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
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