804M
SA805M
SA700R
53
54
55
56
SA701R
SA702R
SA703R
SA704R
57
SA705R
58
59
60
SA700S
SA800S
SA801S
61
SA802S
62
SA803S
63
64
SA804S
SA805S
65
66
67
68
69
70
SA806S
SA807S
SA808S
SA809S
SA810S
SA811S
71
SA812S
Description
Table
Breast, Tumour (malignant), Simple Mastectomy with Sentinel Node Biopsy/
Axiliary Node Sampling
Breast, Various lesions, Subcutaneous mastectomy bilateral, excluding
gynaecomastia
Breast, Various Lesions, Trucut Biopsy
Breast, Various Lesions, Trucut Biopsy, ultrasound guided or stereotactic
(multiple)
Breast, Various Lesions, Trucut Biopsy, ultrasound guided or stereotactic
(single)
Breast, Various lesions, subcutaneous mastectomy unilateral, excluding
gynaecomastia
Breast, Various Lesions, wire localisation, excision (multiple)
Breast, Various Lesions, wire localisation, excision (single)
Fascia (deep), Rupture with Herniated Muscle, Repair
Hand, Burns (major), Excision and Split Skin Graft
Mucous membrane (ear/nose/eyelid) avulsion/complex laceration, full thickness
repair
Mucous Membrane, Deep Laceration/Multiple Lacerations, Repair
Mucous Membrane, Superficial Laceration(s) equal/less than 7cm, Repair
Mucous Membrane, Superficial Laceration(s) more than 7 cm, Repair
Mucous Membrane, Tumour/Cyst/Ulcer/Scar, Excision
Muscle and Deep Tissue, Foreign Body, Removal
Radiotherapy, Endoluminal Brachytherapy: Oesophagus, Nasopharyngeal
carcinoma (NPC), Hepatobiliary, Cardiac, Lung, Others
Radiotherapy, Interstitial brachytherapy (with/without open surgery)
Radiotherapy, Interstitial brachytherapy (without open surgery): Prostate
Radiotherapy, Intracavitary Brachytherapy (Multi-channel): Cervix, Others
Radiotherapy, Intracavitary Brachytherapy (Single channel): Endometrium,
others
Radiotherapy, Intra-operative Radiotherapy (electrons or kilovoltage): Breast,
Sarcoma, Upper GI, Lower GI, Other sites
Skin (Upper Limb), Open Wound, Major Desloughing
Skin and Mucous Membrane, Various Lesions, Excision Biopsy
Skin and Subcutaneous tissue, Tumour (malignant), wide excision and
Reconstruction and local flap/skin graft
Skin and subcutaneous tissue, Tumour (malignant), wide excision with
immediate block dissection
Skin and Subcutaneous tissue(ear/nose/eyelid/face) complex lacerations,
repair
Skin & subcutaneous, Scar revision - face & neck (< 3cm)
Skin and Subcutaneous Tissue (face and neck), Scar of more than 3cm,
Revision
Skin and Subcutaneous Tissue, Burns, Escharotomy (extensive)
Skin and Subcutaneous Tissue, Burns, Escharotomy (limited)
Skin and Subcutaneous Tissue, Burns, Excision and Major Flap Repair
Skin and Subcutaneous Tissue, Burns, Excision and Major Full Thickness Graft
Skin and Subcutaneous Tissue, Burns, Excision and Small Full Thickness Graft
Skin and Subcutaneous Tissue, Deep>3cm/Extensive Contaminated Wound,
Debridement
Skin and Subcutaneous Tissue, Defect (deep), Dermofat/Fascia Graft
(including transplant/muscle flap)
4C
4
4A
1A
1C
1B
3C
3B
3A
1B
4A
3A
3A
1B
2B
2B
2C
2B
4B
5A
2C
2A
3A
2A
1B
3A
5A
3B
1C
2B
2A
1A
5A
4A
3A
2C
3A
SA - INTEGUMENTARY
S/N
72
New
Code
SA813S
73
74
75
SA814S
SA815S
SA816S
76
77
SA817S
SA818S
78
SA819S
79
80
81
SA820S
SA821S
SA822S
82
SA823S
83
SA824S
84
85
SA825S
SA826S
86
SA827S
87
SA828S
88
89
90
91
SA829S
SA830S
SA831S
SA835S
92
SA836S
93
94
SA837S
SA838S
95
SA839S
96
SA840S
97
SA841S
98
SA842S
99
SA843S
100
SA844S
101
SA845S
102
SA846S
Description
Table
Skin and Subcutaneous Tissue, Defect (deep), Direct Flap (cross arm/radial
fore arm/abdominal/similar)
Skin and Subcutaneous Tissue, Defect (deep), Direct Flap Repair (cross leg)
Skin and Subcutaneous Tissue, Defect (deep), Free Flaps
Skin and Subcutaneous Tissue, Defect (deep), Free Graft (Split Skin Graft Extensive/Inlay Graft using a mould)
Skin and Subcutaneous Tissue, Defect (deep), Staged Distant Flap (division)
Skin and Subcutaneous Tissue, Defect (multiple digits), Free Full Thickness
Graft
Skin and Subcutaneous Tissue, Defect (multiple digits), Staged Local Flap
(division)
Skin and Subcutaneous Tissue, Defect (single digit), Free Full Thickness Graft
Skin and Subcutaneous Tissue, Defect, Direct Flap (cross finger/similar flaps)
Skin and Subcutaneous Tissue, Defect, Free Graft (Split Skin Graft/Pinch
Grafts under 1/2%)
Skin and Subcutaneous Tissue, Defect, Free Grafts (Split Skin Graft 1/2 to less
than 2%)
Skin and Subcutaneous Tissue, Defect, Free Grafts (Split Skin Graft 2 to less
than 5%)
Skin and Subcutaneous Tissue, Defect, Free Grafts (Split Skin Graft 5 to 10%)
Skin and Subcutaneous Tissue, Defect, Free Grafts (Split Skin Graft more than
10%)
Skin and Subcutaneous Tissue, Defect, Local Flap to Multiple Digits (cross
finger/thenar/flag/rotation flap)
Skin and Subcutaneous Tissue, Defect, Single Stage Local Flap
(complicated/large)
Skin and Subcutaneous Tissue, Defect, Single Stage Local Flap (simple/small)
Skin and Subcutaneous Tissue, Defect, Staged Local Flap(division)
Skin and Subcutaneous Tissue, Foreign Body (subcutaneous), Removal
Skin and Subcutaneous Tissue, Hemangioma/Lymphangioma (extensive and
complex), Excision
Skin and Subcutaneous Tissue, Hemangioma/Lymphangioma (large and deepseated), Excision
Skin and Subcutaneous Tissue, Hemangioma/Lymphangioma (large), Excision
Skin and Subcutaneous Tissue, Hemangioma/Lymphangioma (moderate),
Excision
Skin and Subcutaneous Tissue, Hemangioma/Lymphangioma (small),
Excision
Skin and Subcutaneous Tissue, Hematoma, Abscess/Cellulitis/Similar
lesion<3cm, Saucerisation/Incision & Drainage
Skin and Subcutaneous Tissue, Hematoma /Carbuncle Cellulitis/Similar
Lesion>3cm, Saucerisation/Incision with Drainage
Skin and Subcutaneous tissue, Lacerations (deep >3cm/multiple) lacerations,
repair/toilet & suture, with/without debridement
Skin and Subcutaneous Tissue, Laceration (superficial) of less than 7cm,
Repair
Skin and Subcutaneous Tissue, Laceration (superficial) of more than 7cm,
Repair
Skin and Subcutaneous Tissue, Neurofibromatosis of Face and Neck, Excision
(large >3cm and complicated/multiple)
Skin and Subcutaneous Tissue, Neurofibromatosis of Face and Neck, Excision
(large)
5A
5
5C
7C
3B
2A
3B
2A
2C
4A
1B
2B
3A
4A
5B
5A
5B
3A
1B
1C
7B
5C
4A
3A
2A
1A
1B
3B
1B
2C
5C
4A
SA - INTEGUMENTARY
S/N
103
New
Code
SA847S
104
SA848S
105
106
SA849S
SA850S
107
SA851S
108
SA852S
109
SA701S
110
SA702S
111
112
113
SA853S
SA854S
SA703S
114
SA704S
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
SA856S
SA857S
SA859S
SA860S
SA861S
SA862S
SA705S
SA706S
SA863S
SA864S
SA865S
SA707S
SA866S
SA867S
SA868S
SA869S
131
132
SA870S
SA871S
133
134
135
136
137
138
SA872S
SA873S
SA874S
SA875S
SA876S
SA708S
139
SA709S
Description
Table
Skin and Subcutaneous Tissue, Neurofibromatosis of Face and Neck, Excision
(moderate)
Skin and Subcutaneous Tissue, Neurofibromatosis of Face and Neck, Excision
(small<3cm)
Skin & Subcutaneous, Pre-septal/PeriOrbital Dermoid/Lesion, Excision
Skin and Subcutaneous Tissue, Sinus (deep>3cm), Excision with/without
biopsy
Skin and Subcutaneous Tissue, Sinus (deep<3cm), Excision with/without
biopsy
Skin and Subcutaneous Tissue, Tumour/Cyst/Ulcer/Scar, Excision biopsy,
Lesion size up to and including 15mm in diameter
Skin and Subcutaneous Tissue, Tumour/Cyst/Ulcer/Scar, Excision biopsy,
removal of 2 or more or recurrent or complicated (adherent), excision
Skin and Subcutaneous Tissue, Tumour/Cyst/Ulcer/Scar, Excision biopsy,
Lesion size more than 15mm in diameter
Skin and Subcutaneous Tissue, Wound<3cm, Debridement
Skin and Subcutaneous Tissue, Wound (large>3cm), Secondary Suture
Skin cancer, Mohs (chemo surgery) micrographic surgery with
reconstruction/graft/flap
Skin cancer, Mohs (chemo surgery) micrographic surgery without
reconstruction
Skin, Angioma, Cauterisation/Injection
Skin, Burns (2% to 5%), Excision
Skin, Burns (less than 2%), Excision
Skin, Burns (more than 10%), Dressing
Skin, Burns (more than 10%), Excision
Skin, Burns (more than 5% to 10%) Excision
Skin, Defect, Distant Skin Flaps
Skin, Defect, Neurovascular Island Flap
Skin, Keratoses/Warts/Tags/Similar Lesions, Excision (6 - 10 lesions)
Skin, Keratoses/Warts/Tags/Similar Lesions, Excision (more than10 lesions)
Skin, Keratoses/Warts/Tags/Similar Lesions, Excision (not more than 5 lesions)
Skin, Neuromas/Hemangiomas, Excision/Vaporisation by Laser
Skin, Plantar Wart, Excision
Skin, Plantar Warts (multiple), Excision
Skin, Scar (extensive), Revision
Skin, Scar/Various lesion (single), removal of tissue expander/prosthesis and
revision/excision of scar
Skin, Scar, Revision with Z-plasty
Skin, Scars/lesions(multiple), removal of tissue expander/prosthesis and
revision/excision of scars
Skin, Superficial Nasal Dermoid, Excision
Skin, Tattoo (1% to 2%), Laser Excision
Skin, Tattoo (less than 1%), Laser Excision
Skin, Tattoo (multiple/more than 2%), Laser Excision
Skin, Tattoo, Repeat Laser Excision
Skin, Surgical treatment for vitiligo (involving non-cultured cellular grafting) (<20
sq cm)
Skin, Surgical treatment for vitiligo (involving non-cultured cellular grafting) (>40
sq cm)
3A
6
2A
2A
2B
1B
1A
2A
1B
1A
1A
2C
2B
1A
2B
1B
1B
3B
2C
4B
5A
2B
2C
1B
1C
1A
1B
3B
3A
2C
3C
3A
2B
1C
3A
1A
3C
4B
SA - INTEGUMENTARY
S/N
140
New
Code
SA710S
141
142
143
144
145
146
147
148
149
150
151
152
153
154
SA877S
SA878S
SA879S
SA880S
SA881S
SA882S
SA884S
SA885S
SA886S
SA887S
SA711S
SA712S
SA713S
SA714S
155
156
157
158
159
160
161
162
163
164
SA715S
SA716S
SA717S
SA718S
SA719S
SA720S
SA721S
SA722S
SA723S
SA724S
165
SA888S
166
SA889S
167
168
169
170
171
172
SA890S
SA891S
SA892S
SA893S
SA894S
SA895S
173
SA896S
174
SA897S
175
176
177
SA725S
SA898S
SA700T
178
SA800T
Description
Table
Skin, Surgical treatment for vitiligo (involving non-cultured cellular grafting) (2040 sq cm)
Skin, Various Lesions of Face (2 to 3), Excision Biopsy
Skin, Various Lesions, Abrasive Therapy (extensive)
Skin, Various Lesions, Abrasive Therapy (limited)
Skin, Various Lesions, Insertion of Tissue Expander (multiple)
Skin, Various Lesions, Insertion of Tissue Expander (single)
Skin, Various Lesions, Trial Dermabrasion
Skin, Various Lesions of Face (single), Excision Biopsy
Skin, Various Lesions of Face (4 and above), Excision Biopsy
Skin, Wrinkles, Partial Rhytidectomy
Skin, Wrinkles, Total Rhytidectomy
Soft Tissue (Lower Limb), Contracture, Major Release
Soft Tissue (Lower Limb), Contracture, Minor Release
Soft Tissue (Lower Limb), Open Wound/Infection, Major Desloughing
Soft Tissue (Lower Limb), Small Tumours (benign), Excision Biopsy under
General Anesthesia
Soft Tissue (Lower Limb), Tumour/Tumour-like Lesions, Marginal Excision
Soft Tissue (Lower Limb), Tumours (benign), Wide Excision Biopsy
Soft Tissue (Lower Limb), Tumours (malignant), Radical Excision Biopsy
Soft Tissue (Lower Limb), Various Lesions, Major Release
Soft Tissue (Lower Limb), Various Lesions, Minor Release
Soft Tissue (Palmar Space), Abscess, Drainage
Soft Tissue (Upper Limb), Tumours (benign), Major Excision Biopsy
Soft Tissue (Upper Limb), Tumours (malignant), Radical Excision Biopsy
Soft Tissue (Upper Limb), Tumours (malignant), Wide Excision Biopsy
Soft Tissue, Tumour (malignant), Major Resection and Reconstruction
(microsurgical)
Soft Tissue, Tumour (malignant), Wide Excision Biopsy <7cm other than
upper/lower limbs
Soft Tissue, Tumour (malignant), Radical Excision Biopsy >7cm other than
upper/lower limbs
Subcutaneous Tissue (abdomen), Obesity, Liposuction
Subcutaneous Tissue (buttocks), Obesity, Liposuction
Subcutaneous Tissue (face), Obesity, Liposuction
Subcutaneous Tissue (thigh), Obesity, Liposuction
Subcutaneous Tissue (upper limbs), Obesity, Liposuction
Subcutaneous Tissue, Obesity, Lipectomy (transverse wedge excision of
abdominal apron/lipectomy with excision of skin)
Subcutaneous Tissue, Obesity, Lipectomy (excision with undermining of skin
edges and strengthening of abdominal wall)
Subcutaneous Tissue, Obesity, Radical Abdominoplasty with Repair of
Abdominal Wall and Transposition of Umbilicus
Sweat Gland, Axillary Hyperhidrosis, Wedge Excision (bilateral)
Sweat Gland, Axillary Hyperhidrosis, Wedge Excision (unilateral)
Tendon Sheath and Subcutaneous Tissue, Ganglion/large Bursa, (>3cm)
Excision Biopsy
Tendon Sheath and Subcutaneous Tissue, Ganglion/Small Bursa, (<3cm)
Excision Biopsy
4A
7
1B
3A
2A
3A
2B
1A
1A
2B
5C
6B
4A
2C
2A
1B
2C
4A
5C
4B
3A
2B
4A
6B
5A
7C
3C
5C
3B
3B
2C
3C
3A
4A
5C
5C
3A
2C
2A
1B
SB – MUSCULOSKELETAL
S/N
1
2
3
4
5
6
7
New
code
SB800A
SB801A
SB700A
SB701A
SB802A
SB803A
SB702A
8
9
10
SB804A
SB805A
SB703A
11
12
13
14
15
16
17
18
19
20
21
22
SB806A
SB704A
SB700J
SB701J
SB702J
SB700K
SB700H
SB705A
SB700E
SB700S
SB700W
SB800B
23
SB801B
24
25
26
SB802B
SB803B
SB804B
27
SB805B
28
29
30
31
32
SB806B
SB807B
SB808B
SB809B
SB810B
33
SB700B
34
SB811B
35
SB701B
36
37
38
SB812B
SB813B
SB702B
39
40
SB814B
SB815B
Description
Table
Ankle, Dislocation, Open Reduction
Ankle, ankle fracture, unimalleolar, ORIF
Ankle, ankle fracture, Bimalleolar, ORIF
Ankle, comminuted Plafond fracture ORIF
Ankle, Various Lesions, Arthrodesis (surgical fusion)
Ankle, Various Lesions, Excision/Interposition Arthroplasty
Ankle, ligamentous instability, reconstruction of ligaments (eg. Bostrom,
Chrisman-Snook)
Ankle, Various Lesions, Repair of Ligaments
Ankle, Various Lesions, Synovectomies
Ankle, Various Lesions, Primary Total Joint Replacement with augmentation,
requiring extra implants or bone grafts, open/MIS/navigated
Ankle, Various Lesions, Primary Total Joint Replacement, open/MIS/navigated
Ankle, Various Lesions, Revision Total Joint Replacement,open/MIS/navigated
Joints (Temporomandibular), Various Lesions, Arthroscopy (unilateral)
Joints (Temporomandibular), Various Lesions, Arthroscopy (bilateral)
Joints, Arthroscopy, diagnostic
Knee, Arthroscopy, knee ligament reconstruction (1 or more)
Hip/Knee, Therapeutic Arthroscopy
Ankle, Therapeutic Arthroscopy
Elbow, Therapeutic Arthroscopy
Shoulder, Therapeutic Arthroscopy
Wrist, Therapeutic Arthroscopy
Bone, Cyst/Tumour Benign/Benign Aggressive, Currettage/Burring/Bone
Grafting/Cementing
Bone (Lower Limb), Deformities, Corrective Surgery with Internal Fixation with
or w/o Fluoroscopy
Bone (Lower Limb), Deformities, Corrective Surgery with Osteotomy alone
Bone (Lower Limb), Defect/Non Union, Implantation of Bone Stimulator
Bone (Lower Limb), Fracture/Dislocation, Manipulation and Kirschner Wire
Fixation
Bone (Lower limb), Grade 1 and 2 Open Fractures/Open dislocation or open
fracture-dislocation Wound Debridement
Bone (Lower Limb), Osteomyelitis, Drainage with Curettage and Irrigation
Bone (Lower Limb), Osteomyelitis, Simple Drainage
Bone (Lower Limb), Plates and Screws/Nails, Removal
Bone (Lower Limb), Simple Implants, Removal (e.g screw/wire/pins)
Bone (Lower Limb), Tumour (benign), <3 cm with bone grafting +/reconstruction/internal fixation
Bone (Lower Limb), Tumour (benign), >3 cm with bone grafting +/reconstruction/internal fixation
Bone (Lower Limb), Tumour (malignant), Radical Excision (<6cm) with
reconstruction and bone grafting
Bone (Lower Limb), Tumour (malignant), Radical Excision >6cm with
reconstruction and bone graft
Bone (Lower Limb), Various Lesions, Epiphysiolysis with/without Microsurgery
Bone (Skull), Tumour (Small<3cm) Excision with Cranioplasty
Bone (Skull), Tumour (Large>3cm) Excision and Extensive Reconstruction
(dura, skull, skin)
Bone (Skull), Tumour (Large>3cm) Excision with Cranioplasty
Bone (Skull), Tumour (malignant), Wide Excision
3B
3C
4A
5A
5A
4C
5A
8
3A
3B
6B
6A
6C
2C
3B
2C
5C
4A
4A
4A
4A
4A
4A
5C
4A
3B
3B
2B
4A
2B
2B
1C
4A
5A
5C
6A
5C
5B
7B
6B
5C
SB – MUSCULOSKELETAL
S/N
41
42
43
44
New
code
SB816B
SB817B
SB818B
SB819B
45
46
47
SB820B
SB703B
SB822B
48
SB823B
49
50
51
SB824B
SB825B
SB826B
52
SB827B
53
SB704B
54
SB828B
55
SB829B
56
57
SB830B
SB705B
58
SB706B
59
SB831B
60
SB707B
61
SB708B
62
63
64
65
66
67
68
69
70
71
72
SB832B
SB709B
SB710B
SB833B
SB711B
SB834B
SB712B
SB700C
SB800C
SB801C
SB802C
73
SB803C
74
75
76
SB805C
SB701C
SB702C
Description
Table
Bone (Upper Limb/Lower Limb), Defect, Bone Grafting with Internal Fixation
Bone (Upper Limb/Lower Limb), bone loss/nonunion, bone grafting
Bone (Upper Limb), Deformities, Corrective Surgery
Bone (Upper Limb), Deformities, Osteotomies with Plate Fixation and with or
w/o Fluoroscopy and with or without bone graft
Bone (Upper/lower Limb), Exostosis, Excision Biopsy (Single)
Bone (Upper/lower Limb), Exostosis, Excision Biopsy (more than1/ bilateral)
Bone (Upper Limb), Grade 1 and 2 Open Fractures/Open dislocation or open
fracture-dislocation Wound Debridement
Bone (Upper Limb), Osteomyelitis, Extensive Curettage/Debridement and
Irrigation
Bone (Upper Limb), Osteomyelitis Simple Drainage
Bone (Upper Limb), Plates and Screws, Removal
Bone (Upper Limb), Simple Implants, Removal (eg: K-wires, wires, pins,
screws only)
Bone (Upper Limb), Tumour (benign), Major Excision <3 cm with bone grafting
+/- reconstruction/internal fixation
Bone (Upper Limb), Tumour (benign), Major Excision >3 cm with bone grafting
+/- reconstruction/internal fixation
Bone (Upper Limb), Tumour (malignant), Radical Excision with
reconstruction/internal fixation
Bone (Upper Limb), Tumour (malignant), Wide Excision with
reconstruction/internal fixation
Bone (Upper Limb/lower limb), Various Lesions, Bone Loss, Bone Transfer
Bone, Tumour, Imaging Guided Percutaneous Local Ablation (Radiofrequency,
Cryotherapy, microwave, laser, alcohol,etc) , > 1 lesions
Bone, Tumour, Imaging Guided Percutaneous Local Ablation (Radiofrequency,
Cryotherapy, microwave, laser, alcohol,etc) , Single lesion
Bone, Tumour (malignant), Wide/Major Resection and Reconstruction (non
vascularised bone graft)
Bone, Tumour (malignant), around joints with limb reconstruction and joint
replacement
Bone, Tumour (malignant), Wide/Major Resection and Reconstruction
(vascularised bone graft)
Bone, Various Lesions, Biopsy
Bone, Various Lesions, Open Biopsy, Cementing/Plate Fixation
Bone/Soft Tissue, Various Lesions, Trucut Biopsy
Bone (Upper Limb/lower limb), Various Lesions, Vascularised Bone Transfer
Bone/ Soft tissue, Various lesions, Imaging Guided Percutaneous Biopsy
Bursa, Bursitis, Excision Biopsy (single)
Bursa, Bursitis, Excision Biopsy (more than 1/bilateral)
Calcaneum Fracture extra-articular open reduction internal fixation
Carpus, Delayed/Non Union, Reconstruction
Carpus, Fracture/Dislocation, Open Reduction and Internal Fixation
Cervical Spine, Various Lesions, Anterior Decompression and Fusion (multiple
levels)
Cervical Spine, Various Lesions, Anterior Decompression and Fusion (single
level)
Clavicle, Clavicle Fracture, Simple
Clavicle, Clavicle Fracture, Comminuted Plating With or without Bone Grafting
Clavicle, Clavicle Fracture, Delayed Union/Revision and ORIF with/without
bone grafting
4B
3C
4B
5C
9
2C
3A
2B
4A
2B
2B
1C
4A
5A
6B
4B
6A
4A
3C
6B
7A
7A
1B
1B
1B
7C
2B
2A
2C
3C
5C
4B
6B
6A
3B
4A
4B
SB – MUSCULOSKELETAL
S/N
77
78
79
80
81
82
83
New
code
SB806C
SB700D
SB701D
SB702D
SB703D
SB800E
SB701E
84
85
86
87
88
89
90
91
92
SB702E
SB703E
SB704E
SB801E
SB705E
SB706E
SB802E
SB803E
SB707E
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
SB708E
SB709E
SB800F
SB801F
SB802F
SB700F
SB701F
SB803F
SB804F
SB805F
SB806F
SB807F
SB808F
SB809F
SB702F
SB810F
109
110
111
112
113
114
115
116
117
118
119
120
121
122
SB811F
SB703F
SB704F
SB705F
SB706F
SB707F
SB708F
SB709F
SB710F
SB711F
SB812F
SB813F
SB814F
SB815F
Description
Table
Coccyx, Various Lesions, Excision
Digit(s), Nailbed Laceration, Nailbed grafting
Digit(s), Soft Tissue Defect, Complex Small Skin Flaps, multiple flaps
Digit(s), Soft Tissue Defect, Large complex pedicled flaps
Digit(s), Soft Tissue Defect, Simple skin flap
Elbow (Medial Epicondyle), Fracture, Excision Bony Fragment
Elbow, Condyle/Radial Head Fracture, Radial Head
Excision/condyle/arthroplasty
Elbow, Coronoid Fracture, ORIF
Elbow, Dislocation , Ligament Repair (Complex, with/without Implant)
Elbow, Dislocation , Ligament Repair (Single)
Elbow, Fracture/ Dislocation, ORIF with Repair Of Ligaments
Elbow, Fracture/Dislocation, Open Reduction and Internal Fixation (ORIF)
Elbow, Supracondylar fracture, M&R, percutaneous pinning
Elbow, Tennis Elbow, Release
Elbow, Various Lesions, Synovectomy with Reconstruction
Elbow, Various Lesions, Primary Total Joint Arthroplasty with augmentation,
requiring extra implants or bone grafts, open/MIS/navigated
Elbow, Various Lesions, Primary Total Joint Arthroplasty, open/MIS/navigated
Elbow, Various Lesions, Revision Total Joint Arthroplasty, open/MIS/navigated
Face, Contour Defect, Reconstruction / with/without Insertion of Implant (s)
Face, Defect / Deformity, Reconstruction / Insertion of Subperiosteal Implant(s)
Face, Fractures (more than 2), Open Reduction and Internal Fixation
Face, Fracture, Endoscopic Reduction and Fixation
Face, Fractures (Panfacial), Open Reduction and Internal Fixation
Face, Infection / Osteomyelitis, Major Drainage/Sequestrectomy
Face, Infection / Osteomyelitis, Simple Drainage /Sequestrectomy
Face, Intraosseous Tumour (large), Excision
Face, Intraosseous Tumour (small), Excision
Fascia Palmar, Dupuytren's Contracture, Fasciectomy (multiple)
Fascia Palmar, Dupuytren's Contracture, Fasciectomy (single)
Femur, Delayed/Non Union, w/ Bone grating
Femur, Delayed/Non Union, w/ re-internal fixation and bone grafting
Femur, Femur shaft fracture, Intramedullary Nailing/Rod (with or without
locking)
Femur, Fracture, Open Reduction and Internal Fixation with Plate and Screws
Femur, Fracture/ORIF with plate/screws, Complex intra-articular fractures
Femur, Fracture/ORIF with plate/screws, With bone grafting for bone loss
Femur, Fracture, multifragmentary, IM nailing (with or without locking)
Femur, Intercondylar fracture, ORIF
Femur, Neck of femur fracture (paediatric), Pin fixation
Femur, Paediatric shaft fracture, I/M Flexible nailing
Femur, Single condylar fracture, ORIF
Femur, Slipped Capital Femoral Epiphysis (SCFE), Screw fixation
Finger, Defect/Contracture (multiple), Reconstruction
Finger, Defect/Contracture (single), Reconstruction
Finger, Deformities, Correction
Finger, Injury, Debridement
