Approved Procedures
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This table documents the comprehensive list of approved procedures for which the entire cost (less the excess specified in the policy) will be covered under a County Medical policy when the operation takes place within the hospital network. For patients who may need to look outside of the hospital network the maximum contribution towards the operation is provided.
| Operation | Area of Body | Procedure Code | Max Benefit Outside County Medical Network |
|---|---|---|---|
| Facet joint injection upto 4 levels | Back | A5760 | £2,257.00 |
| Cardiac bypass | Heart | K4100 | £24,500.00 |
| Metal On Metal Hip Resurfacing Arthroplasty (Do Not Confuse With Ineligible Minimally Invasive Hip Resurfacing W3718) | Bones and joints | W3715 | £12,000.00 |
| Primary Total Hip Replacement With Or Without Cement | Bones and joints | W3712 | £11,071.00 |
| Total Prosthetic Replacement Of Knee Joint, With Or Without Cement, +/- Patella | Bones and joints | W4210 | £11,071.00 |
| Hartmann’s Procedure | Abdomen | H3362 | £9,287.00 |
| Needle suspension bladder neck | kidney/ bladder | M5250 | £8,750.00 |
| Primary Total Shoulder Replacement (Bigliani-Flatow or Delta 3) | Bones and joints | W5000 | £9,221.00 |
| Patello femoral replacement | Bones and joints | W0632 | £8,843.00 |
| Nephroureterectomy – Unilateral | kidney/ bladder | M0220 | £8,640.00 |
| Unicompartmental Knee Replacement | Bones and joints | W5200 | £8,430.00 |
| Retropubic suspension of neck bladder | kidney/ bladder | M5220 | £7,955.00 |
| Retropubic suspension of neck bladder (redo) | kidney/ bladder | M5280 | £7,855.00 |
| Posterior excision lumbar disc incl microdiscectomy | Back | V2540 | £8,059.00 |
| Anterior/posterior colporraphy and vaginal hysterectomy | Gynaecology | P2380 | £8,050.00 |
| Oophorectomy And Salpingectomy (As Sole Procedure) (Including Bilateral) | Gynaecology | Q2230 | £7,710.00 |
| Open Sub-Acromial Decompression And Extensive, Greater Than 2Cm Tear Rotator Cuff Repair With Excision Of Distal Clavicle | Bones and joints | T7910 | £7,460.00 |
| Laparoscopic Upper Or Lower Pole Heminephrectomy | kidney/ bladder | M0380 | £7488.00 |
| De-Roofing And Aspiration Of Renal Para Pelvic Cyst | kidney/ bladder | M0412 | £7,248.00 |
| Revision Stabilisation Of Shoulder Joint | Bones and joints | W7780 | £7472.00 |
| Appendicectomy | Abdomen | H0210 | £7060.00 |
| Total Abdominal Hysterectomy (+/- Oophorectomy) | Gynaecology | Q0740 | £6,959.00 |
| Vaginal Hysterectomy (Including Laparoscopically Assisted) | Gynaecology | Q0800 | £6860.00 |
| Bilateral Multiple Forefoot Joint Procedures | Bones and joints | W0310 | £7136.00 |
| Bilateral Forefoot Arthroplasty | Bones and joints | W0310 | £7,136.00 |
| Anterior +/- Posterior Colporrhaphy (Including Primary Repair Of Enterocele) (Including Cystoscopy) | Gynaecology | P2310 | £6,435.00 |
| Endoscopic Resection Of Prostate (Tur) (Including Cystoscopy) | Prostate | M6530 | £6,400.00 |
| Transabdominal Anti-Reflux Operations | Abdomen | G2430 | £6,998.00 |
| Cholecystectomy (Including Mini-Cholecystectomy) | Abdomen | J1800 | £6,638.00 |
| Decompression of spinal stenosis lumbar region | Back | V2560 | £6596.00 |
| Weaver-Dunn Procedure (ACJ reconstruction) <70 or no comorbidity | Bones and joints | W5630 | £6468.00 |
| Tibial tubercle transfer <70 or no comorbidity | Bones and joints | W7580 | £6,468.00 |
| Autograft Anterior Cruciate Ligament Reconstruction | Bones and joints | W7420 | £6,090.00 |
| Secondary Repair Of Tendon (Including Graft, Transfer And/Or Prosthesis) (Not Otherwise Specified) | Bones and joints | T6800 | £5,969.00 |
| Excision Of Ectopic Bone | Bones and joints | W0700 | £5969.00 |
| Closed Reduction Of Fracture Of Long Bone, Including Cast Or Percutaneous K-Wires | Bones and joints | W2502 | £5,969.00 |
| Repair Of Knee Ligaments (Open Or Arthroscopic) | Bones and joints | W8400 | £5969.00 |
| Excision Of Bursa | Bones and joints | T6220 | £5,716.00 |
| Tenodesis Of Biceps Tendon (As Sole Procedure) | Bones and joints | T6450 | £5716.00 |
| Laparoscopic Cholecystectomy | Abdomen | J1830 | £5901.00 |
| Subtotal Abdominal Hysterectomy (+/- Oophorectomy) | Gynaecology | Q0750 | £5,816.00 |
| Closure Of Ileostomy (As Sole Procedure) | Abdomen | G7530 | £5,576.00 |
| Open Operations On Stomach Not Elsewhere Classified (Refer To Usual Fee Team) | Abdomen | G3800 | £6,020.00 |
| Tibial Osteotomy | Bones and joints | W1660 | £5759.00 |
| Arthroscopic Meniscal Repair | Bones and joints | W8230 | £5,743.00 |
| Mid or Hindfoot osteotomy with internal fixation <70 or no comorbidity | Bones and joints | W0462 | £5,972.00 |
