CIMAS ZRVS TARIFF EFFECTIVE 1 APRIL 2020

CIMAS ZRVS TARIFF EFFECTIVE 1 APRIL 2020
STANDARD COMPREHENSIVE HEALTHGUARD

TARIFF CODE TARIFF DESCRIPTION
PACKAGES PACKAGES PACKAGES
ZWL ZWL USD
INTEGUMENTARY SYSTEM
10000 Incision and drainage of infected or non-infected sebaceous cyst, one lesion 140 351 13
10001 - second lesion 86 216 8
10002 - over two, each additional lesion 32 81 3
Incision and drainage of infected or non-infected epithelial inclusion cyst

10003 248 621 23
("sebaceous cyst") with complete removal of and treatment of cavity
10020 Incision and drainage of furuncle 140 351 13
Acne surgery (eg. marsupialization, opening or removal of multiple milia,

10040 1,035 2,587 96
comedones, cysts, pustules)
Acne surgery (eg. marsupialization, opening or removal of multiple milia,
10041 32 81 3
comedones, cysts, pustules)[undertaken by Nursing Sister]
Incision and drainage of abscess (eg. carbuncle supportive, hydradenitis and other
10060 1,024 2,561 95
cutaneous or subcutaneous abscesses): simple
10061 - under general anaesthetic 1,953 4,883 181
10100 Drainage of onychia or paranychia: simple 108 270 10
10101 - multiple or complicated 86 216 8
10120 Incision and removal of foreign body, subcutaneous tissues:simple 1,166 2,915 108
10121 - complicated 2,444 6,110 226
10122 Incision and removal of foreign body, subcutaneous tissues: intermediate 238 594 22
10140 Drainage of haematoma: simple 1,343 3,357 124
10141 - under general anaesthetic 324 810 30

10160 Puncture aspiration of abscess or haematoma 1,070 2,675 99
Biopsy of skin or subcutaneous tissue (including simple closure), unless otherwise

11100 891 2,229 83
listed (independent procedure)
11101 - each additional lesion 406 1,016 38
11102 Biopsy, punch 86 216 8
11200 Excision, skin tags, multiple (fibro-cutaneous tags), any area, up to 15 745 1,863 69
11201 - each additional 10 lesions 377 943 35
11400 - lesion diameter up to 0.5 cm 987 2,469 91
11401 - lesion diameter 0.5 to 1.0 cm 1,302 3,256 121
11403 - each additional 2 cm or part thereof add 1,908 4,771 177

11420 - lesion diameter up to 0.5 cm 1,046 2,614 97
11421 - lesion diameter 0.5 up to 1.0 cm 1,440 3,601 133
11430 Lesions less than 3.00 mm in diameter 324 810 30
11431 Lesions up to 0.5 cm in diameter 864 2,160 80
11432 - each additional 0.5 cm or part thereof add 432 1,080 40
11441 - lesion diameter 0.5 cm to 1.0 cm 1,573 3,933 146

Excision of skin and subcutaneous tissue for hydradentis, axillary; with simple or
11450 3,442 8,605 319
intermediate repair
11451 - with complex repair 4,433 11,083 410
Excision of skin and subcutaneous tissue for hydradentis, inguinal; with simple or
11462 3,209 8,023 297
intermediate repair
11463 - with coplex repair 4,064 10,159 376
Excision of skin and subcutaneous tissue for hydradentis, perianal, perineal, or

11470 3,808 9,521 353
umbilical; with simple or intermediate repair
11471 - with complex repair 4,537 11,342 420

11603 - each additional 2 cm or part thereof, add 2,820 7,049 261
11622 - lesions diameter 1.0 to 2.0 cm 2,725 6,812 252
11730 Avulsion nail plate, partial or complete, simple, single 1,001 2,502 93
11731 - second nail plate 108 270 10
11732 - each additional nail plate 415 1,039 38
Excision of nail and nail matrix, partial or complete (e.g. ingrown or deformed nail)
11750 2,299 5,748 213
for permanent removal
11770 Excision of pilonidal cyst or sinus, simple 3,146 7,865 291
11771 Excision of pilonidal cyst or sinus, extensive 5,954 14,885 551
11900 Injection, intralesional 508 1,270 47
11901 - more than 7 lesions 739 1,848 68
Tattooing, intradermal, introduction of insoluble opaque pigments to correct colour