Finger, Various lesions, Amputation (multiple)/Macrodactyly, Debulking
2C
4A
5A
5C
3A
2B
4B
10
4B
4A
3A
4B
3C
3C
2B
5A
6B
6A
6C
4A
5C
6B
5C
7C
3B
2C
5C
3A
5C
4A
4A
5A
4B
5A
5C
5C
5A
5A
4B
4A
4B
4B
4C
3C
4A
1B
2C
SB – MUSCULOSKELETAL
S/N
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
New
code
SB816F
SB817F
SB818F
SB819F
SB820F
SB821F
SB822F
SB823F
SB824F
SB825F
SB826F
SB827F
SB712F
SB828F
SB829F
138
SB713F
139
140
141
142
143
144
145
SB714F
SB715F
SB716F
SB717F
SB718F
SB719F
SB720F
146
147
148
SB830F
SB831F
SB721F
149
150
151
SB722F
SB832F
SB723F
152
153
154
155
156
157
158
159
160
SB724F
SB725F
SB726F
SB833F
SB834F
SB835F
SB836F
SB727F
SB728F
161
162
163
164
SB729F
SB730F
SB731F
SB701H
Description
Table
Finger, Ring Constriction (single), Correction
Finger, Ring Constriction (multiple), Correction
Finger, Swan Neck/Boutonniere Deformity (single), Correction
Finger, Syndactyly (multiple), Separation
Finger, Syndactyly (single), Correction
Finger, Trauma, Replantation (multiple)
Finger, Trauma, Replantation/Transplantation (single)
Finger, Trauma, Terminalisation (multiple)
Finger, Trauma, Terminalisation (single)
Finger, Various Lesions, Amputation (multiple)
Finger, Various Lesions, Amputation (single)
Hand, Free toe pulp transfer
Finger, Various Lesions, Ray Amputation (multiple)
Finger, Various Lesions, Ray Amputation (single)
Finger, Various Lesions, Synovectomy with Soft Tissue Reconstruction
3B
5C
4A
5C
4A
7B
6B
3B
2C
2C
2A
7C
3C
3A
5C
Forearm, Radial head fracture, Open reduction of radial head for missed
Monteggia
Forearm, Radius/ulna shaft fracture, Intramedullary rod
Foot, Achilles tendon reconstruction
Foot, Congenital Talipes Equinovarus (CTEV), bilateral release
Foot, Congenital Talipes Equinovarus (CTEV), Medial Release
Foot, Congenital Talipes Equinovarus (CTEV), Postero-medial release
Foot, Congenital Talipes Equinovarus (CTEV), Posterior release
Foot, Congenital Talipes Equinovarus (CTEV), Postero-medial release with
revision
Foot, Crush Injuries (complex), Wound Debridement
Foot, Crush Injuries (simple), Wound Debridement
Foot, Fractures, Complex, multiple, including talus and calcaneum, Open
Reduction and Internal Fixation
Foot, Fractures, Simple, single
Foot, Hallux valgus reconstruction/hammer toes, Reconstruction
Foot, Hallux valgus, Complex soft tissue and proximal bony procedure
with/without osteotomies
Foot, Haglund's deformity - osteotomy
Foot, One bone osteotomy with soft tissue release, Cuboid
Foot, One bone osteotomy with soft tissue release, Dwyer’s (calcaneal)
Foot, Polydactyly, Excision
Foot, Polydactyly, Excision with Reconstruction
Foot, Various Lesions, Floating Osteotomy
Foot, Various Lesions, Triple Arthrodesis
Foot, Multiple foot osteotomies
Foot, Posterior Tibial Tendon Dysfunction (PTTD) - posterior tibialis
reconstruction
Foot, Tendon transfers, Split Tibialis Anterior Tendon Transfer (SPLATT)
Foot, Tendon transfers, Split Tibialis Posterior Tendon Transfer (SPLOTT)
Foot, Tendon transfers, Tibia Anterior Transfer
Hand and Wrist - Rheumatoid hand reconstruction including multiple joint
synovectomy, bone/joint procedures with arthroplasty (multiple) and soft tissue
procedures
4A
11
4B
4A
6A
4A
4C
4A
5C
3B
1B
5A
3B
3B
3B
3C
5A
5A
1A
4A
3A
5C
5C
4A
4A
4A
4A
6C
SB – MUSCULOSKELETAL
S/N
165
New
code
SB702H
166
167
168
169
170
171
SB800H
SB703H
SB704H
SB705H
SB801H
SB802H
172
SB706H
173
174
175
176
177
178
179
180
181
182
183
184
185
SB707H
SB803H
SB804H
SB805H
SB806H
SB807H
SB808H
SB809H
SB810H
SB811H
SB708H
SB709H
SB812H
186
SB813H
187
188
SB710H
SB711H
189
SB712H
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
SB814H
SB713H
SB714H
SB715H
SB716H
SB717H
SB815H
SB816H
SB817H
SB718H
SB818H
SB819H
SB820H
SB821H
SB822H
SB823H
Description
Table
Hand and Wrist - Rheumatoid hand reconstruction including synovectomy,
bone/joint procedures with/without replacement arthroplasty, and soft tissue
procedures
Hand, Amputated Digit(s), Toe to Hand Transfer
Hand, Closed fracture, ORIF complex (multiple)
Hand, Closed fracture, ORIF complex/ plate and screws, non-joint
Hand, Closed fracture, ORIF with K-wire/cerclage wire fixation
Hand, Closed Fracture/Dislocation, Open Reduction and Fixation (single)
Hand, Complex Injuries, Debridement with Repair/Reconstruction (1-2 tendons
involved or 1-2 fractures)
Hand, Complex Injuries, Debridement with Repair/Reconstruction (more than 2
tendons involved or more than 2 fractures)
Hand, Complex Injuries, Microsurgical Repair/Reconstruction, >1 digit
Hand, Complex Injuries, Microsurgical Repair/Reconstruction, single digit
Hand, Crush Injuries (complex), Wound Debridement
Hand, Crush Injuries (simple), Wound Debridement
Hand, Deep Infection, Drainage
Hand, Deformities, Major Reconstructive Procedures
Hand, Deformities, Osteotomy
Hand, Deformity, Intrinsic Muscle Release/Transfer/Extensor Relocation
Hand, Extra Digit, Amputation/Stump Revision
Hand, Flexor Tendon Injuries, Insertion of Silastic Rod(s)
Hand, Flexor Tendon, Trigger Finger (multiple), Release
Hand, Flexor Tendon, Trigger Finger (single), Release
Hand, Foreign Body (deep), Removal with Mobilisation of Neurovascular
Bundle
Hand, Foreign Body (superficial), Removal with Mobilisation of Neurovascular
Bundle
Hand, Fracture of fingers/metacarpals, External fixation
Hand, Fracture of fingers/metacarpals, Non-union, bone-grafting and fixation
(multiple)
Hand, Fracture of fingers/metacarpals, Non-union, bone-grafting and fixation
(single)
Hand, Fractures/Dislocation, Open Reduction and Internal Fixation (multiple)
Hand, Closed fracture, ORIF complex (multiple), joint
Hand, Open fracture, Debridement and ORIF (multiple), joint
Hand, Open fracture, Debridement and ORIF (multiple), non-joint
Hand, Open fracture, Debridement and ORIF (single), joint
Hand, Open fracture, Debridement and ORIF (single), non-joint
Hand, Polydactyly, Amputation with Reconstruction
Hand, Scar, Revision
Hand, Soft Tissue Tumour, Excision <1.5cm
Hand, Soft Tissue Tumour, Excision >1.5cm
Hand, Superficial Infection, Drainage
Hand, Tumours, Excision with Dissection of Neurovascular Bundle
Hand, Wart/Corn/Naevus, Excision
Head, Various Lesions, Craniofacial Resection and Reconstruction
Head-Face, Soft Tissue Tumours (small), Excision
Head-Face, Trauma, Craniofacial Approach Reduction and Fixation
5C
12
7B
5A
3C
2C
2C
5A
5C
6B
5C
3C
1C
2C
5C
3B
5C
1C
5C
3A
2A
3A
2A
3B
4C
3C
5C
5C
6A
5B
4A
3B
4A
2C
2A
2C
1A
4B
1B
7C
3A
5C
SB – MUSCULOSKELETAL
S/N
206
New
code
SB824H
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
SB825H
SB826H
SB827H
SB719H
SB720H
SB828H
SB829H
SB830H
SB831H
SB721H
SB832H
SB722H
SB833H
SB834H
SB835H
SB836H
SB837H
SB838H
SB723H
226
227
228
229
230
231
SB839H
SB724H
SB725H
SB726H
SB727H
SB840H
232
SB728H
233
234
SB729H
SB730H
235
236
SB841H
SB701S
237
SB702S
238
239
240
241
242
243
244
245
246
247
SB842H
SB800J
SB801J
SB802J
SB803J
SB804J
SB805J
SB806J
SB807J
SB808J
Description
Table
Head-Face, Trauma, Craniofacial Approach Reduction and Fixation with Bone
Graft
Head-Face, Various Lesions, Major Corrective Surgery
Hip, Avascular Necrosis, Core Decompression
Hip, Avascular Necrosis, Core Decompression with Grafting
Hip, Acetabulum, Fracture, double column fixation
Hip, Acetabulum, Fracture, single column fixation
Hip, Congenital Dislocation, Open Reduction
Hip, Congenital Dislocation, Open Reduction including Reconstruction
Hip, Dislocation, Manipulation and Reduction
Hip, Dislocation, Open Reduction
Hip, Open reduction with Acetabular or Femoral Osteotomies
Hip, Snapping Syndrome, Release
Hip, Soft tissue release and open reduction only
Hip, Various Lesions, Application of Hip Spicas
Hip, Various Lesions, Arthrodesis
Hip, Various Lesions, Arthrotomy
Hip, Various Lesions, Arthrotomy and Synovectomy
Hip, Various Lesions, Excision/Interposition Arthroplasty
Hip, Various Lesions, Hemi-Arthroplasty
Hip, Various Lesions, Primary Total Joint Replacement with augmentation,
requiring extra implants or bone grafts, open/MIS/navigated
Hip, Various Lesions, Primary Total Joint Replacement, open/MIS/navigated
Hip, Various Lesions, Revision Total Joint Replacement,open/MIS/navigated
Hip/knee, Removal of prostheses with or without spacer
Humerus, cubitus varus, Corrective osteotomy with cast or pinning
Humerus, cubitus varus, Corrective osteotomy with plating
Humerus, Delayed/Non-Union, Reconstruction w/ internal fixation and bone
grafting
Humerus, Delayed/Non-Union, Reconstruction w/ bone grafting without internal
fixation
Humerus, Humerus shaft fracture, Closed interlocking intramedullary nail
Humerus, Humerus shaft fracture, Complex multi-fragmentary intramedullary
nail
Humerus, Proximal or supracondylar fracture, ORIF
Shoulder Fracture/Dislocation, Open Reduction and Internal Fixation (2 part
fracture)
Shoulder Fracture/Dislocation, Open Reduction and Internal Fixation (3 or more
part fracture)
Humerus supracondylar and intercondylar fracture, ORIF
Joints (Finger), Contracture, Capsulectomy/Capsulotomy
Joints (Finger), Various Lesions, Arthrodesis
Joints (Finger), Various Lesions, Excision Arthroplasty
Joints (Finger), Various Lesions, Replacement Arthroplasty
Joints (Foot excluding Ankle), Synovitis, Synovectomy
Joints (Hand excluding Wrist), Synovitis, Synovectomy
Joints (Lower Limb) - small, Various Lesions, Arthroplasty
Joints (Lower Limb), Deformities, Corrective Surgery with Osteotomy alone
Joints (Lower Limb), Deformities, Corrective Surgery with Plate Fixation and
Fluoroscopy
6C
13
7C
4A
6B
6B
5C
5C
6B
1B
5C
5B
1B
4C
1B
6B
3B
4A
5A
5C
6B
6A
6C
5A
4B
5A
5B
4B
4A
4C
4A
4A
5A
5A
4A
3C
3C
4C
2C
2C
3C
4A
5C
SB – MUSCULOSKELETAL
S/N
248
249
250
251
252
New
code
SB809J
SB810J
SB811J
SB812J
SB813J
253
254
255
256
257
258
259
SB703J
SB814J
SB704J
SB815J
SB816J
SB817J
SB705J
260
261
262
263
264
265
266
SB706J
SB818J
SB819J
SB707J
SB708J
SB709J
SB821J
267
SB710J
268
269
SB711J
SB822J
270
SB712J
271
272
273
274
275
276
277
278
279
SB713J
SB823J
SB824J
SB825J
SB826J
SB827J
SB829J
SB830J
SB831J
280
SB714J
281
282
283
SB832J
SB715J
SB833J
284
285
SB834J
SB716J
286
287
SB835J
SB717J
Description
Table
Joints (Lower Limb), Dislocations, Manipulation and Kirschner Wire Fixation
Joints (Lower Limb), Dislocations, Wound Debridement
Joints (Lower Limb), Loose Bodies, Removal
Bone/Joints (Lower Limb), Major Crush Injuries, Wound Debridement
Joints (Lower Limb, except Hip), Septic Arthritis, drainage with curettage and
debridement
Joints (Lower Limb, Hip), Septic Arthritis, Curettage/Debridement and Irrigation
Joints (Lower Limb, except Hip), Septic Arthritis, simple drainage
Joints (Lower Limb, Hip), Septic Arthritis, simple drainage
Joints (Lower Limb), Simple Implants, Removal (eg. K-wires, pins, screw only)
Joints (Lower Limb), Various Lesions, Epiphysiolysis with/without Microsurgery
Joints, Various Lesions, Primary Total Joint Replacement, open/MIS/navigated
Joints, Various Lesions, Primary Total Joint Replacement with augmentation,
requiring extra implants or bone grafts, open/MIS/navigated
Joints, Various Lesions, Revision Total Joint Replacement,open/MIS/navigated
Joints (Other than Hand and Wrist), Various Lesions, Arthrodesis
Joints (Other than Hand excluding Wrist), Various Lesions, Synovectomy
Joints (Shoulder), Various Lesions, Impingement Syndrome
Joints (Temporomandibular), Various Lesions, Arthrocentesis (bilateral)
Joints (Temporomandibular), Various Lesions, Arthrocentesis (unilateral)
Joints (Temporo-mandibular), Dislocation, Reduction under General
Anaesthesia
Joints (Temporo-mandibular), Various Lesions,
Condylectomy/Coronoidectomy/Menisectomy
Joints (Temporo-mandibular), Various Lesions, Condylotomy
Joints (Temporo-mandibular), Various lesions, Condylectomy with
Reconstruction (Unilateral)
Joints (Temporo-mandibular), Various Lesions, Condylectomy with
Reconstruction (Bilateral)
Joints (Temporo-mandibular), Various lesions, Reconstruction (Bilateral)
Joints (Temporo-mandibular), Various Lesions, Reconstruction (Unilateral)
Joints (Temporo-mandibular), Various Lesions, Plication of Disc
Joints (Upper Limb), Contracture, Capsulectomy/Capsulotomy (multiple)
Joints (Upper Limb), Deformities/Contracture, Corrective Surgery
Joints (Upper Limb), Deformities/Contracture, Osteotomies and Fixation
Joints (Upper Limb), Plates and Screws, Removal
Joints (Upper Limb), Rush Rods/Wires/Screws, Removal
Joints (Upper Limb, except Shoulder), Septic Arthritis, drainage with curretage
and debridement
Joints (Upper Limb, Shoulder), Septic Arthritis/Effusion, Curettage/Debridement
and Irrigation
Joints (Upper Limb, except Shoulder), Septic Arthritis, simple drainage
Joints (Upper Limb, Shoulder), Septic Arthritis/Effusion, simple drainage
Joints (Upper Limb), Various Lesions, Examination and Manipulation under
General Anesthesia
Joints (Upper Limb), Various Lesions, Vascularised Joint Transfer
Joints (Upper Limb), Vascular Injury, Major vascular
reconstruction/anastomosis/graft
Joints (Wrist), Various Lesions, Arthrodesis
Joints, Major intra-articular fracture with discontinuity or bone loss,
Reconstruction (for lower limb)
3B
2B
3B
3B
3C
14
4A
2B
3A
1C
5C
6A
6B
6C
5C
4A
5A
3A
2B
1C
4B
4A
6B
7A
7A
6B
4A
5C
4B
5C
2B
1C
3A
4A
2B
3C
1A
7C
5A
4B
5C
SB – MUSCULOSKELETAL
S/N
288
New
code
SB718J
289
290
SB800K
SB701K
291
292
293
SB801K
SB802K
SB703K
294
SB704K
295
SB705K
296
SB706K
297
SB707K
298
SB708K
299
SB709K
300
SB710K
301
SB711K
302
SB712K
303
SB713K
304
305
306
307
308
309
310
311
312
313
SB714K
SB715K
SB803K
SB804K
SB805K
SB806K
SB807K
SB808K
SB809K
SB716K
314
SB810K
315
316
SB717K
SB800L
317
SB801L
318
319
SB802L
SB803L
320
SB804L
Description
Table
Joints, Major intra-articular fracture with discontinuity or bone loss,
Reconstruction (for upper limb)
Knee Ligaments, Disruption, Reconstruction and Repair
Knee, Ligaments/Meniscus/Cartilage/Bone combined, Arthroscopic ACL or
PCL reconstruction
Knee, Dislocation, Open Reduction with Repair of Ligaments
Knee, Hemarthrosis, Aspiration under General Anesthesia
Knee, Ligaments/Meniscus/Cartilage/Bone combined, Arthroscopic ligament
reconstruction with meniscal repair
Knee, Ligaments/Meniscus/Cartilage/Bone combined, Arthroscopic ligament
reconstruction with meniscectomy
Knee, Ligaments/Meniscus/Cartilage/Bone combined, Arthroscopic ligament
reconstruction with microfracture
Knee, Ligaments/Meniscus/Cartilage/Bone combined, Arthroscopic primary
double bundle ACL or PCL reconstruction
Knee, Ligaments/Meniscus/Cartilage/Bone combined, Arthroscopic revision
ACL reconstruction
Knee, Ligaments/Meniscus/Cartilage/Bone combined, Arthroscopic revision
PCL reconstruction
Knee, Ligaments/Meniscus/Cartilage/Bone combined, Autologous chondrocyte
implantation with osteotomy
Knee, Ligaments/Meniscus/Cartilage/Bone combined, Mosaicplasty or
Osteoarticular Transfer System (OATS) with osteotomy
Knee, Ligaments/Meniscus/Cartilage/Bone combined, Multi-Ligamented Knee
Reconstruction (3 or more ligaments)
Knee, Meniscus/Cartilage ( small defects ), Open/Arthroscopic Mosaicplasty or
OATS
Knee, Meniscus/Cartilage, Arthroscopic assisted allograft meniscal
transplantation
Knee, Meniscus/Cartilage, Arthroscopic cartilage harvesting
Knee, Meniscus/Cartilage, Arthroscopic meniscal repair
Knee, Various Lesions, Arthrodesis
Knee, Various Lesions, Arthrotomy
Knee, Various Lesions, Arthrotomy and Synovectomy
Knee, Various Lesions, Excision/Interposition Arthroplasty
Knee, Various Lesions, Manipulation and Examination under Anesthesia
Knee, Various Lesions, Meniscectomy with/without Arthroscopy
Knee, Various Lesions, Total Joint Replacement (Bilateral)
Knee, Various Lesions, Primary Total Joint Replacement (Unilateral) with
augmentation, requiring extra implants or bone grafts, open/MIS/navigated
Knee, Various Lesions, Primary Total Joint Replacement (Unilateral),
open/MIS/navigated
Knee, Various Lesions, Revision Total Joint Replacement,open/MIS/navigated
Lower Limb, Crush Injuries (extensive), Debridement with Repair of Bone and
Soft Tissues
Lower Limb, Crush Injuries (limited), Debridement with Repair of Bone and Soft
Tissues
Lower Limb, Deformities, Epiphysiodesis
Lower Limb, Fractures, Open Reduction and Fixation with Repair of Arterial
Injuries
Lower Limb, Fractures/Dislocation, Manipulation and Reduction with/without
Application of Cast
5A
15
5C
5C
5C
1A
5C
5C
5C
6A
5C
5C
6A
6A
6A
5C
5C
4A
5A
5A
3B
4A
4A
1A
4A
7B
6B
6A
6C
6B
5A
4A
6B
1B
SB – MUSCULOSKELETAL
S/N
321
322
New
code
SB805L
SB700L
323
324
325
326
327
328
329
330
331
332
SB701L
SB806L
SB807L
SB702L
SB703L
SB808L
SB809L
SB811L
SB812L
SB800M
333
SB801M
334
SB700M
335
336
SB701M
SB702M
337
338
SB703M
SB704M
339
340
341
SB705M
SB706M
SB707M
342
SB802M
343
SB803M
344
SB708M
345
SB709M
346
347
348
349
350
SB804M
SB805M
SB806M
SB807M
SB808M
351
352
353
354
355
356
SB809M
SB810M
SB811M
SB710M
SB812M
SB813M
Description
Table
Lower Limb, Length Discrepancies, Lengthening Procedures
Lower Limb, Open tendon releases and cast application, tibialis anterior
lengthening (TAL)
Lower Limb, Open tendon releases and cast application, Hamstring releases
Lower Limb, Length Discrepancies, Shortening Procedures
Upper Limb/Lower Limb, Open fractures with debridement and External fixation
Lower Limb, Percutaneous Tenotomy and cast application, Adductor tenotomy
Lower Limb, Percutaneous Tenotomy and cast application, TA tenotomy
Lower Limb, Traumatic Amputation, Major Replantation
Lower Limb, Various Lesions, Amputation
Lower Limb, Various Lesions, Hindquarter Amputation
Lower Limb, Various Lesions, Hip Disarticulation
Mandible (excluding alveolar margins), Various Lesions, Complex
Osteotomy/Ostectomy
Mandible and Maxilla, Various Lesions, Osteotomy including Segmental
Osteotomy with/without Grafting
Mandible and Maxilla, Various Lesions, Osteotomy and Insertion of Device for
Distraction Osteogenesis
Mandible or Maxilla, Bony protuberance, Excision
Mandible or Maxilla, Dental Implant(s), Trephine Removal (x number of
implants removed)
Mandible or Maxilla, Tumour, Marginal Resection with Bone Graft
Mandible or Maxilla, Various Lesions, Segmental Osteotomy and Insertion of
Device for Distraction Osteogenesis and Bone Transport
Mandible or Maxilla, Various Lesions, Vestibuloplasty, Complex.
Mandible or Maxilla, Various Lesions, Vestibuloplasty, Simple.
Mandible or Maxilla, Various Lesions,Dentoalveolar Osteotomy and Insertion of
Device for Distraction Osteogenesis
Mandible or Maxilla, Alveolar Defect/Deformity, Complex
Alveoloplasty/Unilateral (lateral window) sinus lift/ ridge augmentation with
bone graft from separate surgical site.
Mandible or Maxilla, Alveolar Defect/Deformity, Simple Alveoloplasty / Bone
Regenerative Procedure
Mandible, Atrophy, Lateralisation of Inferior Dental Nerve with Implant Fixtures
Placement, Bilateral.
Mandible, Atrophy, Lateralisation of Inferior Dental Nerve with Implant Fixtures
Placement, Unilateral
Mandible, Fracture (comminuted), Open Reduction and Fixation
Mandible, Fracture, Closed Reduction and Fixation
Mandible, Fracture, Open Reduction and Fixation
Mandible or Maxilla, Odontogenic Cyst (11- 20mm), Enucleation
Mandible or Maxilla, Odontogenic Cyst (20mm or larger or multiple cysts),
Enucleation
Mandible or Maxilla, Odontogenic Cyst (10mm or smaller), Enucleation
Mandible or Maxilla, Odontogenic Cyst, Marsupialization
Mandible OR Maxilla, Old Fractures / Osteotomy, Removal of Plates or Wires
Mandible AND Maxilla, Old Fractures / Osteotomy, Removal of Plates or Wires
Mandible or Maxilla, Tumour, Marginal Resection
Mandible, Various Lesions, Alveolectomy (per quadrant)
4B
4B
16
3A
6B
4B
3A
3A
7C
4A
6B
6B
6B
7C
7C
1B
1C
6B
5B
3C
2B
5A
3A
2C
5A
4B
5C
3B
5A
3A
4A
2C
2B
2B
3B
5C
2C
SB – MUSCULOSKELETAL
S/N
357
New
code
SB814M
358
SB815M
359
SB816M
360
SB817M
361
SB711M
362
363
SB712M
SB818M
364
SB819M
365
366
SB820M
SB821M
367
368
SB822M
SB823M
369
SB824M
370
SB825M
371
372
373
SB826M
SB827M
SB713M
374
375
376
377
378
379
SB828M
SB829M
SB830M
SB831M
SB832M
SB833M
380
381
SB834M
SB835M
382
383
SB836M
SB837M
384
SB838M
385
386
387
SB839M
SB840M
SB841M
388
389
SB842M
SB843M
Description
Table
Mandible or Maxilla, Various Lesions, Alveoloplasty with Epithelial Graft, OR
Bilateral Sinus-lift procedure OR Ridge augmentation (multiple quadrants) with
bone graft havested from separate site
Mandible, Various Lesions, Genioplasty (Complex - not as a combined
procedure)
Mandible or Maxilla, Various Lesions, Insertion of Endosseous Dental Implant
(single)(For multiple placement of implants, number of claims = number of
implants placed )
Mandible and / or Maxilla, Various Lesions, Insertion of Transmandibular
Implant/ Subperiosteal Implant/ Zygomaticus Implant
Mandible, Various Lesions, Body or Ramus Osteotomy with Insertion of
Distraction Osteogenesis Device
Maxilla, Various Lesions, Resection with Reconstruction
Mandible, Various Lesions, Mandibular Ramus/Body Ostectomy/ Osteotomy
with Segmental Osteotomy
Mandible, Various Lesions, Mandibular Ramus/Body Ostectomy/ Osteotomy
without Segmental Osteotomy
Mandible, Various Lesions, Reconstruction with Bone
Mandible, Various Lesions, Segmental Ostectomy/Osteotomy (one segment
only)
Mandible, Various Lesions, Segmental Resection with Bone Graft
Mandible, Various Lesions, Genioplasty (Simple - not as a combined
procedure)
Maxilla (excluding alveolar margins) and/or Zygoma, Various Lesions, Complex
Ostectomy/Osteotomy
Maxilla, Alveolar Cleft (Bilateral Complete), Bone Graft and Closure of Naso
Buccal Fistula
Maxilla, Bilateral Incomplete Alveolar Cleft, Bone Graft
Maxilla, Deformity - Lefort I, Osteotomy
Maxilla, Deformity, Lefort I Osteotomy and Insertion of Distraction
Osteogenesis Device
Maxilla, Deformity - Lefort II, Osteotomy
Maxilla, Deformity - Lefort III, Osteotomy
Maxilla, Fracture - Lefort I, Closed Reduction and Fixation
Maxilla, Fracture - Lefort I, Open Reduction and fixation
Maxilla, Fracture - Lefort II / III, Closed Reduction and Fixation.
Maxilla Deformity, Le Fort II Osteotomy and Insertion of Distraction
Osteogenesis Device
Maxilla, Fracture - Lefort II (complex), Open Reduction and Fixation.
