SCHEDULE OF PROCEDURES ‐ Surgery Choices 2
CCSD Code
NAME AND DESCRIPTION OF SURGICAL PROCEDURE*
BAND
Each surgical procedure is classified into one of 12 bands according to its medical complexity. Band 1 are the least complicated surgical procedures and Band 12 the most complicated surgical procedures.
BRAIN, NERVES, SPINAL CORD AND BRAIN BLOOD VESSELS
BRAIN,SPINAL CORD AND NERVE RELATED
A0110
A0180
A0200
A0260
A0280
A0300
A0310
A0380
A0400
A0980
A1070
A1080
A1220
A1240
A1250
A1300
A1430
A1440
A1700
A2080
A2210
A2220
A2223
A2500
A2600
A2720
A2720
A2730
A2730
A2780
A2781
A3000
A3200
A3300
A3330
A3830
A3900
A4010
A4080
A4110
A4180
A4280
A4400
A4500
A4730
A4832
A4850
Hemispherectomy
Excision of abscess of brain
Excision of lesion of tissue of brain
Excision of arteriovenous malformation from vessels of brain
Awake craniotomy with ablation of lesion of brain with or without cortical mapping/stereotaxy
Stereotactic ablation of tissue of brain
Stereotactic biopsy of lesion or tissue of brain
Stereotactic radiosurgery of neuronal tissue using gamma knife
Open biopsy of lesion of tissue of brain
Deep brain stimulation for Parkinson’s disease
Robotic stereotactic radiosurgery, first/sole session using Cyberknife
Robotic stereotactic radiosurgery, second to fifth sessions per course of treatment, including
adjustments using Cyberknife
Creation of ventriculovascular anastomosis
Creation of ventriculoperitoneal shunt
Creation of subcutaneous cerebrospinal fluid reservoir
Maintenance of cerebroventricular shunt (including revision)
Removal of cerebroventricular shunt
Irrigation of cerebroventricular shunt
Therapeutic endoscopic operations on ventricle of brain (including examination and biopsy of lesion)
Ventricular puncture (as sole procedure)
Drainage of subarachnoid space of brain
Puncture of cistern of brain
Cerebral angiogram
Intracranial transection of cranial nerve
Other intracranial destruction of cranial nerve
Proximal gastric vagotomy
Proximal gastric vagotomy
Highly selective vagotomy
Highly selective vagotomy
Vagotomy with pyloroplasty
Laparoscopic vagotomy/seromyotomy
Repair of cranial nerve (intracranial)
Decompression of cranial nerve (craniotomy)
Neurostimulation of cranial nerve (intracranial)
Removal of neurostimulator from cranial nerve
Operation for arachnoidal cyst
Repair of dura
Evacuation of extradural haematoma
Craniotomy - post-operative haemorrhage
Evacuation of subdural haematoma or abscess
Subdural haemorrhage - tap
Intracranial infection : burrhole
Partial excision of spinal cord
Open operations on spinal cord
Percutaneous cordotomy of spinal cord
Implantation/removal of dorsal column stimulator
Implantation/removal of intrathecal drug delivery system
8
8
9
10
10
9
10
6
7
8
10
10
10
8
8
8
10
8
5
2
8
8
8
10
10
8
8
8
8
7
7
9
8
10
6
10
7
10
10
10
10
10
7
8
8
8
3
A4860
A5240
A5300
A6080
A6080
A6302
A6300
A6400
A6402
A6510
A6510
A6580
A6580
A6600
A6700
A6710
A6710
A6711
A6711
A6810
A6810
A6900
A7010
A7010
A7011
A7300
A7310
A7310
A7340
A7340
A7340
A7510
A7530
A7560
A7561
A7682
A7683
Implantation/removal of epidural delivery system
Epiduroplasty (Racz catheter or equivalent)
Drainage of spinal canal (including insertion of shunt)
Neurectomy (major nerve)
Neurectomy (major nerve)
Graft to major nerve
Graft to peripheral nerve
Repair of peripheral nerve
Repair of major nerve
Carpal tunnel release, including endoscopic
Carpal tunnel release, including endoscopic
Carpal tunnel release, including endoscopic-bilateral
Carpal tunnel release, including endoscopic-bilateral
Release of entrapment of deeply placed peripheral nerve
Release of entrapment of peripheral nerve
Cubital tunnel release including endoscopic (without transposition)
Cubital tunnel release including endoscopic (without transposition)
Cubital tunnel release including endoscopic-bilateral (without transposition)
Cubital tunnel release including endoscopic-bilateral (without transposition)
Neurolysis and transposition of peripheral nerve (includes ulnar at elbow)
Neurolysis and transposition of peripheral nerve (includes ulnar at elbow)
Revision of release of peripheral nerve
Implantation of neurostimulator to peripheral nerve
Implantation of neurostimulator to peripheral nerve
Trial of neurostimulator (as sole procedure) not at time of permanent implant
Permanent lesion of major nerve trunk (radiofrequency, cryoprobe or phenol)
Biopsy of peripheral nerve
Biopsy of peripheral nerve
Exploration and grafting of brachial plexus
Exploration and grafting of brachial plexus
Exploration and grafting of brachial plexus
Thorascopic cervical sympathectomy
Laparoscopic lumbar sympathectomy
VATS sympathectomy - unilateral
VATS sympathectomy - bilateral
Presacral sympathectomy - diagnostic
Presacral sympathectomy - therapeutic
3
3
5
2
2
8
5
5
5
2
2
2
2
2
3
3
3
3
3
3
3
3
2
2
2
2
3
3
3
3
3
3
3
6
8
7
7
HEAD AND NECK GLANDS
PITUITARY AND HYPOTHALAMUS
B0100
B0210
B0610
Hypophysectomy
Cryotherapy to pituitary gland
Excision of pineal gland
11
8
11
THYROID AND PARATHYROID
B0812
B0813
B0820
B0830
B0850
B0860
B0900
B1012
B1230
B1250
B1450
B1680
B1690
Total thyroidectomy/near total thyroidectomy
Total thyroidectomy including block dissection of lymph nodes
Bilateral subtotal thyroidectomy
Total thyroid lobectomy & isthmectomy
Isthmectomy of thyroid gland
Partial thyroidectomy (not elsewhere classified)
Operations on aberrant thyroid tissue (including excision/removal of retrosternal goitre)
Excision of thyroglossal cyst/tract
Core biopsy of thyroid gland
Thyroid : re-operation
Parathyroidectomy
Parathyroid : re-operation
Mediastinal parathyroidectomy with sternotomy
6
6
6
6
4
5
8
4
4
4
6
8
10
THYMUS
B1800
Thymectomy for myasthenia gravis
ADRENAL
8
B2222
B2223
B2232
B2233
Adrenalectomy - bilateral (open)
Adrenalectomy - bilateral (laparoscopic)
Adrenalectomy - unilateral (open)
Adrenalectomy - unilateral (laparoscopic)
8
8
6
5
BREAST
BREAST
B3310
B3440
B3590
Drainage of breast abscess
Microdochotomy
Operation(s) on ducts of nipple
2
2
3
EYES
EYES
C0110
C0120
C0122
C0512
C0513
C0514
C0620
C0630
C0640
C0650
C0840
C1040
C1130
C1140
C1150
C1160
C1320
C1340
C1341
C1420
C1512
C1513
C1522
C1523
C1532
C1540
C1640
C1700
C1710
C1810
C1812
C1813
C2510
C2520
C2540
C2542
C2542
C2550
C2610
C2640
C2650
C2910
C3960
C4010
C4050
C4100
C4350
C4620
C4630
C4640
Exenteration of orbit
Enucleation/evisceration of eyeball
Enucleation/evisceration of eyeball (with implant)
Simple reconstruction of socket (not including implant or graft)
Reconstruction of socket with either implant or graft
Reconstruction of socket with implant and graft
Drainage of orbit
Decompression of orbit
Removal of foreign body from orbit
Exploration of orbit (as sole procedure)
Orbital injection
Suture of eyebrow
Correction of epicanthus
Correction of telecanthus
Graft of skin to canthus
Canthotomy
Blepharoplasty of upper and/or lower lid - unilateral
Blepharoplasty of upper and/or lower lid - bilateral
Blepharoplasty - bilateral
Graft of skin to eyelid
Correction of lower lid ectropion without graft/flap
Correction of lower lid ectropion with graft/flap
Correction of entropion - lower lid
Correction of entropion - upper lid, including graft/flap
Correction of trichiasis by electrolysis/diathermy/cryotherapy/laser
Surgical correction of trichiasis /upper lid entropion, including graft/flap
Tarsorrhaphy
Total reconstruction of eyelid - unilateral
Suture of eyelid (laceration) (as sole procedure)
Correction of ptosis of eyelid - simple, including tarsomullerectomy
Correction of ptosis of eyelid - complex
Correction of ptosis of eyelid with autologous fascia lata
Canaliculo dacryo cysto rhinostomy (including intubation)
Conjunctivo dacryo cysto rhinostomy (including intubation)
Dacryocysto-rhinostomy, including insertion of tube
Dacryocysto-rhinostomy (endoscopic/laser assisted), including insertion of tube
Dacryocysto-rhinostomy (endoscopic/laser assisted), including insertion of tube
Lacrimal intubation (as sole procedure)
Excision/Biopsy of lacrimal sac
Incision of lacrimal sac
Probing of nasolacrimal system with/without syringing and/or irrigation
Puncto-canaliculoplasty
Excision of pterygium
Mucosal graft to conjunctiva
Suture of conjunctiva
Drainage of conjunctival cyst
Exploration of conjunctiva (including removal of foreign body)
Lamellar graft (keratoplasty) to cornea
Perforating graft (keratoplasty) to cornea
Descemets stripping endothelial keratoplasty (DSEK)
3
3
3
3
3
3
3
4
4
3
3
3
3
3
3
3
3
3
3
3
2
2
2
2
3
2
3
4
3
3
3
3
3
3
3
3
3
3
3
3
1
3
2
2
2
2
2
3
3
3
C4650
C4690
C4710
C4730
C4810
C4980
C5122
C5180
C5340
C5432
C5480
C5720
C5730
C5910
C5920
C6010
C6011
C6012
C6110
C6130
C6150
C6160
C6230
C6410
C6450
C6610
C6710
C6910
C6920
C6940
C6980
C6990
C7100
C7110
Revision of corneal graft/wound
Implantation of Synthetic corneal rings for keratoconus (including INTACS)
Repair of corneal wound
Removal of corneal suture
Removal of superficial corneal foreign body
Tension sutures
Chelation of cornea/photo therapeutic keratectomy
Corneal scraping for culture
Insertion of tantalum marker ring
Conventional retinal surgery (may include scleral buckling, injection of gas, drainage and retinopexy)
Removal of silicone oil
Repair of scleral laceration
Scleral graft
Iridocyclectomy
Surgical iridectomy
Surgical trabeculectomy or other penetrating glaucoma procedures
Canaloplasty (of Schlemm’s Canal with microcatheter)
Canaloplasty (of Schlemm's Canal with microcatheter) combined with Phakoemulsification of lens with
implant "Phako-Canaloplasty“
Laser trabeculoplasty
Goniotomy (surgical treatment of glaucoma)
Revision of previous glaucoma surgery
Complex glaucoma surgery (including anti-metabolites/insertion of seton devices)
Laser iridotomy
Repair of prolapsed iris
Removal of foreign body from iris
Ciliary body ablation
Cyclodialysis (separation of ciliary body)
Reformation of anterior chamber
Paracentesis
Irrigation/aspiration of anterior chamber
Removal of foreign body from anterior chamber
Insertion of valve into anterior chamber of eye