11920 1,878 4,696 174
defects up to 6 sq cm
11921 - 6 to 20 sq cm 2,203 5,508 204
11922 - over 20 sq cm 510 1,276 47

11950 Subcutaneous injection of 'filling' material, e.g. silicon, up to 1 ml 1,129 2,822 105
11951 1 to 5 ml 1,357 3,392 126
11952 - 6 to 10 ml 1,719 4,297 159
11953 - over 10 ml 378 945 35
12001 Up to 2.5 cm 1,330 3,324 123
12002 2.5 to 7.5 cm 1,504 3,760 139
12004 7.5 to 12.5 cm 1,871 4,678 173
12005 12.5 to 20 cm 2,384 5,959 221
12006 20 to 30 cm 2,999 7,497 278
12007 For every 12.5 cm over 30 cm add 3,610 9,024 334

12011 Up to 2.5 cm 1,449 3,622 134
12013 2.5 to 5.0 cm 1,694 4,236 157
12014 5.0 to 7.5 cm 2,034 5,086 188
12015 7.5 to 12.5 cm 2,648 6,620 245
12016 12.5 to 20 cm 3,325 8,313 308
12017 For every 12.5 cm over 20 cm add 3,921 9,801 363
12060 Suture of multiple surface wounds - first half hour 389 972 36
12061 - first hour 756 1,890 70
12062 - each quater of an hour thereafter 540 1,350 50
13001 Suture of single simple muscle and deeper tissue wound 270 675 25
13002 Suture of large complicated wounds of muscle and deeper tissues - first half hour 540 1,350 50
13003 - first hour 1,080 2,700 100
13004 - each quater of an hour thereafter 216 540 20
13006 Debridement of single simple muscle and deeper tissue wound 756 1,890 70
Debridement of large complicated wounds of muscle and deeper tissues - first half
13007 1,080 2,700 100
hour
13008 - first hour 2,592 6,480 240
13009 - each quarter of an hour thereafter 540 1,350 50
13011 Debribement and cleaning of superficial wound under general anaesthetic 810 2,025 75
13100 Linear repair complex up to 2.5 cm 2,837 7,092 263
13101 -2.5 to 7.5 cm 3,831 9,576 355

13102 - each additional 7.5 cm 1,137 2,841 105
13121 -2.5 to 7.5 cm 4,388 10,969 406
13122 - each additional 7.5 cm 1,319 3,297 122
13140 Linear repair complex up to 2.5 cm 540 1,350 50
13141 -2.5 to 7.5 cm 1,080 2,700 100
13142 - each additional 7.5 cm 378 945 35
13161 -2.5 to 7.5 cm 1,404 3,510 130
13162 - each additional 7.5 cm 540 1,350 50

14020 For defects up to 10 sq cm 7,067 17,666 654
14021 - 10 sq cm to 30 sq cm 9,836 24,591 911
14041 - 10 sq cm to 30 sq cm 11,430 28,575 1,058
14050 Filleted finger or toe flap, including preparation of recipient site 4,320 10,800 400
14061 - 10 sq cm to 30 sq cm 13,137 32,843 1,216
Excision of intact skin or scar in preparation of recipient site prior to repair with free
15000 #VALUE! #VALUE! Add 50%
skin graft - add 50% of the listed value of the skin graft.
Pinch, split or full thickness graft to cover small ulcer, or minimal open area (except
15050 4,216 10,540 390
on face) type of graft up to 2.5 cm diameter.
Split skin graft, trunk, scalp, legs, hands and feet (except multiple digits), up to 100
15100 8,437 21,091 781
sq cm or each one per cent of the body area of infants and children (except 15050)
- each additional 100 sq cm or each one per cent of body area of infants and
15101 2,138 5,346 198
children or part thereof
- face, mouth, neck, ears, eyelids. Orbit, genitalia or multiple digits, up to 100 sq cm
15120 9,659 24,148 894
or each one per cent of body area of infants and children (except 15050)
- each additional 100 sq cm or each one percent of body area of infants and childre,
15121 3,387 8,468 314
or part thereof
15200 Full thickness, free, including direct closure of donor site, trunk up to 20 sq cm 7,630 19,075 706
15201 - each addition 20 sq cm 2,025 5,062 187
15220 Scalp, arms and legs, up to 20 sq cm 7,829 19,573 725
15221 - each additional 20 sq cm 1,902 4,755 176
Forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and feet, up to 20 sq
15240 9,215 23,037 853
cm
15260 Eyelids, nose, ears and lips up to 20 sq cm 10,510 26,275 973

