WPA Fee Schedule

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ABDOMEN (other than urinary & reproductive organs)
OPCSDescriptionProcedure CostAnaesthetic Cost
10006Disimpaction of bowel £155.00 £100.00
A2720Proximal gastric vagotomy £805.00 £260.00
A2730Highly selective vagotomy £700.00 £220.00
A2780Vagotomy and pyloroplasty £805.00 £260.00
A2781Laparoscopic vagotomy/seromyotomy £895.00 £295.00
A3501Laparoscopic rectoplexy £895.00 £295.00
A7601Endoscopic lumbar sympathectomy £595.00 £230.00
B2222Adrenalectomy - bilateral (open) £1050.00 £365.00
B2223Adrenalectomy - bilateral (laparoscopic) £1050.00 £475.00
B2232Adrenalectomy - unilateral (open) £785.00 £300.00
B2233Adrenalectomy - unilateral (laparoscopic) £925.00 £375.00
G0100Oesophagogastrectomy £2000.00 £780.00
G0220Total oesophagogastrectomy and interposition of intestine £2070.00 £975.00
G0260Endoscopically assisted oesophagectomy £2035.00 £775.00
G0400Open excision of lesion of oesophagus £860.00 £420.00
G0500Bypass of oesophagus £1045.00 £560.00
G0640Closure of bypass of oesophagus £835.00 £420.00
G0920Oesophagocardiomyotomy (Heller's operation) £785.00 £365.00
G0980Thoracoscopic oesophagogastric myotomy £785.00 £365.00
G1440Injection sclerotherapy for oesophageal varices £335.00 £200.00
G1900Rigid oesophagoscopy +/- biopsy/removal/laser or diathermy destruction of lesions £300.00 £150.00
G2110Intubation for investigation of GIT +/- manometry pH measurement pancreatic function and jejunal bio £180.00 £110.00
G2320Transthoracic repair of diaphragmatic hernia £730.00 £320.00
G2330Transabdominal repair of hiatus hernia £885.00 £300.00
G2331Laparoscopic repair of hiatus hernia, inc transabdominal anti-reflux abdominal op, fundoplication £1000.00 £490.00
G2340Transabdominal repair of diaphragmatic hernia £975.00 £475.00
G2400Transthoracic fundoplication & gastroplasty £850.00 £310.00
G2430Transabdominal anti-reflux operations £975.00 £350.00
G2590Revision of anti-reflux procedures £1225.00 £475.00
G2710Total gastrectomy and excision of surrounding tissue £1725.00 £420.00
G2800Partial gastrectomy £875.00 £275.00
G2801Laparascopic gastrectomy £1095.00 £400.00
G2810Partial gastrectomy and excision of surrounding tissue £750.00 £275.00
G3001Laparascopic gastropexy £895.00 £295.00
G3100Laparoscopic biliary gastric bypass £650.00 £340.00
G3210Gastro-jejunostomy £740.00 £240.00
G3220Revision of gastro-jejunostomy £835.00 £220.00
G3400Gastrostomy £600.00 £185.00
G3440Closure of gastrostomy £480.00 £220.00
G3520Closure of perforated ulcer of stomach £625.00 £220.00
G3580Laparoscopic closure of perforated ulcer of stomach £625.00 £230.00
G3800Other open operation(s) on stomach £575.00 £220.00
G4010Pyloromyotomy £630.00 £220.00
G4020Surgery for correction of congenital intestinal atresias £455.00 £165.00
G4030Pyloroplasty £600.00 £220.00
G4410Therapeutic oesophago-gastro-duodednoscopy (OGD) with insertion of prosthesis, therapy for acutely bleeding ulcer or banding of varices £350.00 £130.00
G4520Diagnostic enteroscopy £160.00 £105.00
G4530 Gastroscopy with implantation of Bravo capsule £345.00 £145.00
G4580Endoscopic ultrasound £325.00 £.00
G5000Open excision of lesion of duodenum £730.00 £240.00
G5010Open excision of congenital lesion of duodenum including mal-rotation £670.00 £220.00
G5100Bypass of duodenum £575.00 £220.00
G5320Closure of perforated ulcer of duodenum £625.00 £220.00
G5810Excision of jejunum £750.00 £340.00
G6000Jejunostomy £550.00 £240.00
G6080Laparoscopically assisted resection of small intestine £745.00 £550.00
G6082Open resection of samll intestine tumour £745.00 £550.00
G6100Bypass of jejunum £610.00 £215.00
G6500Diagnostic oesophago-gastro-duodenoscopy (OGD) includes forceps biopsy biopsy urease test and dye spray £190.00 £140.00
G6710Intubation of jejunum for decompression of intestine £610.00 £215.00
G7100Bypass of ileum £610.00 £215.00
G7250Panproctocolectomy, ileoanal anastomosis and creation of pouch £2000.00 £950.00
G7402Open formation of ileostomy £550.00 £200.00
G7403Laparoscopic ileostomy £580.00 £220.00
G7512Revision of ileostomy - local £455.00 £220.00
G7513Revision of ileostomy - laparotomy £455.00 £200.00
G7530Closure of ileostomy (as sole procedure) £565.00 £260.00
G7810Open operations on ileum (including reduction of intrussusception) £620.00 £220.00
G7830Closure of ileostomy (in isolation) £455.00 £155.00
G7880Redo-operations on ileum/colon £620.00 £235.00
G7900Endoscopy and examination of ileum through stoma (including dilatation) £220.00 £120.00
G8080Capsule endoscopy £460.00 £.00
G8082Diagnostic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) £450.00 £.00
H0210Appendicectomy £600.00 £260.00
H0280Laparoscopic appendicectomy £600.00 £260.00
H0310Drainage of abscess of appendix £520.00 £210.00
H0410Panproctocolectomy and ileostomy £1520.00 £640.00
H0480Abdominal revision of restorative proctocolectomy £1380.00 £525.00
H0510Total excision of colon and ileorectal anastomosis £1180.00 £450.00
H0610Extended excision of right hemicolon £920.00 £350.00
H0700Other excision of right hemicolon £875.00 £340.00
H0750Laparoscopically assisted right hemicolectomy £875.00 £350.00
H0800Excision of transverse colon £790.00 £240.00
H0900Excision of left hemicolon £810.00 £375.00
H1000Excision of sigmoid colon £975.00 £340.00
H1200Excision of lesion of colon (transabdominal) £625.00 £240.00
H1300Bypass of colon £625.00 £240.00
H1542Closure of colostomy £650.00 £260.00
H1581Laparoscopic colostomy £700.00 £275.00
H1590Colostomy (including revision) £700.00 £275.00
H1700Intra abdominal manipulation of colon (including reduction of intussusception) £625.00 £210.00
H1880Laparoscopic colonic resection £995.00 £260.00
H2002Diagnostic colonoscopy, includes forceps biopsy of colon and ileum £375.00 £175.00
H2003Therapeutic colonoscopy with snare loop biopsy or excision of lesion £375.00 £175.00
H2180Fibreoptic colonoscopy and recanalisation of tumour £480.00 £150.00
H2220Endoscopic ultrasound for tumour staging £458.00 £230.00
H2502Diagnostic flexible sigmoidoscopy, includes forceps biopsy £200.00 £175.00
H2503Therapeutic sigmoidoscopy with snare loop biopsy or excision of lesion £210.00 £160.00
H2510Rigid sigmoidoscopy including biopsy £110.00 £105.00
H3010Radiological reduction of intussusception of colon using barium enema £190.00 £170.00
H3310Abdominoperineal pull through resection with colo-anal anastomosis and associated colostomy £1520.00 £605.00
H3320Abdominoperineal resection of rectum and anus £1575.00 £605.00
H3322Laparoscopic abdominoperineal resection £1575.00 £610.00
H3332Anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) £1600.00 £625.00
H3334Anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection) £1800.00 £645.00
H3362Hartmanns procedure £1160.00 £540.00
H3363Colectomy and colostomy and preservation of rectum £1160.00 £540.00
H3364Laparoscopic anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) £1600.00 £625.00
H3365Laparoscopic anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflec £1800.00 £645.00
H3380Partial excision of rectum and sigmoid colon for prolapse £850.00 £495.00
H3390Reversal of Hartmann's procedure £1300.00 £540.00
H3400Open revision of lesion of rectum £680.00 £320.00
H3500Fixation of rectum for prolapse £730.00 £340.00
H3580Laparoscopic rectopexy £725.00 £340.00
H4000Transanal resection for rectal cancer £785.00 £220.00
H4122Transanal endoscopic microsurgery £850.00 £400.00
H4130Peranal excision of lesion of rectum £475.00 £220.00
H4180Full or partial thickness rectal biopsy £155.00 £130.00
H4200Perineal repair of prolapse of rectum £615.00 £250.00
H4420Faecal disimpaction £130.00 £100.00
H4430Examination of rectum under anaesthetic (as sole procedure) £150.00 £130.00
H4480Dilation of stricture of rectum £130.00 £110.00
H4680Repair of faecal fistula £260.00 £200.00
H4800Excision of lesion of anus £175.00 £120.00
H4900Destruction of lesion of anus £115.00 £100.00
H5020Repair of anal sphincter £610.00 £220.00
H5042Primary repair of high/intermediate congenital ano-rectal anomaly £.00 £.00
H5043Primary repair of low congenital ano-rectal anomaly £.00 £.00
H5080Repair of anal trauma £420.00 £195.00
H5100Haemorrhoidectomy (including sigmoidoscopy) £385.00 £180.00
H5230Injection of sclerosing substance into haemorrhoids £150.00 £.00
H5240Banding of haemorrhoids £150.00 £100.00
H5250Circular Stapling Haemorrhoidectomy £350.00 £150.00
H5400Anorectal stretch (including Examination Under Anaesthetic and sigmoidoscopy) £145.00 £150.00
H5510Laying open of low anal fistula (including sigmoidoscopy) £300.00 £175.00
H5520Laying open of high anal fistula £585.00 £210.00
H5620Lateral sphincterotomy of anus £165.00 £175.00
H5640Excision of anal fissure £145.00 £150.00
H5800Drainage through perineal region(including ischiorectal abscess) £225.00 £160.00
H5940Excision of pilonidal sinus and suture/skin graft £410.00 £220.00
H6020Laying open of pilonidal sinus £220.00 £125.00
J0200Partial excision of liver £1255.00 £560.00
J0210Hemihepatectomy £2050.00 £785.00
J0310Removal of liver tumour £1970.00 £850.00
J0400Repair of liver (including therapeutic laparoscopic operations on liver) £720.00 £330.00
J0510Open drainage of liver £365.00 £200.00
J0900Diagnostic laparoscopic examination of liver (including any biopsy) £465.00 £200.00
J1300Percutaneous biopsy of lesion of liver £180.00 £100.00
J1400Open puncture of liver £490.00 £170.00
J1800Cholecystectomy (including mini-choleccystectomy) £770.00 £380.00
J1820Cholecystectomy with exploration of common bile duct £835.00 £390.00
J1830Laparoscopic cholecystectomy £835.00 £475.00
J1880Laparoscopic cholecystectomy with peroperative cholangiogram £920.00 £525.00
J1900Anastomosis of gall bladder (to another viscus) £700.00 £240.00
J2720Partial excision of bile duct and anastomosis of bile duct to duodenum/jejunum £1100.00 £500.00
J2800Excision of lesion of bile duct £995.00 £335.00
J2900Anastomosis of hepatic duct £940.00 £280.00
J3000Anastomosis of common bile duct £660.00 £280.00
J3100Open introduction of prothesis into bile duct £705.00 £240.00
J3200Repair of bile duct £1425.00 £395.00
J3300Incision of bile duct (including exploration for calculus removal) £915.00 £300.00
J3500Sphincterotomy of bile duct and pancreatic duct using duodenal approach £660.00 £250.00
J3900Therapeutic ERCP (including insertion of biliary or pancreatic prosthesis, sphincterotomy and stone extraction) £680.00 £200.00
J4300Endoscopic retrograde cholangiopancreatography (ERCP) £450.00 £175.00
J5000Percutaneous examination of bile duct £335.00 £195.00
J5500Total pancreatectomy and excision of surrounding tissue £1760.00 £605.00
J5520Total pancreatectomy £1760.00 £605.00
J5610Pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) £2700.00 £1200.00
J5700Distal pancreatectomy £885.00 £365.00
J5800Excision of lesion of pancreas £770.00 £365.00
J5900Anastomosis of pancreatic duct to another viscus £835.00 £340.00
J6100Open drainage of lesion of pancreas £700.00 £240.00
J6180Drainage of pancreatic abscess £625.00 £230.00
J6200Incision of pancreas £625.00 £230.00
J6300Open examination of pancreas £625.00 £230.00
J6600Therapeutic percutaneous operations on pancreas £490.00 £210.00
J6730Endoscopic upper gastrointestinal ultrasound egpancreatic-biliary diagnosis/transmucosal biopsy £642.00 £.00
J6900Open splenectomy £770.00 £345.00
J6980Laparoscopic splenectomy £770.00 £345.00
J7811Laparoscopic excision of Meckel's diverticulum £615.00 £230.00
L7032Haemorrhoidal Artery Ligation £170.00 £125.00
L8110Creation of peritoneo-venous shunt(Levine/denver) £750.00 £350.00
T1480Insertion of pleuro-peritoneal shunt £.00 £.00
T1640Repair of congenital diaphragmatic hernia £1035.00 £550.00
T1900Simple excision of inguinal hernial sac £400.00 £185.00
T1910Simple excision of inguinal hernial sac - bilateral £600.00 £345.00
T2000Primary repair of inguinal hernia £410.00 £210.00
T2001Primary repair of inguinal hernia with insert of mesh £400.00 £195.00
T2002Laparoscopic repair of inguinal hernia - unilateral £500.00 £195.00
T2010Primary repair of inguinal hernia - bilateral £650.00 £355.00
T2012Laparoscopic repair of inguinal hernia - bilateral £650.00 £350.00
T2080Primary repair of strangulated inguinal hernia £650.00 £345.00
T2091Laparoscopic repair of recurrent groin hernia £600.00 £245.00
T2100Repair of recurrent inguinal hernia £650.00 £240.00
T2102Laparoscopic repair of recurrent inguinal hernia - unilateral £685.00 £220.00
T2110Repair of recurrent inguinal hernia - bilateral £975.00 £340.00
T2112Laparoscopic repair of recurrent inguinal hernia - bilateral £975.00 £375.00
T2200Primary repair of femoral hernia £400.00 £215.00
T2280Primary repair of strangulated femoral hernia £650.00 £345.00
T2300Repair of recurrent femoral hernia £600.00 £220.00
T2400Repair of umbilical hernia (irrespective of age) £410.00 £200.00
T2500Primary repair of incisional hernia £560.00 £270.00
T2502Laparoscopic repair of incisional hernia £575.00 £200.00
T2600Repair of recurrent incisional hernia £650.00 £300.00
T2700Repair of other hernia of abdominal wall £470.00 £185.00
T2830Resuture of previous incision in abdominal wall (burstabdomen) £435.00 £185.00
T3010Laparotomy for post operative haemorrhage £875.00 £375.00
T3080Laparotomy and repair of multiple visceral trauma £1125.00 £485.00
T3410Open drainage of subphrenic abscess £580.00 £210.00
T3600Operations on omentum £575.00 £240.00
T3910Retroperitoneal tumour £1010.00 £540.00
T3930Retroperitoneal abscess £375.00 £210.00
T3980Presacral tumour £420.00 £280.00
T4130Freeing of adhesions of peritoneum £725.00 £235.00
T4300Laparoscopic adhesiolysis (including biopsy) £415.00 £210.00
T4302Open adhesiolysis (including biopsy) £360.00 £210.00
T4610Paracentesis abdominis for ascites £155.00 £.00
T4680Suprapubic drainage of pelvic abscess £260.00 £160.00
T7972Exploration and repair of groin disruption including repair of muscle fascia and tendons (Gilmore's groin) £700.00 £350.00
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BONES, JOINTS ETC (not elsewhere listed)
OPCSDescriptionProcedure CostAnaesthetic Cost
A7340Exploration and grafting of brachial plexus £1250.00 £725.00
S1510Percutaneous biopsy (not elsewhere specified) £110.00 £.00
S5730Surgical toilet to wound under GA £165.00 £125.00
T5202Dupuytrens fasciectomy palm only £425.00 £200.00
T5203Dupuytrens fasciectomy single digit with proximal interphalangeal joint £460.00 £150.00
T5210Dupuytren's fasciectomy for palm and multiple digits £725.00 £300.00
T5222Dupuytrens dermofasciectomy and graft, or for recurrent disease - single digit £800.00 £375.00