Maxilla Deformity, Le Fort III Osteotomy and Insertion of Distraction
Osteogenesis Device
Maxilla, Fracture - Lefort III, Open Reduction and Fixation
Maxilla, Fracture - Lefort III, Open Reduction and Fixation using Craniofacial
approach
Maxilla, Alveolar Cleft (Unilateral Complete), Bone Graft and Closure of Naso
Buccal Fistula
Maxilla, Alveolar Cleft (Unilateral Incomplete), Bone Graft
Maxilla, Various Lesions, Ostectomy/Osteotomy (more than 1 segment)
Maxilla, Various Lesions, Resection/Hemimaxillectomy (open or endoscopic
method)
Maxilla, Various Lesions, Ostectomy/Osteotomy (one segment only)
Muscle (Lower Limb), Deep Abscess, Drainage
4A
17
5C
2C
5A
5C
6B
6B
5C
5C
5A
6B
5A
6B
6B
6A
5C
5C
6B
7C
4A
5C
5A
6B
6B
7B
6B
7C
5B
4B
6B
5C
5A
2A
SB – MUSCULOSKELETAL
S/N
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
New
code
SB844M
SB845M
SB846M
SB847M
SB848M
SB849M
SB850M
SB851M
SB852M
SB800N
SB801N
SB802N
SB803N
SB804N
SB700O
SB800P
SB700P
SB801P
SB802P
SB701P
SB803P
SB804P
SB702P
SB800R
SB801R
415
SB700R
416
SB701R
417
418
419
420
SB703S
SB704S
SB705S
SB706S
421
422
423
SB800S
SB801S
SB707S
424
SB708S
425
426
SB709S
SB710S
427
SB711S
428
SB712S
429
SB713S
Description
Table
Muscle (Lower Limb), Rupture, Repair
Muscle (Lower Limb), Various Lesions, Marginal Excision
Muscle (Lower Limb), Various Lesions, Wide Excision
Muscle (Quadriceps)/Tendon (Lower Limb), Disruption, Repair
Muscle (Upper Limb), Deep Abscess,incision and drainage
Muscle (Upper Limb), Rupture, Repair
Muscle (Upper Limb), Various Lesions, Marginal Excision
Muscle (Upper Limb), Various Lesions, Wide Excision
Musculoskeletal System, Various Lesions, Free Composite Tissue Graft
Digit(s), Nail Bed, Deformity/Defect, Reconstruction
Nail Bed, Laceration, Repair (multiple)
Nail Bed, Laceration, Repair (single)
Nail, Infection/Injury, Avulsion
Neck, Torticollis, Correction
Others, Autologous chondrocyte implantation
Patella, Fracture, Open Reduction and Internal Fixation
Patella, Habitual dislocation- lateral release, Medial plication
Patella, Recurrent Dislocation/Chondromalacia, Reconstruction
Patella, Various Lesions, Patellectomy
Pelvis, Fracture, Fixation of anterior and posterior ring
Pelvis, Fracture (double columns), Open Reduction and Internal Fixation
Pelvis, Fracture, Open Reduction and Internal Fixation
Pelvis, Fracture, Plate/ screw fixation
Radius (head), Various Lesions, Excision
Radius and Ulna, Fracture/Dislocation, Open Reduction and internal fixation
with or without bone grafting
Radius and Ulna, Fracture/Dislocation, non union/delayed union bone grafting
and re-fixation
Radius and Ulna, Fracture/Dislocation, non union/delayed union bone grafting
only
Sacrum, Fracture, Open Reduction and Internal Fixation
Sacrum, Fracture, Reconstruction
Scapula, Scapular fracture, Open Reduction and Internal Fixation (with plating)
Shoulder, Deformities, Deformities, Osteotomies with Plate Fixation and with
or w/o Fluoroscopy and with or without bone graft
Shoulder, Deformities, Corrective Surgery, Osteotomy
Shoulder, Acromioclavicular joint stabilisation/reconstruction
Shoulder, Shoulder soft tissue injury, Arthroscopic/Open Bankart or Superior
Labrum from anterior to posterior (SLAP) repair
Shoulder, Shoulder soft tissue injury, Arthroscopic/Open Bankart repair with
Superior Labrum from anterior to posterior (SLAP) repair/rotator cuff repair
Shoulder, Shoulder soft tissue injury, Arthroscopic/Open decompression alone
Shoulder, Shoulder soft tissue injury, Arthroscopic/Open decompression with
cuff repair
Shoulder, Shoulder soft tissue injury, Arthroscopic/Open decompression with
cuff repair & excision of distal clavicle
Shoulder, Shoulder soft tissue injury, Arthroscopic/Open decompression with
excision of distal clavicle
Shoulder, Shoulder soft tissue injury, Shoulder reconstruction (eg,
Bristow/Latarjet procedure )
2C
2A
3A
3A
2A
2C
2C
3C
7B
4B
2C
1C
1A
3B
5A
3B
4B
4B
3A
5C
6B
5C
5C
3B
4B
18
4B
3C
5C
6A
5A
5C
5C
5A
5A
5B
5A
5B
5C
5A
5B
SB – MUSCULOSKELETAL
S/N
430
New
code
SB714S
431
SB715S
432
SB716S
433
434
SB802S
SB717S
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
SB805S
SB806S
SB807S
SB808S
SB718S
SB809S
SB719S
SB720S
SB810S
SB721S
SB722S
SB723S
SB811S
SB724S
SB812S
450
SB726S
451
452
SB813S
SB814S
453
SB727S
454
SB816S
455
456
SB817S
SB818S
457
SB728S
458
SB729S
459
460
461
462
SB730S
SB731S
SB732S
SB733S
463
SB734S
464
465
466
SB735S
SB736S
SB737S
Description
Table
Shoulder, Various Lesions, Primary Total Joint Replacement with
augmentation, requiring extra implants or bone grafts, open/MIS/navigated
Shoulder, Various Lesions, Primary Total Joint Replacement,
open/MIS/navigated
Shoulder, Various Lesions, Revision Total Joint
Replacement,open/MIS/navigated
Shoulder, Various Lesions, Hemiarthroplasty
Spinal/Epidural, Epidural Adhesiolysis, multiple catheter, Cervical, Imaging
Guided
Spine (cervical), Various Lesions, Laminoplasty
Spine, Cervical Rib, Excision
Spine, Chronic Pain/Stiffness, Manipulation
Spine, Deformities, Corrective Osteotomy - With Computer Navigation
Spine, Dorsal Root Entry Zone (DREZ) operation
Spine, Fracture-Dislocation, Open Reduction and Stabilisation
Spine, Image guided spinal injections with medications (1-3)
Spine, Image guided spinal injections with medications (4 or more)
Spine, Infection, Anterior Drainage and Fusion
Spine, Nerve pain, Image guided spinal radiofrequency/laser/cryotherapy
Spine, Prolapsed Disc, Discectomy, Multiple Levels
Spine, Prolapsed Disc, Discectomy, Single Level
Spine, Prolapsed Disc, nuclear manipulations
Spine, Removal of spine implants
Spine, Prolapsed Disc, Laminectomy/Fenestration with Discectomy (open or
MIS)
Spine, Various Lesions --Revision spinal surgery - decompression,laminectomy
&/or Discectomy
Spine, Scoliosis/Congenital Deformities, Correction - With Computer Navigation
Spine, Syringomyelia, Laminectomy and Posterior Fossa Decompression and
Drainage
Spine, Various Lesions, Decompression Laminectomy, Multiple Levels (open or
MIS)
Spine, Various Lesions, Decompression Laminectomy, single level (1 or 2
roots)
Spine, Various Lesions, Injection of Oradexon
Spine, Various Lesions, Spinal Rhizolysis involving Exposure of Spinal Nerve
Roots
Spine, Various Lesions -- Anterior Decompression, Corpectomy,Debridement,
Biopsy Stabilisation without instrumentation
Spine, Various Lesions --, Decompression, Spinal Instrumentation , Multiple
levels >1 - With Computer Navigation
Spine, Various Lesions-- Anterior Lumbar Interbody Fusion, Multiple Levels
Spine, Various Lesions-- Anterior Lumbar Interbody Fusion, Single Level
Spine, Various Lesions --Revision spinal instrumentation single or multiple level
Spine, Various Lesions, Artificial disc replacement of the cervical/lumbar spine multiple levels
Spine, Various Lesions, Artificial disc replacement of the cervical/lumbar spine single level Spine, Various lesions, Discogram, > 2 levels
Spine, Various lesions, Discogram, 1 to 2 levels
Spine, Various lesions, Imaging Guided Percutaneous Disc ablation, 2 levels
(eg IDET - Intradiscal Electrothermal Annuloplasty)
6B
19
6A
6C
5C
4C
6B
4C
2A
7C
6A
6B
2A
2B
6B
2B
6A
5C
3C
5A
5C
6A
7C
6B
6B
6A
1A
6B
6B
7B
7A
6A
7A
7A
6A
3A
2B
4C
SB – MUSCULOSKELETAL
S/N
467
New
code
SB738S
468
469
470
SB739S
SB740S
SB741S
471
472
473
SB800T
SB733H
SB801T
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
SB802T
SB803T
SB700T
SB804T
SB805T
SB806T
SB807T
SB808T
SB809T
SB810T
SB811T
SB812T
SB813T
SB814T
SB815T
SB816T
SB817T
SB818T
SB819T
SB820T
SB821T
SB822T
SB823T
SB824T
SB825T
SB826T
SB827T
501
SB828T
502
SB701T
503
504
505
506
507
508
509
SB702T
SB703T
SB704T
SB705T
SB706T
SB829T
SB707T
Description
Spine, Various lesions, Imaging Guided Percutaneous Disc ablation, single
level (eg IDET - Intradiscal Electrothermal Annuloplasty)
Spine, Various lesions, Vertebroplasty or kyphoplasty, 2 levels or more
Spine, Various lesions, Vertebroplasty or kyphoplasty, Single level
Spine, Various Lesions--Decompression, Interbody Fusion (circumferential
fusion with instrumentation and cages) - Open or MIS or with Computer
Navigation
Tendon (Peroneal), Subluxation, Reconstruction
Hand, Flexor Tendon, Pulley Reconstruction
Tendon (Upper Limb), Bowstring/Entrapment, Pulley Reconstruction
Tendon (Upper Limb), Contracture, Tenotomy
Tendon (Upper Limb), Various Lesions, Tendon Transfer (single)
Tendon (Upper Limb), Various Lesions, Tendon Transfer (multiple)
Tendon Sheath (Upper Limb), De Quervain's (bilateral), Release
Tendon Sheath (Upper Limb), De Quervain's (unilateral), Release
Tendon Sheath (Upper Limb), Ganglion/Villo-Nodular Synovitis, Excision
Tendon Sheath (Upper Limb), Tenosynovitis (multiple), Drainage
Tendon Sheath (Upper Limb), Tenosynovitis (single), Drainage
Tendon-Achilles (Lower Limb), Disruption, Repair
Tendon-Extensor (Upper Limb), Adhesion, Tenolysis (multiple)
Tendon-Extensor (Upper Limb), Adhesion, Tenolysis (single)
Tendon-Extensor (Upper Limb), Injury, Repair (multiple)
Tendon-Extensor (Upper Limb), Injury, Repair (single)
Tendon-Flexor (Lower Limb), Disruption, Repair (single)
Tendon-Flexor (Upper Limb), Adhesion, Tenolysis (multiple)
Tendon-Flexor (Upper Limb), Adhesion, Tenolysis (single)
Tendon-Flexor (Upper Limb), Defect, Grafting (multiple)
Tendon-Flexor (Upper Limb), Defect, Grafting (single)
Tendon-Flexor (Upper Limb), Injury, Repair (multiple)
Tendon-Flexor (Upper Limb), Injury, Repair (single)
Tendon-Flexor (Upper Limb), Injury, Tendon Graft
Tendons-Flexor (Lower Limb), Disruption, Repair (multiple)
Thumb, Deformities, Correction
Thumb, Paralysis, Opponens Plasty
Thumb, Various Lesions, Pollicisation or Microsurgical reconstruction
Tibia, Delayed/Non-Union, Reconstruction
Tibia, Fracture(s), Open Reduction and Internal Fixation with Intramedullary
Rod
Tibia, Fracture, Open Reduction and Internal Fixation with Plates and Screws,
simple
Tibia, Fracture, Open Reduction and Internal Fixation with Plates and Screws,
comminuted
Tibia, Tibial plateau, comminuted bicondylar , ORIF
Tibia, Tibial plateau, unicondylar comminuted/ simple bicondylar , ORIF
Tibia, Tibial plateau, unicondylar, ORIF
Tibia, Tibial shaft fracture, IM nailing (locked nail)
Tibia, Tibial shaft fracture, IM nailing (unlocked nail)
Toes, Various Lesions, Amputation (multiple)
Toes, Various Lesions, Ray Amputation (multiple)
20
Table
4A
4C
4A
7A
4A
4B
3B
2C
4A
5C
3C
3A
2B
3B
2B
3A
5A
4A
3A
2C
2C
5C
4A
6B
5C
4B
3B
4C
3B
4A
4B
6B
5C
4B
5A
5C
5B
5A
4B
4A
4A
2C
2C
SB – MUSCULOSKELETAL
S/N
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
New
code
SB830T
SB708T
SB831T
SB709T
SB710T
SB800U
SB801U
SB802U
SB803U
SB804U
SB805U
SB806U
SB807U
SB700U
SB701U
SB702U
SB703U
SB704U
SB701W
SB702W
530
531
532
533
534
535
536
SB703W
SB704W
SB705W
SB706W
SB707W
SB708W
SB709W
537
538
539
540
SB710W
SB711W
SB712W
SB713W
541
542
543
544
SB714W
SB715W
SB800Z
SB801Z
Description
Table
Toes, Various Lesions, Amputation (single)
Toes, Various Lesions, Ray Amputation (single)
Toes, Various Lesions, Arthrodesis
Toes, Toe deformity
Toes, Toe deformityMultiple/complex
Upper Limb, Congenital Deformity, Major Reconstruction
Upper Limb, Deformity, Bony and Soft Tissue Reconstruction
Upper Limb, Fracture/Dislocation, Manipulation and Reduction
Upper Limb, Ischemia, Fasciotomy
Upper Limb, Trauma, Major Replantation
Upper Limb, Various Lesions, Amputation
Upper Limb, Various Lesions, Forequarter Amputation
Upper Limb, Various Lesions, vascularised Free Muscle Transfer
Upper Limb/Lower Limb, Fracture, External fixation, multiple planes
Upper Limb/Lower Limb, Major soft tissue defects, Free flap
Upper Limb/Lower Limb, Major soft tissue defects, Pedicled flap
Upper Limb/Lower Limb, Malignant tumour, soft tissue, Radical excision
Upper Limb/Lower Limb, Upper limb fractures, Minimally invasive fixation
Wrist, Avascular necrosis, radial recession/ulnar lengthening,
Wrist, Distal or radial ulnar joint (DRUJ) instability, complex ligament
reconstruction
Wrist, Distal or radial ulnar joint (DRUJ) instability, Darrach or similar procedure
Wrist, Distal radius fracture, M&R, percutaneous pinning
Wrist, Distal radius fracture, ORIF - Simple open reduction and pinning
Wrist, Distal radius fracture, ORIF, complex, with autologous bone graft
Wrist, Distal radius fracture, ORIF, with ulnar head/styloid fixation/TFCC repair
Wrist, Joint, various lesions, proximal row carpectomy or 4 corner fusion
Wrist, Lunate dislocation / Perilunate dislocation / complex ligament injury,
Reconstruction
Wrist, Scaphoid fracture, ORIF with bone grafting
Wrist, Scaphoid or carpus, Vascularised bone graft
Wrist, Ulnar head/styloid fracture, Percutaneous Pinning/fixation
Wrist, Various Lesions, Primary Total Joint Arthroplasty with augmentation,
requiring extra implants or bone grafts, open/MIS/navigated
Wrist, Various Lesions, Primary Total Joint Arthroplasty, open/MIS/navigated
Wrist, Various Lesions, Revision Total Joint Arthroplasty, open/MIS/navigated
Zygoma, Down Fracture, Ostectomy/Articular Eminectomy/Augmentation
Zygoma, Fracture, Elevation
1C
1C
2C
1C
3B
6B
5C
1B
2B
7B
5C
6B
7A
5A
7C
5C
5C
4B
4C
4B
21
3A
3B
3C
4C
4C
5C
6B
4A
4C
5A
6B
6A
6C
5C
5A
SC – RESPIRATORY
S/N
1
2
3
4
5
6
7
New
code
SC700A
SC700B
SC702B
SC703B
SC704B
SC705B
SC706B
8
9
10
11
12
13
14
SC707B
SC800B
SC801B
SC802B
SC800D
SC801D
SC800L
15
16
17
18
19
SC701L
SC801L
SC802L
SC702L
SC703L
20
21
SC800M
SC700T
22
23
24
25
26
SC701T
SC702T
SC703T
SC704T
SC705T
27
28
29
30
31
32
33
34
SC706T
SC707T
SC708T
SC709T
SC710T
SC711T
SC712T
SC713T
35
36
37
38
39
SC714T
SC800T
SC801T
SC802T
SC803T
40
SC715T
41
42
SC716T
SC804T
Description
Table
Autofluorescence/ Narrow Band Imaging (NBI) bronchoscopy
Bronchoscopy, insertion of prosthesis
Bronchus/Lung, Endobronchial ultrasound (EBUS) biopsy
Bronchoscopy with/without biopsy
Bronchoscopy with biopsy, bronchoalveolar lavage
Bronchoscopy, blind transbronchial lung biopsy for diffuse disease
Bronchoscopy, targeted transbronchial lung biopsy for focal lesions (imagingguided)
Bronchoscopy, with dilatation of Tracheal and Bronchial stricture
Bronchus, Foreign Body, Removal via Bronchotomy
Bronchus, Various Lesions, Bronchoplastic Procedure
Bronchus/trachea, Various Lesions, Laser Application
Diaphragm, Tumour, Excision
Diaphragm, Tumour, Excision with Wedge Resection of Lung
Lung, Various Lesions, Pneumonectomy/Lobectomy/Segmental Resection,
open
Lung, Various lesions,Pneumonectomy/Lobectomy,Thoracoscopic
Lung, Various Lesions, Repeat/Multiple/Complex Resections
Lung, Various Lesions, Wedge Resection
Lung, Massive hemoptysis, Bronchial Artery Embolisation
Lung, Tumour, Imaging Guided Percutaneous Local Ablation (Radiofrequency,
Cryotherapy, microwave, laser, alcohol, etc)
Mouth, Various Lesions, Laser Application
Thorax, Catheter blockage, Imaging Guided Catheter Change / Catheter
Adjustment / Check tube
Thorax, Coastal Cartilage, Harvest and Creation of Ear Cartilage Framework
Thorax, Evacuation of retained haemothorax (open and thorascopic)
Thorax, Mediastinum, mediastinoscopy with/without Biopsy
Thorax, Pleural effusion, biopsy
Thorax, Resuscitative Trauma Thoracotomy (haemostasis, damage control,
organ repair)
Thorax, Ribs, Open fixation of rib fractures (>3 ribs)
Thorax, Ribs, Open fixation of rib fractures (1 - 3 ribs)
Thorax, Subxyphoid pericardial window
Thorax, Thoracoscopic decortication
Thorax, Thoracoscopic pleurodesis bilateral
Thorax, Thoracoscopic thymectomy
Thorax, Thoracoscopy for pleurodesis
Thorax, Trauma Relook Thoracotomy (includes haemostasis, removal of
packs)
Thorax, Thoracoscopy, with/without division of pleural adhesions
Thorax, Empyema, Resection of Rib and Open Drainage
Thorax, Mediastinal Lesions, Cervical Exploration with/without Biopsy
Thorax, Pectus Excavatum/Pectus Carinatum, Radical Correction
Thorax, Effusion / Fluid / Abscess collection, Imaging Guided Percutaneous
Aspiration / Diagnostic Tap
Thorax, Effusion / Fluid / Abscess collection, Imaging Guided Percutaneous
Drainage Catheter Insertion
Thorax, Pleural Effusion, Aspiration
Thorax, Tumour (mediastinal), Resection
3A
3B
3A
1B
2A
2A
2C
22
3A
4A
5C
4A
5A
6B
5A
5B
5A
3C
4B
3C
2B
1A
5A
4A
3B
1C
5A
5A
4A
3C
4B
4B
6B
3C
4A
1C
2C
1A
4B
1A
1C
1A
4B
SC – RESPIRATORY
S/N
43
44
45
46
47
New
code
SC717T
SC805T
SC806T
SC807T
SC808T
48
49
50
51
SC809T
SC810T
SC811T
SC812T
52
53
54
55
56
57
58
59
60
61
SC813T
SC718T
SC814T
SC815T
SC816T
SC817T
SC722T
SC723T
SC724T
SC725T
Description
Thorax, Tumour (mediastinal), Complex resection
Thorax, Various Lesions, Chest Wall Resection and Major Reconstruction
Thorax, Various Lesions, Chest Wall Resection and Minor Reconstruction
Thorax, Various Lesions, Intercostal Drain (insertion without resection of rib)
Thorax, Various Lesions, Intrathoracic Operation on Lungs/Bronchial
Tree/Mediastinum
Thorax, Various Lesions, Thoracoplasty (complete)
Thorax, Various Lesions, Thoracoplasty (in stages) - each stage
Thorax, Various Lesions, Thoracotomy (exploration) with/without Biopsy
Thorax, Various Lesions, Thoracotomy for Pleurectomy/Pleurodesis/
Enucleation Hydatid Cysts
Thorax, Various lesions, Thoracotomy with Pulmonary Decortication
Thorax, Various Lesions, Imaging guided Percutaneous Biopsy
Trachea, Foreign Body, Removal
Trachea, Tracheo-esophageal Fistula, Ligation and Division
Trachea, Various Lesions, Trachea Reconstruction
Trachea, Various Lesions, Tracheostomy
Trachea, Tracheostomy, Revision and Reinsertion
Trachea/Bronchus, Stricture, Imaging Guided Balloon Dilatation
Trachea/Bronchus, Stricture, Imaging Guided Stent Placement
Transbronchial needle aspiration of mediastinal lymph nodes
23
Table
5C
5B
4A
1C
4A
4A
4A
3B
3C
5A
2A
1C
5C
5C
2C
3C
2C
3A
3A
SD – CARDIOVASCULAR
S/N
1
2
3
4
5
6
7
New
code
SD800A
SD700A
SD801A
SD802A
SD803A
SD804A
SD701A
8
9
10
SD702A
SD703A
SD704A
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
SD705A
SD706A
SD707A
SD708A
SD709A
SD710A
SD711A
SD712A
SD805A
SD806A
SD807A
SD808A
SD809A
SD810A
SD811A
SD812A
SD813A
SD814A
SD815A
SD816A
SD817A
32
33
34
35
36
37
38
39
SD713A
SD714A
SD715A
SD716A
SD818A
SD717A
SD719A
SD720A
40
SD721A
41
SD722A
42
43
44
SD819A
SD820A
SD723A
Description
Table
Aorta, Abdominal Aortic Aneurysm, Excision and Insertion of Graft
Aorta, Aneurysm, Juxtarenal Type
Aorta, Descending Aortic Aneurysm, Excision and Insertion of Graft
Aorta, Ruptured Abdominal Aortic Aneurysm, Excision and Insertion of Graft
Aorta, Thoraco-abdominal Aneurysm, Excision and Insertion of Graft
Aorta, Various Lesions, Insertion/Removal of Intra aortic Balloon
Aorta, Ruptured Aortic Aneurysm (thoracic or abdominal), Endo-Vascular
Aortic Repair (EVAR)
Aortic dissection, Endovascular fenestration
Aortic dissection, Endovascular stent graft repair
Arrhythmia Surgery MAZE (Includes the Mini-maze procedure with
radiofrequency clam)
Arteriovenous fistula graft, thrombectomy
Arteriovenous fistula, angiogram
Arteriovenous fistula, angioplasty with/without stenting
Arteriovenous fistula, ligation of side branch
Arteriovenous fistula, synthetic graft
Artery - large, Injury, Repair with Grafting
Artery - small, Injury, Repair (multiple)
Artery - small, Injury, Repair (single)
Artery (distal extremity/digit), Various Lesions, Microvascular Repair
Artery (extremity), Thrombosis, Endarterectomy
Artery (femoral/iliac), Thrombosis, Endarterectomy
Artery (large), Various Lesions, Ligation
Artery (major), Aneurysm, Excision and Insertion of Graft
Artery (major), Trauma, Repair
Artery (neck and extremities), Embolism, Embolectomy
Artery (others), Thrombosis, Endarterectomy
Artery (temporal), Various Lesions, Biopsy
Artery (trunk), Embolism, Embolectomy
Artery, Arterio-venous Fistula (large), Excision
Artery, Arterio-venous Fistula (small), Excision
Artery, Arterio-venous Fistula, Dissection and Repair with Restoration of
Continuity
Artery, Bypass, Above/below-knee with Vein
Artery, Bypass, Distal leg/pedal with vein
Artery, Bypass, Visceral, multiple
Artery, Bypass, Visceral, single
Artery, Defect, Arterial Patch Graft
Artery, Femoral Artery Angioplasty
Artery, Stenosis / Occlusion, Percutaneous Atherectomy (mechanical or laser)
Artery, Stenosis / Occlusion, Percutaneous Transluminal Angioplasty (PTA),
Difficult (eg subintimal PTA, below knee PTA)
Artery, Stenosis / Occlusion, Percutaneous Transluminal Angioplasty (PTA),
Simple
Artery, Thrombosis, Percutaneous Catheter Directed Thrombolysis, with or
without angioplasty / stenting
Artery, Trauma/Resection, Arterial Anastomosis
Artery, Trauma/Resection, Micro-vascular Graft
Artery, Tumour, Trans-Arterial Chemo- Embolization (TACE)
6B
6B
7A
6B
7C
3A
6C
24
3B
5C
6B
3A
2A
3A
2A
5A
5A
5C
4A
6B
4C
4C
3A
5C
5C
3A
4C
2A
4A
6B
4A
5A
5C
6B
7A
6B
4A
3A
3B
4A
3A
4A
5A
6B
4A
SD – CARDIOVASCULAR
S/N
45
46
47
48
49
50
51
New
code
SD724A
SD725A
SD726A
SD727A
SD728A
SD729A
SD730A
52
SD731A
53
54
55
56
57
SD821A
SD822A
SD823A
SD824A
SD826A
58
59
60
61
62
63
64
65
66
SD827A
SD828A
SD829A
SD732A
SD733A
SD734A
SD735A
SD736A
SD830A
67
68
SD700B
SD701B
69
70
71
72
73
74
75
76
77
78
SD703B
SD704B
SD705B
SD706B
SD707B
SD708B
SD709B
SD710B
SD711B
SD712B
79
80
81
82
83
SD800H
SD801H
SD802H
SD803H
SD702H
84
SD703H
85
SD705H
Description
Table
Artery, Tumour, Trans-Arterial Radio Nuclide infusion
Artery, Various lesions, Diagnostic Angiogram of multiple vessels
Artery, Various lesions, Diagnostic Angiogram using Microcatheter
Artery, Various lesions, Endovascular Stent Graft / Covered Stent Placement
Artery, Various lesions, Endovascular Stent Placement
Artery, Various lesions, Flush Aortogram or single vessel Diagnostic Angiogram
Artery, Various lesions, Percutaneous Transcatheter Embolisation of 1 to 2
vessels
Artery, Various lesions, Percutaneous Transcatheter Embolisation of more than
2 vessels
Artery, Various Lesions, Arterio-venuous Fistula Creation
Artery, Various Lesions, Axillary-femoral/Subclavian-femoral By-pass
Artery, Various Lesions, By-pass/Graft
Artery, Various Lesions, Intra-arterial Infusion
Artery, Various Lesions, Ligation (include repair of artificial arterio-venous
fistula)
Artery, Various Lesions, Transluminal Arterioplasty
Artery-Carotid, Thrombosis, Endarterectomy
Artery-Profunda Femoris, Stenosis, Profundoplasty
Artery-pseudoaneurysm, Excision and ligation
Artery-pseudoaneurysm, Excision and patch repair
Artery-pseudoaneurysm, Thrombin injection
Artery-visceral, Stenosis, Angioplasty of visceral artery
Artery-visceral, Stenosis, Stenting
Artery-Pulmonary, Pulmonary Embolism, Pulmonary Embolectomy using
Cardiopulmonary Bypass
Blood Vessels, Defect, Major Grafts (multiple)
Blood vessels (large), Disruption/Obstruction, Repair with Autogenous Vein
Grafting
Blood Vessels, Hickman line insertion
Blood Vessels, Iliac Angioplasty
Blood Vessels, Lower Limb Intervention, Superficial Femoral Angioplasty