Extracapsular extraction without implant - bilateral
Extracapsular extraction without implant - unilateral
3
3
3
1
3
3
3
2
3
3
3
3
3
3
3
3
3
3
3
3
3
6
2
3
5
3
3
3
3
3
3
3
5
3
LENS
C6170
C7122
C7123
C7124
C7125
C7180
C7190
C7340
C7510
C7520
C7530
C7910
C7920
C7922
C7923
Goniosynechialysis or goniopuncture (with laser or operatively)
Phakoemulsification of lens with implant - unilateral
Phakoemulsification of lens without implant - unilateral
Phakoemulsification of lens without implant - bilateral
Phakoemulsification of lens with implant - bilateral
Extracapsular extraction with implant - unilateral
Extracapsular extraction with implant - bilateral
Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy)
Secondary insertion of lens implant
Lens implant/exchange
Removal of lens implant
Anterior vitrectomy
Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy
Pars plana vitrectomy/vitreous biopsy
Intravitreal injection of pharmaceutical for neovascular age related macular degeneration
3
3
3
4
4
3
6
1
3
3
3
4
3
3
3
RETINA
C7924
C7982
C8440
C8650
C8654
Intravitreal injection of pharmaceutical for central retinal vein occlusion
Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy, including dissection or
excision of epiretinal membrane/macular surgery
Retinal examination under anaesthetic including retinopexy if necessary
Fluorescein angiography of eye (including occular photography)
Insertion and removal of radioactive plaque into eye
3
5
1
1
1
EAR, NOSE, SINUSES
EAR
D0110
D0132
D0140
D0280
D0310
D0340
D0342
D0410
D0630
D1010
D1020
D1040
D1060
D1240
D1420
D1440
D1510
D1520
D1530
D1540
D1610
D1710
D1720
D1910
D2030
D2040
D2050
D2420
D2422
D2610
D2620
D2630
D2822
AA489
Total excision of pinna
Excision accessory auricle/preauricular appendage
Excision of preauricular sinus
Removal of multiple bony exostoses external auditory canal
Reconstruction of external ear for anotia/microtia using cartilage graft
Soft tissue meatoplasty of external auditory canal
Bony meatoplasty
Drainage of haematoma/abscess of pinna
Repair of pinna
Radical mastoidectomy (including meatoplasty)
Modified radical mastoidectomy (including meatoplasty)
Simple mastoidectomy
Revision of mastoidectomy (including meatoplasty)
Exploration of facial nerve, mastoid segment
Myringoplasty
Combined approach tympanoplasty - intact canal wall tympanoplasty
Myringotomy and insertion of tube through tympanic membrane (and bilateral)
Suction clearance of middle ear (as sole procedure)
Myringotomy (and bilateral)
Exploration of entire middle ear course of VII
Ossiculoplasty
Stapedectomy
Revision stapedectomy
Middle ear polypectomy
Removal of grommets
Diagnostic tympanotomy (as sole procedure)
Tympanic neurectomy
Insertion of cochlea implant
Insertion of bone anchored implant (BAHA)
Operation(s) on endolymphatic sac
Membranous labyrinthectomy
Osseous labyrinthectomy
Examination of ear under general anaesthetic (as sole procedure)
Transtympanic chemical labyrinthectomy
4
3
3
3
6
4
4
2
2
4
4
4
4
4
4
4
3
1
2
6
4
4
4
4
2
5
5
6
6
6
6
6
2
2
NOSE
E0110
E0230
E0260
E0310
E0330
E0340
E0360
E0412
E0420
E0440
E0520
E0810
Total excision of nose
Septorhinoplasty +/- graft/implant following trauma or excision of tumour
Rhinoplasty following trauma or excision of tumour
Submucous resection of nasal septum
Biopsy of septum of nose
Closure of perforation of septum of nose
Septoplasty of nose
Reduction turbinates of nose (laser, diathermy, out fracture etc)
Reduction turbinates of nose (trim,radical excision)
Division of adhesions of turbinate of nose (and bilateral)
Ligation of artery of internal nose (including endoscopic)
Polypectomy of internal nose (and bilateral, including endoscopic)
4
4
4
3
2
3
3
2
3
3
4
2
SINUSES
E1220
E1240
E1260
E1310
E1330
E1350
E1360
E1370
E1380
E1410
E1420
E1432
Caldwell-Luc
Vidian neurectomy (including endoscopic)
Image guided endoscopic frontal, sphenoid and/or ethmoid sinus surgery (FESS)
Antral puncture and wash-out (and bilateral)
Intranasal antrostomy including endoscopic (and bilateral)
Closure of oro-antral fistula
Endoscopic balloon dilation frontal sinuplasty (as sole procedure)
Endoscopic balloon dilation maxillary sinuplasty (as sole procedure)
Endoscopic balloon dilation sphenoid sinuplasty (as sole procedure)
External frontoethmoidectomy
Intranasal ethmoidectomy (and bilateral)
FESS Uncinectomy, ethmoidectomy, antrostomy or antral puncture inc polypectomy and attention to
turbinates etc
3
4
2
2
3
3
2
2
2
4
4
4
E1440
E1450
E1460
E1470
E1480
E1500
E1742
E1750
E1780
Transantral ethmoidectomy (and bilateral)
Bone flap to frontal sinus (and bilateral)
Trephining of frontal sinus
Median drainage of frontal sinus (modified Lothrop procedure)
Endoscopic exploration frontal sinus beyond frontoethmoid recess
Operation(s) on sphenoid sinus (including endoscopic)
Lateral rhinotomy into sinuses
Transnasal repair of leaking CSF (including endoscopic)
Diagnostic endoscopy of sinus (as sole procedure)
4
4
4
4
5
3
4
4
1
THROAT AND VOICEBOX
PHARYNX
AA378
E1910
E1920
E2010
E2100
E2140
E2150
E2300
E2320
E2330
E2400
E2480
E2500
Pharyngolaryngectomy
Total pharyngectomy
Partial pharyngectomy
Adenoidectomy
Repair of pharynx
Reconstruction using stomach pull up following pharyngolaryngectomy
Reconstruction free jejunal graft following pharyngolaryngectomy
Pharyngeal myotomy
Operation(s) on pharyngeal pouch (exterior approach)
Removal of lesion of para-pharyngeal space
Therapeutic endoscopic operation on pharynx
Pharyngeal pouch - endoscopic procedures
Diagnostic endoscopic examination of pharynx/larynx (including biopsy) (as sole procedure)
10
10
10
3
5
4
11
5
6
7
2
2
2
LARYNX
E2910
E2920
E2930
E2940
E2950
E2952
E2970
E3010
E3100
E3180
E3400
E3410
E3680
Total laryngectomy
Horizontal supra-glottic laryngectomy
Vertical hemi-laryngectomy
Partial laryngectomy
Laryngofissure and cordectomy of vocal cord
Laryngofissure
Sub-total laryngectomy
Glottoplasty
Reconstruction of larynx with graft
Thyroplasty (Isshiki Type 1)
Cordectomy (endoscopic)
Laser surgery to vocal cord (including microlaryngoscopy)
Endoscopic laryngo-pharyngoscopy as sole outpatient procedure
10
10
10
10
10
10
8
6
8
6
3
3
2
LUNGS (TRACHEA AND LUNGS)
TRACHEA
E3900
E4030
E4030
E4100
E4210
E4230
E4400
E4510
Partial excision of trachea with reconstruction
Tracheoplasty
Tracheoplasty
Insertion of voice prosthesis (TOF)
Tracheostomy
Mini-tracheostomy (percutaneous)
Carinal resection +/- pneumonectomy
Fibreoptic examination of trachea including biopsy/removal of foreign body under GA
11
8
8
5
10
6
11
2
LUNGS
E4600
E4722
E4800
E4840
E4850
E4990
E4991
Sleeve resection of bronchus or pulmonary artery with pulmonary resection
Thoracotomy and closure of bronchopleural fistula
Therapeutic bronchoscopy (including laser, cryotherapy, lavage, snare, dilatation of stricture, insertion of
stent)
Dilatation of tracheal stricture including insertion of stent
Therapeutic bronchoscopy for removal of foreign body
Flexible panendoscopy
Rigid panendoscopy
11
8
3
3
3
2
2
E5180
E5410
E5430
E5432
E5442
E5480
E5532
E5593
E5590
E5594
E5591
E5592
E5704
E5705
E5700
E5702
E5703
E5932
Diagnostic bronchoscopy +/- biopsy
Pneumonectomy
Pulmonary lobectomy including segmental resection
VATS lobectomy
VATS wedge resection of lung
Lung resection with resection of chest wall
Thoracotomy and lung biopsy as sole procedure
VATS lung volume reduction - bilateral
VATS bullectomy - unilateral
VATS debridement of empyema
VATS bullectomy - bilateral
VATS lung volume reduction - unilateral
Thoracotomy bullectomy - unilateral +/- pleurodesis in presence of emphysema
Thoracotomy pleurectomy/pleurodesis +/- ligation of bullae for pneumothorax
Thoracotomy lung volume reduction - bilateral
Thoracotomy lung volume reduction - unilateral
Thoracotomy bullectomy - bilateral
VATS lung biopsy
2
8
8
8
8
11
8
11
7
7
10
10
8
8
11
10
10
5
CHEST - OTHER
T0110
T0320
T0710
T0810
T0910
T1030
T1032
T1100
T1220
T1240
T1300
T1480
T1500
T1620
Thoracoplasty
Exploratory thoracotomy
Decortication of pleura of lung
Resection of rib and open drainage of pleural cavity
Open pleural biopsy
VATS pleurodesis/pleurectomy
Thoracoscopy and drainage and chemical pleurodesis
Diagnostic thoracoscopy (+/- biopsy)
Drainage of pleural cavity
Insertion of tube drain into pleural cavity
Introduction of substance into pleural cavity with chest drain
Insertion of pleuro-peritoneal shunt
Repair of rupture of diaphragm
Plication of paralysed diaphragm
6
7
8
6
6
4
4
2
2
4
2
5
6
6
LIP, PALATE, TONGUE, MOUTH, TONSILS
LIP
F0110
F0420
F0530
F1140
F1810
F2210
F4050
Excision of vermilion border of lip and advance of mucosa of lip
Reconstruction of lip using skin flap
Suture of lip
Vestibuloplasty
Enucleation of cyst of jaw
Total glossectomy
Graft of skin or mucosa to mouth Under GA
3
6
1
3
4
3
4
TONGUE
F2620
F2640
F2650
F2660
Frenotomy /frenectomy of tongue
Freeing of adhesions of tongue
Suture of tongue
Tongue flap - first stage and second stage
3
3
1
6
PALATE
F3070
F3240
Suture of palate
Operations on uvula
1
4
TONSILS
F3400
F3440
F3480
F3620
F3650
Tonsillectomy - child (and bilateral)
Tonsillectomy - adult (and bilateral)
Adenotonsillectomy (and bilateral)
Drainage of peritonsillar abscess ("quinsy")
Arrest of haemorrhage following tonsillectomy/adenoidectomy
3
3
3
3
3
MOUTH
F4040
F4230
Suture of mouth (as sole procedure)
Removal of excess mucosa from mouth
1
3
SALIVARY GLAND
F4400
F4410
F4430
F4440
F4450
F4600
F4830
F5010
F5020
F5110
F5120
F5510
F5610
Excision of parotid gland (other than F4410/F4430)
Total excision of parotid gland and preservation of facial nerve
Partial excision of parotid gland and preservation of facial nerve
Excision of submandibular gland
Excision of sublingual gland
Incision or drainage of abscess or haematoma of salivary glands (i.e. including submandibular, parotid
and sublingual glands)
Therapeutic sialendoscopy
Transposition of parotid duct (including bilateral)
Transposition of submandibular duct (including bilateral)
Open extraction of calculus from parotid duct
Open extraction of calculus from submandibular duct