T5223Dupuytrens dermofasciectomy and graft, or for recurrent disease - multiple digits £775.00 £375.00
T5230Plantar fasciectomy £250.00 £190.00
T5410Dupuytren's subcutaneous fasciotomy £250.00 £150.00
T5500Release of fascia £120.00 £95.00
T5540Release fasciotomy of anterior/posterior compartment of leg £600.00 £240.00
T5730Repair of fascia £170.00 £95.00
T5900Excision of ganglion £365.00 £155.00
T6000Repeat excision of ganglon £300.00 £150.00
T6213Soft tissue operations in the region of the greater trochanter (trochanteric bursitis, snapping hip) £250.00 £125.00
T6220Excision of bursa £275.00 £150.00
T6400Transfer of tendon(s) £350.00 £175.00
T6402Tendon transfer of hand - single £300.00 £175.00
T6410Transfer of multiple tendons £465.00 £190.00
T6450Tenodesis of biceps tendon (as sole procedure) £350.00 £150.00
T6460Tendon transfer of toe - unilateral £350.00 £150.00
T6461Tendon transfer of toe - bilateral £455.00 £200.00
T6462Excision or partial excision of IP joint of lesser toe with tendon transfer £575.00 £150.00
T6580Tendon graft as sole procedure £420.00 £150.00
T6710Repair of extensor of hand £255.00 £150.00
T6720Tendo Achilles lengthening percutaneous £355.00 £160.00
T6722Tendo Achilles lengthening primary open £355.00 £160.00
T6723Tendo Achilles lengthening repeat procedure £355.00 £160.00
T6750Repair of flexor of hand including prosthetic implant £675.00 £135.00
T6752Primary repair of flexor of hand in Zone II £600.00 £125.00
T6762Repair of tendon of foot - flexor £140.00 £155.00
T6763Repair of tendon of foot - extensor £140.00 £155.00
T6770Peroneal sling/groove reconstruction & replacment of dislocated peroneal tendons £450.00 £125.00
T6780Primary repair of Achilles tendon £460.00 £200.00
T6782Repair of distal biceps tendon £455.00 £150.00
T6800Secondary repair of tendon (including graft transfer and/orprosthesis) £650.00 £190.00
T6810Secondary repair of Achilles tendon £860.00 £245.00
T6820Secondary repair of tendon of hand/forearm (excluding flexor) withgraft/transfer £535.00 £155.00
T6822Secondary repair of Achilles tendon with tendon or fascial graft £860.00 £245.00
T6830Secondary or second stage repair of flexor of hand(including prosthetic implantation) £650.00 £200.00
T6832Second stage reconstruction of flexor of hand £550.00 £165.00
T6910Tenolysis other than flexor £400.00 £150.00
T6914Tenolysis of extensor tendon of hand £340.00 £125.00
T6980Tenolysis of flexor £575.00 £150.00
T6982Tenolysis of flexor tendon of hand £575.00 £155.00
T7010Percutaneous tenotomy £150.00 £100.00
T7050Lengthening of tendon(s) (including tenotomy) £400.00 £175.00
T7110Tenosynovectomy (including arthroscopic) £350.00 £150.00
T7230Release of constriction of sheath of tendon £375.00 £165.00
T7480Extracorporeal shockwave lithotripsy of calcific tendonitis of the shoulder £425.00 £.00
T7910Open +/- arthroscopic sub acromial decompression and extensive, greater than 2cm tear rotator cuff repair with excision of distal clavicle £870.00 £420.00
T7930Repair of abductor mechanism of hip £250.00 £220.00
T7982Arthroscopic sub-acromial decompression and limited, less than 2cm tear rotator cuff repair (including arthroscopic procedures in glenohumeral joint) £850.00 £400.00
T7983Open sub-acromial decompression and limited, less than 2cm tear rotator cuff repair £870.00 £420.00
T7990Revision rotator cuff repair £750.00 £350.00
T80023 release of muscle for pain or contracture (involving small joint) £340.00 £200.00
T8003Major release of muscle for pain or contracture (e.g. Quadriceps) (involving large joint) £355.00 £200.00
T8050Surgical release of humeral epicondylitis (lateral or medial) (e.g. "Tennis Elbow") £400.00 £200.00
T8100Open biopsy of muscle £300.00 £125.00
W0100Complex reconstruction of thumb (pollicisation) £850.00 £210.00
W0110Toe to hand transfer (as sole procedure) including closure of secondary defect £1050.00 £450.00
W0120Pollicisation of finger for thumb reconstruction £1225.00 £300.00
W0230Multiple joint procedures on hand including synovectomy £730.00 £375.00
W0280Excision arthroplasty or trapezium (including reconstruction) £590.00 £150.00
W0282Total excision of trapezium £840.00 £375.00
W0283Total excision of trapezium with spacer £720.00 £375.00
W0284Total excision of trapezium and ligament reconstruction £850.00 £375.00
W0285Trapezio-metacarpal joint surface replacement £835.00 £325.00
W0300Multiple procedures on forefoot £860.00 £280.00
W0310Multiple joint procedures on forefoot - bilateral £1225.00 £400.00
W0320Osteotomy of multiple metatarsals £340.00 £170.00
W0330Fusion of first metatarso-phalangeal joint £575.00 £220.00
W0380Fusion of first metatarso-phalangeal joint bilateral £875.00 £375.00
W0422Triple fusion of joints of hindfoot with autogenous graft £720.00 £305.00
W0432Isolated subtalar fusion or mid foot fusion with autogenous graft (adult) £695.00 £275.00
W0434Isolated sub talar fusion or mid foot fusion without autogenous graft (adult) £875.00 £275.00
W0460Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers) £925.00 £315.00
W0462Complex procedure to mid foot or hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon tr £975.00 £315.00
W0463Complex procedure to mid foot and hindfoot without autogenous graft (osteotomy/fusion +/- tendon transfers/fixation) £975.00 £375.00
W0464Complex procedure to mid foot and hindfoot with autogenous graft (osteotomy/fusion +/- tendon transf £1200.00 £375.00
W0512Interpositional silastic arthroplasty of MCP/PIP joint- single £725.00 £135.00
W0513Prosthetic interpositional silastic arthroplasty of MCP/PIP joints - multiple £725.00 £155.00
W0514Prosthetic surface arthroplasty of interphalangeal/ metacarpo-phalangeal joint - single joint £750.00 £155.00
W0610Total excision of cervical rib or first rib £1050.00 £400.00
W0630Patellectomy £460.00 £170.00
W0632Prosthetic patello-femoral replacement (as sole procedure) £900.00 £450.00
W0640Total excision of sesamoid bone £235.00 £145.00
W0700Excision of ectopic bone £195.00 £145.00
W0702Excision of ectopic bone around a total hip replacement £170.00 £125.00
W0850Partial excision of bone (including exostoses) £360.00 £180.00
W0860Metatarso-phalangeal cheilectomy £560.00 £175.00
W0861Metatarso-phalangeal cheilectomy - bilateral £590.00 £240.00
W0880Excision of calcaneal spur £290.00 £125.00
W0890Excision distal clavicle in isolation £600.00 £220.00
W0960Excision of benign tumour of bone with bone grafting £940.00 £375.00
W1040Osteotomy of small bone of foot (including internal fixation) £535.00 £225.00
W1080Osteotomy of large bone with/without fixation including graft £750.00 £345.00
W1320Osteotomy of hip with fixation £700.00 £330.00
W1380Arthroscopic femoro-acetabular surgery for hip impingement syndrome £1050.00 £500.00
W1590Correction of retracted/dislocated metatarso-phangeal joint including tendon transfer, division/realignment of bone and internal fixation £650.00 £375.00
W1640Pelvic osteotomy with fixation £1095.00 £675.00
W1642Open reduction/internal fixation of posterior rim of acetabulum £1050.00 £650.00
W1643Open reduction/internal fixation of either posterior wall/column of acetabulum or anterior column £1050.00 £650.00
W1644Open reduction/internal fixation of both columns of acetabulum £1055.00 £650.00
W1645Open reduction/internal fixation plus bone graft symphysis pubis £1225.00 £650.00
W1646Open reduction/internal fixation of sacro-iliac joint £1060.00 £650.00
W1647Open reduction/internal fixation of fractures of the greater trochanter, including non union £775.00 £275.00
W1648Osteotomy/transfer of greater trochanter as sole procedure £1050.00 £275.00
W1649Complex pelvic osteotomies and fixation, e.g. triple osteotomy, peri-acetabular osteotomy £1050.00 £275.00
W1660Tibial osteotomy £700.00 £250.00
w1700Shelf augmentation of acetabulum eg Wainwright or Trillat £.00 £.00
W1800Drainage/debridement of bone(s) (including sequestectomy forosteomyelitis) £465.00 £185.00
w1870Drainage of petrous apex for sepsis £125.00 £.00
W1910Primary open reduction of fracture of femur and openfixation using pin and plate £850.00 £265.00
W1912Pinning of head of femur - open or percutaneous (e.g. slipped femoral epiphysis, undisplaced neck fr £775.00 £275.00
W1913Pinning for bilateral slipped upper femoral epiphysis £.00 £.00
W1920Primary open reduction of long bone with fixation £750.00 £265.00
W1940Primary open reduction of small bone with fixation, including intra-articular £575.00 £220.00
W2100Primary open reduction of intra-articular fracture of long bone with internal fixation £650.00 £275.00
W2140Primary open reduction of intra-articular fracture of smallbone £395.00 £160.00
W2210Other primary open reduction of fracture of long bone £465.00 £210.00
W2220Other primary open reduction of fracture of small bone £340.00 £160.00
W2300Secondary open reduction of fracture of small bone(including intra-articular) £450.00 £160.00
W2310Secondary open reduction of fracture of long bone andintramedullary fixation or internal fixation fo £650.00 £250.00
W2380Locked intramedullary nailing £925.00 £285.00
W2420Closed reduction of fracture of long bone and internalfixation £550.00 £210.00
W2440Closed reduction of fracture of small bone and internalfixation £315.00 £155.00
W2500Closed reduction of fracture of long bone and external fixation including Plaster of Paris and percu £600.00 £245.00
W2502Closed reduction of fracture of long bone, including cast or percutaneous K-wires £510.00 £250.00
W2580Closed reduction of fracture of small bone and external fixation including Plaster of Paris and perc £320.00 £175.00
W2582Closed reduction of fracture of small bone, including cast or percutaneous K-wires £300.00 £175.00
W2620Manipulation under anaesthesia of fractured nose (as sole procedure) £210.00 £120.00
W2700Fixation of epiphysis £370.00 £240.00
W2702Epiphysiolysis (eg Langenskiold procedure) £335.00 £195.00
W2810Plating and/or bone grafting for non-union of clavicle £700.00 £240.00
W2830Removal of internal fixation/prosthesis from bone/joint excludingK-wires £450.00 £200.00
W2910Application of skeletal traction to bone £180.00 £160.00
W2930Removal of skeletal traction from bone £175.00 £95.00
W3010Application of external fixation to bone £535.00 £155.00
W3020Adjustments to Ilizarov frame rings for secondary non-union/mal-union £650.00 £175.00
W3030Removal of external fixation from bone £200.00 £110.00
W3032Removal of fixator/frame/pins/wires and change/application of plaster £200.00 £145.00
W3040Application to Ilizarov frame for secondary non-union/mal-union £2050.00 £470.00
W3050Adjustments to pin sites secondary for non-union/mal-union £400.00 £.00
W3100Bone graft (except where part of another procedure) £480.00 £170.00
W3110Osteochrondral grafting £975.00 £340.00
W3180Free composite (i.e. including bone) vascularised grafts £1050.00 £610.00
W3200Bone graft to scaphoid with internal fixation including Herbert screw £675.00 £220.00
W3202Open reduction and internal fixation wedge reconstruction bone graft scaphoid nonunion £650.00 £225.00
W3203Early open reduction and internal fixation of scaphoid fracture, i.e. within 6 weeks £650.00 £180.00
W3210Impaction bone grafting £420.00 £155.00
W3410Grafting of bone marrow £1400.00 £560.00
W3510Introduction of therapeutic substance into bone £210.00 £160.00
W3530Removal of wire from bone including K-wires £150.00 £140.00
W3620Open bone biopsy £245.00 £135.00
W3622Needle biopsy of bone £200.00 £150.00
W3640Diagnostic puncture and extraction of bone marrow £365.00 £130.00
W3650Trephine biopsy of bone marrow £250.00 £165.00
W3680Harvesting of bone marrow £420.00 £170.00
W3712Primary total hip replacement with or without cement £1150.00 £500.00
W3713Complex primary total hip replacement requiring bone grafting or femoral osteotomy £1250.00 £520.00
W3714Total hip replacement, with or without cement, after excision arthroplasty or arthrodesis, including £1150.00 £480.00
W3715Metal on Metal hip resurfacing £1155.00 £500.00
W3716Minimally invasive hip replacement (2 incisions) £1000.00 £400.00
W3718Minimally invasive hip resurfacing £1030.00 £480.00
W3732Revision of uncemented or cemented total hip replacement without adjunctive procedures £2100.00 £725.00
W3733Revision of total hip replacement including insertion of reconstruction rings, plates, screws, etc., £2100.00 £710.00
W3734Second, third or further revision total hip replacement or proximal femoral replacement (excluding a £2100.00 £710.00
W3780Total prosthetic replacement of hip joint - bilateral £2050.00 £800.00
W3943Removal of total hip replacement and complete clearance of cement £2050.00 £650.00
W3944Acetabular liner and head changes £2050.00 £610.00
W3945Open reduction and internal fixation for periprosthetic fracture around hip £670.00 £275.00
W3974Removal of total hip replacement and creating a pseudarthrosis £.00 £.00
W4200Complex primary total knee replacement (i.e. including bone graft, augmentation or osteotomy) £1300.00 £650.00
W4210Total prosthetic replacement of knee joint £1200.00 £600.00
W4212Minimally invasive knee replacement £1000.00 £380.00
W4230Revision of total replacement of knee joint £2225.00 £650.00
W42402 stage revision of total knee replacement for infection - first stage £2050.00 £525.00
W42422 stage revision of total knee replacement for infection -second stage £2050.00 £625.00
W4280Total prosthetic replacement of knee joint - bilateral £2000.00 £800.00
W4410Total prosthetic replacement of ankle joint £1100.00 £380.00
W4420Complex total replacement of ankle (including custom prosthesis, wedges, internal fix of fract £925.00 £275.00
W4430Revision of total prosthetic replacement of ankle joint £1060.00 £460.00
W4542Open reduction, internal fixation and revision of femoral component for periprosthetic fracture £550.00 £200.00
W4543Open reduction, internal fixation and complete revision for periprosthetic fracture £550.00 £220.00
W4600Prosthetic replacement of head of femur £725.00 £500.00
W4900Shoulder hemiarthroplasty £1000.00 £450.00
W4902Shoulder hemiarthroplasty and/or reconstruction for fracture £1000.00 £450.00
W4920Conversion of hemiarthroplasty to total shoulder replacement £1150.00 £500.00
W4930Revision shoulder hemiarthroplasty £1000.00 £450.00
W4940Scapulo-thoracic fusion £670.00 £225.00
W5000Primary total shoulder replacement £1150.00 £465.00
W5030Revision total shoulder replacement £1250.00 £540.00
W5040Replacement of elbow and shoulder (single operation) £.00 £.00
W5200Unicompartmental knee replacement £1275.00 £500.00
W5310Total prosthetic replacement of wrist joint £720.00 £235.00