Blood Vessels, Portacath, Insertion
Blood Vessels, Portacath, removal
Blood Vessels, Pulmonary Embolectomy
Blood Vessels, Renal Angiography
Blood Vessels, Renal Angioplasty
Blood Vessels, Saphenous Vein, Harvest, Minimally Invasive Endoscopic
Blood vessels, Vascular System, Various Lesions, Insertion of Tenckhoff
Catheter
Heart (great vessels), Various Lesions, Intrathoracic Operation
Heart, Aortic/Mitral Valve Lesions, Balloon Valvuloplasty
Heart, Arrhythmia, Catheter Ablation, with/without Electroanatomical Mapping
Heart, Arrhythmia, Implantable Cardioverter Defibrillator (ICD) Implantation
Heart, Automatic Implantable Cardioverter Defibrillator (AICD)/Pacemaker Lead
Extraction
Heart, Automatic Implantable Cardioverter Defribrillator dual chamber (inclusive
of defibrillation threshold testing (DFT))
Heart, Automatic Implantable Cardioverter Defribrillator single chamber
(inclusive of DFT)
4B
3A
3B
3B
3B
2C
4A
25
4B
3C
5C
5C
3A
2A
3A
5C
4A
4A
5A
2A
3A
3B
6C
6B
5C
2A
3A
3A
3A
2A
6B
2C
3A
4A
2A
4A
5A
4A
3A
4A
4C
4B
SD – CARDIOVASCULAR
S/N
86
New
code
SD706H
87
88
SD804H
SD707H
89
SD708H
90
91
92
93
94
SD709H
SD805H
SD806H
SD807H
SD808H
95
SD809H
96
SD810H
97
SD712H
98
SD713H
99
SD714H
100
SD811H
101
102
103
104
105
SD715H
SD812H
SD813H
SD814H
SD716H
106
SD815H
107
108
109
SD717H
SD718H
SD719H
110
111
112
113
114
115
116
117
118
119
SD720H
SD816H
SD721H
SD722H
SD817H
SD818H
SD819H
SD820H
SD723H
SD724H
120
SD725H
Description
Heart, Bivent Automatic Implantable Cardioverter Defribrillator (Inclusive of
DFT)
Heart, Biventricular Pacing
Heart, Cardiac Catheterisation (left) and Intracoronary Pressure Wire without
Percutaneous Transluminal Coronary Angioplasty (PTCA)
Heart, Cardiac Catheterisation (left) and Intravascular Ultrasound (IVUS)
without Percutaneous Transluminal Coronary Angioplasty (PTCA)
Heart, Carotid angioplasty and stenting (with embolic protection)
Heart, Congenital Heart Disease (complex), Open Heart Surgery
Heart, Congenital Heart Disease, Open Heart Surgery
Heart, Congenital Heart Disease, Blalock – Taussig Operation
Heart, Simple Congenital Open-heart Surgery (Atrial Septal Defect &
Ventricular Septal Defect)
Heart, Coronary Artery Disease, Cardiac Catherisation and Coronary
Angiogram
Heart, Coronary Disease, Coronary Angioplasty (transluminal), with/without
angiocardiography
Heart, Percutaneous Transluminal Coronary Angioplasty (PTCA) + stenting (1
vessel) – Complex (defined as > 1 hr)
Heart, Percutaneous Transluminal Coronary Angioplasty (PTCA) + stenting
(more than 1 vessel) – Intravascular Ultrasound (IVUS), Fractional Flow
Reserve (FFR)
Heart, Primary Percutaneous Transluminal Coronary Angioplasty for STelevation Myocardial Infarction
Heart, Coronary angiography (Selective)
Heart, Coronary angiography (with Left Ventriculography)
Heart, Coronary Disease, Coronary Artery Bypass Graft
Heart, Coronary Artery Bypass Graft and Valve Surgery
Heart, Heart Block, Replacement of Transvenous Electrode
Heart, Heart Block/Arrhythmia, Insertion of Dual chamber Pacemaker
(permanent)
Heart, Heart Block/Arrhythmia, Insertion of Single chamber Pacemaker
(permanent)
Heart, Replacement of Pacemaker
Heart, Implant of Epicardial Leads for Permanent Pacemakers
Heart, Implantation of Mechanical Heart Device (left ventricular Assist Device
Implant)
Heart, Insertable loop recorder
Heart, Left Ventricular Aneurysm, Resection without Coronary Artery Bypass
Heart, Lung, Extra Corporeal Membrane Oxygenation
Heart, Off Pump Coronary Artery Bypass Graft
Heart, Patent Ductus Arteriosus, Ligation
Heart, Pericardial Disease, Pericardiectomy
Heart, Pericardial Effusion, Paracentesis
Heart, Pericardial Effusion, Transthoracic Drainage
Heart, Percutaneous Closure of congenital heart defect
Heart, Percutaneous Transluminal Coronary Angioplasty (PTCA) + arterectomy
(e.g rotablation)
Heart, Placement of epicardial pacing wires (open and video-assisted thoracic
surgery (VATS))
26
Table
5A
3C
3C
3C
5A
7A
6C
4A
6B
4A
4A
4A
4B
4B
3A
3A
6C
7C
2C
3C
3B
2B
4A
7C
1B
6C
6B
6C
4A
4B
1A
3B
4A
5A
5A
SD – CARDIOVASCULAR
S/N
121
New
code
SD821H
122
123
124
SD822H
SD823H
SD726H
125
126
127
128
129
130
131
132
SD727H
SD728H
SD729H
SD730H
SD731H
SD732H
SD824H
SD825H
133
SD826H
134
SD733H
135
136
137
138
139
140
SD827H
SD828H
SD829H
SD830H
SD831H
SD734H
141
SD832H
142
143
144
145
146
147
148
149
150
151
152
153
154
155
SD833H
SD834H
SD835H
SD836H
SD800Z
SD801Z
SD700S
SD800V
SD801V
SD802V
SD700V
SD803V
SD804V
SD702V
156
SD805V
157
SD806V
158
SD807V
159
160
SD808V
SD809V
Description
Table
Heart, Proximal Aortic Aneurysm, Aortic Root Replacement with Coronary
Artery Reimplantation
Heart, Pulmonary Incompetence, Pulmonary Artery Banding
Heart, Pulmonary Valve Lesions, Balloon Valvuloplasty
Heart, Robotic Surgery – for CABG, Mitral Valve Repair, Thymectomy and
Atrial Septal Defect (ASD)
Heart, Synchronised cardioversion
Heart, Trans-cathetar Percutaneous Patent Ductus Arteriosus (PDA) Occlusion
Heart, Trans-myocardial Revascularisation (TMR) as a sole procedure
Heart, Trans-myocardial Revascularisation (TMR) as an adjunct procedure
Heart, Valve (Repair / Replacement) - 1 Valve
Heart, Valve (Repair / Replacement) - more than 1 Valve
Heart, Valvular Disease, Open Heart Surgery
Heart, Valvular Disease, Open Heart Surgery on more than one valve/involving
more than one chamber
Heart, Various Lesions, Aneurysmectomy and/or Combined Valve
Replacement and/or Repair and Coronary Bypass Grafting
Heart, Trans-cathetar Percutaneous Atrial Septal Defects (Atrial Septal Defect)/
Patent Foramen Ovale (PFO) Device Closure
Heart, Various Lesions, Balloon Atrial Septostomy
Heart, Various Lesions, Cardiac Biopsy
Heart, Various Lesions, Heart Transplantation
Heart, Various Lesions, Left Heart Catheterisation (direct)
Heart, Various Lesions, Right Heart Catheterisation (direct)
Heart, Cardiac Catheterisation (left & right) - involving pressure or saturation
measurement (with Left and/or Right Ventriculography)
Heart, Various Lesions, Right Heart Catheterisation with Left Heart
Catheterisation (indirect)
Heart/Lung, Various Lesions, Cardiopulmonary Perfusion
Heart/Lung, Various Lesions, Heart and Lung Transplantation
Heart-Atrium, Arrhythmia, Arrhythmia Surgery
Heart-Ventricle, Arrhythmia, Arrhythmia Surgery
Organ Procurement Costs: Heart
Organ Procurement Costs: Lung
Surface Lesions: Angiosarcoma, With Biopsy
Vein (distal extremity/digit), Various Lesions, Microvascular Repair
Vein (large), Various Lesions, Ligation
Vein (major), Trauma, Repair
Vein (small), Injury, Repair (single)
Vein, Arterio-venous Fistula, Dissection and Ligation
Vein, Varicosity, Bilateral Stripping/Excision/Multiple Ligations
Vein, Varicosity, High Ligation and Complete Stripping/Excision of Long/Long &
Short Saphenous Vein (endoscopic)
Vein, Varicosity, High Ligation and Complete Stripping/Excision of Long/Long
and Short Saphenous Vein
Vein, Varicosity, High Ligation and Complete Stripping/Excision of Short
Saphenous Vein
Vein, Varicosity, High Ligation of Short Saphenous Vein at Sapheno-Popliteal
Junction
Vein, Varicosity, Multiple Ligations with/without Local Stripping/Excision
Vein, Varicosity, Sub-fascial Ligation of Single Deep Perforator
7C
27
4A
4A
7B
1A
5A
6B
2C
6C
7B
6C
7B
7B
5A
4A
2B
7C
2C
2C
3B
3A
3B
7C
6B
7B
4B
4B
1B
5C
3A
5C
4A
2A
4A
4A
3B
3B
3B
3B
1C
SD – CARDIOVASCULAR
S/N
161
162
163
164
New
code
SD703V
SD810V
SD811V
SD812V
165
166
167
168
169
SD813V
SD814V
SD815V
SD816V
SD704V
170
SD705V
171
SD706V
172
173
174
SD707V
SD708V
SD709V
175
SD710V
176
SD711V
177
SD712V
178
179
180
181
182
183
184
185
SD713V
SD714V
SD715V
SD716V
SD717V
SD718V
SD729V
SD720V
186
SD721V
187
SD722V
188
189
190
SD723V
SD724V
SD725V
191
SD726V
192
193
194
SD727V
SD728V
SD817V
Description
Table
Vein, Varicosity, Sub-Fascial Ligation of Single Deep Perforator (endoscopic)
Vein, Various Lesions, Bypass/Graft
Vein, Various Lesions, Insertion of Central Venous Line
Vein, Various Lesions, Intra-arterial Infusion of Arteries of
Neck/Thorax/Abdomen
Vein, Various Lesions, Ligation (include repair of artificial arterio-venous fistula)
Vein, Various Lesions, Saphenol Femoral/Accelo Femoral Bypass Graft
Vein-Portal, Portal Hypertension, Bypass
Vein, Varicosity, Sub-Fascial Ligation of Multiple Perforator (endoscopic)
Vein - Central veins (Superior Vena Cava, brachiocephalic veins, Inferior Vena
Cava, iliac veins) Various Lesions, Diagnostic Venography
Vein - Hepatic, Portal Hypertension, Diagnostic Hepatic Venography with or
without Pressure Measurements
Vein - Peripheral veins (upper / lower limbs / dialysis Arteriovenus
Fistula/Arteriovenus graft Fistula), Various Lesions, Diagnostic Venography
Vein, (Spider veins), Injection <3 hand-size area
Vein, Catheter blockage, Fibrinsheath stripping
Vein, Catheter blockage, Imaging Guided Catheter Change / Catheter
Adjustment
Vein, Stenosis / Occlusion, Percutaneous Transluminal Angioplasty (PTA),
Difficult
Vein, Stenosis / Occlusion, Percutaneous Transluminal Angioplasty (PTA),
Simple
Vein, Thrombosis, Percutaneous Catheter Directed Thrombolysis, with or
without angioplasty / stenting
Vein, Varicose Veins, Imaging Guided Endovenous Laser Treatment, 1 leg
Vein, Varicose Veins, Imaging Guided Endovenous Laser Treatment, 2 legs
Vein, Varicosities (recurrent) surgery
Vein, Varicosities, Endovascular Laser Treatment (1 leg)
Vein, Varicosities, Ultrasound guided sclerotherapy injection
Vein, Various lesions, Endovascular Stent Graft / Covered Stent Placement
Vein, Various lesions, Endovascular Stent Placement
Vein, Various Lesions, Imaging guided Insertion of Non Tunnelled Central
Venous Catheter
Vein, Various Lesions, Imaging guided Insertion of Tunnelled Central Venous
Catheter
Vein, Various Lesions, Imaging Guided Peripheral Insertion of Central Catheter
(PICC)
Vein, Various Lesions, Imaging Guided Venous Port Insertion
Vein, Various Lesions, Insertion of Inferior Vena Caval Filter
Vein, Various lesions, Percutaneous Transcatheter Embolisation of more than
2 vessels
Vein, Various lesions, Percutaneous Transcatheter Embolization of 1 to 2
vessels
Vein, Various Lesions, Retrieval of Inferior Vena Caval Filter
Vein,(Spider veins), Injection 3 or more hand-size area
Vena Cava Inferior, Various Lesions, Plication/Ligation
2B
5C
1A
3A
28
2A
5C
5C
4C
2A
2B
2A
2C
2A
1A
4A
3A
4A
3B
4A
4A
3B
3B
3B
3B
1C
2A
1C
2C
2C
4B
4A
3A
3A
4C
SE – HEMIC & LYMPHATIC
S/N
1
2
3
4
New
code
SE700C
SE800L
SE801L
SE700L
5
6
7
8
9
SE701L
SE702L
SE703L
SE802L
SE704L
10
SE705L
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
SE803L
SE706L
SE804L
SE805L
SE806L
SE707L
SE807L
SE809L
SE708L
SE810L
SE811L
SE812L
SE709L
SE813L
SE814L
SE815L
SE816L
SE817L
SE818L
SE819L
SE820L
SE821L
33
34
35
36
SE822L
SE823L
SE710L
SE711L
37
SE712L
38
39
SE713L
SE714L
40
41
42
SE800M
SE801M
SE800S
Description
Table
Cervical Lymph Node, Radical with Flap Reconstruction
Lymph node (axillary), Various Lesions, Limited Excision/Biopsy
Lymph node (axillary), Various Lesions, Radical Excision
Lymph node (axillary), Various Lesions, Radical Excision /Clearance with or
without sentinel LN biopsy
Lymph node (axillary), Various Lesions, Sentinel LN Biopsy ONLY
Lymph Node (cervical) - Deep, Various Lesions, Biopsy
Lymph Node (cervical) - Superficial, Various Lesions, Biopsy
Lymph node (cervical), Various Lesions, Excision Biopsy
Lymph node (cervical), Various Lesions, Block Dissection bilateral 3 or less
levels
Lymph node (cervical), Various Lesions, Block Dissection bilateral at least with
one side 4 to 5 levels
Lymph node (cervical), Various Lesions, Block Dissection unilateral 1-3 levels
Lymph node (cervical), Various Lesions, Block Dissection unilateral 4-5 levels
Lymph node (cervical), Various Lesions, Radical Block Dissection
Lymph node (inguinal), Various Lesions, Limited Excision
Lymph node (inguinal), Various Lesions, Radical Excision
Lymph Node (pelvic) Dissection, Laparoscopic/open
Lymph node (retroperitoneal), Various Lesions, Limited Excision
Lymph node (single), Various Lesions, Excision Biopsy
Lymph node (single), Various Lesions, Excision Biopsy (laparoscopic)
Lymphatics (face & neck), Cystic Hygroma, Excision (large)
Lymphatics (face & neck), Cystic Hygroma, Excision (moderate)
Lymphatics (face & neck), Cystic Hygroma, Excision (small)
Lymphatics (Upper Limb), Lymphangioma, Excision
Lymphatics, Cystic Hygroma, Excision (extensive) with/without Thoracotomy
Lymphatics, Lymphangiectasis, Limited Excision
Lymphatics, Lymphangiectasis, Radical Excision
Lymphatics, Lymphedema, Excision (extensive and complex)
Lymphatics, Lymphedema, Excision (large & deep seated)
Lymphatics, Lymphedema, Excision (large)
Lymphatics, Lymphedema, Excision (moderate)
Lymphatics, Lymphedema, Excision (small)
Lymphatics, lymphedema, lympho-venous/lymphatico-venular anastomoses,
unilateral(microsurgery)
Lymphatics, Lymphedema, Major Excision & Grafting
Lymphatics, Lymphedema, Thomson's Procedure
Lymph node excision for Mycobacterium Aviare Intracellulare Scrophyllorium
Lymph node, Various lesions, Imaging Guided Percutaneous Biopsy - Deep
(Intra thoracic / abdominal / pelvic, retroperitoneal)
Lymph node, Various lesions, Imaging Guided Percutaneous Biopsy –
Superficial
Lymph Node, Various Lesions, Biopsy
Lymphatics and Subcutaneous Tissue, Lymphedema, Major Excision and
Grafting
Marrow, for Various Lesions, Harvesting & Grafting
Marrow, Various Lesions, Diagnostic Aspiration
Spleen, Hypersplenism/Massive Enlargement, Splenectomy (laparoscopic or
open)
6B
3A
4A
4A
29
3A
2C
1B
2C
5A
6A
4A
5C
5C
3B
4B
5A
4B
1A
1C
5C
4A
3A
6B
5C
2C
4A
7C
5C
4A
3A
2A
7C
6B
5C
2C
2A
1B
1B
6B
5A
1A
5C
SE – HEMIC & LYMPHATIC
S/N
43
44
45
New
code
SE801S
SE802S
SE803S
Description
Spleen, Trauma, Conservation
Spleen, Trauma, Splenectomy
Spleen, Various Non-Traumatic Lesions, Splenectomy (laparoscopic or open)
30
Table
4A
4A
4A
SF – DIGESTIVE
S/N
1
2
New
code
SF700A
SF701A
3
4
5
6
7
SF702A
SF703A
SF704A
SF705A
SF706A
8
9
10
SF707A
SF708A
SF709A
11
SF800A
12
SF801A
13
SF802A
14
15
16
17
SF710A
SF803A
SF804A
SF805A
18
19
20
SF806A
SF807A
SF808A
21
SF809A
22
SF810A
23
24
25
26
27
28
29
30
SF812A
SF813A
SF814A
SF815A
SF816A
SF817A
SF818A
SF819A
31
SF820A
32
33
SF821A
SF822A
34
SF823A
35
36
37
SF711A
SF712A
SF713A
Description
Table
Abdomen, Various Lesions, Exploratory Laparotomy
Abdomen / Pelvis, Catheter blockage, Imaging Guided Catheter Change /
Catheter Adjustment / Check tube
Abdomen / Pelvis, Various Lesions, Imaging guided Percutaneous Biopsy
Abdomen, Laparoscopy, diagnostic
Abdomen, Laparotomy, Trauma Reoperation
Abdomen, Laparotomy, Trauma, damage control, haemostasis, packing
Abdomen, Peritoneal cavity, Ascites / Fluid / Abscess collection, Imaging
Guided Percutaneous Aspiration / Diagnostic Tap/Catheter
Abdomen, Retroperitoneum, Abscess, Drainage with/without Laparotomy
Abdomen, Retroperitoneum, Tumour, Removal
Abdominal Cavity, Recurrent Abdominal Tumour, Resection with Complete
Abdominopelvic Peritonectomy and Hyperthermic intraoperative Chemotherapy
Abdominal Cavity, Adhesions (Extensive), Lysis as primary procedure,
extensive with or without bowel resection (Laparoscopic or Open) where time
taken is more than 2hours
Abdominal Cavity, Adhesions (Limited), Lysis as primary procedure
(Laparoscopic or Open) where time taken is less than 2hours
Abdominal Cavity, Lymphoma,for grading Lymphoma with
Splenectomy/Liver/Lymph Node Biopsy (laparoscopic or open)
Abdomen, Major / Multiple organ repair (Trauma)
Abdominal Cavity, Multiple Ruptures, Major Repair/Removal
Abdominal Cavity, Neonatal Alimentary Obstruction, Laparotomy
Abdominal/Retroperitoneal Tumour, Recurrent resection with or without
vascular involvement and vascular repair
Abdominal Cavity, Ruptured Viscus, Simple Repair
Abdominal Cavity, Subphrenic Abscess, Drainage
Abdominal Cavity, Various Lesions, Laparotomy (exploratory), open or
laparoscopic
Abdominal Cavity, Various Lesions, including
Colostomy/Enterostomy/Gastrostomy (laparoscopic or open)
Abdominal Cavity, Various Lesions, not classified elsewhere (laparoscopic or
open)
Abdominal Cavity, Volvulus, Reduction
Abdominal Wall, Burst Abdomen, Repair
Abdominal Wall, Epigastric/Umbilical Hernia, Repair (laparoscopic or open)
Abdominal Wall, Exomphalos/Gastroschisis, Operating by Plastic Flap
Abdominal Wall, Exomphalos/Gastroschisis, Repair
Abdominal Wall, Inguinal Hernia (infants & children), Bilateral Herniotomy
Abdominal Wall, Inguinal Hernia (infants & children), Unilateral Herniotomy
Abdominal Wall, Inguinal/Femoral Hernia, Unilateral Herniorrhaphy
(laparoscopic or open)
Abdominal Wall, Inguinal/Femoral Hernia, Bilateral Herniorrhaphy (laparoscopic
or open)
Abdominal Wall, Strangulated/Obstructed Hernia with Bowel Resection
Abdominal Wall, Strangulated/Obstructed Hernia, Repair without Bowel
Resection
Abdominal Wall, Ventral/Incisional/Recurrent Hernia, Repair (laparoscopic or
open)
Anal Incontinence - Artificial Bowel Sphincter Insertion
Anal Incontinence Complex Procedures including Muscle Transposition
Anal Sphincter Bulking Injection with or without Rectal Ultrasound Guidance
3A
1A
31
2A
3A
5A
5A
1B
3A
5C
7A
4A
3B
4B
6B
6B
5C
6B
3B
3B
3A
4A
4A
3B
3A
3A
5B
4A
4A
3A
3B
4C
4C
3B
4A
5A
5C
2C
SF – DIGESTIVE
S/N
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
New
code
SF714A
SF715A
SF716A
SF717A
SF718A
SF719A
SF824A
SF825A
SF826A
SF827A
SF828A
SF829A
SF830A
SF831A
SF832A
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
SF833A
SF720A
SF721A
SF835A
SF836A
SF837A
SF838A
SF839A
SF840A
SF841A
SF842A
SF843A
SF722A
SF845A
SF846A
SF847A
SF848A
70
SF849A
71
SF723A
72
73
74
SF800B
SF700B
SF701B
75
76
77
78
79
SF702B
SF703B
SF704B
SF705B
SF706B
80
SF707B
Description
Table
Angioembolisation for Trauma
Anorectal malformation anoplasty
Anorectal malformation cloaca / abdominoperineal
Anorectal malformation limited Posterior Sagittal Anorectoplasty (PSARP)
Anorectal malformation Posterior Sagittal Anorectoplasty (PSARP)
Anorectoplasty, Laparoscopic
Anus, Ano-Rectal Malformation, Perineal Anoplasty Primary/Secondary Repair
Anus, Ano-Rectal Malformation, Rectoplasty Primary/Secondary Repair
Anus, Ano-Rectal Prolapse, Circumanal Suture
Anus, Ano-Rectal Prolapse, Injection
Anus, Ano-Rectal Prolapse, Radical Operation without Resection
Anus, Ano-Rectal Prolapse, Radical Operation with Resection
Anus, Fissure, Examination under Anesthesia
Anus, Fissure, Excision/Lateral Sphincterotomy
Anus, Fistula-in-ano (high), Fistulectomy & Colostomy, or complex and
recurrent fistulectomy
Anus, Fistula-in-ano, Excision/ Fistulectomy
Anus, Fistula-in-ano, insertion of seton
Anus, Hemorrhoids, transanal haemorrhoidal dearterialization (THD)
Anus, Hemorrhoids, Cryosurgery
Anus, Hemorrhoids, Hemorrhoidectomy with or without sigmoidoscopy
Anus, Hemorrhoids,Stapled haemorrhoidectomy
Anus, Hemorrhoids, Removal of External Anal Tags
Anus, Incontinence, Operation
Anus, Ischiorectal Abscess, Saucerisation
Anus, Perineal Abscess, Saucerisation/Drainage
Anus, Stricture, Dilatation
Anus, Stricture, Repair
Anus, Sphincteroplasty for Anal Incontinence
Anus, Tumour, Abdomino-Perineal Resection (open or lap)
Anus, Various Lesions, Biopsy of Muscle/Mucosa
Appendix, Abscess, Drainage only
Appendix, Tumour, Right Hemicolectomy With/Without Adhesiolysis (open or
lap)
Appendix, Various Lesions, Appendicectomy Without Drainage,
Open/Laparoscopic
Appendix, Various Lesions/Abscess, Appendicectomy with Drainage
(Open/Laparoscopic)
Bile Duct, Biliary Atresia, Porto-Enterostomy
Bile Duct, Choledochal cyst, excision
Bile Duct, Catheter blockage, Imaging Guided Catheter Change / Catheter
Adjustment / Check Cholangiogram
Bile Duct, Stricture, Percutaneous Transhepatic Balloon Dilatation
Bile Duct, Stricture, Percutaneous Transhepatic Biliary Stent Placement
Bile Duct, Various lesions, Check Cholangiogram
Bile Duct, Various lesions, Percutaneous Transhepatic Cholangiography (PTC)
Bile Duct, Various lesions, Percutaneous Transhepatic Cholangiography and
Drainage Catheter insertion (PTC and Drainage)
Bile Duct/gall bladder, Endoscopic dilation of biliary stricture
4B
2C
6C
4A
4C
5C
2C
5C
1A
1A
5C
4A
1B
2B
3C
32
2B
1C
2C
1A
2C
3A
1B
4A
1B
1B
1B
3B
4B
6B
1B
2C
5C
3B
4A
6B
6A
1A
3B
3B
1A
2C
3A
3C
SF – DIGESTIVE
S/N
81
New
code
SF708B
82
SF709B
83
SF710B
84
85
SF711B
SF712B
86
87
SF713B
SF801B
88
89
SF802B
SF803B
90
91
92
93
94
SF804B
SF805B
SF806B
SF807B
SF714B
95
SF715B
96
97
98
99
100
101
102
103
104
105
106
107
SF716B
SF717B
SF718B
SF719B
SF720B
SF700C
SF701C
SF800C
SF801C
SF702C
SF703C
SF704C
108
SF705C
109
SF706C
110
SF707C
111
SF708C
112
113
114
115
116
117
118
SF709C
SF710C
SF711C
SF712C
SF713C
SF802C
SF803C
Description
Table
Bile Duct, Endoscopic Retrograde Cholangiopancreatography (ERCP) with
sphincerotomy /removal of stone/ insertion of biliary stent
Bile Duct/gall bladder, Endoscopic Retrograde Cholangiopancreatography
(ERCP) with Insertion of Nasobiliary Drain
Bile Duct/gall bladder, Endoscopic Retrograde Cholangiopancreatography
(ERCP) with sphincerotomy /removal of stone/ insertion of biliary stent
Bile Duct, Endoscopic Retrograde Cholangiopancreatography (ERCP)
Bile Duct/gall bladder, Endoscopy, Endoscopic Sphincterotomy +/- extraction of
stone
Bile Duct, Stones, Percutaneous Transhepatic Biliary Stones Removal
Bile Duct, Various Lesions, Choledocho-Duodenostomy/CholedochoGastrostomy
Bile Duct, Various Lesions, Choledocho-Jejunostomy
Bile Duct, Various Lesions, Choledochotomy (Exploration Common Bile Duct
only)
Bile Duct, Various Lesions, Hepatico-Jejunostomy
Bile Duct, Various Lesions, Operative Choledochoscopy
Bile Duct, Various Lesions, Revision High Biliary Stricture
Bile Duct, Various Lesions, Transduodenal Sphincteroplasty/ Sphincterotomy
Bowel (Esophagus, stomach, duodenum, colon, rectum), stricture, Imaging
Guided Balloon Dilatation
Bowel (Esophagus, stomach, duodenum, colon, rectum), stricture, Imaging
Guided Stent Placement
Bowels, Endoscopic Ultrasound with Coeliac Axis Neurolysis
Bowels, Endoscopic Ultrasound with Fine Needle Aspiration
Bowels, Endoscopic Ultrasound- with or without fine needle aspiration/biopsy
Bowels, Endoscopic Ultrasound with Pseudocyst Drainage
Bowels, Endoscopic Ultrasound with Stent Insertion
Capsule Endoscopy
Colon, Anterior Resection (open or laparoscopic)
Colon, Colostomy, Closure
Colon, Colostomy, Resection and Reanastomosis
Colon, Colonoscopy, fibreoptic - with/without biopsy (diagnostic)
Colon, Colonoscopy, fibreoptic – with/without biopsy (screening)
Colon, Colonoscopy (diagnostic), fibreoptic with removal of polyp (single or
multiple less than 1cm)
Colon, Colonoscopy (diagnostic), fibreoptic with removal of polyps (multiple
more than 1cm)