| Trapeziectomy and ligament reconstruction<70 or no comorbidity | Bones and joints | W0284 | £5,970.00 |
| Revision Of Anterior Cruciate Ligament Reconstruction | Bones and joints | W7470 | £6,329.00 |
| Revision ileostomy | Abdomen | G7512 | £5451.00 |
| Revision Of Ileostomy – Laparotomy | Abdomen | G7513 | £5,451.00 |
| Percutaneous Nephrolithotomy (Including Cystoscopy And Retrograde Catheterisation) | kidney/ bladder | M0940 | £5,975.00 |
| Therapeutic ERCP (Including Insertion Of Biliary Or Pancreatic Prosthesis, Sphincterotomy And Stone Extraction) | Abdomen | J3900 | £5375.00 |
| Sacrospinous Fixation | Gynaecology | P2450 | £5,375.00 |
| Myomectomy (Including Laparoscopically) | Gynaecology | Q0920 | £5,375.00 |
| Diagnostic Endoscopic Examination Of Kidney (Including Biopsy) | kidney/ bladder | M1110 | £5,359.00 |
| Unilateral thyroidectomy | Neck | B0812 | £5,268.00 |
| Corrective osteotomy distal radius<70 or no comorbidity | Bones and joints | W1080 | £4819.00 |
| Laparoscopic Repair Of Hiatus Hernia With Anti-Reflux (Eg Fundoplication) | Abdomen upper | G2331 | £5350.00 |
| Parathyroidectomy | Neck | B1450 | £4,990.00 |
| Laparoscopic Cholecystectomy With Peri-Operative Cholangiogram | Abdomen | J1880 | £4,990.00 |
| Freeing Of Adhesions Of Peritoneum | Abdomen | T4130 | £4,990.00 |
| Multiple Procedures On Forefoot (Not To Be Used For Bunionectomy W7900) | Bones and joints | W0300 | £4990.00 |
| Repair Of Enterocele (+/- Posterior Repair Colporrhaphy) (As Sole Procedure) | Gynaecology | P2340 | £4,750.00 |
| Small Joint (Eg Interphalangeal / Metacarpo-Phalangeal Joint) Ligament Recontstruction | Bones and joints | W7485 | £4,750.00 |
| Stabilisation Of Unidirectional Instability Of Shoulder Joint, Including Anterior, Posterior And Arthroscopic | Bones and joints | W7712 | £4,750.00 |
| Arthroscopic Sub-Acromial Decompression And Excision Of Distal Clavicle (Including Arthroscopic Procedures In Glenohumeral Joint) | Bones and joints | W8194 | £4,750.00 |
| Therapeutic Arthroscopy Of Shoulder (As Sole Procedure) | Bones and joints | W8603 | £4750.00 |
| Therapeutic Arthroscopic Examination Of Hip Joint With Or Without Biopsy | Bones and joints | W8620 | £4,750.00 |
| Endoscopic Resection Of Lesion Of Bladder (Including Cystoscopy) | kidney/ bladder | M4210 | £4,660.00 |
| Rotator cuff repair | Bones and joints | T7990 | £4,474.00 |
| Laparoscopic Repair Of Inguinal Hernia – Bilateral | Hernia | T2012 | £4,460.00 |
| Primary Repair Of Inguinal Hernia – Bilateral | Hernia | T2010 | £4460.00 |
| Diagnostic bronchoscopy | Chest | E5180 | £3,810.00 |
| Endoscopic Fragmentation Of Calculus Of Kidney | kidney/ bladder | M0910 | £4,375.00 |
| Arthroscopic Sub-Acromial Decompression As Sole Procedure | Bones and joints | W8193 | £3,978.00 |
| Total thyroidectomy | Neck | B0830 | £4,163.00 |
| Holmium Laser Resection Of Prostate (Holrp) (Including Cystoscopy) | Prostate | M6532 | £4,372.00 |
| Ureteroscopic Extraction Of Calculus Of Ureter (Including Cystoscopy) | kidney/ bladder | M2730 | £3,891.00 |
| Posterior Colporrhaphy | Gynaecology | P2230 | £3,888.00 |
| Tension free urethropexy | kidney/ bladder | M7590 | £4,121.00 |
| Exploration Of Facial Nerve, Mastoid Segment, Facial Nerve | Ears | D1240 | £4,359.00 |
| Partial Excision Of Parotid Gland And Preservation Of Facial Nerve | Face | F4430 | £4,359.00 |
| Septorhinoplasty +/- Graft / Implant Following Trauma Or Excision Of Tumour | Nose | E0230 | £4,119.00 |
| Intra Abdominal Manipulation Of Colon ( Includes Reduction Of Intussusception ) | Abdomen | H1700 | £4,119.00 |
| Endoscopic Insertion Of Prosthesis Into Ureter | kidney/ bladder | M2920 | £4,119.00 |
| Early Open Reduction And Internal Fixation Of Scaphoid Fracture Ie Within 6 Weeks Of Fracture | Bones and joints | W3203 | £4,119.00 |
| Arthroscopic Arthrolysis Of Shoulder Contracture | Bones and joints | W7872 | £4,119.00 |
| Radiofrequency Ablation Of Varicose Veins (Vnus) Unilateral | Veins | L8540 | £3,879.00 |
| Metatarsal Osteotomy For Hallux Valgus, With Or Without Internal Fixation And Soft Tissue Correction | Bones and joints | W7910 | £3,879.00 |
| Open Sub-Acromial Decompression, As Sole Procedure | Bones and joints | W8192 | £3,879.00 |
| Therapeutic Arthroscopy Of Wrist Joint (Sole Procedure) | Bones and joints | W8602 | £3,879.00 |
| Ligation stripping varicose veins short or long (bilateral) | Veins | L8520 | £4,060.00 |
| SLAP Repair<70 or no comorbidity | Bones and joints | W7760 | £4,014.00 |
| Ankle Arthroscopy | Bones and joints | W8640 | £4,014.00 |
| Sacrocolpexy | Gynaecology | P2420 | £4,000.00 |
| Myringoplasty | Ears | D1420 | £3,882.00 |