Dilatation of parotid duct
Manipulative removal of calculus from parotid duct
5
6
4
4
3
3
3
6
3
3
3
3
3
GULLET AND STOMACH
GULLET AND STOMACH
G0100
G0220
G0260
G0300
G0500
G0640
G0740
G0920
G0920
G0922
G0980
G1421
G1440
G1440
G1440
G1460
G1900
G2312
G2312
G2320
G2320
G2330
G2331
G4610
G2340
G2400
G2402
G2430
G2590
G2710
G2800
G2810
G3100
G3210
G3220
G3400
G3440
G3520
G3580
G3610
G3800
G4010
Oesophagectomy/Oesophagogastrectomy with anastomosis in chest
Total oesophagectomy and interposition of intestine
Endoscopically assisted oesophagectomy
Sub total oesophagectomy with anastomosis in neck
Bypass of oesophagus
Closure of bypass of oesophagus
Repair of ruptured oesophagus
Oesophagocardiomyotomy (Heller's operation)
Oesophagocardiomyotomy (Heller's operation)
VATS oesophageal/oesophagogastric myotomy
Thorascopic oesophagogastric myotomy
Endoscopic laser ablation of high-grade dysplasia in Barrett's oesophagus
Injection sclerotherapy for oesophageal varices
Injection sclerotherapy for oesophageal varices
Injection sclerotherapy for oesophageal varices
Endoscopic mucosal resection of high-grade dysplasia in Barrett's oesophagus
Rigid oesophagoscopy including biopsy, laser or diathermy destruction of lesions
Transthoracic repair of paraoesophageal hiatus hernia
Transthoracic repair of paraoesophageal hiatus hernia
Transthoracic repair of diaphragmatic hernia (acquired)
Transthoracic repair of diaphragmatic hernia (acquired)
Transabdominal repair of hiatus hernia
Laparoscopic repair of hiatus hernia with anti-reflux procedure (e.g. fundoplication)
Transoral incisionless fundoplication (TIF)
Transabdominal repair of diaphragmatic hernia
Transthoracic fundoplication & gastroplasty
Transthoracic fundoplication
Transabdominal anti-reflux operations
Revision of anti-reflux operations
Total gastrectomy and excision of surrounding tissue
Partial gastrectomy
Partial gastrectomy and excision of surrounding tissue
Laparoscopic biliary gastric bypass
Gastro-jejunostomy
Revision of gastro-jejunostomy
Gastrostomy
Closure of gastrostomy
Closure of perforated ulcer of stomach
Laparoscopic closure of peptic ulcer
Gastropexy (for reflux)
Open operations on stomach not elsewhere classified
Pyloromyotomy
12
9
10
11
8
8
8
8
8
8
7
2
2
2
2
2
3
6
6
6
6
6
6
6
6
8
8
6
7
8
9
8
6
8
8
5
2
6
6
6
8
6
G4030
G4410
G4430
G4440
G4442
G4443
G4480
G4520
G5100
G5320
G5810
G6000
G6080
G6100
G6500
G6710
G7100
G7250
G7250
G7402
G7403
G7512
G7513
G7530
G7810
G7880
G7900
G8080
G8082
G8083
Pyloroplasty
Therapeutic oesophago-gastro-duodenoscopy (OGD) with insertion of prosthesis, therapy for acutely
bleeding ulcer or banding of varices
Therapeutic oesophago-gastro-duodenoscopy (OGD) with bougie dilatation
Therapeutic oesophago-gastro-duodenoscopy (OGD) with insertion percutaneous endoscopic
gastrostomy/percutaneous endoscopic jejunostomy
Gastroscopic balloon insertion
Gastroscopic balloon removal
Therapeutic enteroscopy
Diagnostic enteroscopy
Bypass of duodenum
Closure of perforated ulcer of duodenum
Excision of jejunum
Open formation of jejunostomy
Laparoscopically assisted resection of small intestine
Bypass of jejunum
Diagnostic oesophago-gastro-duodenoscopy (OGD) includes forceps biopsy, biopsy urease test and dye
spray
Intubation of jejunum for decompression of intestine (without laparotomy)
Bypass of ileum
Ileoanal anastomosis and creation of pouch
Ileoanal anastomosis and creation of pouch
Open formation of ileostomy
Laparoscopic ileostomy
Revision of ileostomy - local
Revision of ileostomy - laparotomy
Closure of ileostomy (as sole procedure)
Open operations on ileum (including reduction of intussusception)
Redo-operations on ileum/colon
Ileoscopy via stoma with therapy
Capsule endoscopy including interpretation and evaluation
Diagnostic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps
biopsies, biopsy test and dye spray (as sole procedure)
Therapeutic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps
biopsies, biopsy test and dye spray (as sole procedure)
6
2
2
2
2
2
2
2
7
7
8
7
6
6
2
7
5
6
6
5
5
6
6
4
6
6
2
2
2
2
INTESTINE AND COLON
APPENDIX
H0210
H0280
H0310
Appendicectomy
Laparoscopic appendicectomy
Drainage of abscess of appendix or drainage of intra-abdominal abscess
4
4
4
COLON
H0410
H0480
H0510
H0610
H0700
H0750
H0800
H0900
H1000
H1200
H1300
H1542
H1550
H1581
H1590
H1700
H1880
H2002
H2502
H2510
H3310
Panproctocolectomy and ileostomy
Abdominal revision of restorative proctocolectomy
Total excision of colon and ileorectal anastomosis
Extended excision of right hemicolon
Right hemicolectomy
Laparoscopically assisted right hemicolectomy
Excision of transverse colon
Excision of left hemicolon
Excision of sigmoid colon
Excision of lesion of colon (transabdominal)
Bypass of colon
Closure of colostomy
Abdominal operation for Hirschsprung's disease (e.g. Duhamel, Söave and Surcuson operations)
Laparoscopic colostomy and stoma formation (including revision)
Open formation of colostomy
Intra abdominal manipulation of colon (including reduction of intussusception)
Laparoscopically assisted left colon resection
Diagnostic colonoscopy, includes forceps biopsy of colon and ileum
Diagnostic flexible sigmoidoscopy, includes forceps biopsy
Rigid sigmoidoscopy including biopsy
Abdominoperineal pull through resection with colo-anal anastomosis +/- colonic pouch and associated
stoma
10
8
8
8
8
9
8
8
8
5
5
4
3
6
9
8
8
3
2
3
10
H3320
H3322
H3332
H3334
H3362
H3363
H3364
H3365
H3380
H3390
Abdominoperineal resection of rectum and anus
Laparoscopic abdominoperineal resection
Anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection)
Anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection)
Hartmann's procedure
Colectomy and colostomy and preservation of rectum
Laparoscopic anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection)
8
8
8
8
8
8
8
Laparoscopic anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection)
Partial excision of rectum and sigmoid colon for prolapse
Reversal of Hartmann's procedure
8
8
8
RECTUM
H3500
H3580
H3580
H4180
H4200
H4430
H4480
H4680
H5020
H5080
H5100
H5240
H5250
H5400
H5510
H5520
H5620
H5640
H5680
H5800
H5940
H6020
Fixation of rectum for prolapse
Laparoscopic rectopexy
Laparoscopic rectopexy
Full or partial thickness rectal biopsy
Perineal repair of prolapse of rectum
Examination of rectum under anaesthetic (as sole procedure)
Dilation of stricture of rectum
Repair of faecal fistula
Repair of anal sphincter (including sigmoidoscopy)
Repair of anal trauma
Haemorrhoidectomy (including sigmoidoscopy)
Banding of haemorrhoids
Circular Stapling Haemorrhoidectomy
Anorectal stretch
Laying open of low anal fistula (including sigmoidoscopy)
Laying open of high anal fistula (including sigmoidoscopy)
Lateral sphincterotomy of anus
Excision of anal fissure
Excision of pressure sore excluding repair
Drainage through perineal region (including ischio-rectal abscess) (including sigmoidoscopy)
Excision of pilonidal sinus and suture/skin graft
Laying open of pilonidal sinus
4
6
6
2
6
2
2
3
4
4
3
1
4
1
3
4
2
3
2
1
3
3
LIVER, GALLBLADDER, PANCREAS AND SPLEEN
LIVER, GALL BLADDER AND PANCREAS
J0200
J0210
J0400
J0510
J0740
J0780
J0900
J1400
J1800
J1820
J1830
J1880
J1900
J2720
J2900
J3000
J3100
J3200
J3300
J3500
J3900
J4300
J5000
J5500
J5520
J5610
Partial excision of liver
Hemihepatectomy
Repair of liver (including therapeutic laparoscopic operations on liver)
Open drainage of liver
Open liver resection and ablation
Radiofrequency thermocoagulation of liver with scalpel liver resection
Diagnostic laparoscopy (including any biopsy)
Open puncture of liver
Cholecystectomy (including mini-cholecystectomy)
Cholecystectomy with exploration of common bile duct
Laparoscopic cholecystectomy
Laparoscopic cholecystectomy with peri-operative cholangiogram
Anastomosis of gall bladder (to another viscus)
Partial excision of bile duct and anastomosis of bile duct to duodenum/jejunum
Anastomosis of hepatic duct
Anastomosis of common bile duct
Open introduction of prosthesis into bile duct
Repair of bile duct
Incision of bile duct (including exploration for calculus removal)
Sphincterotomy of bile duct and pancreatic duct using duodenal approach
Therapeutic ERCP (including insertion of biliary or pancreatic prosthesis, sphincterotomy and stone
extraction)
Diagnostic ERCP ( includes forceps biopsy)
Percutaneous examination of bile duct
Total pancreatectomy and excision of surrounding tissue
Total pancreatectomy
Pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure)
8
8
6
3
10
6
3
5
7
7
6
6
8
6
8
7
7
8
6
5
5
5
5
11
8
8
J5700
J5711
J5750
J5900
J6180
J6200
J6300
J6600
J6730
J6900
J6980
Distal pancreatectomy
Pancreatectomy with autologous islet cell transplantation
Laparascopic distal pancreatectomy
Anastomosis of pancreatic duct (to another viscus)
Drainage of pancreatic abscess
Incision of pancreas
Open examination of pancreas
Therapeutic percutaneous operations on pancreas
8
8
8
8
8
5
5
5
Endoscopic upper gastrointestinal ultrasound, e.g. for pancreatico-biliary diagnosis/transmucosal biopsy
Open splenectomy
Laparoscopic splenectomy
3
5
5
BLOOD VESSELS
AORTIC VESSELS
L1810
L1880
L1880
L1890
L1890
L1892
L1892
L1910
L1940
L1960
L1980
L1992
L1990
L2190
L2200
L2290
L2350
L2360
L2382
L2560
L2600
Repair of leaking aneurysm of ascending aorta
Repair of leaking aneurysm of arch of aorta
Repair of leaking aneurysm of arch of aorta
Repair of leaking aneurysm of thoracic aorta
Repair of leaking aneurysm of thoracic aorta
Immediate repair of aortic dissection (i.e. within two weeks of happening)
Immediate repair of aortic dissection (i.e. within two weeks of happening)
Elective repair of aneurysm of ascending aorta
Infrarenal abdominal aortic aneurysm tube graft
Infrarenal abdominal aortic aneurysm bifurcation graft
Elective repair of aneurysm of arch of aorta
Delayed repair of aortic dissection (i.e. more than two weeks after happening)
Elective repair of aneurysm of thoracic aorta
Replacement of thoraco-abdominal aneurysms
Revision of prosthesis of abdominal aorta