W5502Interposition arthroplasty of elbow £775.00 £235.00
W5510Total prosthetic replacement of elbow £1040.00 £430.00
W5512Prosthetic replacement of radial head £1000.00 £450.00
W5520Revisional prosthetic replacement of elbow £1095.00 £470.00
w5540Debridement of infected total joint replacement £650.00 £325.00
W5550Excision of radial head (as sole procedure) £720.00 £235.00
W5560OK (Outerbridge and Dashiwagi) procedure £650.00 £300.00
W5580Revision arthroplasty of joint £750.00 £230.00
W5600Primary repair of rupture of acromioclavicular joint including internal fixation £925.00 £440.00
W5630Secondary repair of acromioclavicular or sternoclavicular joint +/- internal fixation £925.00 £240.00
W5700Excision arthroplasty of first metatarso-phalangeal joint with prosthetic implantation or interposition arthroplasty £650.00 £220.00
W5701Excision arthroplasty of first metatarso-phalangeal joint with prosthetic implantation or interposition arthroplasty - bilateral £840.00 £285.00
W5710Excision arthroplasty of first metatarso-phalangeal joint includingKeller's £400.00 £175.00
W5722Excision reconstruction of small joint £600.00 £210.00
W5723Excision reconstruction of large joint £600.00 £225.00
W5730Excision arthroplasty of first metatarso-phalangeal jointwith silastic implantation - bilateral £850.00 £620.00
W5780Excision arthroplasty of first metatarso-phalangeal joint includingalKeller's - bilateral £725.00 £275.00
W5930Fusion of metacarpo-phalangeal/intercarpal joint £340.00 £200.00
W5940Fusion of interphalangeal joint(s) of toe £350.00 £165.00
W5980Fusion of interphalangeal joint(s) of toe - bilateral £600.00 £275.00
W6012Primary arthrodesis of joint with or without graft & with or without internal fixation - shoulder £720.00 £350.00
W6013Primary arthrodesis of hip joint with or without graft & with or without internal fixation - hip £720.00 £350.00
W6014Primary arthrodesis of knee joint with or without graft & with or without internal fixation £720.00 £350.00
W6015Ankle arthrodesis - open £725.00 £230.00
W6016Ankle arthrodesis with autogenous graft £790.00 £250.00
W6017Ankle arthrodesis with internal fixation (arthroscopic) £925.00 £400.00
W6018Ankle arthrodesis - revision, including conversion from total ankle replacement £975.00 £260.00
W6030Revision or conversion to arthrodesis of shoulder £720.00 £240.00
W6100Other primary fixation of joint £610.00 £230.00
W6120Revision fixation of joint £585.00 £210.00
W6200Fusion of wrist £600.00 £240.00
W6202Partial fusion of wrist £700.00 £375.00
W6230Vascular implantation to carpal bone £792.00 £665.00
W6522Primary open reduction of dislocation of small joint £550.00 £200.00
W6523Primary open reduction of dislocation of large joint £650.00 £240.00
W6540Open reduction of dislocated hip prosthesis £590.00 £285.00
W6600Closed reduction of dislocated hip prosthesis £350.00 £150.00
W6630Primary closed reduction of fracture or dislocation of jointwith/without fixation(including Plaster £350.00 £150.00
W6702Secondary open reduction of dislocation of small joint £250.00 £150.00
W6703Secondary open reduction of dislocation of large joint £250.00 £170.00
W6912Total synovectomy of small joint £480.00 £195.00
W6913Total synovectomy of large joint £650.00 £420.00
W6960Needle biopsy of synovium £100.00 £100.00
W7000Open operations on semilunar cartilage £550.00 £190.00
W7400Reconstruction of ligament £575.00 £150.00
W7410Mutiple ligament reconstruction of knee including posterior cruciate ligament £1040.00 £400.00
W7420Autograft anterior cruciate ligament reconstruction (as sole procedure) £925.00 £420.00
W7430Reconstruction of lateral collateral ligament complex £875.00 £256.00
W7470Revision of anterior cruciate ligament reconstruction £1000.00 £440.00
W7482Scaphoid lunate ligament reconstruction £850.00 £330.00
W7483Triquetrolunate ligament reconstruction £620.00 £230.00
W7484Multiple ligament reconstruction £875.00 £225.00
W7485Small joint (eg interphalangeal/metacarpo-phalangeal joint) ligament reconstruction £750.00 £220.00
W7486Carpo-metacarpal joint ligament reconstruction £665.00 £200.00
W7490Posterior lateral reconstruction £550.00 £250.00
W7492Arthroscopic lateral release £575.00 £200.00
W7500Prosthetic open repair of ligament £480.00 £180.00
W7530Repair of lateral collateral ligament complex £580.00 £165.00
W7580Open surgical stabilisation of patella, including application of cast (adult) £850.00 £350.00
W7582Open surgical stabilisation of patella, including application of cast (child) £760.00 £315.00
W7583Repair of patellar/quadriceps tendon £755.00 £240.00
W7712Stabilisation of unidirectional instability of shoulder joint, including anterior, posterior and arthroscopic £900.00 £400.00
W7713Stabilisation of multi-directional instability of shoulder joint £900.00 £400.00
W7760Labral Repair (shoulder stabilisation) £925.00 £300.00
W7780Revision stabilisation of shoulder joint £950.00 £420.00
W7800Release of contracture of joint £380.00 £125.00
W7810Release of shoulder contracture £750.00 £325.00
W7850Open arthrolysis of elbow £680.00 £340.00
W7872Arthroscopic arthrolysis of shoulder contracture £725.00 £360.00
W7900Simple bunionectomy £220.00 £150.00
W7910Metatarsal osteotomy for Hallux valgus, with or without internal fixation and soft tissue correction £650.00 £265.00
W7980Metatarsal osteotomy for Hallux valgus, with or without internal fixation/soft tissue correction-bilateral £900.00 £475.00
W8100Open excision of calcific deposit (e.g. shoulder, hip) £200.00 £150.00
W8120Open removal of loose body from joint £340.00 £135.00
W8150Arthrotomy of large joint including removal of loose body from joint £410.00 £150.00
W8180Arthrotomy of small joint including removal of loose body from joint £120.00 £125.00
W8192Open sub-acromial decompression, as sole procedure £800.00 £400.00
W8193Arthroscopic sub-acromial decompression, includes arthroscopy of glenohumeral joint & excision of bursa as sole procedure £850.00 £400.00
W8194Arthroscopic sub-acromial decompression and excision of distal clavicle £870.00 £425.00
W8200Arthroscopic meniscectomy (including debridement) £725.00 £300.00
W8230Arthroscopic meniscal repair £860.00 £300.00
W8280Arthroscopic meniscectomy (including debridement) bilateral £1017.00 £425.00
W8300Therapeutic arthroscopic operations on intra-articularcartilage (other than W8200) £400.00 £275.00
W8380Therapeutic arthroscopic operations on intra-articular cartilage(other than W8200) - bilateral £575.00 £400.00
W8400Simple repair of knee ligaments £650.00 £200.00
W8500Multiple arthroscopic operation on knee(including meniscectomy,chrondroplasty, drilling or microfracture £825.00 £375.00
W8520Arthroscopy of knee (including examination under anaesthetic, washout and biopsy) (as sole procedure £685.00 £260.00
W8580Multiple arthroscopic operation on knee (including mensicectomy, chrondroplasty, drilling or microfracture) Bilateral £1000.00 £385.00
W8600Therapeutic arthroscopic operations on cavity of joint, including release of contracture and excison of bone (exostoses) (not otherwise specified as sole procedure) £725.00 £265.00
W8602Therapeutic arthroscopy of wrist joint (in isolation) £700.00 £300.00
W8603Therapeutic arthroscopy of shoulder (as sole procedure) £785.00 £245.00
W8620Therapeutic arthroscopy of hip eg removal of loose bodies £900.00 £335.00
W8630Simple therapeutic arthroscopy of ankle with either soft tissue procedures or bony procedures +/- or joint surface procedures (as sole procedure) £660.00 £245.00
W8640Complex therapeutic arthroscopy of ankle with multiple bony,joint surface and soft tissue procedures £700.00 £315.00
W8650Therapeutic subtalar arthroscopy additional to synovectomy to gain vision £635.00 £315.00
W8680Therapeutic arthroscopic operations on cavity of joint - bilateral £1000.00 £400.00
W8700Diagnostic arthroscopic examination of joint, with or without biopsy (not otherwise specified) (as sole procedure) £300.00 £240.00
W8780Diagnostic endoscopic examination of joint with or withoutbiopsy - bilateral £450.00 £240.00
W8782Flexible arthroscopy +/- biopsy under local anaesthetic (as sole procedure)* £.00 £.00
W8800Diagnostic arthroscopic examination of hip joint including wash-out, with or without biopsy (as sole procedure) £850.00 £300.00
W8820Diagnostic arthroscopic examination of shoulder joint, with or without biopsy (as sole procedure) £250.00 £240.00
W8830Diagnostic arthroscopic examination of wrist joint, with or without biopsy (as sole procedure) £300.00 £240.00
W8840Diagnostic arthroscopic examination of ankle, including anterior synovectomy to gain vision (as sole £250.00 £240.00
W8850Diagnostic subtalar arthroscopy including synovectomy to gain vision (as sole procedure) £.00 £.00
W9012Therapeutic local anaesthetic/aspiration large joint single* £125.00 £.00
W9013Therapeutic local anaesthetic/aspiration large joint more than 1 joint* £150.00 £.00
W9014Therapeutic local anaesthetic/aspiration small joint single* £160.00 £.00
W9015Therapeutic local anaesthetic/aspiration small joint more than 1 joint* £200.00 £150.00
W9016Therapeutic local anaesthetic/aspiration of joint under imaging control* £170.00 £.00
W9018Percutaneous biopsy/ arthrography/ aspiration in assessment of total hip replacement £120.00 £100.00
W9020Dynamic arthrogram of joint £120.00 £110.00
W9030Injection(s) into joint(s) under x-ray control £170.00 £150.00
W9111Manipulation of joint (including intra-articular injection) for “Frozen Shoulder” (as sole procedure) – bilateral £250.00 £240.00
W9112Manipulation of joint (including intra-articular injection) for "Frozen Shoulder" (as sole procedure) £230.00 £190.00
W9240Examination/ manipulation of joint under anaesthetic +/- injection (as sole procedure) £150.00 £125.00
W9282Joint fluid examination (e.g. polarising microscopy) performed by consultant including aspiration of fluid £115.00 £100.00
X0710Forequarter amputation £1050.00 £325.00
X0720Disarticulation of shoulder £800.00 £380.00
X0820Amputation of digit £350.00 £175.00
X0822Amputation of whole ray £290.00 £175.00
X0880Amputation through mid-carpal/transmetacarpal £350.00 £135.00
X0910Hindquarter amputation £1050.00 £390.00
X0930Amputation of leg/foot £700.00 £240.00
X1110Amputation of toe(s) £355.00 £170.00
X2000Correction of congenital deformity of forearm £600.00 £185.00
X2130Correction of minor congenital deformity of hand £400.00 £145.00
X2200Closed reduction and Frog POP for congenital dislocation of hip (including dynamic arthrogram, tract £725.00 £285.00
X2260Open reduction & Frog POP for congenital dislocation hip (incl traction & innominate/femoral osteot £1250.00 £600.00
X2262Complex open reduction for congenital dislocation of hip (i.e pelvi&femoral or Pemberton osteotomy £1700.00 £1000.00
X2280Manipulation and Plaster of Paris for hip £200.00 £120.00
X3200Exchange blood transfusion £310.00 £.00
X3770Intramuscular injection with XRC (eg piriformis block)* £200.00 £150.00
X4822Change of cast under general anaesthetic £150.00 £105.00
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BRAIN, CRANIUM AND OTHER INTRACRANIAL ORGANS
OPCSDescriptionProcedure CostAnaesthetic Cost
22026Spinal monitoring - up to 4 hours £210.00 £.00
A0110Hemispherectomy £2140.00 £875.00
A0180Excision of abscess of brain £1460.00 £630.00
A0200Excision of lesion of tissue of brain £2050.00 £835.00
A0260Excision of arteriovenous malformation from vessels of brain £2050.00 £1000.00
A0300Stereotactic ablation of tissue of brain £1460.00 £585.00
A0380Stereotactic radiosurgery (gamma knife surgery) £2000.00 £555.00
A0400Open biopsy of lesion of tissue of brain £1100.00 £470.00
A1220Creation of ventriculovascular anastomosis £800.00 £290.00
A1240Creation of ventriculoperitoneal shunt £800.00 £375.00
A1250Creation of subcutaneous cerebrospinal fluid reservoir £700.00 £400.00
A1300Maintenance of cerebroventricular shunt (including revision) £575.00 £260.00
A1430Removal of cerebroventricular shunt £445.00 £200.00
A1440Irrigation of cerebroventricular shunt £345.00 £200.00
A1700Therapeutic endoscopic operations on ventricle of brain (including examination and biopsy of lesion) £810.00 £290.00
A2080Ventricular puncture (as sole procedure) £180.00 £155.00
A2210Drainage of subarachnoid space of brain £470.00 £180.00
A2220Puncture of cistern of brain £170.00 £145.00
A2500Intracranial transection of cranial nerve £1970.00 £855.00
A2600Other intracranial destruction of cranial nerve £1970.00 £855.00
A2900Excision of lesion of cranial nerve (intracranial) £2400.00 £1000.00
A2953Acoustic and cerebello-pontine angle neuroma surgery – tumours more than 2.5 cms or compressing brai £2400.00 £890.00
A2954Acoustic and cerebello-pontine angle neuroma surgery – tumours managed by combined oto-neurosurgical £2400.00 £1000.00
A3000Repair of cranial nerve (intracranial) £1415.00 £550.00
A3200Decompression of cranial nerve (craniotomy) £1830.00 £625.00
A3680Excision of cerebellopontine angle tumour £2140.00 £885.00
A3810Excision of lesion of meninges of brain £2400.00 £900.00
A3830Operation for arachnoidal cyst £1070.00 £420.00
A3900Repair of dura £1415.00 £450.00
A4010Evacuation of extradural haematoma £1100.00 £470.00
A4080Craniotomy - post-operative haemorrhage £835.00 £420.00
A4110Evacuation of subdural haematoma or abscess £1610.00 £520.00
A4180Subdural haemorrhage - tap £100.00 £145.00
A4280Intracranial infection : burrhole £575.00 £220.00
A4850Implantation/removal of intrathecal drug delivery system £130.00 £.00
A4860Implantation/removal of epidural delivery system £130.00 £.00
A6300Graft to peripheral nerve £700.00 £195.00
A6302Graft to major nerve £510.00 £220.00
A8300Electro-convulsive therapy £215.00 £80.00
B0100Hypophysectomy £2050.00 £555.00
B0410Excision of lesion of pituitary gland £2050.00 £625.00
B0610Excision of pineal gland £2140.00 £555.00
L3320Ligation/clipping of aneurysm of cerebral artery £2050.00 £725.00
L3380Reinforcement of aneurysm of cerebral artery £1805.00 £640.00
L3400Open operations on cerebral artery £1950.00 £640.00
L7510Excision of arteriovenous malformation £2400.00 £680.00
V0110Reconstructive cranioplasty £1650.00 £630.00
V0130Craniostenosis (for single suture) £705.00 £245.00
V0180Craniostenosis (for more than one suture) £990.00 £470.00
V0310Exploratory open craniotomy £825.00 £410.00
V0330Exploratory burrhole of cranium £760.00 £330.00
V0383Lateral petrosectomy (for tumour) £1050.00 £610.00
V0390Foramen magnum decompression £1395.00 £460.00
V0510Excision of lesion of cranium £795.00 £275.00
V0530Elevation of depressed fracture of cranium £565.00 £250.00