| Combined Approach Tympanoplasty – Intact Canal Wall Tympanoplasty | Ears | D1440 | £3,882.00 |
| Arthroscopic Meniscectomy (Including Debridement) – Bilateral | Bones and joints | W8280 | £4,468.00 |
| Multiple Arthroscopic Operation On Knee (Including Meniscectomy, Chondroplasty, Drilling Or Microfracture) – Bilateral | Bones and joints | W8580 | £4,468.00 |
| Metatarsal Osteotomy For Hallux Valgus | Bones and joints | W7910 | £3,860.00 |
| Repair Of Recurrent Inguinal Hernia | Hernia | T2100 | £3,605.00 |
| Wide Local Excision Of Lesion Of Breast | Breast | B2820 | £3,576.00 |
| Debridement Of Wound (And Surgical Toilet) – Up To 25Cm2 In Area | Skin | S5710 | £3,208.00 |
| Perianal Excision Of Lesion Of Rectum (Including Sigmoidoscopy) | Abdomen | H4130 | £3,387.00 |
| Perineal repair prolapsed rectum | Anal canal | H4200 | £3,521.00 |
| Microwave endometrial ablation | Gynaecology | Q1702 | £3,516.00 |
| Excision Biopsy Of Breast Lesion After Localisation | Breast | B2880 | £3,253.00 |
| Repair Of Distal Biceps Tendon | Bones and joints | T6782 | £3,487.00 |
| Litholapaxy (Including Cystoscopy) | kidney/ bladder | M4410 | £3,451.00 |
| Laparoscopic Repair Of Incisional Hernia | Hernia | T2502 | £3,445.00 |
| Primary Repair Of Incisional Hernia | Hernia | T2500 | £3,445.00 |
| Repair Of Other Hernia Of Abdominal Wall – There Are Now New Ccsd Hernia Codes See Section 11.9 Of The Schedule. | Hernia | T2700 | £3,175.00 |
| Excision/Biopsy Of Breast Lump/Fibroadenoma Of Breast | Breast | B2800 | £3,120.00 |
| Septoplasty Of Nose | Nose | E0360 | £3,120.00 |
| Removal Of Internal Fixation From Bone/Joint, Excluding K-Wires | Bones and joints | W2830 | £3,120.00 |
| Excision Of Lesion Of Jaw | Face | V1440 | £3,113.00 |
| Therapeutic Endoscopic Operations On Uterus ( Including Endometrial Ablation Excluding Microwave Or Radiofrequency Ablation) | Gynaecology | Q1700 | £3,243.00 |
| Laparoscopy And Therapeutic Procedures Including Laser, Diathermy And Destruction E.G. For Endometriosis, Adhesiolysis, Tubal Surgery | Gynaecology | Q3800 | £3,243.00 |
| Laparoscopy (Including E.G. Puncture Of Ovarian Cysts +/- Biopsy, Minor Endometriosis) | Gynaecology | Q3900 | £3,003.00 |
| Laparoscopic Repair Of Recurrent Inguinal Hernia – Unilateral | Hernia | T2102 | £3,003.00 |
| Excision Distal Clavicle, As Sole Procedure | Bones and joints | W0890 | £3,003.00 |
| Operations For Recurrent Varicose Veins With Re-Exploration Of Groin And/Or Popliteal Fossa | Veins | L8530 | £3,234.00 |
| Excision Of Pilonidal Sinus And Suture/Skin Graft | Anal canal | H5940 | £2,994.00 |
| Endoscopic Examination Of Ureter (Including Cystoscopy) | kidney/ bladder | M3000 | £2,994.00 |
| Tenolysis, Of Extensor, Not Otherwise Specified | Bones and joints | T6910 | £2,994.00 |
| Ultrasound Guided Drainage Of Fluid Collection | Radiology | XR180 | £2,994.00 |
| Partial Excision Of Bone (Including Exostoses) | Bones and joints | W0850 | £2,985.00 |
| Ligation/Stripping Of Long Or Short Saphenous Vein (Incl. Local Excision/Multiple Phlebectomy) | Veins | L8510 | £2,945.00 |
| Internal Urethrotomy (Including Cystoscopy) | kidney/ bladder | M7940 | £2,945.00 |
| Tonsillectomy adult | Throat | F3440 | £2,920.00 |
| Repair Of Umbilical Hernia (Irrespective Of Age) | Hernia | T2400 | £2920.00 |
| Multiple Arthroscopic Operation On Knee (Including Meniscectomy, Chondroplasty, Drilling Or Microfracture) | Bones and joints | W8500 | £2920.00 |
| Intranasal Antrostomy Including Endoscopic(& Bilateral) | Nose | E1330 | £2,910.00 |
| Endovenous laser treatment long saphenous vein( bilateral) | L8513 | £3,110.00 | |
| Fess Uncinectomy, Ethmoidectomy, Antrostomy Or Antral Puncture Inc Polypectomy And Attention To Turbinates Etc | Nose | E1432 | £3,066.00 |
| Excision epididymal cyst | Male genitalia | N1580 | £2,820.00 |
| Cone biopsy cevix | Gynaecology | Q0330 | £2,820.00 |
| Arthroscopic Meniscectomy (Including Debridement) | Bones and joints | W8200 | £2,820.00 |
| Open Surgical Stabilisation Of Patella, Including Application Of Cast (Adult) | Bones and joints | W7580 | £2,737.00 |
| Amputation of Toe | Bones and joints | X1110 | £2,722.00 |
| Dilatation of outlet femal bladder Endoscopic incision of outlet male bladder | kidney/ bladder | M5820 | £2,310.00 |
| Haemorrhoidectomy (Including Sigmoidoscopy) | Anal canal | H5100 | £2,660.00 |
| Circular Stapling Haemorrhoidectomy | Anal canal | H5250 | £2,660.00 |
| Extracorporeal Fragmentation Of Calculus Of Kidney (Lithotripsy) | kidney/ bladder | M1400 | £2,636.00 |
| Excision Of Lesion Of Testis | Male genitalia | N0700 | £2,636.00 |
| Laparoscopic Repair Of Inguinal Hernia – Unilateral | Hernia | T2002 | £2,636.00 |