Excision of infected aortic graft with bypass
Redo procedures on ascending aorta and proximal descending aorta
Repair of interrupted aortic arch
Aortic root replacement with valve conduit or homograft and/or remodelling
Percutaneous or open placement of intra-aortic balloon (including subsequent removal)
Percutaneous transluminal balloon operations on aorta
8
8
8
8
8
8
8
10
10
10
10
8
11
8
8
8
8
11
11
3
7
OTHER ATERIAL PROCEDURES
L1620
L1680
L2930
L2950
L3320
L3380
L3400
L3710
L3711
L3730
L4140
L4190
L4300
L4530
L4600
L5100
L5180
L5210
L5300
L5400
L5910
L5922
L5923
L5924
L5950
L5960
L6000
Axillo-unifemoral bypass
Axillo-bifemoral bypass
Bypass of carotid artery from the arch
Carotid endarterectomy
Ligation/clipping of aneurysm of cerebral artery
Reinforcement of aneurysm of cerebral artery
Open operations on cerebral artery
Bypass of subclavian artery from the arch
Bypass of subclavian artery - extra-thoracic
Endarterectomy and patch repair of subclavian artery
Endarterectomy of renal artery
Reconstruction of renal artery(ies)
Transluminal operations on renal artery
Endarterectomy and patch repair of visceral branch of abdominal aorta
Other open operations on other visceral branch of abdominal aorta
Aorto-iliac, aorto-femoral, ileo-femoral bypass
Aorto-bifemoral bypass
Endarterectomy and patch repair of iliac artery
Open operations on iliac artery
Transluminal operations on iliac artery
Femoro-femoral bypass
Femoro-popliteal bypass using prosthesis
Femoro-popliteal bypass using vein
Femoro-popliteal bypass using vein cuff/patch
Femoro-distal calf bypass using prosthesis +/- vein cuff/patch
Femoro-distal calf bypass using vein
Endarterectomy of femoral artery
10
8
11
7
10
10
11
6
6
6
8
11
6
8
8
9
9
8
10
5
8
8
8
8
8
8
7
L6230
L6300
L6530
L6710
L6800
L6840
L7010
Reconstruction/bypass for popliteal aneurysm
Transluminal procedures on femoral artery
Revision of femoral bypass graft
Biopsy of artery (including temporal) (as sole procedure)
Repair of limb artery
Repair of limb artery using vein graft
Open embolectomy of artery
8
6
8
2
8
6
6
OTHER VASCULAR PROCEDURES
L7032
L7110
L7410
L7420
L7422
L7423
L7430
L7520
L7580
L7710
L7920
L7980
L8110
L8110
L8510
Ultrasound guided haemorrhoidal artery ligation
Percutaneous transluminal angioplasty of artery
Creation of arteriovenous shunt (synthetic graft)
Creation of arteriovenous fistula (including subsequent closure)
Creation of arteriovenous fistula for dialysis
Ligation of arteriovenous fistula for dialysis
Removal of arteriovenous shunt (synthetic graft)
Repair of acquired arteriovenous fistula
Repair of arteriovenous fistula
Creation of portocaval shunt
Plication of vena cava
Repair of wound of major artery or vein of abdomen (including aorta and vena cava)
Creation of peritoneo-venous shunt (Levine/Denver)
Creation of peritoneo-venous shunt (Levine/Denver)
Ligation/stripping of long or short saphenous vein (including local excision/multiple phlebectomy)
2
3
6
4
4
4
4
4
10
8
8
8
6
6
3
L8512
Endovenous laser treatment (EVLT) of a single vein including local excision / phlebectomy - unilateral
3
L8513
Endovenous laser treatment (EVLT) of a single vein including local excision / phlebectomy - bilateral
3
L8514
Endovenous laser treatment (EVLT) of multiple veins including local excision / phlebectomy - unilateral
3
L8515
L8520
Endovenous laser treatment (EVLT) of multiple veins including local excision / phlebectomy - bilateral
Ligation/stripping of long or short saphenous vein (including local excision/multiple phlebectomy) bilateral
3
3
Operations for recurrent varicose veins with re-exploration of groin and / or popliteal fossa - unilateral
Operations for recurrent varicose veins without re-exploration of groin or popliteal fossa - unilateral
Operations for recurrent varicose veins without re-exploration of groin or popliteal fossa - bilateral
4
4
4
Operations for recurrent varicose veins with re-exploration of groin and / or popliteal fossa - bilateral
5
Ligation/stripping of long and short saphenous veins (including local excision/multiple phlebectomy)
Local excision (multiple phlebectomy) of varicose vein(s) of leg - bilateral
Local excision (multiple phlebectomy) of varicose vein(s) of leg - unilateral
Subfascial endoscopic perforator surgery (SEPS) - bilateral
Subfascial endoscopic perforator surgery (SEPS) - unilateral
Ligation/stripping of long and short saphenous veins (including local excision/multiple phlebectomy) bilateral
Open removal of thrombus from vein
Insertion of tunnelled central venous catheter (Hickman line)
Surgical insertion of central venous dialysis line
Percutaneous insertion of central venous dialysis line
Removal of central venous dialysis line
Implantation of port device (PowerPort)
Insertion of Portacath/Port-a-cath/Vasoport Unit
Basilic vein transposition
Venography (and bilateral)
Varicography for recurrent varicose veins
Isolated limb perfusion
Enhanced external counter pulsation
4
3
3
4
4
L8530
L8532
L8582
L8580
L8700
L8751
L8750
L8771
L8770
L8780
L9000
L9110
L9112
L9113
L9114
L9115
L9180
L9350
L9510
L9580
L9730
L9760
5
4
3
3
3
3
3
4
7
3
5
3
3
KIDNEY BLADDER AND URINARY TRACT
KIDNEY BLADDER AND URINARY TRACT
M0210
Nephrectomy and excision of perirenal tissue
6
M0220
M0221
M0222
M0250
M0251
M0280
M0282
M0300
M0302
M0312
M0380
M0412
M0510
M0550
M0610
M0680
M0800
M0812
M0813
M0814
M0840
M0880
M0910
M0940
M1000
M1080
M1090
M1110
M1360
M1820
M1910
M2012
M2030
M2080
M2100
M2130
M2202
M2200
M2210
M2280
M2310
M2510
M2511
M2530
M2580
M2600
M2730
M2920
M2930
M2932
M2981
M3000
M3010
M3202
M3400
M3410
M3420
M3500
M3510
M3600
M3602
M3640
M3700
M3710
M3720
M3780
M3820
M3880
M3900
Nephro-ureterectomy - unilateral
Nephro-ureterectomy - bilateral
Nephro-ureterectomy for live donor transplantation
Nephrectomy - unilateral
Nephrectomy - bilateral
Laparoscopic nephrectomy
Laparoscopic nephrectomy (incl. nephroureterectomy)
Open partial excision of kidney
Laparoscopic partial excision of kidney
Renal cryotherapy inc endoscopic insertion of catheter into ureter and endoscopic retrograde
pyleography
Laparoscopic upper or lower pole heminephrectomy
De-roofing and aspiration of renal para pelvic cyst
Open pyeloplasty
Repair of kidney wound
Open removal of calculus from kidney
Drainage of pyonephrosis
Other open operations on kidney
Open biopsy of renal transplant
Percutaneous biopsy of renal transplant
Open biopsy of native kidney
Exploration of renal transplant for bleeding
Open drainage of perinephric abscess
Endoscopic fragmentation of calculus of kidney
Percutaneous nephrolithotomy (including cystoscopy and retrograde catheterisation)
Therapeutic endoscopic operations on kidney (include cystoscopy and retrograde catheterisation)
Laparoscopic pyeloplasty
Robot assisted laparoscopic pyeloplasty
Diagnostic endoscopic examination of kidney (including biopsy)
Percutaneous insertion of nephrostomy tube
Excision of segment of ureter
Construction of ileal conduit including ureteric implantation
Replantation of ureter into bowel (including bilateral)
Bilateral replantation of ureter into bladder
Unilateral replantation of ureter into bladder
Other connection of ureter
Ileal or colonic replacement of ureter
Ureterostomy - formation
Ureterostomy - closure
Open correction vesico-ureteric reflux - unilateral
Open correction vesico-ureteric reflux - bilateral
Open ureterolithotomy
Excision of ureterocele (with or without ureteric reimplantation) - unilateral
Excision of ureterocele (with or without ureteric reimplantation) - bilateral
Ureterolysis - unilateral
Ureterolysis - bilateral
Therapeutic nephroscopic operations on ureter
Ureteroscopic extraction of calculus of ureter
Endoscopic insertion of prosthesis into ureter (including cystoscopy)
Removal of prosthesis from ureter
Cystoscopy and removal of transplant stent
Endoscopic anti-reflux procedure (and bilateral)
Endoscopic examination of ureter
Endoscopic retrograde pyelography
Operations on ureteric orifice (including endoscopic)
Open total cystectomy (with construction of intestinal conduit or bladder)
Robot assisted laparoscopic cystectomy with or without the removal of prostate
Laparoscopic cystectomy
Partial cystectomy
Diverticulectomy of bladder
Enlargement of bladder
Enterocystoplasty
Repair of bladder exstrophy
Repair of bladder
Cystourethroplasty
Repair of vesicocolic fistula
Repair of cutaneous vesical fistula
Cystostomy and insertion of suprapubic tube into bladder
Stab cystostomy
Open removal of calculus from bladder
6
6
6
6
6
8
8
5
5
3
6
6
6
3
5
3
3
6
6
6
6
6
4
4
5
4
4
2
4
6
8
6
6
6
5
6
6
5
6
6
6
6
6
6
6
5
4
4
2
2
2
4
3
3
11
10
8
5
6
7
7
4
4
6
8
8
4
4
4
M4400
M4410
M4420
M4430
M4480
M4510
M4512
M4712
M4910
M4932
M5100
M5180
M5222
M5220
M5250
M5280
M5280
M5300
M5520
M5580
M5582
M5600
M5630
M5630
M5820
Sphincterotomy
Litholapaxy
Endoscopic extraction of calculus of bladder (including cystoscopy)
Endoscopic removal of foreign body from bladder (including cystoscopy)
Resection of bladder neck
Diagnostic endoscopic examination of bladder (including any biopsy)
Diagnostic examination of bladder using hexaminolevulinate blue-light fluorescence cystoscopy
Bladder instillation of pharmacologic agent
Closure of cystostomy
Removal suprapubic catheter (as sole procedure) under GA
Combined abdominal and vaginal operations to support outlet of female bladder (including sling
procedures)
Combined abdominal and vaginal operations to support outlet of female bladder (including sling
procedures) - redo operation
Laparoscopic colposuspension
Retropubic suspension of neck of bladder (including colposuspension and cystoscopy)
Needle suspension of bladder neck
Retropubic suspension of neck of bladder (including colposuspension) - redo operation
Retropubic suspension of neck of bladder (including colposuspension) - redo operation
Vaginal operations to support outlet of female bladder (including cystoscopy)
Implantation of artificial urinary sphincter at bladder neck and/or removal (including cystoscopy)
Excision of urethral caruncle
Diathermy of urethral caruncle