15500 Formation of tube pedicle without transfer or major delay 2,538 6,345 235
15502 - each additional 100 sq cm 810 2,025 75
15505 - scalp, arms and legs, up to 50 sq cm 2,538 6,345 235
15507 - up to 100 sq cm 2,970 7,425 275
- forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and feet, up to 12.5
15510 2,538 6,345 235
sq cm
15512 - up to 25 sq cm 2,970 7,425 275
15513 - up to 50 sq cm 3,564 8,910 330

15515 - eyelids, nose, ears and lips, up to 12.5 sq cm 2,538 6,345 235
15517 - each additional 12.5 sq cm 810 2,025 75
Transfer including simultaneous formation of open or tubed pedicle flap to recipient

15540 3,240 8,100 300
site requiring minimal preparation, trunk up to 100 sq cm
15545 - scalp, arms and legs, up to 50 sq cm 1,404 3,510 130
15547 - up to 100 sq cm 1,674 4,185 155
15548 - each additional 100 sq cm 324 810 30
forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and feet, up to 12.5 sq
15550 1,512 3,780 140
cm
15552 - up to 25 sq cm 1,458 3,645 135
15553 - up to 50 sq cm 1,782 4,455 165

15556 - each additional 12.5 sq cm 324 810 30
Intermediate "delay" of any flap , primary "delay" to flap or sections of pedicle of

15600 3,442 8,604 319
tubed or open flap, trunk
15610 - scalp, arms and legs 3,486 8,716 323
15620 - forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and feet 4,438 11,096 411
15630 - eyelids, nose, ears and lips 4,744 11,859 439
Intermediate transfer of any pedicle flap (eg abdomen to wrist, walking tube, etc),
15650 5,269 13,173 488
any location up to 12.5 sq cm
15652 - up to 25 sq cm 1,080 2,700 100
15653 - each additional 25 sq cm 248 621 23

Excision of lesion and/or excisional preparation of recipient site and attachment of
15700 1,944 4,860 180
direct or tubed pidicle flap including simultaneous formation, trunk up to 100 sq cm
15710 - scalp, arms and legs up to 50 sq cm 1,782 4,455 165
15712 - up to 100 sq cm 1,944 4,860 180
- forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and feet up to 25 sq
15720 2,538 6,345 235
cm
15723 - up to 50 sq cm 2,700 6,750 250
15731 - each additional 12.5 sq cm 12,151 30,378 1,125

15732 Division of pedicle flap and return of unused pedicle to donor area, trunk 17,326 43,315 1,604
15734 - scalp, arms and legs 20,725 51,812 1,919
15736 - forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and feet 18,483 46,207 1,711
15738 - eyelids, nose, ears and lips 15,414 38,535 1,427
15740 Island pedicle flap, scalp, face, etc 11,843 29,609 1,097
15750 Neurovascular pedicle flap, hand or digit including skin graft 12,915 32,287 1,196
Composite (full thickness of external ear or nasal ala), including primary closure,
15760 9,530 23,825 882
donor area
15770 Derma-fat facia 8,361 20,902 774
15775 Punch graft for hair transplant, 1 to 15, each punch graft 4,041 10,104 374
Abrasion of skin, for removal of scars, tattoos, actinic changes (keratoses), primary
15780 6,269 15,673 580
or secondary, total face
15785 - region (Quater face, cheeks, chin, fore-head or elsewhere), primary or secondary 594 1,485 55
15786 Abrasion, single lesion (eg. keratosis, scar, etc) 1,897 4,741 176
15787 - each additional four lesions or less 422 1,055 39
15820 Rhytidectomy, lower eyelids 6,463 16,158 598
15821 - with excision of extensive herniated fat pad 7,139 17,848 661
15822 - upper eyelids 5,700 14,249 528
15824 - forehead 9,897 24,743 916
15826 - glabellar frown 9,358 23,394 866
Excision, excessive skin and subcutaneous tissue (including lipectomy); abdomen