Colon, Colonoscopy (screening), fibreoptic with removal of polyp (single or
multiple less than 1cm)
Colon, Colonoscopy (screening), fibreoptic with removal of polyps (multiple
more than 1cm)
Colon, Colonoscopy with EMR (endoscopic mucosal resection) of large polyps
(>3cm)
Colon, Endorectal pullthrough, Hirschsprung’s disease, MIS
Colon, Sigmoid, Sigmoidoscopy (flexible), Fibreoptic with/without biopsy
Colon, Sigmoid, Sigmoidoscopy with Polypectomy with Biopsy
Colon, Total Colectomy / Subtotal Colectomy
Colon, Total Proctocolectomy & Ileo-Anal Pouch Reconstruction
Colon, Various Lesions, Colostomy
Colon, Various Lesions, Right/Left Hemicolectomy (laparoscopic or open)
3C
33
3C
3C
3B
3C
3B
4A
4C
4C
5A
1B
7C
5C
2C
2C
3A
2C
2C
3C
3C
3A
6C
4A
5A
2C
2C
3A
3B
3A
3B
3C
5B
1B
1B
6A
6C
4A
5C
SF – DIGESTIVE
S/N
119
120
121
122
123
124
125
126
127
128
New
code
SF804C
SF805C
SF806C
SF800D
SF700D
SF701D
SF801D
SF802D
SF803D
SF702D
129
130
131
132
133
134
135
136
137
138
SF804D
SF805D
SF700E
SF800E
SF701E
SF801E
SF802E
SF702E
SF703E
SF704E
139
140
141
142
SF803E
SF804E
SF805E
SF806E
143
SF807E
144
SF808E
145
146
147
SF809E
SF810E
SF811E
148
149
150
151
SF812E
SF706T
SF700G
SF701G
152
SF702G
153
154
SF800G
SF703G
155
SF704G
156
SF705G
157
SF801G
Description
Table
Colon, Various Lesions, Total Colectomy with Ileorectal Anastomosis/Ileostomy
Colon, Various Lesions, Total Procto-Colectomy and Ileostomy
Colon, Various Lesions, Tranverse/Sigmoid Colectomy (laparoscopic or open)
Diaphragm, Diaphragmatic/Hiatus Hernia, Repair (laparoscopic or open)
Double Balloon Enteroscopy-Diagnostic
Double Balloon Enteroscopy-Therapeutic
Duodenum Various Lesions, Gastroenterostomy/Gastroduodenostomy
Duodenum, Trauma, Bypass Operation
Duodenum, Tumour, Pancreatico-Duodenectomy
Duodenum, Tumour, Pancreas preserving duodenectomy with reconstruction of
ampulla
Duodenum, Ulcer, Partial Gastrectomy
Duodenum, Ulcer, Vagotomy - all types
Esophagus/ Stomach, Gastroscopy and Dilatation
Esophagus, Achalasia, Cardiomyotomy
Esophagus, Achalasia, Cardiomyotomy (laparoscopic)
Esophagus, Atresia, Operation
Esophagus, Benign tumour, Resection (laparoscopic/Open)
Esophagus, Diverticulum, Excision (laparoscopic/Open)
Esophagus, Motility disorder, long myotomy (Thoracoscopic/Open)
Esophagus/Stomach/Colon, Gastrointestinal Endoscopy (GI), Laser Treatment
for Tumours
Esophagus, Stricture, Dilatation (Endoscopic)
Esophagus, Tumour, Allison/Ivor-Lewis Operation
Esophagus, Tumour, Bypass with Stomach/Intestine (laparoscopic or open)
Esophagus, Tumour, Cervical/Laryngopharyngectomy with Tracheostomy
with/without Plastic Reconstruction
Esophagus/Intestine/Stomach, Upper GI endoscopy with insertion of Prosthesis
(e.g insertion of Celestin Tube/ complicated Polypectomy)
Esophagus/Stomach, Gastroscopy with Therapy- eg APC-Fulgarisation of
Tumour
Esophagus, Tumour, Total Esophagectomy
Esophagus, Varices, Esophageal/Transection with Splenectomy
Esophagus, Varices, Gastro Esophageal Devascularisation with Esophageal
Transection
Esophagus, Various Lesions, Cervical Esophagostomy
Thoracoscopic repair of esophageal fistula and esophageal atresia
Gallbladder, Cholecystitis, Imaging Guided Percutaneous Cholecystostomy
Gallbladder, Tumour, Radical cholecystectomy with segment 4b and 5 liver
resection and radical lymphadenectomy
Gallbladder, Tumour, Radical cholecystectomy with segment 4b and 5 liver
resection and radical lymphadenectomy and choledochectomy with Hepaticoenteric anastomosis
Gall Bladder, Various Lesions, Cholecystostomy (Partial, Open)
Gallbladder, Various lesions, cholecystectomy and repair of cholecysto-enteric/
cholecysto-choledochal fistula (open or lap)
Gallbladder, Various lesions, cholecystectomy with intraoperative
cholangiogram (open or lap)
Gallbladder, Various lesions, open/laparoscopic cholecystectomy and
transcystic common bile duct exploration
Gall Bladder, Various Lesions, Cholecystectomy (open or lap)
6A
6B
5C
4A
3A
3C
4A
5A
7C
7C
34
5C
5C
2C
4A
4A
6B
5B
5B
4B
3B
2B
6B
5C
7C
3A
3A
7B
6B
6B
3A
6B
2C
6C
7A
3B
6A
4B
4C
4A
SF – DIGESTIVE
S/N
158
159
New
code
SF706G
SF707G
160
SF802G
161
SF803G
162
SF700I
163
164
165
166
167
168
169
170
171
172
173
174
SF701I
SF800I
SF801I
SF802I
SF803I
SF804I
SF805I
SF702I
SF703I
SF704I
SF705I
SF706I
175
SF707I
176
177
178
179
180
181
182
183
184
185
186
187
188
189
SF708I
SF800L
SF801L
SF802L
SF803L
SF700L
SF701L
SF702L
SF703L
SF704L
SF804L
SF805L
SF806L
SF705L
190
191
192
193
194
195
SF807L
SF808L
SF809L
SF810L
SF811L
SF706L
196
197
198
SF707L
SF708L
SF709L
Description
Table
Gallbladder (acute/complicated) open or laparascopic Cholecyestectomy
Gallbladder, Various lesions, cholecystectomy, choledochotomy, common bile
duct exploration with choledocho-duodenostomy (open or lap)
Gall Bladder, Various Lesions, Cholecystectomy and CholedochoJejunostomy/Duodenostomy/Gastrostomy
Gall Bladder, Various Lesions, Cholecysto-Duodenostomy/CholecystoGastrectomy/Cholecysto Jejunostomy
Intestine/Stomach, Upper GI endoscopy with polypectomy/ removal of foreign
body/diathermy of bleeding lesions / injection of varices / removal of single
polyp
Intestine/Stomach, Upper GI endoscopy with / without biopsy
Intestine, Enterostomy, Closure
Intestine, Intussusception, Reduction (lap or open)
Intestine, Intussusception, Reduction by Fluid
Intestine, Intussusception, Resection
Intestine, Total Aganglionosis, Reconstruction
Intestine, Meckel's Diverticulum, Various Lesions, Resection (lap/open)
Intestine, Bleeding GIT, Mesenteric Artery Embolisation
Intestine, Small Bowel, Ileostomy Stenosis, Revision
Intestine, Small Bowel, Various Lesions, Enterostomy
Intestine, Small Bowel, Various Lesions, Intubation with/without Biopsy
Intestine, Small Bowel, Various Lesions, Extensive Resection with
Anastomoses, With or Without Stoma (laparoscopic or open)
Intestine, Small Bowel, Various Lesions, Simple Resection with Anastomoses,
With or Without Stoma (laparoscopic or open)
Intestine, Small Bowel, Vitello-Intestinal Fistula, Excision
Lip, Mucous Cyst/Mucocele, Removal
Lip, Various Lesions, Full Thickness Wedge Excision with Repair
Lip, Various Lesions, Reconstruction using Full Thickness Flap
Lip, Various Lesions, Vermilionectomy
Liver transplant, Donation (Cadaveric donor)
Liver transplant, Donation (Live donor)
Liver transplant, Recipient
Liver, Abscess, Imaging Guided Percutaneous Aspiration
Liver, Abscess, Imaging Guided Percutaneous Drainage Catheter Insertion
Liver, Abscess, Trans-Abdominal Drainage (open or lap)
Liver, Hydatid Cyst, Trans-Abdominal Drainage (percutaneous)
Liver, Obstructive Jaundice, Longmire Operation/Chlodedocho Jejunostomy
Liver, Portal Hypertension, Transjular Intrahepatic Porto-Systemic Shunt
creation (TIPSS)
Liver, Trauma, Major Repair Laceration
Liver, Trauma, Minor Repair Laceration
Liver, Trauma/Tumour, Extended Lobectomy (5 segments/more)
Liver, Trauma/Tumour, Hepatic Artery Ligation
Liver, Trauma/Tumour, Liver Transplant
Liver, Tumour, Imaging Guided Percutaneous Local Ablation (Radiofrequency,
Cryotherapy, microwave, laser, alcohol,etc)
Liver, Tumour, Trans-Arterial Chemo- Embolization (TACE)
Liver, Tumour, Trans-Arterial Radio Nuclide infusion
Liver, Various lesions, laparoscopic ultrasound and local ablation including
radio-frequency ablation
4C
5C
35
5C
4A
2C
1B
3B
3B
2A
4A
6B
3B
4B
3A
4A
1B
4C
4A
3A
1B
2C
5C
2C
5C
6B
7C
2A
2C
3C
3B
4C
5A
6B
4A
7C
4B
7C
3C
4A
4B
4B
SF – DIGESTIVE
S/N
199
200
201
202
New
code
SF710L
SF812L
SF813L
SF711L
203
SF814L
204
205
SF815L
SF800M
206
207
208
209
210
211
212
213
214
SF801M
SF802M
SF803M
SF804M
SF805M
SF806M
SF807M
SF808M
SF809M
215
216
217
218
219
SF700M
SF701M
SF810M
SF811M
SF702M
220
SF812M
221
222
223
224
225
226
227
228
229
230
SF813M
SF814M
SF815M
SF816M
SF817M
SF818M
SF819M
SF820M
SF703M
SF704M
231
SF705M
232
233
SF706M
SF707M
234
SF708M
235
SF709M
236
SF710M
237
SF712M
Description
Table
Liver, Various lesions, Transjugular Liver Biopsy
Liver, Various Lesions, Lobectomy (3 - 4 segments), open or lap
Liver, Various Lesions, Partial Lobectomy/Segmental Resection (open or lap)
Liver, Various lesions, Imaging Guided Percutaneous Biopsy (Focal lesions,
targeted)
Liver, Various lesions, Imaging Guided Percutaneous Biopsy (Liver
parenchyma, non directed)
Liver, Various Lesions, Wedge/Local Excision (open or lap)
Mouth, Abscess (Deep), Drainage (Includes submasseteric, submandibular,
temporal, and pterygomandibular spaces)
Mouth, Abscess, (superficial), Drainage
Mouth, Angular Cleft with Macrostomia (bilateral) repair
Mouth, Angular Cleft with Macrostomia (unilateral) repair
Mouth, Cleft Lip, Bilateral Primary Repair
Mouth, Cleft Lip, Secondary Correction (Abbe flap)
Mouth, Cleft Lip, Secondary Correction
Mouth, Cleft Lip, Secondary Correction of Nostril/Nasal Tip
Mouth, Cleft Lip, Unilateral Primary Repair
Mouth, Dislocated Teeth/Dento-Alveolar Fracture, Reduction and
Immobilisation
Mouth, Defect, mucous membrane/ connective tissue graft
Mouth, Frenal Attachment, Release
Mouth, Foreign Body (deep>3cm), Removal
Mouth, Foreign Body (superficial), Removal
Mouth, Intra oral tumour radical excision with resection of mandible and
bilateral neck dissection
Mouth, Intra oral tumour radical excision with resection of mandible and
unilateral neck dissection
Mouth, Leukoplakia, Limited Excision
Mouth, Leukoplakia, Wide Excision and Skin Grafting
Mouth, Macrocheilia and Macroglossia, Reconstruction
Mouth, Malignant Tumour, Wide Excision and Major Reconstruction
Mouth, Mucous Cyst/Ranula of Floor of Mouth, Marsupialization /Biopsy
Mouth, Mucous Cyst/Ranula of Floor of Mouth, Excision with/without Biopsy
Mouth, Nasolabial Cyst, Excision Biopsy
Mouth, Oro-antral Fistula, Removal of Tooth/Roots in Antrum and Closure
Mouth, Periodontium (within 1 quadrant), Periodontitis, open flap debridement
Mouth, Periodontium (within 1 quadrant), Soft tissue defect/deformity,
gingivoplasty
Mouth, Periodontium (within 1 quadrant), Soft tissue defect/deformity,
gingivoplasty with autogenous soft/hard tissue graft
Mouth, Periodontium (within 2 quadrants), Periodontitis, Open flap debridement
Mouth, Periodontium (within 2 quadrants), Soft tissue defect/deformity,
gingivoplasty
Mouth, Periodontium (within 2 quadrants), Soft tissue defect/deformity,
gingivoplasty with autogenous soft/hard tissue graft
Mouth, Periodontium, Bone defect/deformity, augmentation (autogenous)
/regeneration
Mouth, Periodontium, bone defect/deformity, augmentation (non-autogenous)
/regeneration
Mouth, Submucosal Resection, Endoscopic Excision with Biopsy
3B
6B
5C
2A
36
1C
4C
2B
1A
6A
4C
6A
6A
4A
4B
4C
2C
2A
1B
3A
1B
7A
6C
1B
3A
3A
6B
1B
2C
2C
3B
1A
1B
2B
1C
2A
3A
2C
2A
4A
SF – DIGESTIVE
S/N
238
239
240
241
242
243
New
code
SF821M
SF713M
SF714M
SF715M
SF716M
SF822M
244
SF823M
245
SF824M
246
247
248
249
250
251
252
253
SF800N
SF801N
SF800P
SF801P
SF802P
SF803P
SF804P
SF805P
254
SF700P
255
256
257
258
SF701P
SF702P
SF806P
SF703P
259
SF704P
260
261
262
263
SF705P
SF706P
SF707P
SF708P
264
SF709P
265
266
SF710P
SF711P
267
SF712P
268
SF807P
269
270
271
272
273
274
275
SF808P
SF809P
SF810P
SF811P
SF812P
SF813P
SF814P
Description
Mouth, Small Soft Tissue Tumour, Excision Biopsy < 3cm
Mouth, Sublingual Gland, Tumour, Excision Biopsy
Mouth, Submandibular Gland, Calculus (deep), Removal Biopsy
Mouth, Submandibular Gland, Calculus, Removal with Biopsy
Mouth, Submandibular Gland, Various lesions, Excision with Biopsy
Mouth, Tumour, Radical Excision Biopsy with Resection of Mandible and
Lymph Nodes and Reconstruction
Mouth, Various Lesions of Oral Mucosa (large/multiple), Cryosurgica/Laser
Application with Biopsy
Mouth, Various / Pathologic Lesions of Oral Mucosa, Cryosurgical/Laser
Application with Biopsy
Neck, Branchial Cyst, Removal with Biopsy
Neck, Branchial Fistula, Removal
Palate, Cleft (complete), Primary Repair
Palate, Cleft (partial), Primary Repair
Palate, Cleft, Secondary Repair (closure of fistula)
Palate, Secondary Repair (lengthening procedure)
Palate, Cleft, Uvulopharyngoplasty
Pancreas, Cyst/Pseudocyst, Open or Laparoscopic drainage and anastomosis
to Intestine/Stomach
Pancreas, Pseudocyst / abscess, Imaging Guided Percutaneous Drainage
Catheter Insertion
Pancreas, Transplant (donation - Cadaveric donor)
Pancreas, Transplant (recipient)
Pancreas, Tumour, Triple Bypass
Pancreas, Various Lesions, duodenum preserving pancreatic head resection
(Beger's operation)
Pancreas, Various Lesions, duodenum preserving pancreatic head resection
with longitudinal pancreatico-enteric anastomosis (Frey's Operation)
Pancreas, Various Lesions, enucleation of lesions (1 to 2)
Pancreas, Various Lesions, enucleation of lesions (3 or more)
Pancreas, Various lesions, Imaging Guided Percutaneous Biopsy
Pancreas, Various Lesions, open/laparoscopic distal pancreatectomy and
splenectomy
Pancreas, Various Lesions, open/laparoscopic subtotal pancreatectomy
(extending to the neck) and splenectomy
Pancreas, Various Lesions, Portal Venous Sampling
Pancreas, Various Lesions, segmental pancreatectomy with pancreaticoenteric anastomosis
Pancreas, Various Lesions,open/laparoscopic spleen-preserving distal
pancreatectomy
Pancreas, Various Lesions, Distal Pancreatectomy/Anastomosis of Pancreatic
Duct
Pancreas, Various Lesions, External Drainage (Open)
Pancreas, Various Lesions, Whipple Operation/Total Pancreatectomy
Pharynx/Larynx, Parapharyngeal Space Tumour Excision
Parotid, Calculus (deep), Removal
Parotid, Calculus (Superficial), Removal
Parotid, Fistula, Repair
Parotid, Tumour, Superficial Parotidectomy
37
Table
1B
2C
3A
1C
3C
7C
3B
2B
3B
3B
5C
4B
3B
5A
5C
5A
2C
5C
7C
5C
7A
7A
4C
5A
2A
5B
5C
3B
6B
5C
5C
3B
7C
6A
3A
1C
3A
5C
SF – DIGESTIVE
S/N
276
New
code
SF815P
277
278
279
280
281
282
283
284
285
286
287
288
SF816P
SF713P
SF714P
SF817P
SF801R
SF802R
SF803R
SF700R
SF701R
SF702R
SF804R
SF805R
289
290
SF806R
SF703R
291
SF807R
292
293
294
295
296
297
298
SF808R
SF809R
SF800S
SF801S
SF802S
SF700S
SF701S
299
300
301
302
303
304
305
306
307
308
SF702S
SF703S
SF803S
SF804S
SF805S
SF806S
SF807S
SF808S
SF809S
SF704S
309
310
SF810S
SF811S
311
312
313
SF812S
SF705S
SF706S
314
315
316
317
SF813S
SF707S
SF708S
SF709S
Description
Table
Parotid, Tumour, Total Parotidectomy with Parapharyngeal Space Resection
and Flap Reconstruction
Parotid, Tumour, Total Parotidectomy with Reconstruction Facial Nerve
Parotid, Total Parotidectomy with neck dissection
Parotid, Total Parotidectomy, with/without preservation of facial nerve
Parotid, Tumour, Total Parotidectomy with Radical Neck Dissection
Rectum, Hirschsprung's Disease, Anal Sphincterotomy
Rectum, Hirschsprung's Disease, Rectal Myectomy
Rectum, Hirschsprung's Disease, Recto-Sigmoidectomy
Rectum, Perineal Rectosigmoidectomy for Rectal Prolapse
Rectum, Resection - Rectopexy for Rectal Prolapse (open or laparascopic)
Rectum, STARR - Stapled Hemorroidectomy
Rectum, Stricture, Laser Treatment
Rectum, Tumour, Anterior Resection/Abdomino -perineal Resection with
Salpingo-Oophorectomy and Total Hysterectomy
Rectum, Tumour, Laser Vaporisation/Endoscopic Fulguration
Rectum, Ultra-low Anterior Resection (Total Mesorectal Excision) With/Without
PLND
Rectum, Various Lesions, Abdomino-Perineal Pull Through Resection with
Colo-Anal Anastomosis
Rectum, Various Lesions, Hartmann's Procedure
Rectum, Various Lesions, Transphincteric Removal with Biopsy
Sacrum & Coccyx, Pilonidal Sinus/Cyst, Excision with Biopsy
Sacrum & Coccyx, Tumour, Excision with Biopsy
Sacrum & Coccyx, Various Lesions, Excision with Biopsy
Sacral Nerve Stimulation
Stomach, Gastroesophageal Reflux, fundoplication, open/laparoscopic
with/without gastrotomy
Stomach, Obesity, Gastric Banding, laproscopic
Stomach, Obesity, Sleeve gastrectomy (open/laparoscopic)
Stomach, Obesity, Bypass only
Stomach, Obesity, Reduction & Bypass (laparoscopic or open)
Stomach, Pyloric Stenosis, Pyloroplasty
Stomach, Pyloric Tumour (infant), Pyloroplasty/Pyloromyotomy
Stomach, Tumour of Cardia, Endoscopic YAG Laser Surgery/Vaporisation
Stomach, Tumour/Ulcer, Gastrojejunostomy
Stomach, Ulcers, Vagotomy – all types (laparoscopic or open)
Stomach, Various Lesions, Imaging Guided Percutaneous Gastrostomy /
Gastrojejunostomy
Stomach, Various Lesions, Partial/Subtotal Gastrectomy
Stomach, Various Lesions/Post-Gastrectomy Complications, Revision
Gastrectomy
Stomach, Total/Proximal Gastrectomy for benign gastric diseases
Stomach, Partial/Subtotal Gastrectomy for benign gastric diseases
Stomach, Various Lesions, Total/Proximal Gastrectomy with/without
Splenectomy
Stomach, Various Lesions, Wedge Resection
Stomach, Wedge Resection/Stomach for benign gastric diseases
Stomach, Pyloromyotomy, Laparoscopic
Stomach, Tumour, Subtotal Gastrectomy and radical lymphadenectomy
7B
38
6B
6B
6A
6B
2C
3B
5C
5C
5C
3A
1C
6C
2C
6C
6B
5C
4A
2C
6B
2C
4B
5C
5C
5B
4A
5C
3B
3A
3B
4A
5C
3A
5C
5C
6B
5C
6B
4A
4A
3A
6B
SF – DIGESTIVE
S/N
318
319
New
code
SF710S
SF711S
320
321
322
323
324
SF712S
SF800T
SF801T
SF802T
SF803T
325
326
327
328
329
330
331
SF804T
SF805T
SF806T
SF807T
SF808T
SF809T
SF810T
332
SF812T
333
SF813T
334
335
SF814T
SF816T
336
337
SF701T
SF702T
338
SF817T
339
340
SF703T
SF704T
341
SF705T
342
343
344
SF707T
SF708T
SF818T
Description
Table
Stomach, Tumour, Total Gastrectomy and radical lymphadenectomy
Stomach, Various Lesions, Imaging guided insertion of Naso-gastric tube /
Naso-jejunal tube
Stomach/duodenum, perforated ulcer, repair (laparoscopic or open)
Teeth (2 to 3), Impacted, Excision with removal of bone and tooth division
Teeth (2 to 3), Impacted, Excision with removal of bone (without tooth division)
Teeth (4 or more), Impacted, Excision with removal of bone and tooth division
Teeth (4 or more), Impacted, Excision with removal of bone (without tooth
division)
Tongue, Tongue Tie, Release
Tongue, Tongue Tie, Revision
Tongue, Tumor, Glossectomy with Radical Neck Dissection
Tongue, Tumor, Hemi-Glossectomy
Tongue, Tumor, Total Glossectomy
Tongue, Various Lesions, Partial Excision
Tooth (deep, i.e. completely buried in bone), Excision with removal of bone and
tooth division
Tooth (superficial), Unerupted/Partially Erupted/Impacted, Excision with
removal of bone (without tooth division)
Tooth (superficial), Unerupted/Partially Erupted/Impacted, Excision with
removal of bone and tooth division
Tooth, Dislocation, Reimplantation and Transplantation
Tooth, Simple Unerupted/Partially erupted/Impacted/Fractured, Removal of
Multiple Roots
Tooth, Unerupted/Partially Erupted/Impacted, Surgical Exposure
Tooth, Unerupted/Partially Erupted/Impacted, Surgical Exposure and Bonding
for traction and assisted eruption
Tooth, Unerupted/Partially Erupted/Impacted, Excision with Release of
Neurovascular Bundle
Teeth (2 or more) Unerupted/partially erupted/impacted, Surgical exposure
Teeth (2 to 3), Unerupted/partially erupted/impacted, Surgical Exposure and
Bonding for traction and assisted eruption
Teeth (4 or more) Unerupted/ partially erupted/ impacted, Surgical Exposure
and Bonding for Traction and assisted eruption
Tongue, Various Lesions (Benign Condition) Excision Biopsy <3cm
Tooth (Single-Rooted), Various Lesions, Peri-radicular surgery
Tooth (Multiple-Rooted or more than 1 tooth), Various Lesions, Peri-Radicular
Surgery
6B
1C
39
4B
3C
3B
4B
4A
1A
1B
6B
4A
4A
3A
3A
1B
2C
3A
2C
1C
2C
4A
2B
3C
4A
1B
2C
3A
SG – URINARY
S/N
1
2
New
code
SG800B
SG801B
3
4
5
6
7
8
9
SG802B
SG803B
SG700B
SG701B
SG702B
SG804B
SG805B
10
11
12
13
14
15
16
17
18
19
20
21
SG806B
SG807B
SG808B
SG703B
SG809B
SG704B
SG810B
SG812B
SG813B
SG706B
SG814B
SG707B
22
23
24
25
26
SG815B
SG816B
SG817B
SG700U
SG708B
27
28
29
SG709B
SG710B
SG711B
30
31
32
33
34
35
36
37
38
SG712B
SG713B
SG714B
SG715B
SG716B
SG717B
SG718B
SG700K
SG701K
39
40
41
42
43
44
SG702K
SG703K
SG704K
SG800K
SG705K
SG706K
Description
Table
Bladder, Bladder Neck Contracture, (Acquired/Congenital), Wedge Excision
Bladder, Broken Cable Connection to Neurogenic Bladder, Reconnection of
Cable
Bladder, Calculus, Vesicolithotomy/Litholapaxy/Ultrasonic Lithotripsy
Bladder, Cutaneous Fistula, Closure
Bladder, Cystoscopic intradetrusor injection of botulinum
Bladder/Ureter, Lympholysis for chyluria, laparoscopic
Bladder, Diverticulum, Laparoscopic Excision
Bladder, Diverticulum, Open Excision
Bladder, Ectopia Vesicae/Ectopia Cloacae with Congenital Incontinence,
Sphincter Reconstruction
Bladder, Incontinence, Correction, Abdominal Approach
Bladder, Mild Stress Incontinence, Cyctoscopic Injection of Collagen
Bladder, Retention of Urine, Suprapubic Cystostomy
Bladder, Various lesions, Image guided suprapubic cystostomy
Bladder, Tumour, Anterior Exenteration (Female)
Bladder, Urachal Fistula, Laparoscopic Excision
Bladder, Urachal Fistula, Open Excision
Bladder, Various Lesions, Enlargement Cystoplasty with Bowel
Bladder, Various Lesions, Open Partial Excision
Bladder, Various Lesions,Laparoscopic Partial Excision
Bladder, Various Lesions, Total Cystectomy with ileal conduit
Bladder, Various Lesions, Total Radical Cystectomy, for malignancy + creation
of ileal neobladder
Bladder, Vesico-Intestinal Fistula, Closure
Bladder, Vesico-Ureteric Fistula, Correction
Bladder, Vesico-Vaginal Fistula, Closure by Abdominal Route
Ureter, Cystoscopy and insertion of double J stent
Bladder, Cystoscopy, external sphincterotomy for neurogenic bladder neck
obstruction
Bladder, Cystoscopy, removal of foreign body/ureteric stent
Bladder, Cystoscopy, with controlled hydrodilatation of the bladder
Bladder, Cystoscopy, with endoscopic removal/manipulation of ureteric
calculus
Bladder, Cystoscopy, with endoscopic resection/incision of bladder neck
Bladder, Cystoscopy, with or without biopsy
Bladder/Urethra, Transurethral Resection of Bladder Tumour (<3cm)
Bladder/Urethra, Transurethral Resection of Bladder Tumour (>3cm)
Bladder/Ureter, Cystoscopy, with ureteric catheterisation
Bladder, Cystoscopy, with ureteric meatotomy/with resection of Ureterocele
Bladder/Urethra, Cystoscopy, with urethral dilatation
Kidney and Ureter, Various Lesions, Nephroureterectomy, Laparoscopic
Kidney, Catheter blockage, Imaging Guided Nephrostomy Catheter Change /
Catheter Adjustment
Kidney, Cyst, Imaging Guided Percutaneous Alcohol Ablation
Kidney, Cyst, Imaging Guided Percutaneous Aspiration
Kidney, Cyst, Marsupialisation, Laparoscopic
Kidney and Ureter, Various Lesions, Nephroureterectomy Open
Kidney Transplant, donation (Cadaveric donor)
Kidney Transplant, donation (Live donor), laparoscopic
3B
4A
40
2C
2C
2C
4A
4A
3B
7B
5A
3B
1B
1C
6B
4A
3B
6B
3B
4A
6B
6C
5C
5C
5C
2C
2C
2C
1B
3B
3B
1B
4A
4B
1C
3B
1C
6A
1A
2B
2A
4A
5C
5A
5C
SG – URINARY
S/N
45
46
47
48
49
50
51
New
code
SG707K
SG708K
SG801K
SG802K
SG701U
SG803K
SG709K
52
53
54
55
SG804K
SG710K
SG805K
SG711K
56
57
58
SG806K
SG807K
SG808K
59
60
SG809K
SG712K
61
SG713K
62
63
64
65