V0580Repair of compound fracture of cranium £1085.00 £480.00
V0700Cranio-facial resection £1725.00 £500.00
V3120Transthoracic/ anterolateral excision of 4vertebral disc +/- fusion £1575.00 £450.00
W2912Application of halo (as sole procedure) £170.00 £150.00
X3750Botulinus toxin injections to muscle £110.00 £100.00
X3760Simple intramuscular injection, without XRC (as sole procedure) £90.00 £.00
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BREASTS
OPCSDescriptionProcedure CostAnaesthetic Cost
A7560VATS sympathectomy - unilateral £720.00 £250.00
B2700Subcutaneous mastectomy with immediate implant £625.00 £245.00
B2710Radical mastectomy including block dissection £800.00 £280.00
B2713 Radical mastectomy excluding block dissection £775.00 £255.00
B2742Modified radical mastectomy including lymph node sampling £750.00 £300.00
B2743Modified radical mastectomy excluding lymph node sampling £700.00 £250.00
B2744Modified radical mastectomy including lymph node clearance £800.00 £325.00
B2752Subcutaneous mastectomy £575.00 £200.00
B2780Simple mastectomy (including axillary node biopsy) £575.00 £275.00
B2782Prophylactic mastectomy - unilateral £550.00 £275.00
B2783Prophylactic mastectomy - bilateral £700.00 £350.00
B2784Mastectomy for gynaecomastia - unilateral £450.00 £225.00
B2785Mastectomy for gynaecomastia - bilateral £620.00 £365.00
B2800Excision/biopsy of breast lump/fibroadenoma of breast £350.00 £190.00
B2810Segmental resection or quadrantectomy £575.00 £220.00
B2820Wide local excision of lesion of breast £585.00 £285.00
B2830Repeat local excision to clear margins £350.00 £175.00
B2880Excision biopsy of breast lesion after localisation £600.00 £285.00
B2912Mastectomy and immediate reconstruction of breast using latissimus dorsi £1900.00 £700.00
B2913Delayed reconstruction of breast using latissimus dorsi £1000.00 £450.00
B2982Mastectomy and immediate reconstruction of breast using pedicled TRAM £1817.00 £757.00
B2983Mastectomy and immediate reconstruction of breast using free TRAM £1585.00 £575.00
B2984Delayed reconstruction of breast using pedicled TRAM £1600.00 £650.00
B2985Delayed reconstruction of breast using free TRAM £1375.00 £450.00
B2986Deep Inferior Epigastric Perforator Flap Reconstruction of breast (DIEP) £2700.00 £1300.00
B3012Mastectomy and immediate reconstruction of breast using expandable prosthesis £800.00 £400.00
B3013Mastectomy and immediate reconstruction of breast using fixed prosthesis £600.00 £225.00
B3014Delayed reconstruction of breast using expandable prosthesis £465.00 £240.00
B3015Delayed reconstruction of breast using fixed prosthesis £400.00 £200.00
B3032Removal of prosthesis from breast, including capsulectomy £250.00 £150.00
B3033Simple removal of prosthesis from breast £250.00 £135.00
B3100Reduction mammoplasty - unilateral £600.00 £300.00
B3110Reduction mammoplasty - bilateral (greater than 500g each breast) £1100.00 £500.00
B3180Implantation of prosthesis following mastectomy £420.00 £210.00
B3212Percutaneous suction core biopsy £170.00 £95.00
B3220Core biopsy of lesion of breast £175.00 £120.00
B3310Drainage of breast abscess £220.00 £120.00
B3440Microdochotomy £350.00 £150.00
B3590Operation(s) on ducts of nipple £425.00 £150.00
B3592Tattooing of Nipple £150.00 £.00
G2402Transthoracic fundoplication £840.00 £310.00
S4760Fine needle aspiration cytology £110.00 £.00
T8520Block dissection of axillary lymph nodes (where not included in other procedures) £700.00 £240.00
T8620Biopsy/sampling of axillary lymph nodes £215.00 £130.00
T8640Biopsy of internal mammary lymph nodes £220.00 £160.00
T9000Sentinel node mapping for breast cancer with blue dye or radioactive probe alone £610.00 £250.00
T9020Sentinel node mapping for breast cancer with blue dye and radioactive probe £625.00 £300.00
Return to Sections list
CLINICAL ONCOLOGY
OPCSDescriptionProcedure CostAnaesthetic Cost
50001Initial consultation - Oncology £240.00 £.00
50002Daily necessary medical attendance for in-patient stay for an intermediate medical condition(s) (Medical explanation is required) £60.00 £.00
50003Follow-up consultation - Oncology £180.00 £.00
50004Daily necessary medical attendance for in-patient stay for serious non-related medical condition(s) ( A full Medical explanation is required) £135.00 £.00
50011Planning,administration and necessary attendance for course of Radiotherapy for each 15 fractions or part thereof £455.00 £.00
50013Planning, Supervision and necessary attendance for course of chemo - for up to 7 days £165.00 £.00
50014Planning, Supervision and necessary attendance for course of chemo - for up to 14 days £330.00 £.00
50015Planning, Supervision and necessary attendance for course of chemo - for up to 21 days £495.00 £.00
50016Complex CT Planning involving Conformal 3D Radiotherapy or Intensity Modulated Radiotherapy (IMRT) - (In addition to 50011 where appropriate) £380.00 £.00
51611Planning, Supervision and necessary attendance for course of chemo - for up to 28 days £660.00 £.00
Return to Sections list
CONSULTATIONS
OPCSDescriptionProcedure CostAnaesthetic Cost
10001Professional attendance to administer sedation techniques (per hour of attendance) £100.00 £.00
10002Insertion and management of epidural analgesia during the perioperative period £125.00 £.00
15770Initial consultation SURGICAL £120.00 £.00
15780Initial consultation MEDICAL £200.00 £.00
15790Subsequent consultation SURGICAL £100.00 £.00
15800Subsequent consultation MEDICAL £180.00 £.00
17180Professional attendance on (initiation of care of) patient requiring intensive care between 1 - 2 hours. £300.00 £.00
17240Professional attendance on (initiation of care of) patient requiring intensive care between 2 - 3 hours £450.00 £.00
17250Professional attendance on patient requiring intensive care over 4 hours whether or not in intensive care £650.00 £.00
18100Professional attendance on patient in serious condition per day £150.00 £.00
18110Professional attendance on patient in intermediate condition £100.00 £.00
18120Professional attendance on patient in less serious condition or admission for investigation per day £60.00 £.00
20110ECG £60.00 £.00
20150Patch testing £35.00 £.00
20210Air conduction audiogram £45.00 £.00
20220Audiogram with other cochlear test £40.00 £.00
20230Impedance audiogram £35.00 £.00
20240Impedance audiogram as part of other procedure £35.00 £.00
25000Incision and drainage £95.00 £.00
AA006Consultation £200.00 £.00
AA900Consultation £200.00 £.00
AA910Consultation £200.00 £.00
AA9100Consultation £200.00 £.00
L8600Injection into varicose vein(s) of leg £150.00 £.00
S4231Removal of sutures/stitches/clips £90.00 £.00
S4780Aspiration of subcutaneous haematoma £160.00 £.00
S5210Injection into subscutaneous tissue/painful trigger point(including local anaesthetic and steroid) £110.00 £120.00
S5300Introduction of substance into skin (including hormone-pellet) £125.00 £.00
V4800Injection around apophyseal facet(s) of vertebra(ae) withoutx-ray control £120.00 £.00
w9040Injection into joint(s) without x-ray control £110.00 £100.00
X4810Change of cast without general anaesthetic £150.00 £130.00
X4811Removal of Plaster of Paris (POP) £95.00 £.00
Return to Sections list
EAR, NOSE AND THROAT
OPCSDescriptionProcedure CostAnaesthetic Cost
A8480Transtympanic electro-cochleography £220.00 £.00
AA378Pharyngolaryngectomy £1730.00 £600.00
AA489Transtympanic chemical labyrinthectomy £700.00 £280.00
B0812Total thyroidectomy/near total thyroidectomy £875.00 £375.00
B0813Total thyroidectomy including block dissection of lymph nodes £875.00 £375.00
B0850Isthmectomy of thyroid gland £475.00 £275.00
B1012Excision of thyroglossal cyst/tract £750.00 £210.00
B1250Thyroid : re-operation £875.00 £300.00
B1690Mediastinal parathyroidectomy with sternotomy £900.00 £280.00
D0110Total excision of external ear £555.00 £265.00
D0132Excision accessory auricle/preauricular appendage £310.00 £130.00
D0140Excision of preauricular sinus £350.00 £150.00
D0210Excision of lesion of external ear £260.00 £150.00
D0280Removal of exostoses from external auditory canal £770.00 £245.00
D0310Reconstruction of external ear using graft £885.00 £310.00
D0340Meatoplasty of external ear £480.00 £175.00
D0342Bony meatoplasty £575.00 £160.00
D0410Drainage of haematoma/abcess of pinna £200.00 £125.00
D0610Biopsy of lesion of pinna (as sole procedure) £95.00 £105.00
D0630Repair of external ear £130.00 £160.00
D0702Aural toilet - including microsuction £120.00 £90.00
D0730Removal of foreign body from external auditory canal under GA (and bilateral) £125.00 £125.00
D0810Excision of lesion of external auditory canal £180.00 £165.00
D0812Removal of solitary osteoma of external auditory canal £290.00 £170.00
D0820Reconstruction of external auditory canal £1140.00 £420.00
D1010Radical mastoidectomy £880.00 £310.00
D1020Modified radical mastoidectomy £880.00 £330.00
D1032Excision accessory auricle/preauricular appendage £310.00 £130.00
D1040Simple mastoidectomy £710.00 £260.00
D1060Revision of mastoidectomy £625.00 £280.00
D1240Exploration of mastoid facial nerve £1045.00 £310.00
D1420Myringoplasty £725.00 £275.00
D1440Combined approach tympanoplasty - intact canal wall tympanoplasty £975.00 £325.00
D1510Myringotomy and insertion of tube through tympanic membrane (and bilateral) £350.00 £180.00
D1520Suction clearance of middle ear (as sole procedure) £125.00 £125.00
D1530Myringotomy (and bilateral) £130.00 £105.00
D1540Exploration of entire middle ear course of VII £1100.00 £450.00
D1610Ossiculoplasty with/without tympanoplasty £885.00 £300.00
D1710Stapedectomy £730.00 £300.00
D1720Revision stapedectomy £590.00 £295.00
D1750Transnasal repair of leaking CSF (including endoscopic) £1050.00 £615.00
D1900Middle ear tumour excision £860.00 £250.00
D1910Middle ear polypectomy (and bilateral) £220.00 £100.00
D2030Removal of grommets £200.00 £180.00
D2040Diagnostic tympanotomy (as sole procedure) £600.00 £200.00
D2050Tympanic neurectomy £390.00 £150.00
D2610Operation(s) on endolymphatic sac £730.00 £340.00
D2620Membranous labyrinthectomy £850.00 £300.00
D2630Osseous labyrinthectomy £850.00 £300.00
E0110Total excision of nose £615.00 £310.00
E0230Septorhinoplasty +/- graft/implant following trauma or excision of tumour £900.00 £345.00
E0260Rhinoplasty following trauma or excision of tumour £938.00 £413.00
E0310Submucous excision of septum of nose £400.00 £145.00
E0330Biopsy of lesion of septum of nose £130.00 £115.00
E0340Closure of perforation of septum of nose £640.00 £145.00
E0360Septoplasty of nose £600.00 £180.00
E0412Reduction turbinates of nose (laser, diathermy, out fracture etc) £255.00 £150.00
E0420Excision of turbinate of nose (and bilateral) £350.00 £180.00
E0440Division of adhesions of turbinate of nose (and bilateral) £175.00 £150.00
E0520Ligation of artery of internal nose £465.00 £175.00
E0610Packing of cavity of nose (as sole procedure) £110.00 £110.00
E0810Polypectomy of internal nose (and bilateral) £240.00 £145.00
E0820Excision of lesion of internal nose £175.00 £150.00
E0830Correction of congential atresia of choana £475.00 £195.00
E0850Removal of foreign body from cavity of nose £125.00 £115.00
E0910Excision of lesion of external nose £115.00 £135.00
E1220Drainage of maxillary antrum (including Caldwell-Luc) (and bilateral) £495.00 £165.00
E1240Transantral neurectomy of vidian nerve using sublabial approach (and bilateral) £580.00 £220.00
E1310Antral puncture and wash-out (and bilateral) £165.00 £130.00
E1330Intranasal antrostomy including endoscopic (and bilateral) £335.00 £175.00
E1350Closure of oro-antral fistula £450.00 £160.00
E1360Endoscopic balloon dilation frontal sinuplasty (as sole procedure) £650.00 £300.00
E1410External frontoethmoidectomy (and bilateral) including lateral rhinotomy into sinus for malignancy £650.00 £245.00
E1420Intranasal ethmoidectomy (and bilateral) £575.00 £175.00
E1432FESS Endoscopic uncinectomy, anterior and posterior ethmoidectomy (and bilateral) £650.00 £300.00
E1440Transantral ethmoidectomy (and bilateral) £655.00 £220.00
E1450Bone flap to frontal sinus (and bilateral) £785.00 £190.00
E1460Trephining of frontal sinus £210.00 £190.00
E1480Radical frontoethmoidectomy £975.00 £290.00
E1493Image guided FESS £1040.00 £609.00
E1500Operation(s) on sphenoid sinus £310.00 £175.00
E1742Lateral rhinotomy into sinuses £510.00 £180.00
E1780Diagnostic endoscopy of sinus (as sole procedure) £120.00 £120.00
E1910Total pharyngectomy £2055.00 £625.00
E1920Partial pharyngectomy £765.00 £565.00
E2010Adenoidectomy £180.00 £150.00
E2100Repair of pharynx £780.00 £245.00
E2140Reconstruction using stomach pull up following pharyngectomy £.00 £.00
E2150Reconstruction free jejunal graft following pharyngectomy £.00 £.00
E2300Pharyngeal myotomy £575.00 £200.00
E2320Operation(s) on pharyngeal pouch £650.00 £240.00
E2330Removal of lesion of para-pharyngeal space £1370.00 £750.00
E2400Therapeutic endoscopic operation on pharynx £245.00 £180.00
E2480Pharyngeal pouch - endoscopic resection £575.00 £220.00
E2500Diagnostic endoscopic examination of pharynx (including biopsy) £210.00 £145.00
E2910Total laryngectomy (including neck dissection) £1095.00 £600.00
E2920Horizontal supra-glottic laryngectomy £1095.00 £575.00
E2930Vertical hemi-laryngectomy £1030.00 £365.00
E2940Partial laryngectomy £1030.00 £365.00
E2950Laryngofissure and chordectomy of vocal chord £535.00 £185.00
E2952Laryngofissure £510.00 £185.00
E2970Sub-total laryngectomy £620.00 £285.00
E3010Glottoplasty £600.00 £220.00
E3100Reconstruction of larynx with graft £1760.00 £625.00
E3180Thyroplasty (Isshiki type 1) £520.00 £170.00
E3400Cordectomy (endoscopic) £510.00 £185.00
E3410Laser surgery to vocal cord (including microlaryngoscopy) £600.00 £220.00
E3520Endoscopic excision of lesion of larynx (including microlaryngoscopy) £460.00 £280.00
E3680Endoscopic laryngo-pharyngoscopy as sole outpatient procedure £240.00 £175.00
E3810Injection into larynx £400.00 £160.00
E4032Tracheoplasty for congenital conditions £510.00 £185.00
E4510Fibreoptic examination of trachea including biopsy/removal of foreign body £255.00 £150.00
E4990Flexible Panendoscopy £180.00 £180.00
E6110Open excision of mediastinal tumour including congenital cysts/pesterior chest wall lesions £700.00 £550.00
F3400Tonsillectomy - child (and bilateral) £400.00 £200.00
F3440Tonsillectomy - adult (and bilateral) £450.00 £200.00
F3480Adenotonsillectomy (and bilateral) £450.00 £220.00
F3620Drainage of peritonsillar abscess (quinsy) £125.00 £185.00
F3650Arrest of hemorrhage following tonsillectomy/adenoidectomy £250.00 £150.00
F4640Fine needle aspiration of parotid gland £100.00 £100.00