| Secondary Repair Or Reconstruction Of Extensor Of Hand/Forearm | Bones and joints | T6820 | £2,636.00 |
| Capsule endoscopy | Abdomen | G8080 | £2,246.00 |
| Mucosal Graft To Conjunctiva | Eyes | C4010 | £2,582.00 |
| Myringotomy And Insertion Of Tube Through Tympanic Membrane ( And Bilateral ) | Ears | D1510 | £2,520.00 |
| Total Reconstruction Of Eyelid – Unilateral | Eyes | C1700 | £2,659.00 |
| Laying Open Of High Anal Fistula (Including Sigmoidoscopy) | Anal canal | H5520 | £2,659.00 |
| Adenotonsillectomy (And Bilateral) | Throat | F3480 | £2,419.00 |
| Insertion Of Tunnelled Central Venous Catheter (Hickman Line) | Veins | L9110 | £2,419.00 |
| Tendon Graft, As Sole Procedure (Not Otherwise Specified) | Bones and joints | T6580 | £2,419.00 |
| Operations On Branchial Cyst | Neck | T9400 | £2,419.00 |
| Closed Reduction Of Dislocated Hip Prosthesis | Bones and joints | W6600 | £2,419.00 |
| Primary Closed Reduction Of Fracture Or Dislocation Of Joint, With Or Without Fixation Including Cast Application | Bones and joints | W6630 | £2,419.00 |
| Therapeutic gastroscopy | Abdomen | G4430 | £2,059.00 |
| Diagnostic Laparoscopy (Including Any Biopsy) | Abdomen | J0900 | £2,410.00 |
| Surgical Release Of Humeral Epicondylitis (Lateral Or Medial) (Eg Tennis Elbow) | Bones and joints | T8050 | £2364.00 |
| Open Biopsy Of Muscle Or Soft Tissue Lesion | Bones and joints | T8100 | £2,364.00 |
| Manipulation Under Anaesthesia Of Fractured Nose As Sole Procedure | Nose | W2620 | £2,364.00 |
| Drainage Of Large Subcutaneous Abscess/Haematoma | Skin | S4740 | £2,356.00 |
| Primary Repair Of Inguinal Hernia | Hernia | T2000 | £2,339.00 |
| Excision lesion vagina | Gynaecology | P2000 | £2,336.00 |
| Release of ulna nerve | Elbow | A6810 | £2,293.00 |
| Manipulation Of Joint (Including Intra-Articular Injection) For Frozen Shoulder (As Sole Procedure) | Bones and joints | W9112 | £2,274.00 |
| Drainage Through Perineal Region (Including Ischio-Rectal Abscess) | Anal canal | H5800 | £1,886.00 |
| Cauterisation Of Lesion Of Cervix Uteri (+/- Loop Diathermy, Colposcopy Or Polypectomy) | Gynaecology | Q0230 | £1,880.00 |
| Carpal Tunnel Release, Including Endoscopic – Bilateral | Wrist | A6580 | £2,235.00 |
| Adenoidectomy | Throat | E2010 | £2,230.00 |
| Hysteroscopy Including Biopsy, Dilatation, Curettage And Polypectomy With/Without Mirena Coil Insertion | Gynaecology | Q1800 | £2,220.00 |
| Sentinel Node Mapping With Blue Dye And Radioactive Probe For Breast Cancer | Breast | T9020 | £1,817.00 |
| Endoscopic Destruction Of Lesion Of Bladder (Including Cystoscopy) | kidney/ bladder | M4230 | £2,118.00 |
| Repair Of Prolapsed Iris | Eyes | C6410 | £2,116.00 |
| Local Excision/Multiple Phlebectomy Of Varicose Vein(S) Of Leg Refer | Veins | L8750 | £2,116.00 |
| Local Excision (Multiple Phlebectomy) Of Varicose Vein(S) Of Leg | Veins | L8751 | £2,116.00 |
| Cubital Tunnel Release Including Endoscopic (Without Transposition) | Wrist | A6710 | £2,108.00 |
| Microlaryngoscopy/ Laryngoscopy Of Larynx +/- Endoscopic Excision Of Lesion Of Larynx | Throat | E3520 | £2,108.00 |
| Endoscopic Retrograde Pyelography (Including Cystoscopy) | kidney/ bladder | M3010 | £2,108.00 |
| Correction Of Hydrocele | Male genitalia | N1100 | £2,108.00 |
| Hysteroscopy With Resection Of Fibroid | Gynaecology | Q1802 | £2,108.00 |
| Excision Of Lesion Of Skin Or Subcutaneous Tissue – Four Or More, Trunk And Limbs | Skin | S0643 | £2,108.00 |
| Laying Open Of Low Anal Fistula (Including Sigmoidoscopy) | Anal canal | H5510 | £1,748.00 |
| Removal Of Lens Implant | Eyes | C7530 | £2,107.00 |
| Percutaneous Biopsy Of Lesion Of Liver | Abdomen | J1300 | £1,719.00 |
| Therapeutic Oesophago-Gastro- Duodenoscopy (Ogd) With Insertion Of Prosthesis, Therapy For Acutely Bleeding Ulcer Or Banding Of Varices | Abdomen | G4410 | £1,710.00 |
| Excision Of Ganglion | Bones and joints | T5900 | £2,049.00 |
| Carpal Tunnel Release, Including Endoscopic | Wrist | A6510 | £2,019.00 |
| Release Of Constriction Of Sheath Of Tendon (Eg Trigger Finger) | Bones and joints | T7230 | £2,019.00 |
| Therapeutic Colonoscopy With Snare Loop Biopsy Or Excision Of Lesion | Abdomen | H2003 | £2,000.00 |
| Diagnostic Colonoscopy, Includes Forceps Biopsy Of Colon And Ileum | Abdomen | H2002 | £2,000.00 |
| Diagnostic Oesophago-Gastro- Duodenoscopy (Ogd) Includes Forceps Biopsy, Biopsy Urease Test And Dye Spray (This Includes Local Anaesthetic – No Extra Charge Payable | Abdomen | G6500 | £1,639.00 |
| Diagnostic Endoscopic Examination Of Bladder (Including Any Biopsy) | kidney/ bladder | M4510 | £1,620.00 |
| Diagnostic Flexible Sigmoidoscopy, Includes Forceps Biopsy | Abdomen | H2502 | £1,610.00 |