Therapeutic endoscopic operations on outlet of female bladder
Therapeutic injection into bladder neck for treatment of stress incontinence (peri-urethral bulking
agents), including cystoscopy
Therapeutic injection into bladder neck for treatment of stress incontinence (peri-urethral bulking
agents), including cystoscopy
Dilatation of outlet of female bladder (with cystoscopy)
4
4
2
3
4
2
2
2
4
2
5
7
6
4
4
6
6
4
6
6
6
3
4
4
2
MALE REPRODUCTIVE
PROSTATE
M6100
M6480
M6532
M6533
M6530
M6580
M6620
M6712
M6720
M6730
M6780
M7080
M7200
M7280
M7312
M7313
M7314
M7315
M7316
M7320
M7330
M7332
M7340
M7360
M7361
M7380
M7500
M7590
M7620
M7700
M7920
M7940
M8120
M8130
Open excision of prostatic adenoma
Operation to support outlet of male bladder (including sling procedures)
Holmium laser resection of prostate (HoLRP)
Holmium Laser Enucleation of Prostatic Adenoma (HoLEP)
Endoscopic resection of prostate (TUR) (including cystoscopy)
Endoscopic biopsy of prostate
Endoscopic incision of outlet of male bladder (with cystoscopy)
Prostatic cryotherapy
Transurethral microwave therapy
Drainage of prostatic abscess
Prostatic hyperthermia (up to six courses)
Insertion of urethral stent for relief of prostatic obstruction
Urethrectomy
Urethral valve resection
Repair of penile/perineal hypospadias
Repair of penile shaft hypospadias
Repair of distal hypospadias
Secondary adjustment of penile skin following hypospadias repair
Complex secondary repair of hypospadias
Repair of epispadias
Closure of fistula of urethra
Closure of fistula of urethra after hypospadias
Repair of urethrorectal fistula
Simple urethroplasty, i.e. first attempt, anterior urethra
Complex urethroplasty, i.e. posterior urethral repairs and second (or further) anterior repairs
Repair of rupture of urethra
Excision of diverticulum of urethra
Tension-free urethropexy (including cystoscopy and admin of local anaesthetic operating surgeon)
Removal of foreign body from urethra - under GA
Diagnostic endoscopic examination of urethra (as sole procedure)
Dilatation of urethra (including cystoscopy)
Internal urethrotomy (including cystoscopy)
Meatoplasty
External meatotomy of urethral orifice
5
6
5
5
5
3
4
4
4
4
4
5
5
5
6
6
6
6
6
6
6
6
6
4
4
6
4
4
2
2
2
3
2
2
N0500
N0630
N0680
N0702
N0820
N0920
N1000
N1100
N1320
N1340
N1350
N1352
N1380
N1510
N1520
N1580
N1900
N1910
N2050
N2200
N2610
N2620
N2781
N2820
N2840
N2842
N2880
N3010
N3020
N3030
N3031
Bilateral excision of testes
Laparoscopic orchidectomy
Orchidectomy and excision of spermatic cord
Examination of testis under anaesthetic as sole procedure
Orchiopexy - bilateral
Orchiopexy
Prosthesis of testis (insertion or removal)
Correction of hydrocele
Fixation of testis
Biopsy of testis
Exploration of testis (including biopsy)
Laparoscopy for impalpable testis
Bilateral fixation of testes
Bilateral epididymectomy
Unilateral epididymectomy
Excision of epididymal cyst
Operation(s) on varicocele
Laparoscopic varicocelectomy
Vasography (include scrotal exploration)
Operation(s) on seminal vesicle
Total amputation of penis
Partial amputation of penis
Lue’s procedure for Peyronie’s disease
Reconstruction of penis
Repair of avulsion of penis
Frenuloplasty of penis
Repair of injury to penis
Preputioplasty
Division of preputial adhesions
Circumcision for medical reasons
Circumcision with Plastibell
5
2
4
2
2
2
3
3
2
2
2
2
2
2
2
3
2
2
2
4
4
4
5
5
2
2
2
2
2
3
3
FEMALE REPRODUCTIVE
FEMALE REPRODUCTIVE
P0310
P0320
P0510
P0550
P0580
P1300
P1400
P1800
P1920
P2000
P2100
P2210
P2230
P2310
P2340
P2380
P2420
P2450
P2452
P2510
P2510
P2520
P2530
P2932
Q0100
Q0330
Q0712
Q0710
Q0740
Q0750
Excision of Bartholin gland
Marsupialisation of Bartholin cyst
Simple vulvectomy
Excision of excess labial tissue
Radical vulvectomy (including block dissection of inguinal gland)
Operations on female perineum
Incision of introitus of vagina
Other obliteration of vagina
Excision of septum of vagina
Excision of lesion of vagina (e.g. warts and cysts)
Reconstruction of vagina
2
2
10
2
6
2
2
7
2
3
9
Anterior +/- posterior colporrhaphy and amputation of cervix uteri (including primary repair of enterocele)
Posterior colporrhaphy
Anterior +/- posterior colporrhaphy (including primary repair of enterocele)
Repair of enterocele (+/- posterior colporrhaphy) (as sole procedure)
6
4
6
4
Anterior (+/- posterior) colporrhaphy with vaginal hysterectomy (including primary repair of enterocele)
Sacrocolpopexy
Sacrospinous fixation
Posterior infracoccygeal sacropexy for vaginal vault prolapse
Repair of vesicovaginal fistula
Repair of vesicovaginal fistula
Repair of urethrovaginal fistula
Repair of rectovaginal fistula
Examination of vagina under anaesthetic as sole procedure
Amputation of cervix uteri
Cone biopsy of cervix uteri
Radical trachelectomy including laparoscopic and removal of lymph nodes
Radical hysterectomy and lymphadenectomy (Wertheim's)
Total abdominal hysterectomy (+/- oopherectomy)
Subtotal abdominal hysterectomy (+/- oopherectomy)
4
6
6
6
6
6
6
6
2
3
3
6
10
6
6
Q0751
Q0790
Q0800
Q0920
Q0950
Q1030
Q1700
Q1701
Q1703
Q1702
Q1800
Q1802
Q2020
Q2080
Q2230
Q3800
Q3900
Q4400
Laparoscopic subtotal hysterectomy (+/- oopherectomy)
Laparoscopic total hysterectomy (+/- oophorectomy)
Vaginal hysterectomy (including laparoscopically assisted)
Myomectomy (including laparoscopically)
Plastic reconstruction of uterus
Dilatation of cervix uteri and curettage of uterus including polypectomy and diathermy of cervix
Therapeutic endoscopic operations on uterus (including endometrial ablation excluding microwave or
radiofrequency ablation)
Laparoscopic excision of endometriosis
Impedance controlled bipolar radiofrequency ablation for menorraghia
Microwave endometrial ablation
6
6
6
6
6
3
Hysteroscopy including biopsy, dilatation, curettage and polypectomy with/without mirena coil insertion
Hysteroscopy with resection of fibroid
Endometrial biopsy or aspiration
Ventro-suspension of uterus including laparoscopic
Oophorectomy and salpingectomy (as sole procedure) (including bilateral)
Laparoscopy and therapeutic procedures including laser,diathermy and destruction
e.g.endometriosis,adhesiolysis,tubal surgery
Laparoscopy (including e.g. puncture of ovarian cysts, +/- biopsy, minor endometriosis)
Ovarian cystectomy (as sole procedure) (and bilateral)
3
3
2
2
5
4
4
4
4
4
4
5
SKIN
SKIN
S0410
S0520
S1510
S1510
S1700
S1740
S1750
S1900
S2002
S2000
S2220
S2500
S2502
S2503
S3102
S3100
S3500
S3530
S3532
S3622
S3623
S3624
S3625
S4182
S4183
S4212
S4213
S4230
S4480
S4720
S4740
S4812
S4930
S6400
S7010
Wide excision of sweat glands - bilateral axillae
Microscopically controlled excision of lesion of skin or subcutaneous tissue (including Moh's
chemosurgery)
Needle/tru-cut biopsy of muscle
Needle/tru-cut biopsy of muscle
Distant flap - delay/division/inset
Large myocutaneous (muscular/cutaneous) flap (9cm2 or more) including closure of secondary defect
Large muscle flap (9cm2 or more) including skin graft and closure of secondary defect
Distant pedicle flap - elevation including transfer (includng closure/grafting to secondary defect)
Small island flap (less than 9cm2)
Large island skin flap (9cm2 or more) (e.g. radial forearm) including closure of secondary defect
Neurovascular island flap
Local flap - less than 9cm2
Local flap - 9cm2 or more (excluding graft/flap to secondary defect)
Local flap - 9cm2 or more (including graft/flap to secondary defect)
Thinning of skin graft flap
Re-exploration of free flap
Split autograft of skin, trunk and limbs - up to 25cm2 in area
Split autograft of skin, trunk and limbs - over 25cm2 and up to 5% of body surface area
Split autograft of skin, trunk and limbs - each additional 5% of body surface area
Full thickness graft, trunk and limbs - up to 9cm2 in area
Full thickness graft, trunk and limbs - each additional 25cm2 in area
Full thickness graft, head, neck, hands & genitalia - up to 9cm2 in area
Full thickness graft, head, neck, hands & genitalia - each additional 16cm2 in area
Debridement and primary suture of wound with involvement of deeper tissue - Head & Neck
Debridement and primary suture of wound with involvement of deeper tissue - Trunk & Limbs
Debridement and primary suture of wound without involvement of deeper tissue (skin & subcutaneous
fat only) - Head & Neck
Debridement and primary suture of wound without involvement of deeper tissue (skin & subcutaneous
fat only) - Trunk & Limbs
Secondary suture of skin
Removal of foreign body in deeper tissue
Drainage of lesion of skin including abscess
Drainage of large subcutaneous abscess/haematoma
Insertion of skin expander into tissue
Removal of skin expander or valve
Excision of nail bed (Zadeks)
Wedge excision or avulsion of nail including chemical ablation of nail bed
ABDOMINAL WALL 3
3
1
1
6
4
4
10
4
5
6
4
5
5
3
8
3
3
3
2
2
2
2
2
2
2
2
2
2
2
2
3
3
3
1
ABDOMINAL WALL (HERNIAS)
T1900
T1910
T2000
T2002
T2010
T2012
T2080
T2100
T2102
T2110
T2112
Simple excision of inguinal hernial sac (herniotomy) - unilateral
Simple excision of inguinal hernial sac (herniotomy) - bilateral
Primary repair of inguinal hernia
Laparoscopic repair of inguinal hernia - unilateral
Primary repair of inguinal hernia - bilateral
Laparoscopic repair of inguinal hernia - bilateral
Primary repair of strangulated inguinal hernia
Repair of recurrent inguinal hernia
Laparoscopic repair of recurrent inguinal hernia - unilateral
Repair of recurrent inguinal hernia - bilateral
Laparoscopic repair of recurrent inguinal hernia - bilateral
3
3
3
4
3
3
3
4
4
4
4
FEMORAL HERNIA
T2200
T2280
T2300
Primary repair of femoral hernia
Primary repair of strangulated femoral hernia
Repair of recurrent femoral hernia
3
3
5
OTHER ABDOMINAL PROCEDURES
T2400
T2502
T2500
T2600
T2710
T2720
T2730
T2740
T2750
T2830
T3010
T3080
T3410
T3600
T3910
T3930
T4130
T4300
T4302
T4680
Repair of umbilical hernia (irrespective of age)
Laparoscopic repair of incisional hernia
Primary repair of incisional hernia
Repair of recurrent incisional hernia
Repair of ventral hernia not requiring mesh
Repair of ventral hernia requiring mesh