T8722Selective dissection of cervical lymph nodes, Levels 1 to 4 £975.00 £350.00
T8723Selective dissection of cervical lymph nodes, Levels 1 to 5 (+/-6) £975.00 £340.00
V0382Total petrosectomy (for tumour) £1050.00 £610.00
V0910Open reduction and fixation of nasal ethmoid fracture £.00 £.00
Return to Sections list
EYE AND ORBITAL CONTENTS
OPCSDescriptionProcedure CostAnaesthetic Cost
C0110Exenteration of orbit £705.00 £245.00
C0120Enucleation of eyeball £685.00 £230.00
C0122Enucleation/evisceration of eyeball (with implant) £590.00 £200.00
C0212Excision of lesion of orbit - anterior approach £650.00 £240.00
C0213Excision of lesion of orbit - lateral orbitomy £550.00 £220.00
C0512Simple reconstruction of socket (not including implant or graft) £670.00 £220.00
C0513Reconstruction of socket with either implant or graft £670.00 £220.00
C0514Reconstruction of socket with implant and graft £670.00 £220.00
C0610Biopsy of lesion of orbit £505.00 £155.00
C0620Drainage of orbit £420.00 £110.00
C0630Decompression of orbit £1200.00 £600.00
C0640Removal of foreign body from orbit £590.00 £220.00
C0650Exploration of orbit £590.00 £220.00
C0840Retrobulbar injection £120.00 £85.00
C1010Excision of lesion of eyebrow £295.00 £140.00
C1040Suture of eyebrow £160.00 £120.00
C1110Excision of lesion of canthus £350.00 £175.00
C1130Correction of epicanthus £355.00 £155.00
C1140Correction of telecanthus £355.00 £155.00
C1150Graft of skin to canthus £335.00 £155.00
C1160Canthotomy/curettage £360.00 £155.00
C1210Excision of lesion of eyelid £150.00 £150.00
C1230Curettage/cryotherapy of lesion of eyelid £125.00 £150.00
C1420Graft of skin to eyelid £310.00 £155.00
C1512Correction of lower lid ectropion without graft/flap £340.00 £130.00
C1513Correction of lower lid ectropion with graft/flap £400.00 £130.00
C1522Correction of entropion - lower lid £400.00 £130.00
C1523Correction of entropion - upper lid, including graft/flap £340.00 £130.00
C1532Correction of trichiasis by electrolysis/diathermy/cryotherapy/laser £150.00 £130.00
C1540Surgical correction of trichiasis /upper lid entropion, including graft/flap £120.00 £130.00
C1640Tarsorrhaphy £260.00 £145.00
C1700Total reconstruction of eyelid £650.00 £175.00
C1710Suture of eyelid (laceration) involving lid margin £150.00 £120.00
C1810Correction of ptosis of eyelid - simple, including tarsomullerectomy £625.00 £260.00
C1812Correction of ptosis of eyelid - complex £625.00 £260.00
C1813Correction of ptosis of eyelid with autologous fascia lata £535.00 £260.00
C2220Biopsy of lesion of eyelid £220.00 £110.00
C2510Canaliculo-dacryocysto-rhinostomy £730.00 £320.00
C2520Conjunctivo-dacryocysto-rhinostomy £730.00 £300.00
C2540Dacryocysto-rhinostomy, including insertion of tube £594.00 £275.00
C2610Excision/Biopsy of lacrimal sac £310.00 £155.00
C2640Incision of lacrimal sac £120.00 £120.00
C2650Syringing and irrigation of lacrimal system (as sole procedure) £150.00 £130.00
C2910Puncto-canaliculoplasty £365.00 £155.00
C3112Surgical correction of squint - horizontal 1 muscle £650.00 £230.00
C3113Surgical correction of squint - horizontal 2 muscles (in one eye, or one muscle in each of two eyes) £700.00 £245.00
C3114Surgical correction of squint - inferior oblique surgery £650.00 £220.00
C3115Surgical correction of squint - other vertical muscles £650.00 £200.00
C3180Revision of squint surgery (one or both eyes) £775.00 £275.00
C3530Surgical correction of squint with adjustable sutures (one orboth eyes) £955.00 £230.00
C3780Correction of squint with botulinum toxin £350.00 £.00
C3910Excision/biopsy of conjunctival lesion £210.00 £175.00
C3920Cauterisation including cryotherapy to conjunctival lesion £210.00 £155.00
C3950Radiotherapy to conjunctival lesion £180.00 £155.00
C3960Excision of pterygium £165.00 £160.00
C4010Mucosal graft to conjunctiva £395.00 £155.00
C4050Suture of conjunctiva £200.00 £155.00
C4100Drainage of conjunctival cyst £105.00 £135.00
C4340Subconjunctival injection £130.00 £150.00
C4350Exploration of conjunctiva (including removal or foreign body) £150.00 £150.00
C4520Excision of lesion of cornea £160.00 £135.00
C4620Lamellar graft (keratoplasty) to cornea £875.00 £340.00
C4630Perforating graft (keratoplasty) to cornea £800.00 £330.00
C4650Revision of corneal graft/wound £700.00 £275.00
C4710Repair of corneal wound £180.00 £155.00
C4730Removal of corneal suture £120.00 £150.00
C4810Removal of superficial corneal foreign body £155.00 £135.00
C4980Tension sutures £595.00 £190.00
C5122Chelation of cornea/photo therapeutic keratectomy £250.00 £125.00
C5180Corneal scraping for culture £130.00 £120.00
C5300Excision of lesion of sclera £260.00 £165.00
C5432Conventional retinal surgery (may include scleral buckling, injection of gas, drainage and retinopex £750.00 £375.00
C5480Removal of silicone oil £260.00 £130.00
C5720Repair of scleral laceration £260.00 £165.00
C5730Scleral graft £480.00 £170.00
C5910Iridocyclectomy £730.00 £300.00
C5920Surgical iridectomy £360.00 £200.00
C6010Surgical trabeculectomy £500.00 £275.00
C6110Laser trabeculoplasty £365.00 £200.00
C6130Goniotomy (surgical treatment of glaucoma) £595.00 £190.00
C6150Revision of previous glaucoma surgery £670.00 £250.00
C6230Laser iridotomy £485.00 £230.00
C6410Repair of prolapsed iris £595.00 £220.00
C6420Excision of lesion of iris £595.00 £220.00
C6450Removal of foreign body from iris £595.00 £210.00
C6610Ciliary body ablation £400.00 £175.00
C6710Cyclodialysis (separation of ciliary body) £535.00 £220.00
C6910Reformation of anterior chamber £480.00 £185.00
C6920Paracentesis £400.00 £150.00
C6930Injection into anterior chamber/posterior chamber £180.00 £150.00
C6940Irrigation of anterior chamber £320.00 £155.00
C6980Removal of foreign body from anterior chamber £395.00 £150.00
C7100Extracapsular extraction without implant - bilateral £1075.00 £410.00
C7110Extracapsular extraction without implant £645.00 £245.00
C7122Phakoemulsification of lens with implant - unilateral £770.00 £325.00
C7123Phakoemulsification of lens without implant - unilateral £725.00 £325.00
C7124Phakoemulsification of lens without implant - bilateral £1000.00 £465.00
C7125Phakoemulsification of lens with implant - bilateral £1100.00 £525.00
C7180Extracapsular extraction with implant £875.00 £325.00
C7190Extracapsular extraction with implant - bilateral £1430.00 £540.00
C7340Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy) £220.00 £175.00
C7510Secondary insertion of lens implant £600.00 £240.00
C7520Revision of lens implant £645.00 £215.00
C7530Removal of lens implant £400.00 £150.00
C7910Vitrectomy by anterior approach £600.00 £275.00
C7920Vitrectomy pars plana approach with insertion of internal tamponade £1300.00 £500.00
C7922Pars plana vitrectomy/vitreous biopsy £875.00 £475.00
C7923Intravitreal injection of pharmaceutical for neovascular age related macular degeneration £350.00 £200.00
C7982Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy, including dissection £1600.00 £725.00
C8200Laser photocoagulation/cryotherapyof lesion of retina £350.00 £175.00
C8240Photodynamic therapy to the retina (PDT) £320.00 £160.00
C8440Retinal examination under anaesthetic including retinopexy if necessary. £200.00 £100.00
C8650Fluorescein angiography of eye £115.00 £100.00
C8652Occular photograpy (in isolation) £110.00 £.00
Return to Sections list
FACE, MOUTH, HEAD AND NECK (not elsewhere listed)
OPCSDescriptionProcedure CostAnaesthetic Cost
B0820Bilateral subtotal thyroidectomy £695.00 £270.00
B0830Total thyroid lobectomy £750.00 £280.00
B0860Partial Thyroidectomy £700.00 £320.00
B0900Operations on aberrant thyroid tissue (including retrosternal) £875.00 £350.00
B1230Core biopsy of thyroid gland £200.00 £100.00
B1450Parathyroidectomy £950.00 £335.00
B1680Parathyroid - second operation £1180.00 £385.00
F0110Excision of vermilion border of lip and advance of mucosa of lip £350.00 £150.00
F0200Excision of lesion of lip £300.00 £150.00
F0312Primary closure of cleft lip - unilateral £510.00 £240.00
F0313Primary closure of cleft lip - bilateral £580.00 £270.00
F0314Primary closure of cleft lip - unilateral including anterior palate £520.00 £250.00
F0315Primary closure of cleft lip - bilateral including anterior palate £580.00 £270.00
F0320Revision of primary closure of cleft lip £650.00 £270.00
F0420Reconstruction of lip using skin flap £700.00 £300.00
F0530Suture of lip £265.00 £140.00
F0830Replantation of tooth/teeth following trauma £270.00 £115.00
F0910Surgical removal of impacted/buried tooth/teeth £350.00 £180.00
F0950Surgical removal of complicated buried roots £250.00 £175.00
F1140Vestibuloplasty following trauma £355.00 £145.00
F1810Enucleation of cyst of jaw £310.00 £180.00
F2210Total glossectomy. For block dissection use T8510 in addition £755.00 £245.00
F2220Partial glossectomy. For block dissection use T8510 in addition. £650.00 £250.00
F2310Excision/destruction of lesion of tongue £330.00 £175.00
F2620Frenotomy/frenectomy of tongue £165.00 £150.00
F2640Freeing of adhesions of tongue £100.00 £150.00
F2650Suture of tongue £120.00 £150.00
F2660Tongue flap - first stage and second stage £520.00 £275.00
F2810Excision/destruction of lesion of palate £300.00 £180.00
F2910Primary repair of cleft palate £700.00 £270.00
F2920Revision of repair of cleft palate £480.00 £195.00
F3070Suture of palate £270.00 £200.00
F3810Excision/destruction of lesion of mouth £210.00 £160.00
F4040Suture of mouth £185.00 £155.00
F4050Graft of skin or mucosa to mouth £290.00 £185.00
F4210Biopsy of lesion of mouth £165.00 £150.00
F4230Removal of excess mucosa from mouth £300.00 £165.00
F4400Excision of parotid gland (other than F4410/F4430) £585.00 £250.00
F4410Total excision of parotid gland and perservation of facial nerve £1215.00 £550.00
F4430Partial excision of parotid gland and perservation facial nerve £1000.00 £340.00
F4440Excision of submandibular gland £475.00 £210.00
F4450Excision of sublingual gland £300.00 £175.00
F4600Incision or drainage of abscess or haematoma of salivary glands (i.e. including submandibular, parot £130.00 £120.00
F4610Incision of parotid gland £190.00 £120.00
F4810Biopsy of lesion of salivary gland £290.00 £150.00
F5010Transposition of parotid duct £355.00 £140.00
F5020Transposition of submandibular duct £355.00 £145.00
F5110Open extraction of calculus from parotid gland £300.00 £120.00
F5120Open extraction of calculus from submandibular gland £240.00 £165.00
F5510Dilation of parotid duct £150.00 £100.00
F5610Manipulative removal of calculus from parotid duct £220.00 £115.00
T9400Operations of branchial cleft cyst £420.00 £375.00
T9420Operations on branchial cleft fistula £625.00 £280.00
V0820Open reduction and fixation of fractured jaw £420.00 £220.00
V0830Closed reduction and fixation of fractured jaw £220.00 £185.00
V0900Reduction of other fractures of bones of face £185.00 £155.00
V0930Reduction of fractures of zygomatic complex of bones £310.00 £180.00
V0980Open reduction of fracture of zygomatic complex of bones £575.00 £200.00
V1040Osteotomy of maxilla (and bilateral) £785.00 £320.00
V1082Partial maxillectomy for malignancy £755.00 £325.00
V1083Hemi-maxillectomy for malignancy £755.00 £275.00
V1150Removal of internal fixation and/or intermaxillary fixation from jaw £180.00 £220.00
V1330Biopsy of lesion of facial bone £130.00 £135.00
V1422Extensive segmental excision of mandible £875.00 £350.00
V1423Extensive excision of mandible with disarticulation £720.00 £300.00
V1440Excision of lesion of jaw £410.00 £165.00
V1730Extra-oral fixation of mandible £300.00 £220.00
V1910Reconstruction of jaw £950.00 £325.00
V1930Alveolar bone graft - unilateral £420.00 £170.00
V1931Alveolar bone graft - bilateral £725.00 £325.00
V2020Prosthetic replacement of temporomandibular joint £705.00 £300.00
V2030Arthroplasty of temporomandibular bone joint £800.00 £350.00
V2120Reduction of dislocation of temporomandibular bone joint £220.00 £110.00
Return to Sections list
FEMALE REPRODUCTIVE ORGANS
OPCSDescriptionProcedure CostAnaesthetic Cost
10003Infertility - Immunisation with paternal lymphocytes £615.00 £.00
BT281Planning for insertion and removal of radiopharmaceutical into vaginal tumour (brachytherapy £.00 £.00
BT282Insertion and removal of radiopharmaceutical into vaginal tumour (brachytherapy) £.00 £.00
BT341Planning for insertion and removal of radiopharmaceutical into carcinoma of the cervix (brachytherapy) £.00 £.00
BT342Insertion and removal of radiopharmaceutical into carcinoma of the cervix (brachytherapy) £.00 £.00
M3710Cystourethroplasty £535.00 £200.00
M5100Combined abdominal and vaginal operations to support outlet of female bladder (including sling procedures) £750.00 £365.00
M5180Combined abdominal and vaginal operations to support outlet of female bladder (including sling procedures) - redo operation £825.00 £365.00
M5220Retropubic suspension of neck of bladder £675.00 £265.00
M5280Retropubic suspension of neck of bladder (including colposuspension) - redo operation £550.00 £200.00
M5300Vaginal operations to support outlet of female bladder £700.00 £250.00
M5582Diathermy of urethral caruncle £130.00 £100.00
P0310Excision of Bartholin gland £300.00 £160.00
P0320Marsupialisation of Bartholin gland £310.00 £150.00
P0510Simple vulvectomy £655.00 £245.00
P0550Excision of excess labial tissue £335.00 £150.00
P0580Radical vulvectomy (including block dissection of inguinal gland) £1295.00 £395.00
P0600Excision of lesion of vulva £225.00 £150.00
P1300Operations of female perineum £160.00 £145.00
P1400Incision of introitus of vagina £240.00 £175.00
P1800Other obliteration of vagina £925.00 £245.00
P1920Excision of septum of vagina £335.00 £175.00
P2000Excision of lesion of vagina (e.g.warts and cysts) £320.00 £190.00
P2100Construction of vagina £925.00 £275.00
P2210Anterior +/- posterior colporrhaphy and amputation of cervix uteri(including primary repair of enter £645.00 £220.00
P2230Posterior colporrhaphy £465.00 £250.00
P2310Anterior +/- posterior colporrhaphy (including primary repairof enterocele) £725.00 £250.00
P2340Repair of enterocele (in isolation) +/- posterior colporrhaphy £600.00 £245.00
P2380Anterior (+/- posterior) colporrhaphy with vaginal hysterectomy (including primary repair of enterocele) £910.00 £350.00
P2420Sacrocolpopexy £900.00 £425.00
P2510Repair of vesicovaginal fistula £765.00 £265.00
P2520Repair of urethrovaginal fistula £675.00 £265.00
P2530Repair of rectovaginal fistula £810.00 £265.00
Q0100Amputation of cervix uteri £365.00 £175.00
Q0220Laser destruction of lesion of cervix uteri £200.00 £100.00