| Excision Of Anal Fissure | Anal canal | H5640 | £1,584.00 |
| Removal Of Prosthesis From Ureter (Including Cystoscopy) | kidney/ bladder | M2930 | £1,583.00 |
| Therapeutic Oesophago-Gastro Duodenoscopy (Ogd) With Insertion Of Percutaneous Endoscopic Gastrostomy/ Percutaneous Endoscopic Jejunostomy | Abdomen | G4440 | £1,560.00 |
| Wedge Excision Or Avulsion Of Nail Including Chemical Ablation Of Nail Bed | Toe | S7010 | £1,560.00 |
| Therapeutic Local Anaesthetic/Aspiration Of Joint Under Imaging Control | Bones and joints | W9016 | £1,520.00 |
| Therapeutic flexible sigmoidoscopy | Abdomen | H2503 | £1,500.00 |
| Excision Of Lesion Of Pinna | Ears | D0210 | £1,820.00 |
| Circumcision | Male genitalia | N3030 | £1,820.00 |
| Marsupialisation Of Bartholin Cyst | Gynaecology | P0320 | £1,820.00 |
| Excision Of Preauricular Sinus | Ears | D0140 | £1,460.00 |
| Reduction Turbinates Of Nose (Laser, Diathermy, Out Fracture Etc) | Nose | E0412 | £1,460.00 |
| Lateral Sphincterotomy Of Anus | Anal canal | H5620 | £1,460.00 |
| Excision Of Lesion Of Vulva | Gynaecology | P0600 | £1,460.00 |
| Subcutaneous Tenotomy | Bones and joints | T7010 | £1,460.00 |
| Simple Intra-Muscular Injection, Without X-Ray Control (As Sole Procedure) | Bones and joints | X3760 | £1,460.00 |
| Therapeutic Local Anaesthetic/Aspiration – Large Joint – Single | Bones and joints | W9012 | £1,448.00 |
| Cataract unilateral | Eyes | C7122 | £1,800.00 |
| Excision Of Nail Bed (Zadek’S) | Toe | S6400 | £1,421.00 |
| Dilatation Of Cervix Uteri And Curettage Of Retained Products Of Conception Following Spontaneous Abortion. | Gynaecology | Q1010 | £1,385.00 |
| External Cardioversion | Heart | X5020 | £1,740.00 |
| Anorectal Stretch | Anal canal | H5400 | £1,258.00 |
| Removal Of Grommets | Ears | D2030 | £1,250.00 |
| Therapeutic Endoscopic Operation On Pharynx | Throat | E2400 | £1,243.00 |
| Frenotomy/Frenectomy Of Tongue | Throat | F2620 | £1,243.00 |
| Excision Of Pterygium | Eyes | C3960 | £1,218.00 |
| Laser Photocoagulation/Cryother Of Lesion Of Retina | Eyes | C8200 | £1,550.00 |
| Laser Trabeculoplasty | Eyes | C6110 | £1,190.00 |
| Ultrasound Guided Haemorrhoidal Artery Ligation (Known As Halo Or Hal) | Anal canal | L7032 | £1,492.00 |
| Core Biopsy Of Lesion Of Breast | Breast | B3220 | £1,132.00 |
| Puncto-Canaliculoplasty | Eyes | C2910 | £1,132.00 |
| Laser Iridotomy | Eyes | C6230 | £1,132.00 |
| Fecal disimpaction | Anal canal | H4420 | £1,132.00 |
| Secondary Suture Of Skin | Skin | S4230 | £1,132.00 |
| Drainage Of Lesion Of Skin, Including Abscess | Skin | S4720 | £1,132.00 |
| Removal Of Percutaneous Wire | Bones and joints | W3530 | £1,132.00 |
| Myringotomy (And Bilateral) | Ears | D1530 | £1,126.00 |
| Excision Of Lesion Of Anus | Anal canal | H4800 | £1,126.00 |
| Operations On Female Perineum | Gynaecology | P1300 | £1,126.00 |
| Incision Of Introitus Of Vagina | Gynaecology | P1400 | £1,126.00 |
| Image-Guided Injection(S) Into Joint(S) | Bones and joints | W9030 | £1,126.00 |
| Botulinus Toxin Injections To Muscle | Bones and joints | X3750 | £1,126.00 |
| Intramuscular Injections With X-Ray Control (Eg Piriformis Block) | Bones and joints | X3770 | £1,066.00 |
| Excision Of Lesion Of Skin Or Subcutaneous Tissue – Up To Three, Head And Neck | Skin | S0632 | £1,043.00 |
| Rigid Sigmoidoscopy Including Proctoscopy And Biopsy | Abdomen | H2510 | £1,020.00 |
| Bladder Instillation Of Pharmacologic Agent (Including Cystoscopy) | kidney/ bladder | M4712 | £993.00 |
| Biopsy Of Lesion Of Eyelid | Eyes | C2220 | £920.00 |
| Yag Laser Photodisruption Of Posterior Capsule Of Lens ( Including Laser Capsulotomy ) | Eyes | C7340 | £920.00 |
| Fluorescein Angiography Of Eye (Including Ocular Photography) | Eyes | C8650 | £920.00 |
| Suction Clearance Of Middle Ear (As Sole Procedure) | Ears | D1520 | £920.00 |
| Nasal Septum Cauterisation (& Bilateral) | Nose | E0380 | £920.00 |
| Prostate needle biopsy | Prostate | M7020 | £920.00 |
| Dilatation Of Cervix Uteri And Curettage Of Uterus, Including Polypectomy And Diathermy Of Cervix | Gynaecology | Q1030 | £920.00 |
| Excision Of Lesion Of Skin Or Subcutaneous Tissue – Up To Three, Trunk And Limbs | Skin | S0633 | £920.00 |
| Introduction Of Substance Into Skin (Including Hormone Pellet) | Skin | S5300 | £920.00 |
| Injection(S) Into Joint(S) Without X-Ray Control | Bones and joints | W9040 | £920.00 |
| Orbital Injection | Eyes | C0840 | £878.00 |
| Curettage/Cryotherapy Of Lesion Of Eyelid | Eyes | C1230 | £878.00 |
| Surgical Correction Of Trichiasis/Upper Lid Entropion, Including Graft/Flap | Eyes | C1540 | £878.00 |