Repair of dorsal hernia including lumbar hernia
Repair of perineal hernia including scrotal that are not inguinal
Repair of sciatic hernias
Resuture of previous incision in abdominal wall (burst abdomen)
Laparotomy for post-operative haemorrhage
Laparotomy and repair of multiple visceral trauma
Open drainage of subphrenic abscess
Wedge excision or removal of omentum (as sole procedure)
Excision of retroperitoneal tumour
Retroperitoneal abscess
Freeing of adhesions of peritoneum
Laparoscopic adhesiolysis (including biopsy)
Open adhesiolysis (including biopsy)
Suprapubic drainage of pelvic abscess
3
3
4
4
3
3
3
3
3
4
8
8
8
7
6
6
6
3
3
3
MUSCLES MUSCLES - TENDONS
T6402
T6410
T6450
T6462
T6460
T6461
T6520
T6580
T6710
T6720
T6722
T6723
T6750
T6752
T6762
T6763
T6770
T6780
T6782
T6800
Tendon transfer of hand - single
Tendon transfer of hand - multiple (e.g. for radial nerve injury)
Tenodesis of biceps tendon (as sole procedure)
Excision or partial excision of IP joint of lesser toe with tendon transfer
Tendon transfer of toe - unilateral
Tendon transfer of toe - bilateral
Tendon sheath injection
Tendon graft, as sole procedure (not otherwise specified)
Primary repair of extensor of hand
Tendo Achilles lengthening percutaneous
Tendo Achilles lengthening primary open
Tendo Achilles lengthening repeat procedure
Primary repair of flexor of hand (excluding Zone II)
Primary repair of flexor of hand in Zone II
Repair of tendon of foot - flexor
Repair of tendon of foot - extensor
Peroneal sling/groove reconstruction & replacment of dislocated peroneal tendons
Primary repair of Achilles tendon
Repair of distal biceps tendon
Secondary repair of tendon (including graft,transfer and/or prosthesis) (not otherwise specified)
5
3
3
4
5
7
3
3
3
3
3
3
3
3
3
3
3
3
3
3
T6810
T6820
T6822
T6830
T6832
T6910
T6914
T6980
T6982
T7010
T7050
T7110
T7230
Secondary repair of Achilles tendon
Secondary repair or reconstruction of extensor of hand/forearm
Secondary repair of Achilles tendon with tendon or fascial graft
Secondary repair or 1st stage reconstruction of flexor of hand
Second stage reconstruction of flexor of hand
Tenolysis, of extensor (not otherwise specified)
Tenolysis of extensor tendon of hand
Tenolysis, of flexor tendon (not otherwise specified)
Tenolysis of flexor tendon of hand
Percutaneous tenotomy
Lengthening of tendon(s) or open tenotomy
Tenosynovectomy
Release of constriction of sheath of tendon (e.g. trigger finger)
3
3
3
3
3
3
3
3
3
3
3
3
3
OTHER
T7602
T7603
T7604
T7620
T7910
T7915
T7930
T7972
T7981
T7982
T7983
T7990
T8002
T8003
T8050
T8100
T9420
T9400
Microvascular free tissue transfer (when added to other codes) including closure of secondary defect
Microvascular free tissue transfer (as sole procedure including closure of secondary defect)
Vein/artery graft as part of microvascular free tissue transfer
Free functioning muscle transfer (as sole procedure) including closure of secondary defect
Open sub acromial decompression and extensive, greater than 2cm tear rotator cuff repair with excision
of distal clavicle
Arthroscopic rotator cuff repair greater than 2cm (as sole procedure)
Repair of abductor mechanism of hip
Exploration and repair of groin disruption including repair of muscle fascia and tendors (Gilmore's groin
repair)
11
11
7
11
Extensive, greater than 2cm tear repair of large muscle including arthroscopic (excluding rotator cuff)
Arthroscopic sub-acromial decompression and limited, less than 2cm tear rotator cuff repair (including
arthroscopic procedures in glenohumeral joint)
Open sub acromial decompression and limited, less than 2cm tear rotator cuff repair
Revision rotator cuff repair
Minor release of muscle for pain or contracture (involving small joint)
Major release of muscle for pain or contracture (e.g. Quadriceps) (involving large joint)
Surgical release of humeral epicondylitis (lateral or medial) (e.g. "Tennis Elbow")
Open biopsy of muscle or soft tissue lesion
Operations on branchial fistula
Operations on branchial cyst
3
6
6
6
3
3
3
6
3
3
3
2
4
3
BONES AND JOINTS
SKULL AND FACE BONES
V0110
V0130
V0180
V0310
V0330
V0390
V0530
V0580
V0700
V0820
V0830
V0910
V0930
V0980
V1040
V1150
Reconstructive cranioplasty
Craniostenosis (for single suture)
Craniostenosis (for more than one suture)
Exploratory open craniotomy
Exploratory burrhole of cranium
Foramen magnum decompression
Elevation of depressed fracture of cranium
Repair of compound fracture of cranium
Cranio-facial resection
Open reduction and fixation of fractured jaw
Closed reduction and fixation of fractured jaw
Open reduction and fixation of nasal ethmoidal fracture
Closed reduction of fracture of zygomatic complex of bones
Open reduction of fracture of zygomatic complex of bones
Osteotomy of maxilla (and bilateral)
Removal of internal fixation and/or intermaxillary fixation from jaw
8
8
8
8
10
8
8
8
11
4
4
4
4
4
6
4
JAW
V1400
V1422
V1423
V1622
V1730
Excision of mandible
Extensive segmental excision of mandible
Extensive excision of mandible with disarticulation
Backward/forward sliding mandibular osteotomy
Extra-oral fixation of mandible
10
6
6
6
4
V1910
V1930
V1931
V2020
V2030
V2110
V2120
Reconstruction of jaw (non-vascularised reconstruction)
Alveolar bone graft - unilateral
Alveolar bone graft - bilateral
Prosthetic replacement of temporomandibular joint
Arthroplasty of temporomandibular bone joint
Temporomandibular Meniscectomy
Reduction of dislocation of temporomandibular joint
6
6
6
6
6
4
4
SPINE
V2200
V2282
V2300
V2402
V2400
V2430
V2500
V2540
V2542
V2543
V2544
V2560
V2562
V2570
V2652
V2660
V2680
V2900
V2902
V2950
V2980
V2990
V3100
V3102
V3120
V3122
V3140
V3181
V3300
V3340
V3350
V3362
V3380
V3472
V3720
V3730
V4000
V4100
V4120
V4140
V4142
Posterior decompression +/- foraminotomy (cervical region)
Prosthetic intervertebral disc replacement in the cervical spine
Revisional posterior decompression +/- foraminotomy (cervical region)
Posterior decompression (thoracic region)
Posterior decompression with fusion (thoracic region)
Revisional posterior decompression with fusion (thoracic region)
Primary posterior fusion +/- decompression +/- discectomy (lumbar region)
Posterior excision of disc prolapse including microdiscectomy (lumbar region)
Posterior excision of disc prolapse with undercutting facetectomy (lumbar region)
Revision of posterior excision of disc prolapse with undercutting facetectomy (lumbar region)
Revision of posterior excision of disc prolapse (lumbar region)
Decompression for central spinal stenosis (1 or 2 levels)
Decompression for central spinal stenosis (3 or more levels)
Percutaneous vertebroplasty
Revision posterior fusion +/- instrumentation (lumbar region)
Revision of decompression for central spinal stenosis
9
6
8
7
9
8
8
8
8
8
8
6
6
3
8
8
Revision anterior discectomy, decompression and anterior fusion +/- instrumentation (lumbar region)
Anterior discectomy (cervical region)
Revisional anterior discectomy (cervical region)
Anterior discectomy, decompression and fusion (including bone grafting / multiple levels) (cervical
region)
Combined anterior and posterior fusion of cervical spine
Open door laminoplasty of the cervical region (Hirobyashi)
Combined anterior discectomy and posterior fusion (thoracic region)
Revisional combined anterior discectomy and posterior fusion (thoracic region)
Transthoracic/ anterolateral excision of intervertebral disc +/- fusion
Revisional transthoracic/ anterolateral excision of intervertebral disc +/- fusion
VATS percutaneous discectomy +/- fusion (thoracic region)
Prosthetic intervertebral disc replacement in the thoracic spine
Minimally invasive intradiscal surgery (including laser/instrumentation) (lumbar region)
Primary anterior discectomy, decompression and anterior fusion (lumbar region)
Combined anterior discectomy and fusion and posterior fusion (lumbar region)
Primary posterior fusion with instrumentation +/- decompression +/- discectomy (including graf
stabilisation and interbody fusion (PLIF)) (lumbar region)
Prosthetic replacement of lumbar disc
Revision of minimally invasive intradiscal surgery (lumbar region)
Posterior fusion (cervical region)
Trans-oral surgery - including posterior fixation
Combined anterior and posterior correction and instrumentation of scoliosis
Posterior correction of scoliosis with instrumentation and fusion
Anterior correction of scoliosis with instrumentation and fusion
Removal of posterior spinal implant
Removal of posterior scoliosis instrumentation (as sole procedure)
8
8
10
6
6
6
11
11
6
6
7
6
4
6
8
8
10
8
8
8
11
11
8
7
7
SPINE RELATED
V4300
V4302
V4742
V5002
V5210
V5484
V5485
V5486
V5487
V5482
Anterior vertebrectomy with decompression and implant
Combined anterior vertebrectomy with posterior fusion and instrumentation
Spinal endoscopy or percutaneous spinal biopsy (Fluroscopy controlled)
Manipulation of spine under GA (as sole procedure)
Chemonucleolysis (multiple levels)
Spinal dynamic stabilisation devices (Interspinous distraction devices e.g. X-stop)
Spinal dynamic stabilisation devices (Interspinous ligament devices)
Spinal dynamic stabilisation devices (Ligament across pedicle screws)
Spinal dynamic stabilisation devices (Semi-rigid metallic devices across pedicle screws)
Dynamic spine stabilisation procedure
HANDS AND FEET
10
11
5
2
3
8
8
8
8
11
W0110
W0120
W0282
W0283
W0284
W0285
W0300
W0310
W0330
W0380
W0390
W0420
W0422
W0432
W0434
W0462
W0463
W0460
W0464
W0512
W0513
W0514
Toe to hand transfer (as sole procedure) including closure of secondary defect
Pollicisation of finger for thumb reconstruction
Total excision of trapezium
Total excision of trapezium with spacer
Total excision of trapezium and ligament reconstruction
Trapezio-metacarpal joint surface replacement
Multiple procedures on forefoot
Multiple procedures on forefoot - bilateral
Fusion of first metatarso-phalangeal joint
Fusion of first metatarso-phalangeal joint - bilateral
4
4
4
4
4
4
4
5
3
4
MTP I Joint (metatarsophalangeal joint inter) resurfacing arthroplasty with implant (eg Salu-Cartilage)