Q0230Cauterisation of lesion of cervix uteri (including loop diathermy) £175.00 £115.00
Q0330Cone biopsy of cervix uteri (including laser) £320.00 £180.00
Q0340Punch biopsy of cervix uteri £110.00 £90.00
Q0520Dilatation of cervix uteri £115.00 £85.00
Q0710Radical hysterectomy and lymphadenectomy (Wertheim's) £1650.00 £600.00
Q0740Total abdominal hysterectomy (+/- oophorectomy) £850.00 £320.00
Q0750Subtotal abdominal hysterectomy (+/- oophorectomy) £730.00 £325.00
Q0800Vaginal hysterectomy (including laparoscopically assisted) £855.00 £325.00
Q0880Hysterectomy with repair of omentum and removal of uterine adnexa for ovarian malignancy £975.00 £350.00
Q0920Myomectomy (including laparoscopically) £865.00 £265.00
Q0950Plastic reconstruction of uterus £785.00 £220.00
Q1030Dilatation of cervix uteri and curettage of uterus includingpolypectomy and diathermy of cervix £250.00 £150.00
Q1280Introduction of a mirena coil £155.00 £130.00
Q1700Therapeutic endoscopic operations on uterus (including endometrialablation) £640.00 £250.00
Q1702Microwave endometrial ablation £650.00 £265.00
Q1703Impedance controlled bipolar radiofrequency ablation for menorraghia £610.00 £265.00
Q1800Hysteroscopy including biopsy, dilatation, curettage and polypectomy with/without mirena coil insertion £300.00 £180.00
Q1802Hysteroscopy with resection of fibroid £865.00 £265.00
Q2020Endometrial biopsy or aspiration £165.00 £95.00
Q2080Ventro-suspension of uterus including laparoscopic £420.00 £240.00
Q2230Oophorectomy and salpingectomy (as sole procedure) (including bilateral) £650.00 £240.00
Q3800Laparoscopy and therapeutic procedures including laser diathermyand destruction endometriosis adhesiolysis, tubal surgery £640.00 £265.00
Q3900Laparoscopy (including e.g. puncture of ovarian cysts +/- biopsyminor endometriosis) £450.00 £230.00
Q4400Ovarian cystectomy (not included in other procedures)(and bilateral) £665.00 £250.00
T8580Block dissection of pelvic lymph nodes (not included in other procedures) £900.00 £400.00
X1410Total exenteration of pelvis £1830.00 £885.00
X1420Anterior exenteration of pelvis £1460.00 £575.00
X1430Posterior exenteration of pelvis £1460.00 £625.00
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GENERAL PROCEDURES
OPCSDescriptionProcedure CostAnaesthetic Cost
10004Anorectal Manometry £125.00 £.00
10005Dynamic assessment of anorectal function £230.00 £.00
20130Exercise ECG £265.00 £.00
20132Exercise stress echocardiography £260.00 £.00
20140Continuous ECG Holter monitoring £240.00 £.00
20141Long term ambulatory ECG monitoring (event recording) £150.00 £.00
20142Insertion of implantable ECG loop recorder £255.00 £.00
20143Removal of implantable ECG loop recorder £210.00 £.00
22000Electroencephalography (EEG) £125.00 £.00
22002Routine Electroencephalography (EEG), child aged 0-4 years £125.00 £.00
22003Sleep Electroencephalography (EEG) £125.00 £.00
2200424 hour ambulatory Electroencephalography (EEG) £125.00 £.00
2200524 hour video telemetry Electroencephalography (EEG) £125.00 £.00
22011Recording and reporting on evoked potential study £185.00 £.00
22022Recording and reporting on electromyography and nerve conduction studies (EMG); CTS (Bilateral U.L. £195.00 £.00
22023Recording and reporting on electromyography and nerve conduction studies (EMG); Mononeuropathy (e.g. £170.00 £.00
22024Recording and reporting on electromyography and nerve conduction studies (EMG); Mononeuritis Multipl £170.00 £.00
22025Recording and reporting on electromyography and nerve conduction studies (EMG); Myaesthenia Gravis ( £170.00 £.00
22027Spinal monitoring - more than 4 hours £390.00 £.00
25022Stellate ganglion block (Local Anaesthetic) £150.00 £.00
64300Echocardiography £150.00 £.00
64302Transoesophageal echocardiography £420.00 £140.00
A2952Acoustic and cerebello-pontine angle neuroma surgery – tumours less than 2.5 cms (performed by singl £2140.00 £890.00
A5230Epidurogram £185.00 £150.00
A5240Epiduroplasty (Racz catheter or equivalent) £350.00 £90.00
AA609Peripheral bone density measurement performed by physician £150.00 £.00
AC100Local anaesthetic £110.00 £.00
B1220Fine needle aspiration of thyroid gland £110.00 £.00
E0380Nasal cautery £150.00 £102.00
E1781Endoscopic examination of nose (as sole procedure) £100.00 £.00
M4712Bladder instillation of pharmacologic agent £140.00 £.00
P2730Colposcopy (+/- biopsy) £175.00 £100.00
T6520Tendon sheath injection £155.00 £100.00
T7290Trigger point injection/Enthesis - 1 injection £125.00 £100.00
T7292Trigger point injection/Enthesis - more than 1 injection £160.00 £.00
X3590Intravenous infusion (as sole procedure) £120.00 £.00
X5020External cardioversion ultrasound guided £175.00 £150.00
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NUCLEAR MEDICINE
OPCSDescriptionProcedure CostAnaesthetic Cost
72510Bone scan (single view) £75.00 £.00
72530Ectopic gastric mucosa localisation £75.00 £.00
72550Iodine uptake £75.00 £.00
72560Lacrimal drainage scan £75.00 £.00
72570Liver-spleen scan £75.00 £.00
72610Residual urine volume £75.00 £.00
72620Salivary gland scan £75.00 £.00
72630Spleen uptake study £75.00 £.00
72640Static renal scan £85.00 £.00
72660Thyroid scan (using pertechnetate) £75.00 £.00
72700Thrombus localisation £85.00 £.00
73510First pass blood pool study £85.00 £.00
73520Bone scan (axial skeleton) £85.00 £.00
73530Bone marrow scan £85.00 £.00
73540Brain scan £85.00 £.00
73550C14 gastro-intestinal function test £85.00 £.00
73570Dynamic renal scan (DTPA) £85.00 £.00
73630Gastro-oesophageal reflux £85.00 £.00
73640Hepato-biliary scanreflux £100.00 £.00
73660Lung perfusion scan £85.00 £.00
73670Lung ventilation scan - any agent £85.00 £.00
73680Lymph node scan £85.00 £.00
73700Testicular scan £85.00 £.00
73720Venography (isotope) using MAA £85.00 £.00
73730Vitamin B12 absorption test £85.00 £.00
73740CSF Shuntography £85.00 £.00
73760Glomerular filtration rate £85.00 £.00
73770Plasma volume £85.00 £.00
73780Probe renography £85.00 £.00
73790Red cell mass £85.00 £.00
73800Thyroid study (not using pertechnetate) £85.00 £.00
73801Thyroid study including uptake and discharge £100.00 £.00
74510Cardiac equilibrium blood pool imaging £100.00 £.00
74530Duodeno-gastric reflux £100.00 £.00
74550Gastric-emptying (dual isotope) £100.00 £.00
74580Myocardial perfusion scan without stress £100.00 £.00
74590P32 therapy - polycythaemia rubra vera £160.00 £.00
74600Radionuclide cavity therapy £160.00 £.00
74620Red blood cell sequestration £85.00 £.00
74650Vesico-ureteric reflux £100.00 £.00
74660Whole body 131 iodine imaging £160.00 £.00
74670Cerebral blood flow £100.00 £.00
74680Extra-cellular fluid volume £85.00 £.00
74690Gastro-intestinal blood loss £100.00 £.00
74700Gastro-intestinal protein loss £100.00 £.00
74710131 Iodine-thyrotoxic therapy £250.00 £.00
74711131 Iodine-carcinoma therapy £365.00 £.00
74720Red blood cell survival £85.00 £.00
74721Lung ventilation and perfusion scan £140.00 £.00
75510Cardiac equilibrium blood pool scan with stress (including stress test) £140.00 £.00
75520Ferrokinetics £85.00 £.00
75530Myocardial perfusion scan with stress (including stress test) £140.00 £.00
75550Total exchangeable potassium £85.00 £.00
75560Total exchangeable sodium £140.00 £.00
76510Adrenal scan £160.00 £.00
76540Platelet localisation £160.00 £.00
76560White cell localisation £160.00 £.00
76580M.I.B.G. (Diagnosis) £160.00 £.00
76590Radio-immune scintigraphy £160.00 £.00
76600Parathyroid scan £160.00 £.00
76920Yttrium - joint therapy £160.00 £.00
77580M.I.B.G.(therapy) £405.00 £.00
77910Antibody therapy £405.00 £.00
A2223Cerebral angiogram £540.00 £275.00
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PATHOLOGY
OPCSDescriptionProcedure CostAnaesthetic Cost
32200Thyroid function test £35.00 £.00
32250Hormone assays £35.00 £.00
32300Insulin stress test £65.00 £.00
32350Function tests £65.00 £.00
33200Transfusion serology £35.00 £.00
33250Full blood count £35.00 £.00
33300Coagulation tests not involving consultation £35.00 £.00
33310Coagulation tests involving consultation £65.00 £.00
33350Anticoagulant therapy £65.00 £.00
33400In-vivo isotopic studies £65.00 £.00
33401HIV test £30.00 £.00
34050Cervical cytology smear £20.00 £.00
34100Non-gynaecological cytology excluding fine needle aspiration £35.00 £.00
34110Fine needle aspiration £100.00 £.00
34150Uterine curettings £65.00 £.00
34200Simple skin biopsy £100.00 £.00
34210Appendix biopsy £65.00 £.00
34220Gall bladder biopsy £65.00 £.00
34250Inflammatory dermatoses £100.00 £.00
34300Drill biopsies breast £65.00 £.00
34310Prostate biopsy £100.00 £.00
34320Gastric biopsy £65.00 £.00
34330Rectal biopsy £65.00 £.00
34340Bronchial biopsy £65.00 £.00
34350Uterus biopsy £65.00 £.00
34450Prostatic chippings £100.00 £.00
34600Special cytology £65.00 £.00
34601Immuno-cytochemistry £65.00 £.00
34602Renal biopsy with immuno-histological studies £215.00 £.00
34650Melanotic lesions £100.00 £.00
34800Skin biopsy with immuno-fluorescence £100.00 £.00
35250Bacterial microscopy - TB etc £35.00 £.00
35300Screening serology (syphilis/hepatitis/rubella/AIDS) £35.00 £.00
35350Pregnancy test with dilutions £35.00 £.00
35400Semen analysis for infertility £35.00 £.00
35450Blood cultures £65.00 £.00
35470CSF examination £65.00 £.00
35500Diagnostic bacterial serology £65.00 £.00
35550Parasitological examination £65.00 £.00
35600Virological culture and diagnostic serology £65.00 £.00
35650Mycological examination £65.00 £.00
35700Antibiotic assays £65.00 £.00
35750Tests involving consultant in collection of samples and advice to clinicians £65.00 £.00
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PREGNANCY AND CONFINEMENT
OPCSDescriptionProcedure CostAnaesthetic Cost
Q3110Removal of products of conception from fallopian tubes(ectopic pregnancy) £660.00 £275.00
R1020Amniocentesis £290.00 £.00
R1040Sampling of chorionic villus £335.00 £.00
R1210Cerclage of cervix of gravid uterus £215.00 £120.00
R1220Removal of cerclage from cervix of gravid uterus £85.00 £.00
R1890Caesarean section delivery £630.00 £345.00
R2010Breech Delivery £355.00 £210.00
R2180Forceps cephalic delivery with rotation £355.00 £210.00
R2290Vacuum Delivery £315.00 £.00
Return to Sections list
RADIOLOGY
OPCSDescriptionProcedure CostAnaesthetic Cost
60001Thermal Imaging - Upper limbs - anterior posterior and laterals £80.00 £.00
60002Thermal Imaging - Cold stress test hands £65.00 £.00
61010Abdomen (pay OPSS X-ray) £40.00 £.00
61011Abdomen (extended techniques) Pay OPSS X-ray £70.00 £.00
61020Acromio-clavicular joint (Pay OPSS X-ray) £40.00 £.00
61030Ankle (Pay OPSS X-ray) £40.00 £.00
61040Chest (Pay OPSS X-ray) £40.00 £.00
61041Chest (extended techniques) Pay OPSS X-ray £70.00 £.00
61050Clavicle (Pay OPSS X-ray) £40.00 £.00
61060Coccyx (Pay OPSS X-ray) £40.00 £.00
61070Elbow (Pay OPSS X-ray) £40.00 £.00
61080Femur (Pay OPSS X-ray) £40.00 £.00
61090Finger or fingers (Pay OPSS X-ray) £40.00 £.00
61100Foot (Pay OPSS X-ray) £40.00 £.00
61110Foreign Body demonstration (includes ultrasound) Pay OPSS X-ray £40.00 £.00
61120Hand (Pay OPSS X-ray) £40.00 £.00
61130Hips (Pay OPSS X-ray) £40.00 £.00
61140Humerus (Pay OPSS X-ray) £40.00 £.00
61150Knee (Pay OPSS X-ray) £40.00 £.00
61160Larynx (Pay OPSS X-ray) £40.00 £.00
61170Localisation of treatment field (Pay OPSS X-ray) £40.00 £.00
61180Mandible (Pay OPSS X-ray) £40.00 £.00
61190Nasal bones(Pay OPSS X-ray) £40.00 £.00
61200Calcaneum (Pay OPSS X-ray) £40.00 £.00
61210Patella (Pay OPSS X-ray) £40.00 £.00
61220Pathological specimen (Pay OPSS X-ray) £40.00 £.00
61230Pelvis (Pay OPSS X-ray) £40.00 £.00
61240Post-nasal space (Pay OPSS X-ray) £40.00 £.00
61250Radius and ulna (Pay OPSS X-ray) £40.00 £.00
61260Sacro-iliac joints (Pay OPSS X-ray) £40.00 £.00
61270Sacrum (Pay OPSS X-ray) £40.00 £.00
61300Scapula (Pay OPSS X-ray) £40.00 £.00
61310Shoulder (Pay OPSS X-ray) £40.00 £.00
61320Sinuses and antra (Pay OPSS X-ray) £40.00 £.00
61350Sterno-clavicular joint (Pay OPSS X-ray) £40.00 £.00
61360Sternum (Pay OPSS X-ray) £40.00 £.00
61370Teeth (Pay OPSS X-ray) £40.00 £.00
61390Thoracic inlet (OPSS X-ray) £40.00 £.00
61400Thumb (OPSS X-ray) £40.00 £.00
61410Tibia and fibula (Pay OPSS X-ray) £40.00 £.00
61420Toe or toes of one foot (Pay OPSS X-ray) £40.00 £.00
61430Wrist (Pay OPSS X-ray) £40.00 £.00
61450Perineum (Pay OPSS X-ray) £40.00 £.00
61460Soft tissue of neck (Pay OPSS X-ray) £40.00 £.00
62030Post-operative cholangiography (Pay as procedure) £70.00 £.00
62040Cholecystography (Pay as Procedure) £70.00 £.00
62050Facial bones £70.00 £.00
62060Fluoroscopy with mobile image intensifier £70.00 £.00
62080Mammography £70.00 £.00
62100Mastoids £70.00 £.00
62130Orthopaedic measurement £70.00 £.00
62170Skull £70.00 £.00
62190Spine £70.00 £.00
62220Temporo-mandibular joints £70.00 £.00
62230Ultrasound £100.00 £.00
62231Endo-anal ultrasound sphincter mapping £130.00 £.00
62240Salivary glands £70.00 £.00
62260Skeletal survey £70.00 £.00
62270Ribs £70.00 £.00
63010Operative cholangiogram £100.00 £.00
63020Cystography £100.00 £.00
63030Cystometrography £100.00 £.00
63040Cysto-urethrography £100.00 £.00
63050Dacryocystography £100.00 £.00
63090Upper gastro-intestinal tract £100.00 £.00
63110Hip pinning £100.00 £.00
63120Hysterosalpingography £100.00 £.00
63140Kidney (exposed) £100.00 £.00
63150Laryngography £100.00 £.00
63160Mammary ductography £100.00 £.00
63200Retrograde pyelography £100.00 £.00
63210Sialography £100.00 £.00
63220Sinography £100.00 £.00
63240Tomography as a separate examination £195.00 £.00
63250Urethrography £100.00 £.00
63260Infusion cholangiography £100.00 £.00
63270Intravenous cholangiography £100.00 £.00
63300Lower gastro-intestinal tract (Barium enema) £100.00 £.00
63310Pharyngography £100.00 £.00
63320Fluoroscopy £100.00 £.00
63330Computed tomography (CT Scan) £185.00 £.00
64010Amniography £140.00 £.00
64030Arthrography £140.00 £.00
64040Biopsy and/or aspiration under imaging control £185.00 £.00
64050Bronchography £145.00 £.00
64090Excretion urography (IVU/IVP) £145.00 £.00
64100Gastro-intestinal tract and small bowel £145.00 £.00
64101Small bowel enema £185.00 £.00
64150Stereotaxis £145.00 £.00
64200Post-operative nephrostogram £145.00 £.00
64210Antegrade pyelography £145.00 £.00
65010Aortography £195.00 £.00
65030External drainage of bile duct £195.00 £.00
65070Lymphangiography £195.00 £.00
65080Myelography (including radiculography) £260.00 £.00
65090Percutaneous nephrostomy £195.00 £.00
65120Retrograde cholangio-pancreatography £225.00 £.00
65160Abscess drainage £195.00 £.00
65170Meatography £195.00 £.00
65180Renal cyst aspiration (and ablation) £195.00 £.00