SG810K
SG811K
SG714K
SG715K
66
67
SG716K
SG717K
68
69
SG718K
SG812K
70
71
SG813K
SG719K
72
73
74
75
76
77
78
79
80
81
SG814K
SG815K
SG720K
SG721K
SG722K
SG816K
SG723K
SG724K
SG725K
SG726K
82
SG727K
83
SG700P
Description
Kidney Transplant, donation (Live donor), open
Kidney Transplant, recipient
Kidney, Blocked Nephrostomy Tube, Change
Kidney, Calculus, Extra Corporeal Shockwave Lithotripsy (ESWL)
Ureter, Extra Corporeal Shockwave Lithotripsy (ESWL) for ureteric stone
Kidney, Calculus, Nephrolithotomy/Pyelolithotomy
Kidney, Calculus, Percutaneous Nephrolithotomy or Percutaneous
Nephrostolithotomy (PCNL)
Kidney, Carcinoma, Radical Nephrectomy open
Kidney, Various Lesions, Radical Nephrectomy, Laparoscopic
Kidney, Cyst, Excision
Kidney, Hydronephrosis, Percutaneous Nephrostomy and Drainage Catheter
Insertion (PCN and Drainage)
Kidney, Injury, Repair
Kidney, Nephroptosis, Nephropexy
Kidney, Pelvi-ureteric Junction Obstruction, Open
Pyeloplasty/Ureterocalycostomy
Kidney, Perinephric Abscess, Drainage (Open)
Kidney, Renal abscess / Perinephric Abscess, Imaging Guided Percutaneous
Drainage
Kidney, Renal abscess / Perinephric Abscess, Imaging Guided Percutaneous
Aspiration
Kidney, Pyonephrosis, Drainage (Open)
Kidney, Pyonephrosis, Nephrostomy/Pyelostomy (Open)
Kidney, Stones, Imaging Guided Percutaneous Renal Stones Removal
Kidney, Tumour, Laparoscopic Guided Percutaneous Local Ablation
(Radiofrequency, Cryotherapyetc)
Kidney, Various Lesions, Check Nephrostogram
Kidney, Various Lesions, Imaging guided Percutaneous Biopsy (Renal
parenchyma, non directed)
Kidney, Various Lesions, Percutaneous Antegrade Nephrostography (PCN)
Kidney, Staghorn Calculus, Nephrolithotomy or percutaneous
nephrostolithotomy (PCNL)
Kidney, Various Lesions, Biopsy (closed)
Kidney, Various lesions, Imaging Guided Percutaneous Biopsy (Focal lesions,
targeted)
Kidney, Various Lesions, Biopsy (open)
Kidney, Various Lesions, Exploration
Kidney, Various Lesions, Partial Nephrectomy, laparascopic
Kidney, Various Lesions, Partial Nephrectomy, open
Kidney, Various Lesions, Simple Nephrectomy, laproscopic
Kidney, Various Lesions, Simple Nephrectomy, open
Kidney/Ureter, Endopyelotomy (percutaneous)
Kidney/Ureter, Pyeloplasty, Bilateral Open/Laparoscopic
Kidney/Ureter, Pyeloplasty, Unilateral Open/Laparoscopic
Kidney/Ureter, Retrograde Intrarenal Surgery or RIRS using flexible
ureteroscopy (diagnostic)
Kidney/Ureter, Retrograde Intrarenal Surgery or RIRS using flexible
ureteroscopy (therapeutic - e.g. lithotripsy and/or basket extraction of stones)
Prostate Gland, Various Lesions, Transurethral Resection of Prostrate (less
than 30 gm)
41
Table
5B
6C
1A
4B
4A
4B
4C
5C
6A
3A
2B
4A
3B
5C
3B
2C
2A
3B
3B
3B
4A
1A
1C
1C
5C
1B
2A
3A
3A
6A
5C
4C
4B
4B
6A
5A
2C
4A
4B
SG – URINARY
S/N
84
New
code
SG701P
85
SG702P
86
SG703P
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
SG702U
SG800U
SG801U
SG802U
SG703U
SG803U
SG704U
SG705U
SG804U
SG805U
SG806U
SG706U
SG807U
SG808U
SG809U
SG810U
SG811U
SG707U
SG812U
SG813U
SG708U
SG709U
SG710U
SG814U
SG711U
SG815U
SG816U
SG817U
SG818U
SG820U
SG821U
SG822U
SG712U
SG823U
SG824U
SG825U
SG826U
SG827U
SG828U
SG829U
SG830U
SG831U
Description
Prostate Gland, Laser Transurethral Resection of Prostate (TURP), Small
gland < 30gm
Prostate Gland, Various Lesions, Transurethral Resection of Prostrate (more
than 30 gm)
Prostate Gland, Laser Transurethral Resection of Prostate (TURP), Large
gland > 30gm
Ureter, Calculus, Ultrasound Lithotripsy
Ureter, Ureteroscopy and lithotripsy
Ureter, Calculus, Ureterolithotomy
Ureter, Cutaneous Ureterostomy, Closure
Urethra, Mid-urethral slings
Ureter, Previous Diversion, Revision
Ureter, Stricture, Percutaneous Antegrade Balloon Dilatation
Urethra, Substitution urethroplasty - flap or graft
Ureter, Various Lesions, Boari Flap Reimplantation
Ureter, Various Lesions, Intestinal Conduit
Ureter, Various Lesions, Reduction Ureteroplasty
Ureter, Various Lesions, Reimplantation, Bilateral
Ureter, Various Lesions, Reimplantation, Unilateral
Ureter, Various Lesions, Repair
Ureter, Various Lesions, Replacement By Bowel
Ureter, Various Lesions, Ureterocalycostomy
Ureter, Various Lesions, Ureterostomy
Ureter, Various lesions, Percutaneous Antegrade Insertion of Double J Stent
Ureter, Various Lesions, Ureterotomy/Insertion of Double J Stent
Ureter, Various Lesions, Ureteroureterostomy
Ureter, Flexible ureteroscopy & biopsy
Ureter, Ureteroscopy
Ureter, Ureteroscopic Removal of stone
Urethra, Excision of urethral diverticulum
Urethra, Excision of urethral diverticulum, with Martius flap
Urethra, Fistula, Closure
Urethra, Injury, Repair/Urethroplasty of Anterior Urethra
Urethra, Meatal Stenosis, Meatotomy
Urethra, Prolapse, Excision
Urethra, Stricture, Urethral Wall Stenting
Urethra, Stricture, Urethrotomy
Urethra, Urethro-rectal Fistula, Closure
Urethra, Urethroscopy, with related procedures
Urethra, Valves/Membrane, Resection (endoscopic)
Urethra, Valves/Membrane, Resection (open)
Urethra, Various Lesions, Anterior Urethroplasty
Urethra, Various Lesions, Excision
Urethra, Various Lesions, Posterior Urethroplasty
Urethra, Various Lesions, Staged Urethroplasty (each stage)
Urethra, Various Lesions, Transpubic Urethroplasty
Urethra, Various Lesions, Urethropexy
Urethra, Various Lesions, Urethrotomy
42
Table
4A
5C
5A
4A
4A
4A
2C
3A
6A
2B
5C
5C
5C
5C
5A
4A
4A
5C
5C
3C
2C
3B
4B
2C
2C
3A
3B
4A
2C
4A
1B
1B
2C
2C
4B
1B
3B
4A
4B
3B
5C
3B
5A
3A
2C
SH – MALE GENITAL
S/N
1
New
code
SH800M
2
SH801M
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
SH800P
SH801P
SH700P
SH802P
SH803P
SH804P
SH805P
SH806P
SH807P
SH808P
SH809P
SH810P
SH702P
SH811P
SH812P
SH703P
SH813P
SH814P
SH815P
SH816P
SH817P
SH818P
SH819P
SH820P
SH704P
SH821P
SH823P
SH825P
SH826P
SH827P
SH705P
34
35
SH829P
SH830P
36
SH831P
37
SH832P
38
39
40
41
42
SH801S
SH802S
SH803S
SH804S
SH800T
Description
Male Genitalia, Transsexualism (Transvestism), Sex Reassignment (Male to
Female)
Male Genitalia, Transsexualism (Transvestism), Sex Reassignment with
Mammoplasty (Male to Female)
Penis, Epispadias, Repair involving Bladder Neck Closure
Penis, Epispadias, Repair Not involving Sphincter (each stage)
Penis, Glanular hypospadias: meatoplasty and circumcision
Penis, Hypospadias, Correction of Chordee
Penis, Hypospadias, Correction of Chordee with Transplantation of Prepuce
Penis, Hypospadias, Meatotomy & Hemicircumcision
Penis, Hypospadias, Secondary Correction
Penis, Hypospadias, Urethral Reconstruction
Penis, Hypospadias, Urethral Reconstruction & Correction of Chordee
Penis, Paraphimosis/Phimosis/Reduction Prepuce, Circumcision
Penis, Penile Warts, Laser Vaporisation
Penis, Peyronie's Disease, Operation
Penis, Peyronie's Disease - incision and grafting
Penis, Priapism, Decompression (Shunt Op)
Penis, Priapism, Decompression (Single)
Penis, Removal of "penile" implant
Penis, Sex Reassignment (Female to Male), Implantation of Penile Prosthesis
Penis, Trauma (Amputation), Microvascular Reattachment
Penis, Trauma, Reconstruction (1st Stage)
Penis, Trauma, Reconstruction (2nd Stage)
Penis, Trauma, Repair of Avulsion
Penis, Trauma, Repair of Laceration/Fracture Involving Cavernous Tissue
Penis, Tumour, Amputation (Partial)
Penis, Tumour, Amputation (Total)
Penis, Tumour, Amputation (Partial) + bilateral radical LN dissection
Penis, Tumour, Amputation (total) with Block Dissection
Penis, Various Lesions, Excision
Penis, Various Lesions, Insertion of Penile Prosthesis
Prostate Gland, Abscess, Retropubic/Endoscopic Drainage
Prostate Gland, Hypertrophy, Insertion of Prostatic Stent
Prostate Gland, Prostate IMRT (intensity modulated radiation therapy) gold
seeds insertion
Prostate Gland, Simple Prostatectomy (open/laparoscopic/robotic)
Prostate Gland, Various Lesions, Radical Prostatectomy
(open/laparascopic/robotic)
Prostate Gland, Various Lesions, Saturation Robotic Transrectal/Transperinal
Biopsy
Prostate Gland, Prostate, Benign Hyperplasia, Transurethral microwave
thermotherapy (TUMT)
Scrotum, Hydrocele/Vericocele (Bilateral)
Scrotum, Hydrocele/Vericocele (Unilateral)
Spermatic Cord, Spermatocele/Epididymal Cyst, Excision
Spermatic Cord, Various Lesions, Epididymectomy
Testis, Tumour, Retroperitoneal Lymph Node Dissection following
Orchidectomy
43
Table
5A
6B
4C
3B
2A
2C
3B
1B
2C
3B
5C
1B
1B
2C
3C
3C
1B
3B
2B
7C
6B
5A
4A
2C
2C
4A
5C
5C
1B
5A
2C
2C
2C
4B
6A
1B
3B
3A
2B
1B
1B
5C
SH – MALE GENITAL
S/N
43
New
code
SH801T
44
SH802T
45
46
47
48
49
50
51
52
53
SH803T
SH804T
SH700T
SH805T
SH806T
SH807T
SH808T
SH701T
SH809T
54
55
56
57
SH810T
SH702T
SH700U
SH800V
58
59
60
61
62
SH801V
SH802V
SH803V
SH804V
SH805V
Description
Testis, Undescended/Ectopic (bilateral), Orchidopexy/Transplantation with
Hernia Repair
Testis, Undescended/Ectopic (unilateral), Orchidopexy/Transplantation with
Hernia Repair
Testis, Undescended/Ectopic, Orchidopexy with Microvascular Anastomosis
Scrotum, Exploration, Detorsion of testis and bilateral testes fixation
Testis, Torsion testis, orchidectomy done with fixation of contralateral testis
Testis, Various Lesions, Biopsy
Testis, Various Lesions, Exploration/Repair
Testis, Various Lesions, Insertion of Testicular Prosthesis
Testis, Various Lesions, Orchidectomy (simple)
Testis, Various Lesions, Orchidectomy (simple) (laparoscopic)
Testis, Various Lesions, Orchidectomy with Complete Excision of Spermatic
Cord
Testis, Various Lesions, Orchidoplasty
Testis, Variocoele, Spermatic Vein Embolisation
Urethra, Examination under anaesthesia / urethral dilatation
Vas Deferens, Various Lesions, Exploration (Microsurgical) and Testicular
Biopsy
Vas Deferens, Various Lesions, Reanastomosis (Microsurgical)
Vas Deferens, Various Lesions, Varicocelectomy (Microsurgical)
Vas Deferens, Various Lesions, Vasectomy
Vas Deferens, Various Lesions, Vasoepididymography & Vasovesiculography
Vas Deferens, Various Lesions, Vasoepididymostomy (Microsurgical)
44
Table
4A
3B
5C
2A
2B
1C
1C
3A
2B
3C
3A
1C
4A
1A
5C
4C
3C
1C
1B
5C
SI – FEMALE GENITAL
S/N
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
New
code
SI700C
SI802C
SI701C
SI803C
SI804C
SI805C
SI806C
SI807C
SI808C
SI809C
SI702C
SI703C
SI704C
SI705C
SI706C
SI810C
SI707C
18
19
20
21
SI813C
SI814C
SI800F
SI801F
22
SI802F
23
24
SI803F
SI700F
25
26
27
28
29
30
31
32
33
SI701F
SI702F
SI703F
SI704F
SI804F
SI805F
SI806F
SI807F
SI808F
34
35
36
SI705F
SI809F
SI810F
37
SI811F
38
39
40
SI706F
SI707F
SI800G
41
42
SI801G
SI700L
Description
Table
Cervix, Cancer, Radical trachelectomy with/without lymphadenectomy
Cervix, Cervical Incompetence, Cerclage
Cervix, Cervical Incompetence, Removal of Suture
Cervix, Cervical Intraepithelial Neoplasia, Cone Biopsy with/without laser
Cervix, Ectropion, Amputation/Repair of Cervix (Trachelorrhaphy)
Cervix, Polyp, Excision/Erosion (complicated) includes D&C with Biopsy
Cervix, Polyp, Excision/Erosion (simple) with Biopsy
Cervix, Polyp/Erosion, Laser Therapy without Colposcopy
Cervix, Stenosis, Dilatation
Cervix, Tear, Repair under Anesthesia
Cervix, Transcervical resection (TCR) Myoma (<3cm), hysteroscopic
Cervix, Transcervical resection (TCR) Myoma (>3cm), hystereoscopic
Cervix, Transcervical resection (TCR) Polyp (<2cm), hysteroscopic
Cervix, Transcervical resection (TCR) Polyp (>2cm), hysteroscopic
Cervix, Transcervical resection (TCR) Septum, hysteroscopic
Cervix, Various Lesions, Colposcopy and Biopsy
Cervix, Various Lesions, Colposcopy, Laser Vapourisation/Loop Electrosurgical
Excision Procedure/Laser Excision of Transformation Zone with Biopsy
Cervix, Various Lesions, Punch Biopsy
Clitoris, Clitoromegaly, Amputation
Fallopian Tube, Blocked Tubes, Tuboplasty, Recanalisation, Hysteroscopic
Fallopian Tube, Blocked Tubes, Cornual Reanastomosis
(microsurgery/laparoscopic/Robotic)
Fallopian Tube, Blocked Tubes, Plastic Repair
(microsurgery/laparoscopic/Robotic)
Fallopian Tube, Blocked Tubes, Plastic Repair / Salpingostomy (macrosurgery)
Fallopian Tube, Blocked tube, Fluoroscopic Transcervical Fallopian Tubal
Recanalisation (FTR)
Fallopian Tube, Blocked Tubes, Tubal Reanastomosis, MIS
Fallopian Tube, Falloposcopy
Fallopian Tube, Sterilization, Hysteroscopic
Fallopian Tube, Sterilization, MIS
Fallopian Tube, Completed Family, Division/Ligation
Fallopian Tube, Ectopic Gestation, Laparotomy
Fallopian Tube, Peritubal Adhesions, Salpingolysis (microsurgery/Robotic)
Fallopian Tube, Peritubal Adhesions, Salpingolysis (macrosurgery)
Fallopian Tube, Tubal Pathology other than Ectopic, Salpingectomy/
Salpingostomy
Fallopian Tube, Tubal Pathology, Salpingectomy, MIS/Robotic
Fallopian Tube, Tubo-Ovarian Abscess, Drainage(transabdominal)
Female Genitalia, Transsexualism (Transvestism), Sex Reassignment (Female
to Male)
Female Genitalia, Transsexualism (Transvestism), Sex Reassignment with
Mastectomy (Female to Male)
Fallopian tube/uterus/ovary, Laparoscopy, Diagnostic, with Hydrotubation
Fallopian tube/uterus/ovary, Laparoscopy, Therapeutic (with laser)
Genital Tract, Cancer, Staging under General Anesthesia (includes
Cystoscopy/Dilatation & Curettage/Biopsy)
Genital Tract, Pelvic Cyst, Ultrasound Guided Procedure-Aspiration
Laparoscopy, Therapeutic, except for Retrieval and Placement of Gametes and
Placement of Embryos
5B
2B
1C
3A
3B
2B
1B
1B
1B
1C
3A
3B
2B
2C
3A
1C
2A
45
1A
2C
3B
5C
5C
4C
2C
5C
2B
2B
2B
2B
3B
5C
4A
4A
3C
3B
5A
6B
3B
4B
1C
2C
3C
SI – FEMALE GENITAL
S/N
43
44
New
code
SI701L
SI800O
45
46
47
48
49
SI801O
SI802O
SI700O
SI803O
SI701O
50
51
52
53
54
55
56
SI804O
SI805O
SI806O
SI702O
SI807O
SI808O
SI809O
57
58
59
60
61
SI810O
SI703O
SI700P
SI701P
SI702P
62
63
64
65
66
67
68
SI703P
SI800P
SI800U
SI801U
SI700U
SI701U
SI802U
69
SI702U
70
SI803U
71
72
73
74
75
76
SI804U
SI703U
SI704U
SI805U
SI806U
SI809U
77
78
SI812U
SI705U
79
80
81
82
83
SI706U
SI707U
SI813U
SI814U
SI815U
Description
Table
Laparotomy Debulking (Advanced Disease - Primary/Recurrent)
Ovary, Malignant Tumour/Cyst, Total Hysterectomy Bilateral SalpingoOophorectomy with Omentectomy, Surgical Staging with/without
Lymphadenectomy
Ovary, Tumour/Cyst, Aspiration except for Ovum Retrieval
Ovary, Tumour/Cyst, Cystectomy (complicated) (>5cm)
Ovary, Tumour/Cyst, Ovarian Cystectomy, MIS /robotic(Complicated) (>5cm)
Ovary, Tumour/Cyst, Cystectomy (simple) (<5cm)
Ovary, Tumour/Cyst, Ovarian Cystectomy,MIS/robotic (Simple) (<5cm) With
Biopsy
Ovary, Tumour/Cyst, Hysterectomy with Salpingo-Oophorectomy
Ovary, Tumour/Cyst, Oophorectomy/Salpingo-Oophorectomy (simple)
Ovary, Tumour/Cyst, Oophorectomy/Salpingo-Oophorectomy (complicated)
Ovary, Malignant Tumour/Cyst, Staging Laparotomy, as the only procedure
Ovary, Various Lesions, Biopsy
Ovary, Various Lesions, Ovariopexy
Ovary, Various Lesions, Ovarioplasty, Laparotomy/Laparoscopy (using
microsurgical techniques)/robotic
Ovary, Various Lesions, Wedge Resection
Ovarian Veins, Pelvic Congestion Syndrome, Ovarian Vein Embolisation
Pelvic Floor Reconstruction, MIS/robotic
Pelvis, Artery / Vein, Ligation / Occlusion
Pelvis, Frozen/Dense Pelvic Adhesions, Conservative Reconstruction of
ovaries, tubes, uterus, pelvic floor
Pelvis, Malignant, Second Look Laparotomy
Pelvis, Various Lesions, Examination under Anesthesia
Urethra, Caruncle/Polyp, Excision/Laser Vaporisation
Urethra, Stenosis, Dilatation
Uterus/cervix, Hysteroscopy, diagnostic (with General Anesthesia)
Uterus/cervix, Hysteroscopy, Diagnostic (without Anaesthesia)
Uterus, Benign Conditions, Sub-Total Hysterectomy with/without SalpingoOophorectomy
Uterus, Benign Conditions, Total Abdominal Hysterectomy with/without
Salpingo-Oophorectomy and Pelvic Floor Repair (combined operation)
Uterus, Benign Conditions, Total Hysterectomy with/without SalpingoOophorectomy
Uterus, Broad Ligament Tumour, Hysterectomy
Uterus, Fetal Surgery
Uterus, Foetoscopy
Uterus, Hysterectomy, Frozen Pelvis
Uterus, Congenital Organ Abnormality, Plastic Repair including Metroplasty
Uterus, Displaced Intrauterine Contraceptive Device, Removal under General
Anesthesia
Uterus, Endometriosis, Hysterectomy with/without Salpingo-Oophorectomy
Uterus, Elongated Cervix, Cystocoele, Rectocoele, Amputation of Cervix +
Anterior Repair + Posterior Repair
Uterus, Endometrial Ablation (balloon)
Uterus, Endometrial Ablation (hysteroscopic)
Uterus, Fetal Disorder, Ultrasound Guided Fetal Blood Sampling/Cordocentesis
Uterus, Fetal Disorder, Ultrasound Guided Fetal Therapy
Uterus, Fibroids, Myomectomy (complicated) (>5cm)
6A
5C
46
3B
4A
4B
3B
3C
4A
3B
4A
3C
3A
3B
6B
3B
3B
4C
3C
5A
4A
1A
1C
2A
1C
1A
4A
4C
4A
5C
3B
4A
5C
6A
2A
5C
4B
2B
2C
2C
4A
5A
SI – FEMALE GENITAL
S/N
84
85
86
87
88
89
New
code
SI708U
SI816U
SI709U
SI710U
SI817U
SI818U
90
91
92
93
94
95
96
97
98
99
100
SI819U
SP819U
SI820U
SP820U
SI821U
SI822U
SI711U
SI712U
SI713U
SI823U
SI715U
101
102
103
104
SI716U
SI717U
SI824U
SI825U
105
106
SI826U
SI827U
107
SI828U
108
109
SI829U
SI830U
110
111
SI831U
SI832U
112
SP832U
113
114
SI833U
SP833U
115
116
SI834U
SP834U
117
118
SI835U
SP835U
119
120
SI836U
SP836U
121
SI837U
Description
Table
Uterus, Fibroids, Myomectomy, MIS (Complicated) (>5cm)
Uterus, Fibroids, Myomectomy (simple) (<5cm)
Uterus, Fibroids, Myomectomy, MIS (Simple) (<5cm)
Uterus, Fibroids, Uterine Artery Embolization
Uterus, Genetic Abnormality, Ultrasound Guided Chorionic Biopsy
Uterus, Genetic Abnormality/Fetal Maturity, with/without Ultrasound Guided
Amniocentesis
Uterus, Gravid, Evacuation (complicated)
Uterus, Gravid, Evacuation (complicated) (Medisave Maternity Package)
Uterus, Gravid, Evacuation (simple/TOP)
Uterus, Gravid, Evacuation (simple/TOP) (Medisave Maternity Package)
Uterus, Gravid, Hysterectomy
Uterus, Gravid, Hysterotomy
Uterus, Hysterectomy & Pelvic Lymphadenectomy, MIS
Uterus, Hysterectomy, MIS (Complicated) (>12 weeks)
Uterus, Hysterectomy, MIS (Simple) (<12 weeks)
Uterus, Inversion, Repositioning
Uterus, Laparoscopic ablation of Endometriosis, MIS (Simple) (As single
procedure, not involving Rectum, Ureter)
Uterus, Lysis of Asherman's (Complicated), hysteroscopic
Uterus, Lysis of Asherman's (Simple), hysteroscopic
Uterus, Malignant Condition, Anterior Pelvic Exenteration
Uterus, Malignant Condition, Extended Hysterectomy with/without
lymphadenectomy
Uterus, Malignant Condition, Posterior Pelvic Exenteration
Uterus, Malignant condition, Total Hysterectomy with/without salpingooophorectomy, with lymph node dissection (without ureteric dissection)
Uterus, Malignant Conditions, Total Hysterectomy with/without SalpingoOophorectomy
Uterus, Malignant Conditions, Total Pelvic Exenteration
Uterus, Malignant Conditions, Wertheim's Operation including pelvic
lymphadenectomy
Uterus, Perforation, Repair
Uterus, Pregnancy and Multiparity, Lower Segment/Classical Caesarean
Section and Tubal Ligation
Uterus, Pregnancy and Multiparity, Lower Segment/Classical Caesarean
Section and Tubal Ligation (Medisave Maternity Package)
Uterus, Pregnancy, Assisted Vaginal Delivery ± Twins ± Breech
Uterus, Pregnancy, Assisted Vaginal Delivery ± Twins ± Breech (Medisave
Maternity Package)
Uterus, Pregnancy, Caesarean Section (classical/lower segment)
Uterus, Pregnancy, Caesarean Section (classical/lower segment) (Medisave
Maternity Package)
Uterus, Pregnancy, Caesarean Section with Hysterectomy
Uterus, Pregnancy, Caesarean Section with Hysterectomy (Medisave Maternity
Package)
Uterus, Pregnancy, Vaginal Delivery (with or without episiotomy repair)
Uterus, Pregnancy, Vaginal Delivery (with or without episiotomy repair)
(Medisave Maternity Package)
Uterus, Prolapse, Vaginal Hysterectomy
5A
3B
3C
3C
1C
1C
47
2B
2B
2A
2A
4A
4A
6A
5A
4B
3C
3C
3A
2C
6B
5C
6B
5A
4A
7C
6B
3C
4B
4B
3A
3A
4A
4A
5C
5C
2B
2B
4A
SI – FEMALE GENITAL
S/N
122
New
code
SI718U
123
SI719U
124
SI720U
125
SI721U
126
SI722U
127
128
129
130
131
132
SI723U
SI838U
SI839U
SI840U
SI841U
SI842U
133
134
135
136
SI843U
SI724U
SI725U
SI726U
137
138
139
140
141
SI800V
SI801V
SI702V
SI802V
SI700V
142
SI701V
143
144
SI803V
SI703V
145
SI704V
146
147
148
149
150
151
152
SI804V
SI805V
SI806V
SI807V
SI705V
SI706V
SI808V
153
154
155
156
157
158
159
160
SI809V
SI810V
SI811V
SI812V
SI814V
SI815V
SI816V
SI817V
Description
Table
Uterus/vagina, Laparoscopically assisted vaginal hysterectomy (LAVH)
with/without Pelvic Floor Repair (PFR)
Uterus, Prolapse, Cystocoele, Rectocoele, Amputation of Cervix + Vaginal
Sacrospinous Ligament Hysteropexy + Anteior Repair + Posterior Repair
Uterus, Prolapse, Cystocoele, Rectocoele, Transobturator Mesh +
Transsacrospinous Ligament Mesh
Uterus, Prolapse, Cystocoele, Rectocoele, Vaginal Hysterectomy + Anterior
Repair + Bilateral Salpingo-oophorectomy ± Posterior Repair
Uterus, Prolapse, Cystocoele, Rectocoele, Vaginal Sacrospinous Ligament
Hysteropexy + Anterior Repair + Posterior Repair
Uterus, Prolapse, Vaginal Hysterectomy + Bilateral Salpingo-oophorectomy
Uterus, Retained Placenta, Manual Removal in OT/GA
Uterus, Retroversion, Ventrosuspension
Uterus, Ruptured, Repair (complicated)
Uterus, Ruptured, Repair (simple)
Uterus, Various Lesions, Curettage with Colposcopy/Biopsy/Diathermy/
Cryosurgery/Laser Therapy of Cervix
Uterus, Various Lesions, Curettage with/without Dilatation
Uterus/cervix, Hysteroscopic Cannulation
Uterus/cervix, Hysteroscopy, Diagnostic, D&C
Uterus/vagina, Laparoscopic Reconstruction of Frozen Pelvis/Lateral Pelvic
Wall Dissection; Extirpation of Rectovaginal Endometriosis
Vagina, Atresia, Vaginoplasty
Vagina, Atresia/Stenosis, Dilatation
Vagina, Cystocoele, Transobturator Mesh
Vagina, Cystocoele, Anterior Repair / Kelly's Operation
Vagina, Cystocoele, Paravaginal Defect Repair (Abdominal) / Burch
Colposuspension
Vagina, Cystocoele, Rectocoele, Anterior Repair / Kelly's Operation + Posterior
Repair
Vagina, Enterocoele, Repair/Vaginal Vault Suspension (abdominal)
Vagina, Enterocoele, Cystocoele, Rectocoele, Abdominal Sacrocolpopexy +
Paravaginal Defect Repair/Burch Colposuspension + Posterior Repair
Vagina, Enterocoele, Cystocoele, Rectocoele, Vaginal Sacrospinous Ligament
/ Iliococcygeus Fixation + Anterior Repair + Posterior Repair
Vagina, Fistula, Repair (complicated/Multiple)
Vagina, Fistula, Repair (simple)
Vagina, Foreign Body, Removal
Vagina, Incarcerated Pessary, Removal
Vagina, Intra-Epithelial Neoplasia Complete/Upper Vaginectomy
Vagina, Intra-Epithelial Neoplasia Vaginectomy (Partial)
Vagina, Lacerations (complex and involving anal sphincter) and
Debridement/Suture under General Anaesthesia
Vagina, Lacerations (simple), Debridement/Suture (excludes Episiotomy)
Vagina, Malignant Condition, Vaginectomy
Vagina, Pelvic Abscess, Colpotomy and Drainage
Vagina, Prolapse, Colporrhaphy
Vagina, Prolapse, Obliteration (Colpocleisis)
Vagina, Rectocoele, Posterior Repair
Vagina, Simple Tumour/Gartner's Cyst, Removal With Biopsy
Vagina, Stress Incontinence, Kell'y Operation +/- Anterior Repair.