Triple fusion of joints of hindfoot without autogenous graft
Triple fusion of joints of hindfoot with autogenous graft
Isolated subtalar fusion or mid foot fusion with autogenous graft (adult)
Isolated subtalar fusion or mid foot fusion without autogenous graft (adult)
Complex procedure to mid foot or hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon
transfers/fixation)
Complex procedure to mid foot and hindfoot without autogenous graft (osteotomy/fusion +/- tendon
transfers/fixation)
Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon
transfers)
Complex procedure to mid foot and hindfoot with autogenous graft (osteotomy/fusion +/- tendon
transfers, fixation)
Interpositional silastic arthroplasty of MCP/PIP joint- single
Prosthetic interpositional silastic arthroplasty of MCP/PIP joints - multiple
Prosthetic surface arthroplasty of interphalangeal/ metacarpo-phalangeal joint - single joint (both
cemented and uncemented)
4
4
4
4
4
4
6
5
7
3
3
3
OTHER BONE OR JOINT PROCEDURES
W0610
W0630
W0632
W0640
W0660
W0700
W0702
W0850
W0860
W0861
W0881
W0890
W1040
W1080
W1320
W1380
W1390
W1590
W1640
W1642
W1643
W1644
W1645
W1646
W1647
W1648
W1649
W1660
W1700
W1800
W1870
W1910
W1911
W1912
W1913
Total excision of cervical rib
Patellectomy
Prosthetic patello-femoral replacement (as sole procedure)
Total excision of sesamoid bone
Coccygectomy (multiple levels)
Excision of ectopic bone
Excision of ectopic bone around a total hip replacement
Partial excision of bone (including exostoses)
Metatarso-phalangeal cheilectomy - unilateral
Metatarso-phalangeal cheilectomy - bilateral
Excision of joint of toe with release of contracture and soft tissue correction
Excision distal clavicle, as sole procedure
Osteotomy of small bone of foot (including internal fixation)
Osteotomy of long bone, with/without fixation, including graft
Osteotomy of proximal femur
Arthroscopic femoro-acetabular surgery for hip impingement syndrome
Open femoro-acetabular surgery for hip impingement syndrome
Correction of retracted/dislocated metatarso-phangeal joint including tendon transfer,
division/realignment of bone and internal fixation
Simple pelvic osteotomy and fixation, e.g. Salter or Chiari osteotomies
Open reduction/internal fixation of posterior rim of acetabulum
Open reduction/internal fixation of either posterior wall/column of acetabulum or anterior column of
acetabulum
Open reduction/internal fixation of both columns of acetabulum
Open reduction/internal fixation plus bone graft symphysis pubis
Open reduction/internal fixation of sacro-iliac joint
Open reduction/internal fixation of fractures of the greater trochanter, including fixation of non-union of
greater trochanter after trochanteric osteotomy
Osteotomy/transfer of greater trochanter as sole procedure
Complex pelvic osteotomies and fixation, e.g. triple osteotomy, peri-acetabular osteotomy
Tibial osteotomy
Shelf augmentation of acetabulum, e.g. Wainwright or Trillat
Drainage/debridement of bone(s), including sequestrectomy for osteomyelitis
Drainage of petrous apex for sepsis
Primary reduction of fracture of neck of femur and internal fixation
Core decompression of hip
Pinning of head of femur - open or percutaneous (e.g. slipped femoral epiphysis, undisplaced neck
fracture)
Pinning for bilateral slipped upper femoral epiphysis
4
4
4
4
4
2
3
3
4
6
4
4
3
6
7
6
6
4
6
6
6
6
6
6
6
6
6
6
4
3
10
8
8
8
8
W1915
W1920
W1940
W2100
W2300
W2310
W2380
W2500
W2502
W2580
W2582
W2620
W2700
W2702
W2810
W2830
W2910
W2912
W2930
W3010
W3020
W3030
W3032
W3040
W3050
W3090
W3100
W3110
W3122
W3123
W3180
W3200
W3202
W3203
W3510
W3530
W3620
W3650
Hip osteochondroplasty (open)
Primary open reduction of long bone with fixation
Primary open reduction of small bone with fixation, including intra-articular
Primary open reduction of intra-articular fracture of long bone with internal fixation, eg proximal humerus
or proximal tibia (with or without arthroscopic assistance)
Secondary open reduction of fracture of small bone, including intra-articular fracture for delayed/nonunion (including bone graft)
Secondary open reduction of fractured long bone-and intramedullary fixation or internal fixation for nonunion/mal union - including intra-articular (including bone graft)
Locked intramedullary nailing of fractured long bone
Closed reduction of fracture of long bone with external fixation (excluding fixation by cast or
percutaneous K-wires)
Closed reduction of fracture of long bone, including cast or percutaneous K-wires
Closed reduction of fracture of small bone with external fixator
Closed reduction of fracture of small bone, including cast or percutaneous K-wires
Manipulation under anaesthesia of fractured nose (as sole procedure)
Fixation of epiphysis, including epiphysiodesis, correction of angular deformity
Epiphysiolysis (eg Langenskiold procedure)
Plating and bone grafting for non-union of clavicle
Removal of internal fixation from bone / joint, excluding K-wires
Application of skeletal traction to bone
Application of halo (as sole procedure)
Removal of skeletal traction from bone
Application of external fixation to bone
Adjustments to IIizarov frame/rings
Removal of external fixation from bone
Removal of fixator/frame/pins/wires and change of plaster
Application of IIizarov frame for secondary non-union / mal-union including osteotomy
Adjustments to pin sites secondary for non-union / mal-union
Core decompression of knee
Bone graft (except where part of another procedure)
Osteochondral grafting as a single stage procedure
Harvesting for autologous chondrocyte transplantation into knee including arthroscopy
Implantation of autologous chondrocyte transplantation into knee including knee surgery, debridement
and periosteal flap or membrane cover
Free composite (i.e. including bone) vascularised grafts
Open reduction and internal fixation of cancellous bone graft scaphoid nonunion
Open reduction and internal fixation wedge reconstruction bone graft scaphoid nonunion
Early open reduction and internal fixation of scaphoid fracture, i.e. within 6 weeks of fracture
Introduction of therapeutic substance into bone
Removal of percutaneous wire
Open bone biopsy
Diagnostic aspiration and/or trephine biopsy of bone marrow
8
8
3
3
3
6
6
3
3
3
3
3
3
4
3
3
3
3
3
3
3
3
3
3
3
3
6
6
6
6
6
6
6
6
2
2
3
2
HIP
W3712
W3713
Primary total hip replacement with or without cement
Complex primary total hip replacement requiring bone grafting or femoral osteotomy
W3714
Total hip replacement, with or without cement, after excision arthroplasty or arthrodesis, including
conversion of hemiarthroplasty or revision of other previous hip surgery which involved internal fixation
Metal on metal hip resurfacing arthroplasty
Minimally invasive hip replacement (2 incisions)
Minimally invasive hip replacement (one incision)
Minimally invasive hip resurfacing
Metal on metal hip resurfacing arthroplasty bilateral
Revision of uncemented or cemented total hip replacement without adjunctive procedures
Revision of total hip replacement including insertion of reconstruction rings, plates, screws, etc., and/or
impaction bone grafting to acetabulum and/or femur
Second, third or further revision total hip replacement or proximal femoral replacement (excluding
acetabular liner and head changes)
Total prosthetic replacement of the hip, with or without cement, bilateral
Removal of total hip replacement and creating a pseudarthrosis
Removal of total hip replacement and complete clearance of cement
Acetabular liner and head changes
Open reduction and internal fixation for periprosthetic fracture around hip
W3715
W3716
W3717
W3718
W3719
W3732
W3733
W3734
W3780
W3942
W3943
W3944
W3945
8
8
8
8
8
8
8
8
10
10
10
8
8
8
8
8
KNEE
W4200
Complex primary total knee replacement (i.e. including bone graft, augmentation or osteotomy)
10
W4210
W4212
W4230
W4240
W4242
W4280
Total prosthetic replacement of knee joint, with or without cement, +/- patella
Minimally invasive knee replacement
Revision of total replacement of knee joint
2 stage revision of total knee replacement for infection - first stage
2 stage revision of total knee replacement for infection -second stage
Total prosthetic replacement of knee joint - bilateral
8
8
10
8
8
8
LEG
W4410
W4420
W4430
W4542
W4543
W4600
Total prosthetic replacement of ankle joint
Complex total replacement of ankle (i.e. including custom prosthesis, wedges, internal fixation of
fractures)
Revision of total prosthetic replacement of ankle joint
Open reduction, internal fixation and revision of femoral component for periprosthetic fracture
Open reduction, internal fixation and complete revision for periprosthetic fracture
Prosthetic replacement of head of femur
8
8
8
4
4
8
ARM
W4900
W4902
W4920
W4930
W4940
W5000
W5030
W5040
W5050
W5060
W5200
W5310
W5502
W5510
W5512
W5520
W5540
W5550
W5560
W5600
W5630
W5700
W5701
W5710
W5722
W5723
W5780
W5930
W5940
W5980
W6012
W6013
W6014
W6015
W6016
W6017
W6018
W6019
W6030
W6200
W6202
W6230
W6522
W6523
W6540
W6600
W6630
W6702
Shoulder hemiarthroplasty, as sole procedure
Shoulder hemiarthroplasty and/or reconstruction for fracture
Conversion of hemiarthroplasty to total shoulder replacement
Revisional shoulder hemiarthroplasty
Scapulo-thoracic fusion
Primary total shoulder replacement
Revision total shoulder replacement
Replacement of elbow and shoulder (single operation)
Reverse polarity arthroplasty of shoulder
Resurfacing arthroplasty of shoulder
Unicompartmental knee replacement
Total prosthetic replacement of wrist joint
Interposition arthroplasty of elbow
Total prosthetic replacement of elbow
Prosthetic replacement of radial head
Revisional prosthetic replacement of elbow
Debridement of infected total joint replacement
Excision of radial head (as sole procedure)
OK (Outerbridge and Kashiwagi) procedure
Primary repair of rupture of acromioclavicular or sternoclavicular joint including internal fixation
Secondary repair of acromioclavicular or sternoclavicular joint +/- internal fixation