65190Shuntography £195.00 £.00
66030Arteriography - single vessel £240.00 £.00
66031Arteriography - multiple vessels £300.00 £.00
66070Encephalography £260.00 £.00
66080Pituitary implant £230.00 £.00
66100Magnetic resonance imaging (MRI) £190.00 £.00
66170Dilation of oesophageal structure £260.00 £.00
66180Dilation of pyloric stenosis £260.00 £.00
66190Insertion of caval filters £260.00 £.00
66210Removal of intravascular foreign body £260.00 £.00
66220Ablation of function of spleen £260.00 £.00
66230Ablation of function of kidney £260.00 £.00
66240Ablation of function of parathyroid £260.00 £.00
66250Ablation of function of adrenal £260.00 £.00
A7352Ultrasound guided nerve block as sole procedure £260.00 £.00
AA608Duplex Scan £250.00 £.00
BT200Oral introduction of liquid radiopharmaceutical for thyroid tumour ablation (brachytherapy) £.00 £.00
BT251Planning for insertion and removal of radiopharmaceutical into rectal tumour (brachytherapy) £.00 £.00
BT252Insertion and removal of radiopharmaceutical into rectal tumour (brachytherapy £.00 £.00
XR100Flouroscopically guided biopsy(ies) £260.00 £.00
XR110Ultrasound guided biopsy(ies) (e.g. image guided vacuum assist excision of benign breast lesion) Mammotone £335.00 £200.00
XR120CT/MRI guided biopsy(ies) £350.00 £.00
XR130Transjugular/transfemoral/plugged liver biopsy(ies) £475.00 £.00
XR170Fluoroscopically guided drainage of fluid collection £250.00 £.00
XR180Ultrasound guided drainage of fluid collection £470.00 £.00
XR190CT/MRI guided biopsy(ies) £575.00 £.00
XR252Venoplasty £510.00 £.00
XR254Angioplasty of other arteries (e.g. sub-clavian, tibial, femoro-popliteal) £600.00 £.00
XR260Angioplasty with insertion of metallic stent £750.00 £390.00
XR270Angioplasty with insertion of metallic stent - graft £750.00 £375.00
XR280Insertion of aortic metallic stent - graft £1575.00 £500.00
XR290Cerebral angioplasty with or without insertion of metallic stent £1370.00 £325.00
XR302Endovascular management of brain arteriovenous malformation (including 2 separate interventions) £2040.00 £610.00
XR306Endovascular treatment of cerebral aneurysm £1750.00 £610.00
XR315Endoluminal stone extraction from salivary duct under imaging control £210.00 £.00
XR320Insertion of nasolacrimal stent under imaging control £590.00 £.00
XR352embolisation of artery £650.00 £.00
XR360Embolisation of vascular mass(including uterine embolisation) £975.00 £350.00
XR370Embolisation of bronchial artery £1040.00 £.00
XR380Embolisation of aneurysm £2050.00 £850.00
XR390Embolisation of arteriovenous malformation £2030.00 £609.00
XR410Thrombolysis or aspiration of thrombus under imaging control £450.00 £.00
XR430Renal angioplasty £510.00 £.00
XR442embolisation of varicocele of gonadal vein £660.00 £.00
XR450Dilation of stricture under imaging control £400.00 £284.00
XR500Chemonucleolysis £355.00 £145.00
XR510Fluoroscopically guided discectomy(including laser) £700.00 £340.00
XR516Angioplasty of iliac artery £600.00 £.00
XR520CT guided discectomy (including laser) £1000.00 £.00
XR530Fluoroscopically guided percutaneous vertebroplasty £700.00 £.00
XR540CT guided percutaneous vertebroplasty £840.00 £.00
XR565Percutaneous dilation of biliary stricture under imaging control £665.00 £.00
XR570Percutaneous insertion of plastic biliary endoprosthesis £550.00 £.00
XR575Percutaneous insertion of metallic biliary endoprosthesis £850.00 £.00
XR576Biliary drainage with occluded stent in place £710.00 £.00
XR580Percutaneous cholecystotomy £550.00 £.00
XR585Percutaneous gastrostomy £600.00 £.00
XR590Percutaneous gastrojejunostomy £620.00 £.00
XR595Insertion of tracheal/bronchial metallic stent £510.00 £.00
XR600Insertion of oesophageal metallic stent under imaging control £455.00 £.00
XR610Transjugular intrahepatic portosystemic shunt £840.00 £525.00
XR630Percutaneous nephrostomy £475.00 £.00
XR640Percutaneous removal of calculas £950.00 £.00
XR650Percutaneous pyelolysis £785.00 £.00
XR910Insertion of central venous catheter - non tunelled (X-ray guided) £255.00 £.00
XR915Insertion of central venous catheter - tunelled (X-ray guided) £410.00 £.00
XR916Removal of central venous catheter - tunnelled (X-ray guided) £410.00 £.00
XR917Peripherally inserted central venous catheters (PICCs) under X-ray guidance £250.00 £.00
XR920Cyst ablation under imaging control £400.00 £.00
XR935Insertion of vena cava filter £450.00 £.00
XR940Retrieval of foreign body under X-ray guidance £475.00 £225.00
XR950Occlusion of fistula under imaging control £620.00 £.00
XR960Percutaneous laser coagulation of mass £1100.00 £600.00
XR962Percutaneous chemical ablation of tumour - Ultrasound guided £1040.00 £.00
XR963Percutaneous chemical ablation of tumour - CT guided £1040.00 £.00
XR964Liver ablation (assume radiofrequency) £1300.00 £610.00
Y3800Insertion of indwelling axillary catheter* £.00 £200.00
Y3810Insertion of indwelling pleural catheter* £250.00 £.00
Y3820Insertion of indwelling psoas catheter* £.00 £.00
Return to Sections list
SKIN AND SUBCUTANEOUS TISSUE
OPCSDescriptionProcedure CostAnaesthetic Cost
H5680Coccygeal pressure ulcer excision £260.00 £195.00
S0520Microscopically controlled excision of lesion of skin or subcutaneoustissue (Moh's chemosurgery) £850.00 £155.00
S0600Malignant melanoma excision including grafting £660.00 £160.00
S0602Primary excision of malignant lesion - Head & Neck £350.00 £150.00
S0603Primary excision of malignant lesion -trunk & limbs £360.00 £150.00
S0604Secondary excision of malignant lesion - Head & Neck £350.00 £140.00
S0605Secondary excision of malignant lesion - Trunk & Limbs £350.00 £130.00
S0632Excision of lesion of skin or subcutaneous tissue - up to three, Head & Neck £200.00 £170.00
S0633Excision of lesion of skin or subcutaneous tissue - up to three, Trunk & Limbs £200.00 £150.00
S0642Excision of lesion of skin or subcutaneous tissue - four or more, Head & Neck £350.00 £175.00
S0643Excision of lesion of skin or subcutaneous tissue - four or more, Trunk & Limbs £355.00 £190.00
S0680Lesion requiring wide excision (including rodent ulcer excision) £350.00 £215.00
S0681Packing of ulcers £95.00 £.00
S0820Curettage/cryotherapy of lesions of skin including cauterisation £340.00 £110.00
S0922Laser destruction of lesion(s) of skin - up to 25cm2 in area £230.00 £105.00
S0923Laser destruction of lesion(s) of skin - over 25cm2 in area £250.00 £125.00
S0940Skin photodynamic therapy (PDT) £290.00 £.00
S1110Curettage/cryotherapy of lesion of skin includingcauterisation £180.00 £.00
S1420Shave biopsy of lesion of skin £150.00 £.00
S1500Biopsy of skin or subcutaneous tissue £140.00 £95.00
S1700Distant flap of skin and muscle £670.00 £345.00
S1740Large myocutaneous (muscular/cutaneous) flap (9cm or more)including closure of secondary defect £840.00 £385.00
S1750Large muscle flap (9cm2 or more) including skin graft and closure of secondary defect £550.00 £275.00
S1900Distant pedicle flap - elevation including transfer (includng closure/grafting to secondary defect) £650.00 £275.00
S2000Large island skin flap (9cm2 or more) (e.g. radial forearm) including closure of secondary defect £695.00 £275.00
S2002Small island flap (less than 9cm2) £875.00 £340.00
S2220Neurovascular island flap £875.00 £325.00
S2500Small local flap £600.00 £200.00
S2502Local flap - 9cm 2 or more (excluding graft/flap to secondary defect) £600.00 £250.00
S2503Local flap-9cm2 or more(including graft/flap to secondary defect) £520.00 £150.00
S3100Re-exploration of free flap £1050.00 £610.00
S3500Split autograft of skin - small site £350.00 £200.00
S3530Split autograft of skin, trunk and limbs - over 25cm2 and up to 5% of body surface area £590.00 £220.00
S3532Split autograft of skin, trunk and limbs - each additional 5% of body surface area £550.00 £170.00
S3622Full thickness graft, trunk and limbs - up to 9cm2 in area £365.00 £195.00
S3623Full thickness graft, trunk and limbs - each additional 25cm2 in area £365.00 £195.00
S3624Full thickness graft, head, neck, hands & genitalia - up to 9cm2 in area £400.00 £195.00
S3625Full thickness graft, head, neck, hands & genitalia - each additional 16cm2 in area £400.00 £240.00
S4182Debridement and primary suture of wound with involvement of deeper tissue - Head & Neck £470.00 £225.00
S4183Debridement and primary suture of wound with involvement of deeper tissue - Trunk & Limbs £460.00 £220.00
S4212Debridement and primary suture of wound without involvement of deeper tissue (skin & subcutaneous fat only) - Head & Neck £390.00 £185.00
S4213Debridement and primary suture of wound without involvement of deeper tissue (skin & subcutaneous fat only) - Trunk & Limbs £465.00 £220.00
S4230Secondary suture of skin £135.00 £100.00
S4480Removal of foreign body in deeper tissue £350.00 £175.00
S4720Drainage of lesion of skin including abscess £125.00 £100.00
S4740Drainage of large subcutaneous abscess/haematoma £220.00 £170.00
S4812Insertion of skin expander into tissue £395.00 £175.00
S4930Removal of skin expander or valve £390.00 £165.00
S5520Escharectomy of burnt skin or subcutaneous tissue (not more that 10%) £410.00 £145.00
S5530Escharectomy of burnt skin or subcutaneous tissue (greater that 10%) £535.00 £245.00
S5532Dressing of burn of skin or subcutaneous tissue - less than 2% £140.00 £185.00
S5533Dressing of burn of skin or subcutaneous tissue - 2%-10% £145.00 £185.00
S5534Dressing of burn of skin or subcutaneous tissue - 10%-25% £150.00 £185.00
S5535Dressing of burn of skin or subcutaneous tissue - greater than 25% £155.00 £185.00
S5560Release of burn scar contracture, head, neck, hands, feet & genitalia £390.00 £150.00
S5562Release of burn scar contracture, trunk & limbs £390.00 £150.00
S5710Debridement of wound (and surgical toilet) - up to 25cm2 in area £160.00 £145.00
S5712Debridement of wound (and surgical toilet) - over 25cm2 in area £180.00 £150.00
S6080Extensive dermabrasion of skin £365.00 £145.00
S6400Excision of nail bed (Zadeks) £310.00 £170.00
S7010Wedge excision or avulsion of nail including chemical ablation of nailbed £170.00 £140.00
T7602Microvascular free tissue transfer (when added to other codes) including closure of secondary defect £1500.00 £800.00
T7603Microvascular free tissue transfer (as sole procedure including closure of secondary defect) £1055.00 £610.00
T7604Vein/artery graft as part of microvascular free tissue transfer £785.00 £270.00
T7620Free functioning muscle transfer (as sole procedure) including closure of secondary defect £1045.00 £610.00
T7790Excision of benign soft tissue tumour (e.g. glomus, giant cell) £565.00 £220.00
W0950Radical clearance of malignant tumour of soft tissue or bone £940.00 £375.00
Return to Sections list
SPINE, SPINAL CORD AND PERIPHERAL NERVES
OPCSDescriptionProcedure CostAnaesthetic Cost
25010Paravertebral block (without x-ray control) £190.00 £140.00
25011Paravertebral block up to two levels (under x-ray control) £190.00 £145.00
25012Sacral root block (under x-ray control) £195.00 £110.00
25020Intravenous regional sympathetic block (guanethidine block) - 1 injection £175.00 £.00
25030Stellate ganglion block (neurolytic) £180.00 £.00
25100Coeliac plexus block (local anaesthetic or neurolytic) £365.00 £180.00
25110Splanchnic nerve block - bilateral (local anaesthetic or neurolytic) £365.00 £180.00
25120Dorsal root ganglion block (local anaesthetic or neurolytic) £380.00 £170.00
25130Dorsal root ganglion block (radio frequency) £480.00 £155.00
25140Intrathecal neurolysis £365.00 £.00
25150Trigeminal ganglion injection (local anaesthetic under x-ray control) £365.00 £100.00
25160Trigeminal ganglion radio frequency lesion (under x-ray control) £785.00 £235.00
A4400Partial excision of spinal cord £1460.00 £470.00
A4500Open operations of spinal cord £1460.00 £470.00
A4730Percutaneous cordotomy of spinal cord £1040.00 £290.00
A4900Repair of spinal myelomeningocele £1095.00 £420.00
A5110Excision of intradural lesion £1650.00 £600.00
A5200Epidural injection (cervical) £250.00 £150.00
A5210Epidural injection (lumbar/caudal) £200.00 £125.00
A5220Epidural injection (thoracic) £245.00 £110.00
A5300Drainage of spinal canal (including insertion of shunt) £961.00 £350.00
A5420Injection of therapeutic substance into CSF £300.00 £135.00
A5530Lumbar puncture (including spinal manometry) £165.00 £85.00
A5720Facet or sacroiliac joint (RF) radiofrequency thermocoagulation including rhizolysis (under x-ray control) -3 joints £475.00 £150.00
A5730Facet or sacroiliac joint (RF) radiofrequency thermocoagulation including rhizolysis (under x-ray control) -6 joints £700.00 £240.00
A5750Facet joint injection (under x-ray control) - 2 joints £255.00 £125.00
A5760Facet joint injection (under x-ray control) - 4 joints £375.00 £145.00
A5770Facet joint injection (under x-ray control with sedation/G.A.) - 6 joints £495.00 £165.00
A5780Rhizolysis (open) £800.00 £250.00
A6030Transection of peripheral nerve £300.00 £150.00
A6080Neurectomy (major nerve) £460.00 £175.00
A6110Excision of lesion of peripheral nerve £350.00 £175.00
A6180Excision of lesion (major nerve) £600.00 £175.00
A6400Repair of peripheral nerve £250.00 £175.00
A6402Repair of major nerve £295.00 £150.00
A6510Carpal tunnel release including endoscopic £320.00 £160.00
A6580Carpal or cubital tunnel release including endoscopic - bilateral £575.00 £260.00
A6600Release of entrapment of deeply placed peripheral nerve including AIN and PIN £300.00 £150.00
A6700Release of entrapment of peripheral nerve £300.00 £130.00
A6710Cubital tunnel release including endoscopic (without transposition) £300.00 £150.00
A6711Cubital tunnel release including endoscopic-bilateral (without transposition) £455.00 £220.00
A6810Anterior transposition of ulna nerve £400.00 £175.00
A6900Revision of release of peripheral nerve £575.00 £175.00
A7300Peripheral nerve lesion (radio frequency cryoprobe or phenol) £250.00 £.00
A7310Exploration/neurolysis/biopsy of peripheral nerve £300.00 £150.00
A7350Local anaesthetic blockade of major nerve trunk £200.00 £.00
A7500Lumbar sympathectomy: diagnostic (local anaesthetic under x-ray control) £310.00 £.00
A7510Thoracoscopic cervical sympathectomy £755.00 £250.00
A7520Thoracic sympathectomy: diagnostic (local anaesthetic under x-ray control) £310.00 £.00
A7530Laparoscopic lumbar sympathectomy £600.00 £250.00
A7561VATS sympathectomy - bilateral £1050.00 £380.00
A7600Lumbar sympathectomy: therapeutic (neurolytic under x-ray control) £460.00 £150.00
A7620Thoracic sympathectomy: therapeutic (neurolytic under x-ray control) £480.00 £150.00
A7682Presacral sympathectomy - diagnostic £455.00 £200.00
A7683Presacral sympathectomy - therapeutic £455.00 £200.00