| Exploration Of Conjunctiva (Including Removal Of Foreign Body) | Eyes | C4350 | £878.00 |
| Removal Of Corneal Suture | Eyes | C4730 | £878.00 |
| Urodynamic Studies/Urodynamic Assessment | kidney/ bladder | M4780 | £872.00 |
| Ocular Photography (As Sole Procedure) | Eyes | C8652 | £810.00 |
| Introduction Of A Mirena Coil – Not To Be Used For Contraceptive Coil | Gynaecology | Q1280 | £785.00 |
| Aspiration Of Subcutaneous Haematoma | Skin | S4780 | £785.00 |
| Biopsy Of Skin Or Subcutaneous Tissue | Skin | S1500 | £776.00 |
| Oophorectomy and salpingectomy | Gynaecology | Q2020 | £1,310.00 |
| Excision Of Lesion Of Eyelid | Eyes | C1210 | £710.00 |
| Colposcopy | Gynaecology | P2730 | £710.00 |
| Shave Biopsy Of Lesion Of Skin | S1420 | £710.00 | |
| Fine Needle Aspiration Cytology | Skin | S4760 | £710.00 |
| Probing Of Nasolacrimal System With/Without Syringing And/ Or Irrigation | Eyes | C2650 | £651.00 |
| Endoscopic Laryngo-Pharyngoscopy As Sole Out-Patient Procedure – For In Patient Or Day Case Use E2500 (Includes +/- Stroboscopy) | Throat | E3680 | £651.00 |
| Aural Toilet – Including Microsuction | Ears | D0702 | £640.00 |
| Diagnostic Endoscopy Of Sinus (As Sole Procedure) | Nose | E1780 | £542.00 |
| Banding Of Haemorrhoids | Anal canal | H5240 | £542.00 |
| Injection Of Sclerosing Substance Into Haemorrhoid | Anal canal | H5230 | £542.00 |
| Unilateral Varicose Vein Injection Sclerotherapy | Veins | L8600 | £542.00 |
| Injection Into Subcutaneous Tissue/Painful Trigger Point (Including Local Anaesthetic And Steroid) | Skin | S5210 | £539.00 |
| Change Of Cast Without General Anaesthetic | Bones and joints | X4810 | £521.00 |
| Cast change in theatre | Bones and joints | X4810 | £521.00 |
| Excision of Mortons Neuroma <70 or no comorbidity | Foot | A6110 | £2,829.40 |
| Adrenalectomy unilateral | Endocrine | B2233 | £3,521.00 |
| Drainage Of Breast Abscess Including Haematoma And Seroma | Breast | B3310 | £1,479.80 |
| Microdochotomy | Breast | B3440 | £2,419.20 |
| Operation on duct nipples | Breast | B3590 | £2,419.20 |
| Excision lesion canthus | Eyes | C1110 | £2,434.60 |
| Correction Of Lower Lid Ectropion With Graft/Flap | Eyes | C1513 | £1,703.80 |
| Correction Of Trichiasis By Electrolysis/ Diathermy/Cryotherapy/ Laser | Eyes | C1532 | £1,023.40 |
| Correction ptosis | Eyes | C1810 | £3,658.20 |
| Correction Of Ptosis Of Eyelid – Complex | Eyes | C1812 | £3,102.40 |
| Dacryocysto-Rhinostomy, Including Insertion Of Tube | Eyes | C2540 | £3,725.40 |
| Squint surgery | Eyes | C3113 | £3,683.40 |
| Corneal lesion excision | Eyes | C4520 | £1,691.20 |
| Glucoma | Eyes | C6010 | £3,521.00 |
| Cataract bilateral | Eyes | C7125 | £3,521.00 |
| Anterior vitrectomy | Eyes | C7910 | £3,521.00 |
| Excision lesion of external nose | Nose | E0910 | £1,691.20 |
| Diagnostic endoscopy of pharynx | Throat | E2500 | £1,691.20 |
| Tracheostomy | Throat | E4210 | £2,419.20 |
| Therapeutic bronchoscopy | Chest | E4800 | £1,691.20 |
| Needle biopsy pleura/ lung | Chest | E5910 | £1,691.20 |
| Tonsillectomy – Child (Including Bilateral) Up To & Including Age 12 | Throat | F3400 | £2,744.00 |
| Total parotidectomy | Face | F4410 | £5,803.00 |
| Excision submandibular gland | Neck | F4440 | £3,444.00 |
| Biopsy salivary gland | Face | F4810 | £1,691.20 |
| Oesophagocardiomyotomy (Hellers) | Throat | G0920 | £3,521.00 |
| Revision anti reflux surgery ( Redo) | Abdomen | G2590 | £8,043.00 |
| Gastro jejunostomy | Abdomen | G3210 | £3521.00 |
| Pyloroplasty | Abdomen | G4030 | £3,521.00 |
| Open excision lesion duodenum | Abdomen | G5000 | £5,803.00 |
| Resection small bowel | Abdomen | G5810 | £3521.00 |
| Lap assisted resection of small bowel | Abdomen | G6080 | £3521.00 |
| Open Formation Of Ileostomy | Abdomen | G7402 | £5742.80 |
| Open operation on ileum | Abdomen | G7810 | £6300.00 |
| Drainage abscess appendix | Abdomen | H0310 | £3,521.00 |
| Extended Excision Of Right Hemicolon | Abdomen | H0610 | £12275.20 |
| Right hemicolectomy | Abdomen | H0700 | £6384.00 |
| Left hemicolectomy | Abdomen | H0900 | £6384.00 |
| Sigmoid colectomy | Abdomen | H1000 | £6384.00 |
| Closure Of Colostomy | Abdomen | H1542 | £7,000.00 |
| Open Formation Of Colostomy | Abdomen | H1590 | £8,218.00 |
| Open excision lesion colon or rectum | Abdomen | H3400 | £3521.00 |
| Laparoscopic rectopexy | Abdomen | H3580 | £4,839.80 |
| Fixation Of Rectum For Prolapse | Abdomen | H3500 | £5,111.40 |
| Examination Of Rectum Under Anaesthetic (As Sole Procedure) | Anal canal | H4430 | £1,930.60 |
| Repair Of Faecal Fistula | Anal canal | H4680 | £2,424.80 |
| Repair anal sphincter | Anal canal | H5020 | £3,521.00 |