4B
48
4B
4B
4B
4B
4B
1B
3A
4A
3B
2C
2A
2B
2B
5C
4B
1B
3B
3B
4A
3B
5A
5A
4A
5A
4A
1A
2B
4B
3C
2C
1C
4B
2C
4A
3B
2C
2B
3C
SI – FEMALE GENITAL
S/N
161
New
code
SI818V
162
SI707V
163
SI708V
164
SI709V
165
166
SI710V
SI711V
167
SI712V
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
SI713V
SI714V
SI819V
SI820V
SI821V
SI822V
SI823V
SI825V
SI826V
SI827V
SI828V
SI715V
SI829V
SI716V
SI717V
183
184
185
SI718V
SI719V
SI831V
186
187
188
189
SI832V
SI834V
SI835V
SI720V
Description
Vagina, Stress Incontinence, Abdominal /combined Abdominovaginal Sling
operations ( eg. Watkins Interposition, Aldridge sling and other pubovaginal
sling operations) +/_ Cystoscopy
Vagina, Stress Incontinence, Cystocoele, Rectocoele, Mid-urethral Tape/Sling
(± Cystoscopy) + Anterior Repair + Posterior Repair
Vagina, Stress Incontience, Combined Prolapse, Total Abdominal
Hysterectomy ± Bilateral Salpingo-oophorectomy + Burch
Colposuspension/Paravaginal Defect Repair + Vault Suspension + Posterior
Repair
Vagina, Stress Incontinence, Combined Prolapse, Mid-Urethral Tape/Sling (±
Cystoscopy) + Vaginal Hysterectomy + Anterior Repair + Posterior Repair
Vagina, Tension Free Vaginal Tape (TVT/TVTO)
Vagina/rectum, Recto Vaginal Fistula, complex Rectal / Transperineal
Approach with colostomy
Vagina/rectum, Recto Vaginal Fistula, complex Rectal / Transperineal
Approach without colostomy
Vaginal Hysterectomy + Anterior Repair +/- Posterior Repair
Vaginal Septum, excision
Vagina, Various Lesions, Biopsy
Vulva, Abscess, Incision
Vulva, Atresia/Absence, Detachment of Skin Pedicle after Vaginoplasty
Vulva, Bartholin Cyst, Excision with/without use of Laser
Vulva, Bartholin Cyst, Incision/Marsupialization with or without use of Laser
Vulva, Hematoma, Evacuation > 5cm (complicated/more than 1)
Vulva, Hematoma, Evacuation <5cm (simple)
Vulva, Imperforate Hymen, Hymenectomy
Vulva, Labial Abnormality, Labioplasty
Vulva, Labial Abnormality, Hymenoplasty
Vulva, Laceration, Debridement/Suture >5cm (complicated/ more than 1)
Vulva, Malignant Condition Wide Local Excision with Skin Flap Closure
Vulva, Malignant Condition, Radical Vulvectomy + Groin + Pelvic Node
Dissection
Vulva, Malignant Condition, Simple Vulvectomy + Groin Dissection
Vulva, Malignant Condition, Wide Local Excision
Vulva, Malignant Condition, Radical Vulvectomy with groin dissection and with
or without skin flap closure
Vulva, Malignant Condition, Simple Vulvectomy with Skin Flap Closure
Vulva, Tight Introitus, Fenton's Operation
Vulva, Warts, Laser Vaporisation
Vulva/Vagina, Various Lesions, Colposcopy and Laser Vaporisation
49
Table
4B
4B
4C
4B
3A
5B
4C
4A
2A
1A
1B
2B
2B
1B
2A
1A
1B
1B
1B
1C
4B
6C
5C
3C
6B
5A
1C
1B
1B
SJ – ENDOCRINE
S/N
1
2
3
4
5
New
code
SJ700A
SJ800A
SJ800P
SJ801P
SJ802P
6
7
SJ700P
SJ701P
8
9
10
11
12
SJ800T
SJ801T
SJ802T
SJ803T
SJ804T
13
14
SJ701T
SJ702T
15
SJ703T
Description
Table
Adrenal, Various Lesions, Adrenal Venous Sampling
Adrenals, Various Lesions, Biopsy/Excision (open or lap)
Parathyroid, Various Lesions, Excision
Parathyroid, Various Lesions, Re Exploration
Pituitary, Various Lesions, Transsphenoidal Hypophysectomy with Resection of
Nasal Septum & Grafting
Pituitary, Various lesions, Transphenoidal transseptal or endoscopic
Pituitary, Various Lesions, Transsphenoidal Hypophysectomy/Excision of
Tumour
Thyroglossal Duct, Cyst Fistula, Excision
Thyroid, Tumour, Excision
Thyroid, Various Lesions, Hemithyroidectomy/Partial Thyroidectomy
Thyroid, Various Lesions, Total/Subtotal Thyroidectomy
Thyroid, Various Lesions, Total/Subtotal Thyroidectomy with Block Dissection
(unilateral)
Thyroid, Various Lesions, Imaging Guided Percutaneous Aspiration / Biopsy
Thyroid, Various Lesions, Total Thyroidectomy Complex (Recurrence) /
with/without Sternal Split
Thyroid, Various Lesions, Total/Subtotal Thyroidectomy with Block Dissection
(bilateral)
3B
6B
5C
6B
7C
50
7B
6B
3B
3B
4A
5C
6A
1B
6A
6C
SK – NERVOUS
S/N
1
2
New
code
SK800A
SK801A
3
SK717A
4
5
6
7
8
9
10
SK802A
SK803A
SK700A
SK701A
SK702A
SK703A
SK704A
11
12
13
14
SK705A
SK706A
SK707A
SK708A
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
SK709A
SK710A
SK711A
SK712A
SK713A
SK714A
SK715A
SK716A
SK800B
SK801B
SK700B
SK802B
SK701B
SK803B
SK702B
SK703B
SK704B
SK804B
SK705B
SK805B
35
SK706B
36
37
38
39
40
41
SK806B
SK707B
SK807B
SK808B
SK809B
SK810B
42
SK708B
Description
Artery, Arterio-Venous Fistula, Ligation
Artery-Carotid, Arterio-Occlusive Lesions, External Carotid Internal Carotid
Bypass, Simple
Artery-Carotid, Arterio-Occlusive Lesions, External Carotid Internal Carotid
Bypass, Complex
Artery-Carotid, Atherosclerosis, Carotid Endarterectomy
Artery-Carotid, Carotid Body Tumour, Excision
Artery, Carotico-Cavernous Fistula, Embolisation
Artery, Extracranial, Various Lesions, Balloon Test Occlusion
Artery, Extracranial, Various Lesions, Diagnostic Extracranial Angiography
Artery, Extracranial, Various Lesions, Infusion
Artery, Extracranial, Various Lesions, Percutaneous Transcatheter
Embolization
Artery, Extracranial, Various Lesions, Percutaneous Transluminal Angioplasty
Artery, Extracranial, Various Lesions, Stenting
Artery, Intracranial, Aneurysm/Arterio-Venous Malformation, Embolisation
Artery, Intracranial, Thrombosis, Percutaneous Catheter Directed
Thrombolysis/Thrombectomy
Artery, Intracranial, Tumour, Percutaneous Transcatheter Embolization
Artery, Intracranial, Various Lesions, Diagnostic Cerebral Angiography
Artery, Intracranial, Various Lesions, Percutaneous Transluminal Angioplasty
Artery, Intracranial, Various Lesions, Stenting
Artery, Spinal, Aneurysm/Arterio-Venous Malformation, Embolisation
Artery, Spinal, Tumour, Percutaneous Transcatheter Embolization
Artery, Spinal, Various Lesions, Diagnostic Angiography
Artery-Carotid, Aneurysm-repair/grafting
Brain and Spine, Arachnoidal Cyst, Operation
Brain, Acoustic Tumour/Cerebello-Pontine Angle Tumour, Excision, simple
Brain, Acoustic Tumour/Cerebello-Pontine Angle Tumour, Excision, complex
Brain, Aneurysm/Arterio-Venous Malformation, Clipping/Excision, Simple
Brain, Aneurysm/Arterio-Venous Malformation, Clipping/Excision, Complex
Brain, Carotico-Cavernous Fistula, Extracranial and Intracranial Trapping
Brain, Cortical Stimulation/Mapping for Functional Neurosurgery
Brain, Deep Brain Stimulation, Bilateral
Brain, Deep Brain Stimulation, Unilateral
Brain, Epilepsy, Craniotomy, Simple
Brain, Epilepsy, Craniotomy, Complex (awake craniotomy)
Brain, Hydrocephalus and Other Lesions, Ventriculoatrial/ Ventriculoperitoneal
Shunt
Brain, Hydrocephalus and Other Lesions, Ventriculoatrial/Ventriculoperitoneal
Shunt, Bilateral
Brain, Hydrocephalus, External Ventricular Drainage, Unilateral
Brain, Hydrocephalus, External Ventricular Drainage, Bilateral
Brain, Hydrocephalus, Revision/Removal of Shunt
Brain, Hydrocephalus, Spino-peritoneal Shunt
Brain, Hydrocephalus, Third Ventriculostomy
Brain, Intracerebral Tumour, Biopsy and/or Decompression/Removal via
Craniotomy, Simple
Brain, Intracerebral Tumour, Biopsy and/or Decompression/Removal via
Craniotomy, Complex
51
Table
2A
6B
7A
6B
6C
6B
3B
3A
3C
4B
4A
4B
6B
6B
4B
3A
6A
6B
6B
4B
3B
7B
6B
7A
7C
6C
7A
7B
7A
7C
7A
6B
7A
4A
4C
3B
4A
4A
4A
6A
6B
7A
SK – NERVOUS
S/N
43
44
45
46
47
48
49
50
51
New
code
SK811B
SK812B
SK813B
SK814B
SK709B
SK710B
SK815B
SK816B
SK817B
52
SK711B
53
54
55
56
57
SK818B
SK712B
SK700C
SK701C
SK702C
58
SK700F
59
60
61
SK701F
SK702F
SK700L
62
SK700N
63
SK701N
64
65
SK702N
SK703N
66
67
68
69
70
71
SK704N
SK705N
SK706N
SK700S
SK701S
SK702S
72
SK703S
73
SK704S
74
SK705S
75
76
77
78
79
SK700T
SK701T
SK702T
SK703T
SK704T
Description
Table
Brain, Intracranial Abscess, Craniectomy and Drainage
Brain, Intracranial Abscess, Drainage via Burr-hole
Brain, Intracranial Abscess, Excision
Brain, Intracranial Extracerebral Tumour, Craniotomy & Removal, Simple
Brain, Intracranial Extracerebral Tumour, Craniotomy & Removal, Complex
Brain, Intracranial Extracerebral Tumour, Craniotomy/ Hemispherectomy
Brain, Intracranial Tumour/Intracranial Cyst, Biopsy/Drainage via Burr-hole
Brain, Tumour, Ventricular Puncture through Burr-hole
Brain, Various Lesions, Pallidotomy/Thalamotomy/Other Stereotactic
Procedure - Unilateral
Brain, Various Lesions, Pallidotomy/Thalamotomy/Other Stereotactic
Procedure - Bilateral
Brain, Various Lesions, Insertion of Ommaya Reservoir
Brain/Spine Endoscopic CSF (Cerebrospinal Fluid Leak) leak repair
Cervical Roots, Brachial plexus block - catheter
Cervical Roots, Brachial plexus block - injection
Cervical Roots, Brachial plexus, Brachial plexus injury, Exploration and
Neurotisation and/or multiple nerve grafting/crossed nerve transfers
Facial, Trigeminal ganglion injection, Anaesthetic, Imaging Guided
6A
4A
6B
6B
7A
6B
5C
4C
6A
Facial, Trigeminal block, Neurolytic
Facial, Trigeminal ganglion, radiofrequency, Neurolytic, Imaging guided
Lumbar, Lumbar sympathetic nerve block/thoracic/lumbar, anaesthetic,
catheter, Imaging Guided, unilateral
Nerve Root, Various lesions, Imaging Guided Nerve root block (injection of
anaesthetic, therapeutic substance) - Cervical, > 1 level
Nerve Root, Various lesions, Imaging Guided Nerve root block (injection of
anaesthetic, therapeutic substance) - Cervical, 1 level
Nerve, Cervical plexus, Single neurolytic/anaesthetic
Nerve, Coeliac Plexus, Various lesions, Imaging Guided Injection of
Anaesthetic
Nerve, Coeliac plexus; anaesthetic
Nerve, Coeliac Plexus, Various lesions, Imaging Guided Injection of Neurolytic
Nerve, Coeliac plexus; Neurolytic
Spinal/Epidural, Epidural Blood Patch
Spinal/Epidural/Subarachnoic, Implant of Port eg Port-a-cath
Spinal/Epidural, Facet Joint, Various lesions, Imaging Guided Facet Joint Block
(injection of anaesthetic, therapeutic substance) - Cervical / Lumbar / Thoracic,
Up to 3 joints
Spinal/Epidural, Facet Joint, Various lesions, Imaging Guided Facet Joint Block
(injection of anaesthetic, therapeutic substance) - Cervical / Lumbar / Thoracic,
More than 3 joints
Spinal/Epidural, Facet Joint, Various lesions, Imaging Guided, Radiofrequency,
Cervical/Lumbar/Thoracic, Up to 3 joints
Spinal/Epidural, Facet Joint, Various lesions, Imaging Guided, Radiofrequency,
Cervical/Lumbar/Thoracic, More than 3 joints
Thorax, Intercostal nerve, Block, anaesthetic more than 3 levels
Thorax, Intercostal nerve, Block, anaesthetic up to 3 levels
Thorax, Intercostal nerve, Block - Neurolytic
Thorax, Interpleural block, catheter
Thorax, Interpleural block, single
2A
3C
2B
52
6A
4A
6B
1C
1B
6B
3A
2B
2A
1B
2B
2A
2C
2B
1B
2B
2B
2C
3C
4A
1C
1B
2A
1C
1B
SK – NERVOUS
S/N
80
81
82
83
84
85
86
New
code
SK701L
SK702L
SK703L
SK704L
SK800M
SK801M
SK707N
87
SK708N
88
89
90
91
92
SK709N
SK710N
SK711N
SK712N
SK713N
93
94
95
SK714N
SK715N
SK716N
96
SK717N
97
98
99
SK718N
SK719N
SK720N
100
SK721N
101
SK722N
102
SK723N
103
SK724N
104
105
106
107
SK725N
SK726N
SK727N
SK728N
108
109
110
SK729N
SK730N
SK731N
111
SK732N
112
113
114
115
116
SK733N
SK734N
SK735N
SK736N
SK737N
Description
Table
Lumbar, Lumbar plexus, catheter
Lumbar, Lumbar plexus, single
Lumbar, Lumbar sympathetic; Anaesthetic
Lumbar, Lumbar sympathetic; Neurolytic
Meninges, Myelomeningocele, Excision of Sac
Meninges, Myelomeningocele, Extensive Repair with Skin Flaps/Z-plasty
Nerve (Orofacial), Defect, Graft (Multiple) Using Microsurgical Techniques
(include harvesting)
Nerve (Orofacial), Defect, Graft (Single)/Nerve Share, Using Microsurgical
Techniques (include harvesting)
Nerve (Orofacial), Injury, Decompression (Multiple/Single Intraosseous)
Nerve (Orofacial), Injury, Decompression (Single)
Nerve (Orofacial), Injury, Microsurgical Repair (Multiple/ Single Intraosseous)
Nerve (Orofacial), Injury, Microsurgical Repair (Single)
Nerve (Lower Limb), Disruption, Major Reconstruction with Repair and/or
Neurovascular Transfer
Nerve (Lower Limb), Disruption, Major Repair (single)
Nerve (Lower Limb), Entrapment Syndrome, Decompression
Nerve (Upper Limb), Carpal Tunnel Syndrome, Release, Bilateral, (with
Endoneurolysis)
Nerve (Upper Limb), Carpal Tunnel Syndrome, Release (unilateral) (with
Endoneurolysis)
Nerve defect, peripheral graft (microsurgery)
Nerve (Upper Limb), Defect, Graft (single) using microsurgical techniques
Nerve (Upper Limb), Defect, Grafting/Interfascicular Repair/Neurovascular
Transfer
Nerve (Upper Limb), Entrapment Syndrome (others, excluding carpal tunnel
syndrome), Decompression (bilateral)
Nerve (Upper Limb), Entrapment Syndrome (others, excluding carpal tunnel
syndrome), Decompression (unilateral)
Nerve (Upper Limb), Entrapment Syndrome (others), Nerve Decompression/
Transposition/Endoneurolysis
Nerve (Upper Limb), Guyon's Tunnel Syndrome, Release (bilateral with
Endoneurolysis)
Nerve (Upper Limb), Guyon's Tunnel Syndrome, Release (unilateral)
Nerve (Upper Limb)-major, Injury, Microsurgical Repair (multiple)
Nerve (Upper Limb)-major, Injury, Microsurgical Repair (single)
Nerve Roots, Dorsal root ganglion, anaesthetic, cervical, Imaging Guided, one
to two
Nerve Roots, Dorsal root ganglion, anaesthetic, Imaging Guided more than two
Nerve Roots, Dorsal root ganglion, anaesthetic, Imaging Guided, one to two
Nerve Roots, Dorsal root ganglion, radiofrequency, neurolytic , Imaging
Guided, more than two
Nerve Roots, Dorsal root ganglion, radiofrequency, neurolytic, Imaging
Guided, one to two
Nerve, Peripheral Nerve block, anaesthetic
Nerve, Peripheral Nerve block, anaesthetic up to 2
Nerve, Peripheral Nerve block, anaesthetic,more than 2
Nerve, Peripheral Nerve block, neurolytic
Nerve Root, Various lesions, Imaging Guided Nerve root block (injection of
anaesthetic, therapeutic substance) - Lumbar / Thoracic, > 1 level
1C
1B
1B
2A
6A
6B
6A
53
5A
4A
3A
5A
4A
6B
4A
3C
4A
3A
5C
4B
6B
3C
3A
4A
4A
3A
5C
4B
3A
3C
2B
4C
4B
1A
1A
1C
1B
2A
SK – NERVOUS
S/N
117
New
code
SK738N
118
119
120
121
122
123
SK739N
SK740N
SK800N
SK801N
SK741N
SK742N
124
SK743N
125
126
127
128
129
130
131
SK802N
SK803N
SK744N
SK745N
SK804N
SK805N
SK806N
132
133
134
135
136
137
138
SK746N
SK747N
SK748N
SK749N
SK807N
SK808N
SK809N
139
SK810N
140
SK811N
141
142
143
144
145
146
147
148
149
150
151
152
153
154
SK812N
SK706S
SK707S
SK708S
SK709S
SK710S
SK711S
SK712S
SK713S
SK714S
SK800P
SK703C
SK715S
SK716S
155
SK717S
156
157
SK718S
SK800S
Description
Table
Nerve Root, Various lesions, Imaging Guided Nerve root block (injection of
anaesthetic, therapeutic substance) - Lumbar / Thoracic, 1 level
Nerve, Peripheral Nerve block, neurolytic, cryo, radiofrequency up to 2
Nerve, Peripheral Nerve block, neurolytic, cryo, radiofrequency,more than 2
Nerve, Various Lesions, Biopsy
Nerve, Various lesions, primary/secondary suture
Nerve, Vagus Nerve Stimulator
Neurostimulator, Insertion of Internal Pulse Generator, involves opening of
wound, tunneling, opening of pouch for IPG & testing of system
Neurostimulator, Revision/Replacement of Implantable Pulse Generator (does
not involve tunneling)
Nerve-Cranial, Various Lesions, Microvascular Decompression/Neurectomy
Nerve-Cutaneous, Injury, Primary Suture
Nerve-Digital, Injury, Microsurgical Repair (multiple)
Nerve-Digital, Injury, Microsurgical Repair (single)
Nerve-Digital, Injury, Primary Repair
Nerve-Facial (Mastoid Portion), Entrapment, Decompression
Nerve-Facial, Various Lesions, Combined Middle Fosa and Transmastoid
Facial Nerve Decompression
Nerve-facial Paralysis, free fascia and/or nerve graft (microsurgical – stage 1)
Nerve-facial Paralysis, free muscle flap (microsurgical – stage 2)
Nerve-facial paralysis, free fascia sling/graft (single/unilateral)
Nerve-facial paralysis, local muscle transfer
Nerve-Peripheral (deep), Tumour, Excision
Nerve-Peripheral (superficial), Tumour, Excision
Nerve-Sympathetic, Various Lesions, Sympathectomy, with/without Videoassistance, Bilateral
Nerve-Sympathetic, Various Lesions, Sympathectomy, with/without Videoassistance, Unilateral
Nerve-Trigeminal (Ganglion), Neurolagia, Injection with alcohol/Radiofrequency
Ganglionotomy, imaging guided
Nerve-Ulnar, Entrapment, Transposition
Sacral root block, neurolytic, radiofrequency, Imaging Guided, up to 2
Sacral root block, neurolytic, radiofrequency, Imaging guided, up to 4
Sacrum, Sacral ganglion, radiofrequency, Imaging Guided
Sacrum, Sacral ganglion, therapeutic, anaesthetic, Imaging Guided
Sciatic nerve block
Spine, Paravertebral anaesthetic,more than 2
Spine, Paravertebral, anaesthetic, Imaging Guided, more than 2
Spine, Paravertebral, anaesthetic, Imaging Guided up to 2 levels
Spine, Paravertebral, anaesthetic, up to 2
Plexus-Brachial, Injury, Exploration
Cervical Roots, Brachial plexus, Brachial plexus injury, Exploration, neurolysis
Sacro-iliac Joint, Various lesions, Imaging Guided radiofrequency – Bilateral
Sacro-iliac Joint, Various lesions, Imaging Guided Sacro-iliac Joint Block
(injection of anaesthetic, therapeutic substance) - Bilateral
Sacro-iliac Joint, Various lesions, Imaging Guided Sacro-iliac Joint Block
(injection of anaesthetic, therapeutic substance) - Unilateral
Sacro-iliac Joint, Various lesions, Imaging Guided, radiofrequency – Unilateral
Skull, Compound Fracture with Dural Penetration and Brain Damage,
Operation
1C
54
1C
2B
1B
4A
6A
4B
3B
6B
3B
4B
2C
2C
5C
7C
3B
7B
3A
5A
4A
3A
5A
4B
4B
5A
2C
4A
4B
3A
1A
2A
2B
1C
1B
6B
7B
4A
2B
1B
3A
6B
SK – NERVOUS
S/N
158
159
160
161
162
163
164
165
166
167
168
New
code
SK801S
SK802S
SK719S
SK803S
SK804S
SK805S
SK806S
SK807S
SK808S
SK809S
SK810S
169
SK720S
170
171
SK721S
SK722S
172
173
174
175
176
177
178
179
180
181
SK811S
SK723S
SK724S
SK725S
SK726S
SK727S
SK728S
SK729S
SK730S
SK731S
182
SK732S
183
SK733S
184
185
186
SK734S
SK735S
SK736S
187
188
189
190
191
192
SK737S
SK738S
SK739S
SK740S
SK741S
SK742S
193
SK743S
194
SK744S
195
SK745S
196
SK746S
Description
Skull, Compound Fracture without Dural Penetration, Operation
Skull, Craniostenosis (multiple suture), Operation
Skull, Craniostenosis, Operation, Craniofacial Reconstruction
Skull, Craniostenosis (single suture), Operation
Skull, Defect, Cranioplasty (large)
Skull, Defect, Cranioplasty (small)
Skull, Depressed/Comminuted Fracture, Elevation
Skull, Fracture with Rhinorrhoea/Otorrhoea, Cranioplasty and Repair
Skull, Intracranial Hemorrhage, Burr-hole Craniotomy, Bilateral
Skull, Intracranial Hemorrhage, Burr-hole Craniotomy (unilateral)
Skull, Intracranial Hemorrhage, Osteoplastic Craniotomy/Extensive
Craniectomy, Unilateral
Skull, Intracranial Hemorrhage, Osteoplastic Craniotomy/Extensive
Craniectomy, Bilateral
Skull, Burr hole, Insertion of intracranial pressure (ICP) monitor
Skull, Chiari Malformation/syringomyelia, Posterior fossa decompression with
duraplasty
Skull, Osteomyelitis, Craniectomy
Sphenopalatine ganglion radiofrequency, Imaging Guided
Spinal Cord, Stimulation/Modulation, Closed/Percutaneous
Spinal Cord, Stimulation/Modulation, Open
Spinal Cord, Tumours, laminectomy and excision (extradural)
Spinal Cord, Tumours, laminectomy and excision (intradural extramedullary)
Spinal Cord, Tumours, laminectomy and excision (intradural intramedullary)
Spinal- implant of electrical pump device
Spinal/Epidural removal, revision of implanted Reservoir device (e.g. PAR)
Spinal/Epidural, Epidural Adhesiolysis, multiple catheter, Thoracic, lumbar,
Imaging Guided
Spinal/Epidural, Epidural Adhesiolysis, Single catheter, Cervical, Imaging
guided
Spinal/Epidural, Epidural Adhesiolysis, single catheter, Thoracic / Lumbar
Imaging Guided
Spinal/Epidural, Epiduroscopy
Spinal/Epidural, Ganglion Impar Block, neurolytic, imaging guided
Spine, Percutaneous implant of spinal cord stimulator, (permanent) and
electrical generator
Spine, Percutaneous implant of spinal cord Stimulator, (trial), single lead
Spine, Percutaneous implant of spinal cord stimulator,(trial), double leads
Spine, Removal of spinal cord stimulator electrical generator
Spine, Replacement of computerized reservoir device (e.g. Synchromed)
Spine, Replacement of spinal cord stimulator, electrical generator
Spine, Single injection, anaesthetic, blood, therapeutic substance, lumbar,
caudal, simple
Spine, Various lesions, Imaging Guided Epidural / Spinal catheter / drain
Insertion
Spine, Various lesions, Imaging Guided Epidural Injection (anaesthetic,
therapeutic substance) - Lumbar / Caudal
Spine, Various lesions, Imaging Guided Epidural Injection (anaesthetic,
therapeutic substance) - Thoracic / Cervical
Spine, Various lesions, Imaging Guided Lumbar Puncture / Myelogram /
Intrathecal chemotherapy
55
Table
5C
6B
7A
6A
5C
5A
5C
6B
5A
4A
5C
6A
3B
7A
5C
3C
5C
5C
6B
6C
7A
5C
2C
3C
4B
3B
2A
3C
4B
3B
3C
3A
3B
3B
1C
2A
2A
2C
1C
SK – NERVOUS
S/N
197
198
199
200
201
202
203
New
code
SK747S
SK748S
SK749S
SK812S
SK813S
SK814S
SK815S
204
205
206
207
208
209
210
211
SK750S
SK751S
SK752S
SK753S
SK754S
SK755S
SK756S
SK757S
212
SK758S
213
214
215
216
217
SK705T
SK706T
SK700V
SK701V
SK702V
Description
Spine, Various Lesions, Syringo-arachnoid/pleural/peritoneal shunt
Spine, Various lesions, Spinal Catheter, Insertion
Spine, Various lesions, Spinal injections, single
Spinal Cord, Aneurysm/Arterio-Venous Malformation Clipping/ Excision
Spinal Cord, Intractable Pain, Injection of Alcohol/Phenol
Spinal Cord, Intractable Pain, Percutaneous Cordotomy
Spinal Nerve Roots, Various Lesions, Spinal Rhizolysis involving Exposure of
Spinal Nerve Roots
Spinal/Epidural, Nerve root, Neurolytic
Spinal/Epidural, Spinal cord, Neurolytic
Splanchnic nerves, anaesthetic, Imaging Guided
Splanchnic nerves, radiofrequency, neurolytic, Imaging Guided
Stellate ganglion block, anaesthetic
Stellate ganglion, Various lesions, Imaging Guided Injection of Anaesthetic
Stellate ganglion, Various lesions, Imaging Guided Injection of Neurolytic
Superior Hypogastric Plexus, Various lesions, Imaging Guided Injection of
Anaesthetic
Superior Hypogastric Plexus, Various lesions, Imaging Guided Injection of
Neurolytic, radiofrequency
Thorax, Intercostal nerve, Block, radiofrequency, cryo, neurolytic, more than 2
Thorax, Intercostal nerve, Block, radiofrequency, cryo, neurolytic, up to 2
Vein, Intravenous, anaesthetic
Vein - Intracranial, Venous sampling
Vein, Intravenous sympathetic, Bier’s Block
56
Table
6A
1C
1B
7A
4A
5C
6C
2B
2B
2B
2C
1B
2A
2B
2B
3B
2C
2A
1A
3B
1B
SL – EYE
S/N
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
New
code
SL800A
SL801A
SL802A
SL700B
SL701B
SL702B
SL703B
SL704B
SL800C
SL801C
SL802C
SL803C
SL700C
SL804C
SL701C
SL702C
17
18
SL703C
SL704C
19
20
21
22
SL705C
SL706C
SL707C
SL806C
23
24
25
26
27
SL807C