A8460Static single measurement of muscle compartment pressures with manometer £170.00 £.00
A8470Dynamic laboratory investigation involving measurement of muscle compartment pressures with manomete £225.00 £.00
AA460Destruction of branch of trigeminal nerve (neurolytic/RF/cryoprobe) £550.00 £250.00
B0210Cryotherapy to pituitary gland £785.00 £295.00
V2200Posterior decompression +/- foraminotomy (cervical region) £1400.00 £600.00
V2282Prosthetic intervertebral disc replacement in the cervical spine £2200.00 £900.00
V2300Revisional posterior decompression +/- foraminotomy (cervical region) £1820.00 £740.00
V2400Posterior decompression with fusion (thoracic region) £1300.00 £465.00
V2402Posterior decompression (thoracic region) £1050.00 £390.00
V2430Revisional posterior decompression with fusion (thoracic region) £1365.00 £510.00
V2481Revision anterior/transthoracic decompression including fusionand instrumentation £1920.00 £750.00
V2500Primary posterior fusion +/- decompression +/- discectomy (lumbar region) £1100.00 £500.00
V2540Posterior excision of disc prolapse including microdiscectomy (lumbar region) £990.00 £460.00
V2542Posterior excision of disc prolapse with undercutting facetectomy (lumbar region) £1050.00 £460.00
V2543Revision of posterior excision of disc prolapse with undercutting facetectomy (lumbar region) £1450.00 £690.00
V2544Revision of posterior excision of disc prolapse (lumbar region) £1000.00 £460.00
V2560Decompression for central spinal stenosis (1 or 2 levels) £1000.00 £450.00
V2562Decompression for central spinal stenosis (3 or more levels) £1180.00 £465.00
V2570Percutaneous vertebroplasty £1050.00 £525.00
V2652Revision posterior fusion +/- instrumentation (lumbar region) £1600.00 £600.00
V2660Revision of decompression for central spinal stenosis £1625.00 £615.00
V2680Revision anterior decompression with fusion and instrumentation (lumbar region). £1500.00 £700.00
V2900Anterior discectomy (cervical region) £1200.00 £475.00
V2902Revisional anterior discectomy (cervical region) £1575.00 £540.00
V2950Anterior discectomy, decompression and fusion (including bone grafting / multiple levels) (cervical region) £1950.00 £775.00
V2980Combined anterior and posterior fusion of cervical spine includinginstrumentation £2100.00 £800.00
V2990Open door laminoplasty of the cervical region (Hirobyashi) £1400.00 £560.00
V3100Combined anterior discectomy and posterior fusion (thoracic region) £1700.00 £600.00
V3102Revisional combined anterior descectomy and posterior fusion (thoracic region) £.00 £.00
V3122Revisional transthoracic/anteriolateral excision of intervertebral disc +/- fusion £.00 £.00
V3140VATS percutaneous discectomy +/- fusion (thoracic region) £620.00 £340.00
V3230Revisional excision of thoracic intervertebral disc(s) £1050.00 £400.00
V3300Percutaneous mechanical or laser discectomy £775.00 £340.00
V3301Revision percutaneous mechanical or laser discectomy £910.00 £440.00
V3340Primary anterior discectomy, decompression and anterior fusion (lumbar region) £1250.00 £560.00
V3350Combined anterior discectomy and fusion and posterior fusion (lumbar region) £2050.00 £650.00
V3362Primary posterior fusion with instrumentation +/- decompression +/- discectomy (including Graf Stabilisation) (lumbar region) £1625.00 £550.00
v3380Prosthetic replacement of lumbar disc £1600.00 £1000.00
V3472Revision of minimally invasive intradiscal surgery (lumbar region) £1275.00 £425.00
V3720Posterior fusion (cervical region) £1225.00 £560.00
V3730Transoral surgery including posterior fixation £1920.00 £750.00
V4000Combined anterior and posterior correction and instrumentation of scoliosis £2700.00 £1200.00
V4100Posterior correction of scoliosis with instrumentation and fusion £2500.00 £1000.00
V4120Anterior correction of scoliosis with instrumentation and fusion £2100.00 £850.00
V4140Removal of posterior spinal implant £550.00 £280.00
V4142Removal of posterior scoliosis instrumentation (as sole procedure) £600.00 £275.00
V4300Anterior vertebrectomy with decompression and implant £2035.00 £775.00
V4302Combined anterior vertebrectomy with posterior fusion and instrumentation £2050.00 £1000.00
V4530Manipulative reduction of fracture of spine £555.00 £175.00
V4740Percutaneous spinal biopsy (CT controlled) £550.00 £250.00
V4742Spinal endoscopy or percutaneous spinal biopsy (fluoroscopically controlled) £550.00 £250.00
V4980Excision of intramedullary tumour £2500.00 £900.00
V5002Manipulation of spine under GA/IV sedation (as sole procedure) £170.00 £130.00
V5003Manipulation of spine without GA/IV sedation (as sole procedure) £200.00 £130.00
V5210Chemonucleolysis £355.00 £145.00
V5230Discogram/Diagnostic intervertebral disc injection under X-ray control £170.00 £120.00
V5282Intradiscal Electrothermal Therapy (IDET) £700.00 £350.00
V5482Dynamic spine stabilisation procedure £800.00 £350.00
V5780Rhizolysis (open) £850.00 £260.00
W0660Coccygectomy (multiple levels) £470.00 £175.00
XR542Balloon kyphoplasty for vertebral compression fractures - single level £620.00 £300.00
Return to Sections list
THORAX AND INTRA THORACIC ORGANS
OPCSDescriptionProcedure CostAnaesthetic Cost
A7621Thorascopic sympathectomy £660.00 £250.00
B1800Thymectomy £680.00 £470.00
E3900Partial excision of trachea including reconstruction £1760.00 £790.00
E4030Tracheoplasty £2055.00 £790.00
E4100Open placement of prosthesis in trachea £610.00 £160.00
E4210Tracheostomy £400.00 £210.00
E4230Insertion of mini-tracheostomy £180.00 £120.00
E4400Carinal resection +/- pneumonectomy £2040.00 £1075.00
E4600Sleeve resection of bronchus or pulmonary artery with pulmonary resection £1730.00 £450.00
E4722Thoracotomy and closure of bronco-pleural fistula £740.00 £246.00
E4800Therapeutic broncoscopy (including laser, cryotherapy, lavage, snare, dilatation of stricture, inser £350.00 £250.00
E4840Dilatation of tracheal stricture including insertion of stent £260.00 £.00
E4850Therapeutic bronchoscopy for removal of foreign body £250.00 £200.00
E5180Diagnostic bronchoscopy +/- biopsy £355.00 £175.00
E5410Total pneumonectomy £1575.00 £550.00
E5430Open lobectomy of lung (including excision of segment) £2000.00 £600.00
E5432VATS lobectomy £900.00 £360.00
E5442VATS wedge resection of lung £675.00 £225.00
E5480Lung resection with resection of chest wall £1880.00 £575.00
E5520Open excision of lesion of lung £1150.00 £550.00
E5532Thoracotomy and lung biopsy as sole procedure £1100.00 £550.00
E5590VATS bullectomy - unilateral £290.00 £150.00
E5591VATS bullectomy - bilateral £455.00 £240.00
E5592VATS lung volume reduction - unilateral £550.00 £285.00
E5593VATS lung volume reduction - bilateral £840.00 £450.00
E5594VATS debridement of empyema £535.00 £185.00
E5700Thoracotomy lung volume reduction - bilateral £1380.00 £610.00
E5702Thoracotomy lung volume reduction - unilateral £840.00 £380.00
E5703Thoracotomy bullectomy - bilateral £1380.00 £610.00
E5704Thoracotomy bullectomy - unilateral +/- pleurodesis in presence of emphesyma £840.00 £380.00
E5705Thoracotomy pleurectomy/pleurodesis +/- ligation of bullae for pneumothorax £720.00 £285.00
E5910Needle biopsy of lung £155.00 £95.00
E5932VATS lung biopsy £400.00 £175.00
E6100Open resection of invasive mediastinal tumour £1300.00 £850.00
E6200VATS excision lesion of mediastinum including thymectomy £620.00 £155.00
E6300Diagnostic endoscopic examination of mediastinum £420.00 £160.00
G0300Sub total oesophagectomy with anastomosis in neck £2050.00 £800.00
G0730Repair of congenital oesophageal atresia (with or without fistula) £1050.00 £745.00
G0740Repair of ruptured oesophagus £1050.00 £745.00
G0922VATS oesophageal/oesophogastric myotomy £620.00 £285.00
G1400VATS excision lesion of oesophagus £550.00 £325.00
G2312Transthoracic repair of paraoesophageal hiatus hernia £840.00 £310.00
K0400Correction of tetralogy of Fallot £2195.00 £1100.00
K0530double switch procedure (arterial & atrial) £2195.00 £1100.00
K0700Correction of total anomalous pulmonary venous connection £2195.00 £1100.00
K0900Closure of defect of atrioventricular septum using dual prosthetic patches £2195.00 £1100.00
K0930Closure of partial atrioventricular septal defect £2040.00 £1100.00
K1000Closure of defect of interatrial septum £2195.00 £1000.00
K1100Closure of defect of interventricular septum £2195.00 £950.00
K1200Norwood stage 1 procedure £2040.00 £1100.00
K1600Therapeutic transluminal operations on septum of heart £975.00 £850.00
K1680Transluminal closure of septal defect / patent foramen ovale £2035.00 £940.00
K1800Creation of valved cardiac conduit £2410.00 £1005.00
K1850Redo operations for placement of valve to cardiac conduit £2040.00 £1100.00
K2310Excision of cardiac tumour £2195.00 £1100.00
K2340Direct (laser) percutaneous myocardial revascularisation £1750.00 £950.00
K2540Replacement of mitral valve (including valvuloplasty) £2350.00 £935.00
K2542Replacement of mitral valve - redo operation £2400.00 £1200.00
K2580Plastic repair of mitral valve £2600.00 £1000.00
K2600Replacement of aortic valve (including valvuloplasty) £2700.00 £1035.00
K2602Minimally invasive replacement of aortic valve £3050.00 £1000.00
K2610Ross procedure £2040.00 £1100.00
K2612Replacement of aortic valve with homograft or stentless porcine £2040.00 £1100.00
K2613Replacement of aortic valve - redo operation £2400.00 £1100.00
K2700Replacement of tricuspid valve £2195.00 £935.00
K2780Repair of tricuspid valve, e.g. for Ebsteins disease £2040.00 £1100.00
K2800Replacement of pulmonary valve (including valvuloplasty/valvotomy) £2195.00 £915.00
K3100Open valvotomy £2195.00 £935.00
K3210Closed mitral valvotomy £1400.00 £780.00
K3500Therapeutic transluminal operation(s) on valve of heart £905.00 £665.00
K4100Autograft bypass for coronary artery(ies) including harvesting of grafts and endarterectomy £2550.00 £1200.00
K4410Redo of bypass graft for coronary artery(ies) including harvesting of grafts £2600.00 £1300.00
K4880Correction of anomalous coronary arteries £2170.00 £1100.00
K4900Percutaneous transluminal angioplasty of coronary artery(ies)(including laser) £1075.00 £540.00
K4902Percutaneous transluminal angioplasty of coronary artery(ies) with intravascular ultrasound (includi £975.00 £450.00
K4910Percutaneous transluminal angioplasty with stent insertion £1300.00 £540.00
K4912Percutaneous transluminal angioplasty of coronary artery(ies) with stent insertion and intravascular ultrasound £1500.00 £450.00
K5280Map guided surgery for ventricular arrhythmias (includingmapping) £2555.00 £1100.00
K5330Repair of post infarction ventricular septal defect £2050.00 £950.00
K5380Repair of ventricular aneurysm £1935.00 £935.00
K5530Ventriculoplasty, including ventriculectomy (Batista operation) £2050.00 £950.00
K5710Percutaneous transluminal ablation of atrio-ventricular junction £750.00 £300.00
K5730Ablation of atrial arrhythmia £1575.00 £540.00
K5740Ablation of ventricular arrhythmia £750.00 £300.00
K5750internal cardioversion £496.00 £120.00
K5760Percutaneous pulmonary vein isolation £1800.00 £700.00
K5780Percutaneous transluminal ablation of accessory pathway or selected modification of AV node (including mapping) £1600.00 £700.00
K5810Mapping of conducting system (in isolation)(if above code quoted for Electrophysiology Studies - use £570.00 £240.00
K5811Electrophysiology Studies £650.00 £.00
K6000Cardiac pacemaker system introduced through vein (singlechamber) £700.00 £375.00
K6010Cardiac pacemaker system introduced through vein (dualchamber) £830.00 £375.00
K6015Implantation of Bi-ventricular pacemaker £1200.00 £575.00
K6020Resiting of intravenous cardiac pacemaker system £450.00 £240.00
K6030Replacement of generator for intravenous cardiac pacemakersystem £600.00 £220.00
K6040Removal of pacing system with bypass £2400.00 £775.00
K6080Removal of pacing system without bypass £210.00 £300.00
K6082Removal of pacing system (generator only) £250.00 £190.00
K6100Implantation of automatic cardioverter/defibrillator £1500.00 £325.00
K6510Adult cardiac catheterisation (including coronary arteriography/catheterisation of right/left side of heart/ contrast radiology) £540.00 £275.00
K6520Paediatric cardiac catheterisation (heart/contrast radiology) £495.00 £240.00
K6700Excision of pericardium (heart/contrast radiology) £1225.00 £345.00
K6810Decompression of cardiac tamponade (heart/contrast radiology) £705.00 £340.00
K6820Pericardiocentesis (heart/contrast radiology) £465.00 £200.00
L0110Correction of truncus arteriosus £2315.00 £1005.00
L0200Closed ligation of patent ductus arteriosus £1125.00 £665.00
L0230VATS closure of patent ductus arteriosus £1050.00 £610.00
L0310Percutaneous transluminal prosthetic occlusion of patentductus arteriosus £905.00 £390.00
L0610Formation of atrio-pulmonary connection (or any modification of Fontan type procedure) £1750.00 £610.00
L0620Creation of communication between pulmonary artery and aorta £900.00 £650.00
L0710Creation of shunt from subclavian artery to pulmonary artery £1400.00 £610.00
L0900Formation of cavo-pulmonary shunt (Glenn) £1400.00 £385.00
L1080Open operations/repair of pulmonary artery £1120.00 £650.00
L1240Pulmonary embolectomy £2130.00 £1030.00
L1300Transluminal operations on pulmonary artery £835.00 £470.00
L1810Emergency replacement of aneurysmal segment of ascending aorta £2195.00 £1045.00
L1880Emergency replacement of aneurysmal segment of arch of aorta £2215.00 £1095.00
L1890Emergency replacement of aneurysmal segment of thoracic aorta £2195.00 £1045.00
L1892Immediate repair of aortic dissection (i.e. within two weeks of happening) £1400.00 £900.00
L1910Planned replacement of aneurysmal segment of ascending aorta £2850.00 £1350.00
L1980Planned replacement of aneurysmal segment of arch of aorta £2500.00 £1150.00
L1990Planned replacement of aneurysmal segment of thoracic aorta £2195.00 £1045.00
L1992Delayed repair of aortic dissection (i.e. more than two weeks after happening) £2040.00 £1100.00
L2190Replacement of thoraco-abdominal aneurysms £2195.00 £1045.00
L2290Excision of infected aortic graft with bypass £2195.00 £1045.00
L2302Coarctation repair £1400.00 £550.00
L2303Coarctation repair involving prosthetic graft £1800.00 £550.00
L2350Redo procedures on ascending aorta and proximal descending aorta £2040.00 £1100.00
L2360Repair of interrupted aortic arch £2040.00 £1100.00
L2382Aortic root replacement with valve conduit or homograft and/or remodelling £2600.00 £1200.00
L2560Percutaneous or open placement of intra-aortic balloon (including subsequent removal) £600.00 £180.00
L4292Reconstruction of transplant renal artery £1400.00 £450.00
L5922