| Cholecytectomy with exploration common bile duct | Abdomen | J1820 | £6,384.00 |
| Diagnostic ERCP (Includes Forceps Biopsy) | Abdomen | J4300 | £5,698.00 |
| Splenectomy open/ laparoscopic | Abdomen | J6900 | £3,521.00 |
| Cardiac angioplasty | Heart | K4900 | £7,000.00 |
| Cardiac angiogram | Heart | K6590 | £2,800.00 |
| Operation for recurrent varicose veins including groin exploration (bilateral) | Veins | L8580 | £4,253.20 |
| Endovenous laser treatment long saphenous vein (unilateral) | Veins | L8512 | £3,176.60 |
| Bilateral varicose vein injection sclerotherapy | Veins | L8680 | £1,691.20 |
| Ligation/ stripping of long and short saphenous vein (unilateral) | Veins | L8700 | £3,521.00 |
| Ligation/Stripping of long and short saphenous vein (bilateral) | Veins | L8780 | £3,521.00 |
| Nephrectomy unilateral | kidney/ bladder | M0250 | £3,521.00 |
| Laparoscopic Nephrectomy | kidney/ bladder | M0280 | £8,155.00 |
| Partial excision kidney | kidney/ bladder | M0300 | £3,521.00 |
| Open pyeloplasty | kidney/ bladder | M0510 | £3,521.00 |
| Open removal of calculus kidney | kidney/ bladder | M0610 | £3,521.00 |
| Drainage pyonephrosis | kidney/ bladder | M0680 | £2,419.20 |
| Open biopsy kidney | kidney/ bladder | M0814 | £3,521.00 |
| Open drainage perinephric abscess | kidney/ bladder | M0880 | £3,521.00 |
| Laparoscopic pyeloplasty | kidney/ bladder | M1080 | £8,320.20 |
| Therapeutic endoscopic operation on kidney | kidney/ bladder | M1000 | £4,498.20 |
| Percutaneous insertion of nephrostomy tube | kidney/ bladder | M1360 | £2,419.20 |
| Percutaneous needle biopsy lesion kidney | kidney/ bladder | M1310 | £1,691.20 |
| Open Ureterolithotomy | kidney/ bladder | M2310 | £3,521.00 |
| Excision ureterocoel bilateral | kidney/ bladder | M2511 | £6,384.00 |
| Ureterolysis – Bilateral | kidney/ bladder | M2580 | £9,114.00 |
| Excision ureterocoel unilateral | kidney/ bladder | M2510 | £3,521.00 |
| Ureterolysis – Unilateral | kidney/ bladder | M2530 | £7,798.00 |
| Endoscopic antireflux procedure bilateral | kidney/ bladder | M2981 | £2,419.20 |
| Extra corporeal lithotripsy ureteric calculus | kidney/ bladder | M3110 | £3,521.00 |
| Operation ureteric orifice endoscopic | kidney/ bladder | M3202 | £2,419.20 |
| Diverticulum bladder | kidney/ bladder | M3510 | £3,521.00 |
| Repair bladder | kidney/ bladder | M3700 | £3,521.00 |
| Repair cutaneous vesical fistula | kidney/ bladder | M3780 | £2,419.20 |
| Insertion supra pubic catheter | kidney/ bladder | M3820 | £2,419.20 |
| Stab cystostomy | kidney/ bladder | M3880 | £1,691.20 |
| Open removal calculus bladder | kidney/ bladder | M3900 | £2,419.20 |
| Open excision lesion from bladder | kidney/ bladder | M4110 | £3,521.00 |
| Endoscopic hydrostatic distension bladder | kidney/ bladder | M4320 | £1,920.80 |
| Sphincterotomy | kidney/ bladder | M4400 | £2,419.20 |
| Endoscopic extraction calculus bladder | kidney/ bladder | M4420 | £2,419.20 |
| Endoscopic removal foreign body bladder | kidney/ bladder | M4430 | £2,419.20 |
| Resection Of Bladder Neck (Including Cystoscopy) | kidney/ bladder | M4480 | £3,238.20 |
| Closure cystostomy | kidney/ bladder | M4910 | £2,419.20 |
| Combined abdominal and vaginal operation to support outlet of female bladder (redo) | kidney/ bladder | M5180 | £6,384.00 |
| Combined Abdominal And Vaginal Operations To Support Outlet Of Female Bladder (Including Sling Procedures) (Including Cystoscopy) | kidney/ bladder | M5100 | £4,095.00 |
| Vaginal operation to support outlet female bladder | kidney/ bladder | M5300 | £4,685.80 |
| Implantation of artificial urinary sphincter at bladder neck and or removal | kidney/ bladder | M5520 | £3,521.00 |
| Excision urethral caruncle | kidney/ bladder | M5580 | £1,691.20 |
| Therapeutic injection bladder neck for stress incontinence | kidney/ bladder | M5630 | £2,500.40 |
| Therapeutic endoscopic operation on outlet of female bladder | kidney/ bladder | M5600 | £2,454.20 |
| Open excision prostatic adenoma | Prostate | M6100 | £3,521.00 |
| Endoscopic biopsy prostate | Prostate | M6580 | £3,521.00 |
| Drainage prostatic abscess | Prostate | M6730 | £2,419.20 |
| Urethral catherisation insertion stent | kidney/ bladder | M7080 | £3,521.00 |
| Urethral valve resection | kidney/ bladder | M7280 | £4,102.00 |
| Simple urethroplasty | kidney/ bladder | M7360 | £4,102.00 |
| Excision diverticulum urethra | kidney/ bladder | M7500 | £2,419.20 |
| Removal foreign body urethra | kidney/ bladder | M7620 | £1,691.20 |
| Dilatation urethra | kidney/ bladder | M7920 | £1,691.20 |
| Meatoplasty | Male genitalia | M8120 | £2,419.20 |
| Meatotomy urethral orifice | Male genitalia | M8130 | £1,691.20 |