Excision arthroplasty of first metatarso-phalangeal joint with prosthetic implantation or interposition
arthroplasty
Excision arthroplasty of first metatarso-phalangeal joint with prosthetic implantation or interposition
arthroplasty - bilateral
Excision arthroplasty of first metatarso-phalangeal joint, including Keller's
Excision reconstruction of small joint
Excision reconstruction of large joint
Excision arthroplasty of first metatarso-phalangeal joint, including Keller's-bilateral
Fusion of digit joint(s) of hand with or without graft & with or without internal fixation
Fusion of interphalangeal joint(s) of toe (including internal fixation)
Fusion of interphalangeal joint(s) of toe (including internal fixation) - bilateral
Primary arthrodesis of joint with or without graft & with or without internal fixation - shoulder
Primary arthrodesis of hip joint with or without graft & with or without internal fixation - hip
Primary arthrodesis of knee joint with or without graft & with or without internal fixation
Ankle arthrodesis - open
Ankle arthrodesis with autogenous graft
Ankle arthrodesis with internal fixation (arthroscopic)
Ankle arthrodesis - revision, including conversion from total ankle replacement
Ankle syndesmosis reconstruction
Revision or conversion to arthrodesis of shoulder
Total fusion of all joints of wrist with or without graft & with or without internal fixation
Partial fusion of wrist
Vascular implantation to carpal bone
Primary open reduction of dislocation of small joint
Primary open reduction of dislocation of large joint
Open reduction of dislocated hip prosthesis
Closed reduction of dislocated hip prosthesis
Primary closed reduction of fracture or dislocation of joint, with or without fixation including cast
application
Secondary open reduction of dislocation of small joint
8
8
8
8
8
8
8
10
10
8
7
8
8
6
6
6
6
7
6
7
6
6
7
3
6
6
6
4
3
4
6
6
6
6
6
6
6
6
6
4
4
8
3
3
6
6
6
6
W6703
W6912
W6913
Secondary open reduction of dislocation of large joint
Total synovectomy of small joint
Total synovectomy of large joint
6
4
4
LIGAMENTS
W7400
W7410
W7420
W7430
W7470
W7484
W7480
W7482
W7483
W7485
W7486
W7492
W7490
W7500
W7530
W7580
W7582
W7583
W7712
W7713
W7714
W7715
W7760
W7780
W7810
W7850
W7860
W7872
W7880
W7881
W7900
W7910
W7980
W8100
W8110
W8180
W8150
W8192
W8193
W8194
W8200
W8230
W8280
W8300
W8380
W8400
W8500
W8520
W8580
W8600
W8603
W8602
W8620
W8630
Reconstruction of one or two ligaments not elsewhere specified
Mutiple ligament reconstruction of knee including posterior cruciate ligament
Autograft anterior cruciate ligament reconstruction (as sole procedure)
Reconstruction of lateral collateral ligament complex
Revision of anterior cruciate ligament reconstruction
Reconstruction of three or more ligaments not elsewhere specified
Posterior cruciate ligament reconstruction (including arthroscopic)
Scaphoid lunate ligament reconstruction
Triquetrolunate ligament reconstruction
Small joint (e.g. interphalangeal/ metacarpo-phalangeal joint) ligament reconstruction
Carpo-metacarpal joint ligament reconstruction
Arthroscopic lateral release
Reconstruction of posterior lateral corner of knee
Prosthetic open repair of ligament
Repair of lateral collateral ligament complex
Open surgical stabilisation of patella, including application of cast (adult)
Open surgical stabilisation of patella, including application of cast (child)
Repair of patellar/quadricep tendon
6
6
6
6
6
4
6
6
6
6
6
3
6
10
3
6
6
6
Stabilisation of unidirectional instability of shoulder joint, including anterior, posterior and arthroscopic
Stabilisation of multi-directional instability of shoulder joint
Open or arthroscopic shoulder stabilisation procedure (including labral/SLAP repair)
Coracoid bone block transfer for recurrent instability of shoulder (Bristow-Latarjet procedure)
Labral Repair (shoulder stabilisation)
Revision stabilisation of shoulder joint
Open arthrolysis of shoulder contracture
Open arthrolysis of elbow
Arthroscopic arthrolysis of elbow (as sole procedure)
Arthroscopic arthrolysis of shoulder contracture
Open or arthroscopic release of ankle joint contracture (excluding Achilles tendon lengthening)
6
6
6
6
6
4
6
5
5
5
6
Release of contracture of inter-phalangeal joint of finger (excluding trigger finger or Dupytrens disease)
Excision of medial eminence 1st or 5th MT head with soft tissue repair (bunionectomy)
Metatarsal osteotomy for Hallux valgus, with or without internal fixation and soft tissue correction
Metatarsal osteotomy for Hallux valgus, with or without internal fixation and soft tissue correctionbilateral
Open excision of calcific deposit (e.g. shoulder, hip)
Arthroscopic excision of calcific deposits from shoulder
Arthrotomy of small joint, including removal of loose body from joint
Arthrotomy of large joint, including removal of loose body from joint
Open sub-acromial decompression, as sole procedure
Arthroscopic sub-acromial decompression as sole procedure
Arthroscopic sub-acromial decompression and excision of distal clavicle (including arthroscopic
procedures in glenohumeral joint)
Arthroscopic meniscectomy (including debridement)
Arthroscopic meniscal repair
Arthroscopic meniscectomy (including debridement) - bilateral
Therapeutic arthroscopic operation on articular cartilage (other than W8200 and W8230) (as sole
procedure)
Therapeutic arthroscopic operation on articular cartilage (other than W8200 and W8230) - bilateral (as
sole procedure)
Repair of knee ligaments (open or arthroscopic)
Multiple arthroscopic operation on knee (including meniscectomy, chondroplasty, drilling or
microfracture)
6
2
4
Arthroscopy of knee (including examination under anaesthetic, washout and biopsy) (as sole procedure)
Multiple arthroscopic operation on knee (including meniscectomy, chondroplasty, drilling or
microfracture) - bilateral
Therapeutic arthroscopic operation on cavity of joint (not otherwise specified) (as sole procedure)
Therapeutic arthroscopy of shoulder (as sole procedure)
Therapeutic arthroscopy of wrist joint (as sole procedure)
Therapeautic arthroscopic examination of hip joint, with or without biopsy
Simple therapeutic arthroscopy of ankle with either soft tissue procedures or bony procedures +/- or joint
surface procedures (as sole procedure)
3
2
2
3
3
3
4
4
4
4
4
4
4
4
4
4
5
4
4
5
6
3
W8640
W8650
W8680
W8680
W8700
W8780
W8782
W8800
W8820
W8830
W8840
W8850
W8880
W9018
W9020
W9111
W9112
W9240
Complex therapeutic arthroscopy of ankle, with multiple bony, joint surface and soft tissue procedures
(as sole procedure)
Therapeutic subtalar arthroscopy including synovectomy to gain vision
Therapeutic arthroscopic operation on cavity of joint - bilateral (not otherwise specified) (as sole
procedure)
Therapeutic arthroscopic operation on cavity of joint - bilateral (not otherwise specified) (as sole
procedure)
Diagnostic arthroscopic examination of joint, with or without biopsy (not otherwise specified) (as sole
procedure)
Diagnostic arthroscopic examination of joint, with or without biopsy - bilateral (not otherwise specified)
(as sole procedure)
Flexible arthroscopy, +/- biopsy (as sole procedure)
Diagnostic arthroscopic examination of hip joint including wash-out, with or without biopsy (as sole
procedure)
Diagnostic arthroscopic examination of shoulder joint, with or without biopsy (as sole procedure)
Diagnostic arthroscopic examination of wrist joint, with or without biopsy (as sole procedure)
Diagnostic arthroscopic examination of ankle, including anterior synovectomy to gain vision (as sole
procedure)
Diagnostic subtalar arthroscopy including synovectomy to gain vision (as sole procedure)
Arthroscopy of elbow (as sole procedure)
Percutaneous biopsy/ arthrography/ aspiration in assessment of total hip replacement
Dynamic arthrogram of joint
Manipulation of joint (including intra-articular injection) for “Frozen Shoulder” (as sole procedure) –
bilateral
Manipulation of joint (including intra-articular injection) for "Frozen Shoulder" (as sole procedure)
Examination/ manipulation of joint under anaesthetic +/- injection (as sole procedure)
4
6
4
4
3
3
3
3
2
2
2
5
2
4
3
2
2
2
OTHERS
T5202
T5203
T5210
T5222
T5223
T5230
T5250
T5410
T5540
T5900
T6000
T6213
T6220
Dupuytren's fasciectomy palm only
Dupuytren's fasciectomy single digit with proximal interphalangeal joint
Dupuytren's fasciectomy multiple digits with proximal interphalangeal joints
Dupuytren's dermofasciectomy and graft, or for recurrent disease - single digit
Dupuytren's dermofasciectomy and graft, or for recurrent disease - multiple digits
Excision plantar fibroma
Endoscopic plantar fascia release
Dupuytren's subcutaneous fasciotomy
Fasciotomy of limb
Excision of ganglion
Repeat excision of ganglion
Soft tissue operations in the region of the greater trochanter (trochanteric bursitis, snapping hip)
Excision of bursa
3
3
2
2
2
2
2
2
2
3
3
2
2
LYMPH NODES AND OTHER
LYMPH NODES AND LYMPHATICS
T8950
Repair of peri-lymph fistula
7
ALL OTHERS
X0710
X0720
X0720
X0750
X0820
X0820
X0822
X0822
X0822
X0880
X0880
X0910
X0930
X1110
X1110
X1410
X1420
Forequarter amputation
Disarticulation of shoulder
Disarticulation of shoulder
Amputation of arm
Partial amputation of digit
Partial amputation of digit
Amputation of whole ray
Amputation of whole ray
Amputation of whole ray
Amputation through mid-carpal/transmetacarpal
Amputation through mid-carpal/transmetacarpal
Hindquarter amputation
Amputation of leg/foot (including Symes Lisfranc & Chopart)
Amputation of toe
Amputation of toe
Total exenteration of pelvis
Anterior exenteration of pelvis
8
6
6
8
3
3
3
3
3
3
3
8
8
4
4
11
10
X1430
X2130
X2280
X4110
X4120
X4822
Posterior exenteration of pelvis
Posterior exenteration of pelvis
Manipulation of hip and casting
Open insertion of Tenckhoff catheter
Removal of Tenckhoff catheter
Change of cast under general anaesthetic
* This table is reproduced from The CCSD Schedule™ with the kind permission of The CCSD Group™.
© The CCSD Group. No unauthorised copying. All rights reserved. Full details can be found at www.ccsd.org.uk/copyrightnotice
10
3
3
4
2
1