SL808C
SL809C
SL810C
SL811C
28
29
30
31
32
33
34
35
36
37
38
39
SL800E
SL801E
SL802E
SL803E
SL700E
SL804E
SL701E
SL702E
SL703E
SL805E
SL704E
SL705E
40
41
42
43
44
SL706E
SL707E
SL806E
SL807E
SL808E
Description
Anterior Chamber, Glaucoma, Paracentesis (diagnostic/therapeutic)
Anterior Chamber, Hyphema, Irrigation
Anterior Chamber, Various Lesions, Vitreous Removal
Brow, Browlift, Endoscopic, Bilateral
Brow, Browlift, Endoscopic, Bilateral with Mid-Face Lift
Brow, Browlift, Endoscopic, Unilateral
Brow, Direct browplasty, Bilateral
Brow, Direct browplasty, Unilateral
Conjunctiva, Limbic Tumour, Removal
Conjunctiva, Naevus, Removal
Conjunctiva, Pinguecula, Removal
Conjunctiva, Pterygium, Removal with conjunctival graft
Conjunctiva, Excision of Pterygium, bare sclera
Cornea, Band Keratopathy, Removal with ethylene diamine tetra-acetic acid
Conjunctiva, Pterygium, Removal, complex (recurrent, double, symblepharon)
Cornea, astigmatic keratotomy (excluding Limbal relaxing incisions / graft
refractive surgery)
Cornea, Descemet's Membrane Endothelial Keratoplasty (DMEK)
Cornea, Riboflavin-UVA Induced Collagen Crosslinking Treatment for Corneal
Ectasia (CXL-Crosslinking Laser/Post Lasix Keratectomy/keratitis)
Cornea/Conjunctiva, Gunderson flap
Corneal/Ocular surface, Osteo-odonto-keratoprosthesis Stage 1
Corneal/Ocular surface, Osteo-odonto-keratoprosthesis Stage 2
Cornea, Various Lesions, Keratoplasty, complex (tectonic, therapeutic,
lamellar, Descemet stripping automated endothelial keratoplasty)
Cornea, Laceration, Conjunctival Graft over Cornea
Cornea, Laceration, Conjunctival Peritomy/Repair by Conjunctival Flap
Cornea, Myopia, Phototherapeutic Keratectomy/Laser in-situ Keratomileusis
Cornea, Various Lesions, Transplantation (superficial/lamellar/full thickness)
Cornea, Various Lesions, Transplantation with Cataract Extraction and Intraocular Lens Implantation
Eye, Exophthalmos due to Thyrotoxicosis, Retractor Recessions (bilateral)
Eye, Exophthalmos due to Thyrotoxicosis, Retractor Recessions (unilateral)
Eye, Glaucoma, Cyclodiathermy/Cyclocryotherapy
Eye, Glaucoma, Filtering and Allied Operations
Eye, Glaucoma, Filtering and Allied Operations with anti-metabolites
Eye, Glaucoma, Goniotomy/Trabeculotomy (Unilateral)
Eye, Glaucoma, Goniotomy/Trabeculotomy (Bilateral)
Eye, Glaucoma, Goniotomy/Trabeculotomy (Bilateral) - paediatric
Eye, Glaucoma, Goniotomy/Trabeculotomy (Unilateral) - paediatric
Eye, Glaucoma, Selective laser trabeculoplasty (Unilateral)
Eye, Glaucoma, Selective laser trabeculoplasty (Bilateral)
Eye, Glaucoma drainage implants eg. Ahmed Valve implant, Molteno implant ,
Baerveldt Tube Shunt
Eye, Glaucoma, Cyclophotocoagulation, Endoscopic
Eye, Glaucoma, Goniosynechiolysis
Eye, Intraocular Foreign Body, Removal from Anterior Segment
Eye, Intraocular Foreign Body, Removal from Posterior Segment
Eye, Perforating Wound (not involving intraocular structures), Repair
57
Table
2C
3B
3B
5A
5C
4A
3C
3A
2C
1B
1B
2C
1A
2A
3B
3A
6B
3B
3B
7C
5C
6A
2C
2C
3A
5B
6B
5A
4A
3B
3B
4A
3B
4A
5A
4A
2A
2C
5C
3B
3B
3A
3B
2C
SL – EYE
S/N
45
New
code
SL809E
46
SL810E
47
48
SL726E
SL708E
49
50
51
52
53
54
55
56
57
58
SL811E
SL812E
SL813E
SL814E
SL815E
SL816E
SL817E
SL818E
SL822E
SL710E
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
SL711E
SL823E
SL824E
SL825E
SL827E
SL828E
SL829E
SL830E
SL712E
SL713E
SL714E
SL715E
SL831E
SL832E
SL833E
SL716E
SL717E
SL834E
SL835E
SL836E
SL837E
SL838E
SL839E
SL841E
SL843E
SL844E
SL846E
SL847E
SL848E
SL718E
89
SL849E
Description
Table
Eye, Perforating Wound (with incarceration/prolapse of uveal
tissue/lens/vitreous), Repair
Eye, Squint, Complex strabismus surgery (vessel sparing Sx, paralytic and
restrictive strabismus, horizontal combined with oblique/vertical
Eye, Squint, Operation (one/both eyes - 2 muscles)
Eye, Squint, Complex Strabismus Surgery (4 or more muscles, transposition,
muscle splitting)
Eye, Squint, Operation (one/both eyes - 3 muscles or more)
Eye, Squint, Operation (one/both eyes - adjustable sutures)
Eye, Squint, Operation (one/both eyes - transposition)
Orbital, Enucleation with Integrated Orbital Implant
Eye, Various Lesions, Enucleation without Implant
Eye, Various Lesions, Evisceration
Eye, Various Lesions, Examination under General Anesthesia
Eye, Various Lesions, Resuturing of wound following Intraocular Procedures
Eyelids, Ectropion/Entropion, Correction (complicated,one lid)
Eyelids, Ectropion/Entropion, Correction with retractor repair for involutional
entropion (complicated,one lid)
Eyelids, non-involutional entropion/ectropion (complicated)
Eyelids, Ectropion/Entropion, Correction (simple i.e. inverting sutures,one lid)
Eyelids, Ectropion/Entropion, Correction (simple i.e. inverting sutures,two lids)
Eyelids, Ectropion/Entropion, Correction (complicated,two lids)
Eyelids, Exposure, Tarsorrhaphy (permanent)
Eyelids, Exposure, Tarsorrhaphy (temporary)
Eyelids, Full Thickness Laceration, Repair
Eyelids, Hemangioma, Intra-lesion Injections (full course)
Eye, Medial canthal reconstruction, Bilateral
Eye, Medial canthal reconstruction, Unilateral
Eye, Needling of blebs with anti-metabolites
Eye, Socket, Complex Anophthalmic socket reconstruction
Eyelids, Ptosis, Correction Fasanella (bilateral)
Eyelids, Ptosis, Correction Fasanella (unilateral)
Eyelids, Ptosis, Correction Levator Palpebrae Superioris Resection (bilateral)
Eyelid, ptosis, Conjunctival Mullerectomy (bilateral)
Eyelid, ptosis, Conjunctival Mullerectomy (unilateral)
Eyelids, Ptosis, Correction Levator Palpebrae Superioris Resection (unilateral)
Eyelids, Ptosis, Correction with Fascia Lata Graft (bilateral)
Eyelids, Ptosis, Correction with Fascia Lata Graft (unilateral)
Eyelids, Ptosis, Tarsorrhaphy (permanent)
Eyelids, Ptosis, Tarsorrhaphy (temporary)
Eyelids, Simple Laceration, Repair
Eyelids, Trichiasis, Cryotherapy
Eyelids, Tumour, Excision and Repair with Full Thickness Skin Grafting
Eyelids, Tumour, Excision and Repair with Local Flap
Eyelids, Tumour, Shaving Excision
Eyelids, Various lesions, Blepharoplasty (3 to 4 eyelids) bilateral
Eyelids, Various lesions, Blepharoplasty (single eyelid) unilateral (upper/lower)
Eyelids, Various Lesions, Blepharoplasty (2 eyelids) unilateral/bilateral
(lower/upper)
Eyelids, Various Lesions, Canthoplasty (medial/lateral)
3C
58
4C
3B
5A
4A
4A
4A
4A
3A
2C
1B
2A
3B
3B
4A
2A
2C
4A
1B
1A
3A
3A
3C
3A
1A
5A
4A
3B
5B
4B
3B
4A
5B
4A
1B
1A
1B
1B
3B
4A
1A
4A
3A
3C
1C
SL – EYE
S/N
90
New
code
SL850E
91
92
93
94
SL851E
SL852E
SL853E
SL854E
95
96
97
98
99
100
101
SL719E
SL720E
SL721E
SL722E
SL723E
SL724E
SL725E
102
103
104
105
106
107
108
109
110
111
SL800I
SL801I
SL802I
SL700I
SL800L
SL801L
SL802L
SL803L
SL804L
SL700L
112
SL805L
113
114
115
116
117
118
SL806L
SL807L
SL701L
SL808L
SL809L
SL810L
119
120
121
SL811L
SL702L
SL703L
122
SL704L
123
SL705L
124
SL706L
125
126
127
128
129
130
SL707L
SL708L
SL709L
SL812L
SL813L
SL814L
Description
Table
Eyelids, Various Lesions, Composite Graft (chondro-cutaneous/chondromucosal)
Eyelids, Various Lesions, Full Thickness Wedge Resection with Repair
Eyelids, Various Lesions, Multiple Plastic Lid Procedures
Eyelids, Various Lesions, Reconstruction using Full Thickness Flap
Eyelids, Various Lesions, Whole Thickness Reconstruction (other than direct
suture only)
Eyeball, Enucleation with Acrylic & Scleral Ball Implant
Eyelid lowering (gold weight implant), Bilateral
Eyelid lowering (gold weight implant), Unilateral
Eyelids, Botox injections for blepharospasm & hemifacial spasm
Eyelids, Chalazion Cyst, Excision under general anaesthesia
Eyelids, Stye, Incision under general anaesthesia
Eyelids, Various Lesions, Major reconstruction, involving anterior and posterior
lamella and more than 1/3 lid
Iris, Tumour, Excision
Iris, Various Lesions, Laser Iridotomy
Iris, Various Lesions, Surgical Iridectomy/Iridotomy
Iris reconstruction / pupilloplasty
Lacrimal Gland (Canaliculus), Various Lesions, Immediate Repair
Lacrimal Gland (Lacrimal Sac), Various Lesions, Excision
Lacrimal Gland (Punctum), Various Lesions, Snip Operation
Lacrimal Gland, Obstruction, Probing one/both Ducts
Lacrimal Gland, Various Lesions, Dacryocystorhinostomy (DCR)
Lacrimal Gland/Duct, Various Lesions, Endoscopic Dacryocystorhinostomy
(DCR)
Lacrimal Gland, Various Lesions, Dacryocystorhinostomy with Lester Jones
Tube
Lens, Cataract (juvenile), Removal and Needlings
Lens, Cataract, Extraction with Intra-ocular Lens Implant (Bilateral)
Lens, Cataract (Paediatric), Extraction with anterior vitrectomy
Lens, Cataract, Extraction with Intra-ocular Lens Implant (Unilateral Left)
Lens, Cataract, Extraction with Intra-ocular Lens Implant (Unilateral Right)
Lens, Cataract, Extraction with Intra-ocular Lens Implant and Trabeculectomy
with/without antimetabolites
Lens, Cataract, Extraction with Trabeculectomy
Lens, Cataract (Paediatric), Extraction with anterior vitrectomy – bilateral
Lens, Cataract (Paediatric), Extraction with anterior vitrectomy and Intraocular
Lens implantation
Lens, Cataract (Paediatric), Extraction with anterior vitrectomy and Intraocular
Lens implantation - bilateral
Lens, Combined glaucoma implants with cataract extraction (w/wo Intraocular
Lens implantation)
Lens, Complicated Cataract extraction with Intraocular Lens implant (Capsular
Tension ring/Capsular Tension Segment/)
Lens, Implantation of posterior segment drug delivery device
Lens, Secondary Scleral fixated Intraocular Lens implantation
Lens, Sectorial laser photocoagulation
Lens, Various Lesions, Extraction
Lens, Various Lesions, Removal of Intra-ocular Artificial Lens
Lens, Various Lesions, Secondary Insertion of Intra-ocular Lens
4A
59
3B
5B
5A
4A
4C
3C
3A
1C
1A
1A
5B
3C
2C
2C
3A
2C
3B
2C
1B
5C
5C
5C
3B
5A
4B
4A
4A
5A
4A
5A
4C
5B
6A
4C
4A
5A
2C
3B
2B
4A
SL – EYE
S/N
131
132
New
code
SL815L
SL700O
133
134
SL701O
SL800O
135
136
137
138
139
140
141
142
143
144
145
146
147
148
SL702O
SL801O
SL703O
SL802O
SL803O
SL704O
SL705O
SL804O
SL706O
SL805O
SL707O
SL806O
SL807O
SL808O
149
150
151
152
153
154
155
156
SL809O
SL810O
SL708O
SL800Z
SL700P
SL701P
SL800R
SL801R
157
158
159
160
SL802R
SL803R
SL804R
SL700R
161
162
163
164
165
166
SL701R
SL702R
SL703R
SL704R
SL705R
SL709E
167
168
169
170
171
172
SL805R
SL700T
SL700V
SL701V
SL800V
SL801V
173
SL802V
Description
Table
Lens, Various Lesions, Yag Laser Capsulotomy
Ocular surface procedure including amniotic membrane transplant (complex,
cultured grafts/extensive reconstruction)
Optic Nerve Sheath Fenestration
Orbit, Contracture, Reconstruction including Mucous Membrane Grafting and
Stent Mould
Orbit, Reconstruction, Extensive Floor/Medial Wall Fracture
Orbit, Tumour, Exenteration/Flap Reconstruction
Orbit, Various Lesions of Mid to Posterior Orbit, Excision
Orbit, Various Lesions/Tumours, Exenteration/Removal via Craniotomy
Orbit, Various Lesions, Anterior Orbitotomy
Orbit, Various Lesions, Anterior Orbitotomy (Extensive)
Orbit, Various Lesions, Extended Lateral Orbitotomy
Orbit, Various Lesions, Decompression (Bilateral)
Orbit, Various Lesions, Optic Nerve Decompression (Bilateral)
Orbit, Various Lesions, Decompression (Unilateral)
Orbit, Various Lesions, Optic Nerve Decompression (Unilateral)
Orbit, Tumour, Exenteration with Orbitectomy & Primary reconstruction
Orbit, Various Lesions, Lateral Orbitotomy
Orbit, Various Lesions, Reconstruction including Orbital Shift and Soft Tissue
(craniofacial approach)
Orbit, Various Lesions, Reconstruction of Floor/Roof with Bone Graft
Orbit, Various lesions, Reconstruction of Floor/Roof with Alloplastic Material
Orbital/Scleral, Evisceration with Implant & Scleral Ball
Organ Procurement Costs: Cornea
Photodynamic therapy
Photorefractive Keratectomy/Phototherapeutic Keratectomy (for diseased eye)
Retina, Detachment, Removal of Encircling Silicone Band
Retina, Detachment, Resection/Buckling Operation/Revision Operation with
Single Plomb
Retina, Detachment (complex), Operation (more than one plomb/encirclage)
Retina, Tears, Diathermy/Cryotherapy (Unilateral)
Retina, Tears, Cryotherapy or Photocoagulation (laser) (Bilateral)
Retina, Laser retinopexy, complex (subretinal fluid, vitreous haemorrhage,
multiple tears)
Retina, Pneumatic retinopexy
Retina, ROP (Retinopathy of Prematurity) laser photocoagulation
Retina, Trans pars plana posterior capsulectomy
Retina/Macula, Grid and focal laser photocoagulation
Retina, Pan retinal photocoagulation
Eye, Thermal photocoagulation of choroidal neovascularization and allied
conditions
Retina, Tears, Photocoagulation (laser) (Unilateral)
Temporal artery biopsy
Vitreous, Intravitreal Injections
Vitreous, Various Lesions, Complex Posterior Vitrectomy (PVR, GRT, trauma)
Vitreous, Various Lesions, Simple Vitrectomy (pars plana)
Vitreous, Various Lesions, Posterior Vitrectomy (pars plana/
sclerotomy/lensectomy-extraction with Intra-ocular Lens Implant /endolaser)
Vitreous, Various Lesions, Vitrectomy (pars plana/removal of silicone oil)
2A
5C
60
5A
4A
5A
5C
5B
5C
3B
4A
6A
5A
6C
4B
5A
5C
4A
7C
4B
4A
4A
2A
3A
3B
2C
5C
6B
3A
3C
3B
4A
3C
3B
3A
3B
3B
3B
2B
1B
6B
5C
6B
4A
SM – ENT
S/N
1
2
New
code
SM700A
SM700E
3
4
5
6
7
8
9
10
SM800E
SM701E
SM801E
SM802E
SM702E
SM803E
SM804E
SM805E
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
SM806E
SM807E
SM808E
SM809E
SM810E
SM704E
SM811E
SM813E
SM814E
SM815E
SM816E
SM705E
SM818E
SM819E
SM820E
SM821E
SM822E
SM706E
SM823E
SM824E
SM825E
SM826E
SM827E
SM829E
SM830E
SM831E
SM707E
SM832E
SM708E
SM709E
SM710E
SM833E
43
44
45
46
SM834E
SM835E
SM836E
SM700I
Description
Table
Adenoids, Various Lesions, Removal
Ear, Auditory Meatus (Internal), Tumour, Transmastoid Removal with Extended
Mastoidectomy
Ear (Middle), Abscess/Inflammation, Operation
Ear (middle), Cochlear implant
Ear (Middle), Round Window Perforation, Repair
Ear (Middle), Various Lesions, Exploration and Tympanotomy
Ear (Middle), Various Lesions (Benign Condition), Excision Biopsy
Ear (Middle), Various Lesions, Stapedectomy
Ear, Cauliflower Ear, Correction
Ear, Congenital Atresia, Reconstruction of External Auditory Canal and Middle
Ear
Ear, Deformity, Composite Graft
Ear, Deformity, Correction (bilateral)
Ear, Deformity, Correction (unilateral)
Ear, Deformity, Lobule Reconstruction (bilateral)
Ear, Deformity, Lobule Reconstruction (unilateral)
Ear, Excision pseudocyst pinna
Ear, Exostosis Obturans, Excision Biopsy
Ear, Foreign Body, Complex Removal/Excision (Embedded/Large)
Ear, Hematoma/Seroma, Evacuation/Incision & Drainage
Ear, Keratosis Obturans moderate/severe, Excision Biopsy under GA
Ear, Laceration (full thickness), Repair > 3cm
Ear, middle, Ossiculoplasty
Ear, Microtia, Creation of Post-auricular Sulcus with Skin Graft
Ear, Microtia, Insertion of Cartilage/Silastic Framework
Ear, Microtia, Repositioning of Lobule
Ear, Partial Amputation, Reconstruction
Ear, Polyp, Removal
Ear, Bilateral preauricular sinus excision
Ear, Unilateral pre auricular sinus excision
Ear, Sebaceous Cyst, Excision
Ear, Total Amputation, Microvascular Reconstruction
Ear, Total Amputation, Staged Reconstruction (each stage)
Ear, Various Lesions, Meatoplasty with Split Skin Graft
Ear, Various Lesions, Myringoplasty (post-aural/endaural approach)
Ear, Various Lesions, Myringoplasty (simple)
Ear, Tympanic Membrane, Unilateral,myringotomy without tube
Ear, Tympanic Membrane, Bilateral myringotomy without tube
Ear, Tympanic Membrane, Unilateral myringotomy with tube
Ear, Tympanic Membrane, Bilateral myringotomy with tube
Ear, Tympanic Membrane, Perforation, Cauterisation/Diathermy
Ear, Tympanic Membrane, Perforation, Round Window Repair
Ear, Various Lesions, Ossicular Chain Reconstruction with/without
Myringoplasty
Ear, Various Lesions, Various Graft to Fenestration Cavity
Endolymphatic Sac, Various Lesions, Transmastoid Shunt Procedure
Ear, Eustachian Tube, Various Lesions, Catheterisation/Inflation
Inferior Turbinate reduction (submucous diathermy oblique radiofreqeuncy)
2C
6B
61
1B
6A
4A
3A
2A
4B
3A
4B
4A
3C
3A
2C
1C
2A
3A
1B
1B
1C
3A
4B
3C
4A
2A
4A
1B
3A
2B
1B
7C
4A
3B
4A
3B
1B
1C
2A
2B
1B
4A
4B
4A
5C
1A
1C
SM – ENT
S/N
47
48
49
50
New
code
SM700L
SM701L
SM800L
SM702L
51
52
SM703L
SM704L
53
54
55
56
57
58
59
60
61
62
63
64
65
66
SM705L
SM706L
SM707L
SM708L
SM709L
SM710L
SM711L
SM712L
SM713L
SM714L
SM715L
SM716L
SM717L
SM718L
67
68
SM800M
SM801M
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
SM802M
SM803M
SM804M
SM700M
SM701M
SM702M
SM703M
SM704M
SM700N
SM701N
SM702N
SM704N
SM705N
SM706N
SM707N
SM708N
SM709N
SM710N
SM711N
SM712N
SM713N
90
SM714N
Description
Table
Larynx, ELMS (Endoscopic Laryngeal Microsugery/Phonosurgery)
Larynx, Transcutaneous injection of larynx
Labyrinth, Various Lesions, Destruction/Labyrinthotomy
Larynx and Esophagus, Tumour, Esophagectomy (total)/
Laryngopharyngectomy with Restoration of Alimentary Continuity
Larynx and Pharynx, Various Lesions, Laser Application
Larynx and Trachea, Various Lesions, Major Microsurgery without
Reconstruction
Larynx and Trachea, Various Lesions, Major Plastic Operation
Larynx, Fractures, Operation
Larynx, Larynogofissure, External Operation
Larynx, Tumour, Laryngectomy (total)
Larynx, Laryngectomy with bilateral neck dissection
Larynx, Laryngectomy with unilateral neck dissection
Larynx, Microlaryngoscopy, with/without removal of tumour
Larynx, Tumour, Partial Laryngectomy
Larynx, Tumour, Partial Laryngectomy with Block Neck Dissection
Larynx, Various Disorders, open medialisation of vocal cord
Larynx, Various Lesions, Direct Examination with Removal of Tumour
Larynx, Various Lesions, Direct Examination with/without Biopsy
Larynx, Various Lesions, Hemi/Partial Laryngectomy
Larynx, Various Lesions, Hemi/Partial Laryngectomy with Radical Neck
Dissection
Mastoid, Various Lesions, Mastoidectomy (cortical)
Mastoid, Various Lesions, Mastoidectomy (radical/modified radical) with
Myringoplasty and Ossicular Chain Reconstruction
Mastoid, Various Lesions, Mastoidectomy (radical/modified)
Mastoid, Various Lesions, Mastoidectomy (radical/modified) with Myringoplasty
Mastoid, Various Lesions, Revision Mastoidectomy
Maxilla, Sinuses, Sinoscopy
Mouth, Cautery of soft palate /tongue base
Mouth, Various/Pathologic Lesions of Oral Mucosa, Laser Application
Mouth, Various Lesions, Pharyngotomy (lateral) with Excision of Tongue
Mouth, Various Lesions, Uvulotomy
Nose, Nasendoscopy
Nose, Choanal Atresia, Plastic Repair
Nose, Choanal Atresia, Repair by Puncture and Dilatation
Nose, Hematoma/Abscess, Evacuation/Incision & Drainage
Nose, Hemorrhage, Hemostasis (Packing)/Cryotherapy)
Nose, Laceration Full Thickness, Repair >3cm
Nose, Polypi (complex), Excision Biopsy more than 2
Nose, Polypi (simple), Excision Biopsy, 1 to 2
Nose, Post-Nasal Space, Laser Application
Nose, Rhinophyma, Excision
Nose, Rhinophyma, Total Construction
Nose, Simple Fracture, Manipulation
Nose, Various Lesions (postnasal space), Direct Examination with Biopsy and
Nasendoscopy
Nose, Various Lesions (turbinates), turbinectomy/turbinoplasty/Submucous
Resection (with or without endoscopes)
3A
1A
5C
7C
62
3B
5C
5C
5C
5C
5C
7A
6B
2C
5C
6B
4B
2C
1B
5C
6B
3C
5C
4B
5C
4B
1B
2B
2B
4A
1B
1A
4A
2C
1A
1B
3A
2B
1B
4A
3B
6B
1B
1B
2C
SM – ENT
S/N
91
92
New
code
SM715N
SM716N
93
94
95
96
SM718N
SM719N
SM720N
SM721N
97
98
SM722N
SM723N
99
100
101
102
103
SM724N
SM700P
SM701P
SM702P
SM703P
104
105
106
SM704P
SM705P
SM706P
107
108
109
110
111
112
113
SM700S
SM701S
SM702S
SM703S
SM704S
SM705S
SM706S
114
115
SM707S
SM708S
116
117
118
119
120
SM709S
SM710S
SM711S
SM712S
SM713S
121
SM714S
122
123
124
125
126
127
128
129
130
131
SM715S
SM716S
SM717S
SM718S
SM719S
SM700T
SM701T
SM702T
SM703T
SM704T
Description
Table
Nose, Various Lesions, Cauterisation/Diathermy
Nose, Various Lesions, Composite Graft (chondro-cutaneous/chondromucosal)
Nose, Various Lesions, Rhinoplasty (augmentation excluding cost of implants)
Nose, Various Lesions, Rhinoplasty (correction of bony vault only)
Nose, Various Lesions, Rhinoplasty (correction of lateral and/or alar cartilages)
Nose, Various Lesions, Rhinoplasty (restoration of the face involving
autogenous bone or costal cartilage graft)
Nose, Various Lesions, Rhinoplasty (secondary revision)
Nose, Various Lesions, Rhinoplasty (total) including Correction of all Bony and
Cartilaginous Elements
Nose, Various Lesions, Septoplasty/Submucous Resection
Pharynx, Adhesions, Division
Pharynx, Cysts/Vallecular, Removal
Pharynx, Pouch, Removal
Pharynx, Tumour, Partial Pharyngectomy and Radical Neck Dissection with
Flap
Pharynx, Various Lesions, Flap/Pharyngoplasty
Pharynx, Various Lesions, Partial Pharyngectomy with Primary Closure
Pharynx, Various Lesions, Pharyngotomy (lateral) with Excision of Tongue and
Reconstruction
Skull/Face, Malignant tumour/Trauma, Craniofacial resection
Skull, Base, Endoscopic resection of skull base tumours
Sinal-nasal, Endoscopic hemostasis (complex, under general anaesthesia)
Sinuses - Nasal, Infection, Functional Sinuscopic Ethmoidectomy (Bilateral)
Sinuses, Turbinoplasty, submucosal, Endoscopic
Sinuses - Ethmoidal, Various Lesions, External Operation
Sinuses - Nasal, Foreign Body/Other Lesions, Intranasal Operation/Removal of
Foreign Body
Sinuses - Nasal, Hematoma/Abscess, Antral Drainage
Sinuses - Nasal, Infection, Functional Sinuscopic Drainage of Ethmoidal/
Maxillary Sinuses
Sinuses - Nasal, Infection, Functional Sinuscopic Ethmoidectomy
Sinuses - Nasal, Oro-antral Fistula, Closure
Sinuses - Nasal, Various Lesions of Antrum, Roof Puncture and/or Lavage
Sinuses - Nasal, Various Lesions, Antrostomy (radical)
Sinuses - Nasal, Various Lesions, Fronto-Ethmoidectomy (radical) with
Osteoplastic Flap
Sinuses - Nasal, Various Lesions, Fronto-nasal Ethmoidectomy with/without
Sphenoidotomy
Sinuses - Nasal, Various Lesions, Intranasal Operation
Sinuses - Sphenoidal, Various Lesions, Intranasal Operation
Sinuses Frontal, Various Lesions, Catheterisation
Sinuses Frontal, Various Lesions, Radical Obliteration
Sinuses Frontal, Various Lesions, Trephine
Throat, Hyoid suspension
Throat, Uvulopalatopharyngoplasty (U3P)
Thyroglossal cyst, Sistrunk operation with hyoid bone removal
Tonsils, Abscess, Drainage
Tonsils, Hemorrhage, Hemostasis
1A
4A
63
3B
4C
4C
5A
5A
5C
3B
1B
2C
4A
7B
4B
4B
7B
7C
5C
3C
5A
2C
5C
2B
2B
3B
4A
3A
1B
3A
5C
5C
3B
5C
1A
5C
2B
3B
4B
3B
1A
1B
SM – ENT
S/N
132
133
New
code
SM705T
SM706T
Description
Tonsils, Various Lesions, Removal with/without Adenoidectomy
Tongue suspension
~END~
64
Table
3B
2B