| Bilateral excision of testes | Male genitalia | N0500 | £4,102.00 |
| Orchidopexy bilateral | Male genitalia | N0820 | £4,102.00 |
| Abdominal undescended testis | Male genitalia | N0930 | £4,102.00 |
| Orchidpexy unilateral | Male genitalia | N0920 | £1,691.20 |
| Prostheis testis | Male genitalia | N1000 | £2,419.20 |
| Biopsy testis | Male genitalia | N1340 | £2,419.20 |
| Exploration testis | Male genitalia | N1350 | £2419.20 |
| Laparoscopy for impalpable testis | Male genitalia | N1352 | £2,419.20 |
| Surgery for varicocele | Male genitalia | N1900 | £2,419.20 |
| Excision lesion penis | Male genitalia | N2710 | £2,419.20 |
| Operation Peyronie’s disease | Male genitalia | N2780 | £2,419.20 |
| Frenuloplasty | Male genitalia | N2842 | £1,691.20 |
| Preputioplasty | Male genitalia | N3010 | £2,419.20 |
| Biopsy Of Lesion Of Penis | Male genitalia | N3210 | £1,475.60 |
| Excision Bartholin gland | Gynaecology | P0310 | £2,419.20 |
| Excession excessive tissue labia | Gynaecology | P0550 | £2,419.20 |
| Excision septum of vagina | Gynaecology | P1920 | £2,419.20 |
| Reconstruction vagina | Gynaecology | P2100 | £6,384.00 |
| Anterior/posterior colporraphy and amputation cervix | Gynaecology | P2210 | £4,102.00 |
| Amputation cervix uteri | Gynaecology | Q0100 | £2,419.20 |
| Laser destruction of cervix uteri | Gynaecology | Q0220 | £1,691.20 |
| Punch biopsy cervix | Gynaecology | Q0340 | £1,691.20 |
| Ventro suspension of uterus | Gynaecology | Q2080 | £2,419.20 |
| Removal of products of conception from fallopian tube (ectopic pregnancy) | Gynaecology | Q3110 | £4,102.00 |
| Ovarian cystectomy | Gynaecology | Q4400 | £5,041.40 |
| Repair recurrent inguinal hernia bilateral (Lap or open) | Hernia | T2112 | £4,102.00 |
| Primary femoral hernia repair unilateral | Hernia | T2210 | £2,471.00 |
| Repair recurrent femoral hernia | Hernia | T2300 | £2,471.00 |
| Open adhesiolysis | Abdomen | T4302 | £4,102.00 |
| Laparoscopic adhesiolysis | Abdomen | T4300 | £4,692.80 |
| Paracentesis abdomen for ascities | Abdomen | T4610 | £1,691.20 |
| Dupuytren’s fasciectomy – multiple digits | Hand | T5210 | £4,102.00 |
| Dupuytren’s fasciectomy – single digit | Hand | T5203 | £2,507.40 |
| Achilles Tendon Repair <70 or no comorbidity | Bones and joints | T6780 | £3,192.00 |
| Achilles Tendon Repair -Secondary <70 or no comorbidity | Bones and joints | T6810 | £4,208.40 |
| Excision biopsy lymph node – axilla cervical or groin | Lymph nodes | T8700 | £3,556.00 |
| Excision cystic hygroma | Face | T9610 | £4,102.00 |
| Bilateral 1st MTP Fusion | Bones and joints | W0380 | £6,965.00 |
| 1st Metatarsophalangeal Joint Fusion | Bones and joints | W0330 | £3,278.80 |
| Triple Fusion <70 or no comorbidity | Bones and joints | W0422 | £4,102.00 |
| Subtalar Fusion <70 or no comorbidity | Bones and joints | W0432 | £4,683.00 |
| Silastic arthroplasty MCPJ or PIPJ – multiple | Bones and joints | W0513 | £4,683.00 |
| Prosthetic surface arthroplasty – PIPJ or MCPJ single | Bones and joints | W0514 | £4,683.00 |
| Cheilectomy <70 or no comorbidity | Bones and joints | W0860 | £4,683.00 |
| Metatarsal Osteotomy (weil) | Bones and joints | W1040 | £2,997.40 |
| Scaphoid fixation and graft | Bones and joints | W3202 | £3,521.00 |
| Total Ankle Replacement | Bones and joints | W4410 | £6,965.00 |
| Shoulder Hemiarthroplasty, As Sole Procedure | Bones and joints | W4900 | £8,570.80 |
| Total elbow replacement for trauma (Coonrad-Morrey) | Bones and joints | W5510 | £6965.00 |
| OK Procedure <70 or no comorbidity | Bones and joints | W5560 | £4683.00 |
| Multiple Fusions of Interphalangeal joints of Toes | Bones and joints | W5980 | £4,683.00 |
| Fusion of Interphalangeal joint of Toe | Bones and joints | W5940 | £2,702.00 |
| Ankle Fusion <70 or no comorbidity | Bones and joints | W6015 | £2,471.00 |
| Full wrist fusion<70 or no comorbidity | Bones and joints | W6200 | £3,521.00 |
| Partial wrist fusion<70 or no comorbidity | Bones and joints | W6202 | £3,521.00 |
| Submucular transposition of Ulna nerve at elbow >70 or with comorbidity | Bones and joints | W6830 | £2,471.00 |
| Submucular transposition of Ulna nerve at elbow no comorbidity | Bones and joints | W6830 | £2,471.00 |
| Scapholunate reconstruction | Bones and joints | W7482 | £4,641.00 |
| Reconstruction of Lateral ligament of ankle | Bones and joints | W7430 | £5,254.20 |
| Bilateral Scarf & Akin Osteotomy | Bones and joints | W7980+ | £5,584.60 |
| Examination/Manipulation Of Joint Under Anaesthetic +/- Injection (As Sole Procedure) | Bones and joints | W9240 | £3,175.20 |
| Injection under anaesthesia etc | Bones and joints | X2380 | £1,691.20 |
| MUA joint | Bones and joints | X2380 | £1,691.20 |