15831 2,214 5,535 205
(abdominoplasty)
15832 - with muscle plication 11,351 28,377 1,051

15833 - simple abdominal cresent (not involving umbilicus) 9,839 24,598 911
15840 Repair for facial nerve paralysis, free fascia graft (includes obtaining fascia) 15,468 38,670 1,432
15850 Removal of sutures under anaesthesia (other than local), same surgeon BR BR BR
15852 Dressing change (for other than burns) under anaesthesia (other than local) 1,620 4,050 150
15920 Coccygectomy and primary closure 6,424 16,059 595
15922 - with flap closure 9,109 22,772 843
15930 Excision sacral decubitus ulcer with skin flap closure 1,944 4,860 180
15932 - with ostectomy 2,430 6,075 225
15940 Excision ischial decubitus ulcer with direct closure 7,386 18,465 684
15942 - with skin (and muscle flap closure) 2,430 6,075 225
15944 - with ostectomy 11,460 28,649 1,061
15950 Excision trochanteric decubitus ulcer with direct closure 6,149 15,372 569
15952 - with skin flap closure 10,366 25,916 960
15954 - with ostectomy 6,480 16,200 600
16000 Initial treatment, first degree burn, where local treatment only required. 697 1,743 65
Dressing and/or debridement, initial or subsequent, under anaesthesia, small (less

16010 756 1,890 70
than 9 % surface area)
16013 - moderate (9 - 18% surface area) 1,080 2,700 100
16014 - large, or with debridement (more than 18% surface area) first half-hour 1,404 3,510 130
- large, or with debridement (more than 18% surface area) each quarter of an hour
16015 702 1,755 65
thereafter
16020 - without anaesthesia, office or hospital, small (up to 9% of surface area) 708 1,769 66
16025 - medium (9 - 18% surface area) 1,480 3,700 137
16030 - large (more than 18% surface area) 1,713 4,282 159
Destruction by any method (other than by Cryotherapy Co2 snow, liquid N2) with or
17000 without surgical curettement, all facial lesions or premalignant lesions in any 705 1,763 65
location, with the exception of warts
17001 - second and third lesions, each 108 270 10
17002 - over 3 lesion 575 1,436 53
17010 - complicated lesion(s) #VALUE! #VALUE! BR
Destruction by any method of benign skin lesion on any area other than face, and
17100 108 270 10
warts of any area
17101 - second lesion 54 135 5
17102 - over 2 lesions, each adition lesion 30 76 3
17104 - 15 or more lesions 540 1,350 50

17105 - complicated lesion(s) BR BR BR
17110 - molluscum contagiosum, milia, up to 15 733 1,833 68
17200 Electro-surgical destruction of multiple fibrocutaneous tags, up to 15 108 270 10
17201 - each additional 10 lesions 140 351 13
17340 Cryotherapy (CO2 snow, liquid N2) 586 1,465 54
17341 - each additional lesion 108 270 10
17342 - to a maximum of 16 lesions 356 891 33
17380 Electrolysis epilation, each half hour 450 1,126 42
19000 Puncture aspiration of cyst 919 2,298 85
19020 Mastotomy with exploration or drainage of abscess, deep 3,507 8,768 325
19100 Biopsy of breast, needle (independent procedure) 1,307 3,267 121
19101 - incisional 3,471 8,678 321
Excision of cyst, fibro-adenoma or other benign tumour, aberrant breast tissue, duct
19120 lesion or nipple lesion (except 19140 - 19141) male or female, one or more lesions, 4,885 12,213 452
unilateral
19121 Microdochectomy 1,620 4,050 150
19140 Mastectomy for gynaecomastia through circumareola or other incision, unilateral 2,160 5,400 200
19160 Mastectomy, partial (quadrectomy or more), unilateral 3,240 8,100 300
19180 Mastectomy, simple, complete, unilateral 2,637 6,592 244
19182 Mastectomy, subcutaneous, unilateral 3,526 8,815 326
19184 - with immediate prosthetic implant, unilateral 3,931 9,828 364
Mastectomy, radical, including breast pectoral muscles and axillary lymph nodes,
19200 6,048 15,120 560
unilateral
Mastectomy, modified radical, with modified axillary dissection, but leaving pectoral
19240 8,141 20,352 754
muscles, unilateral
Excision of chest wall tumour including ribs with plastic reconstruction without
19271 19,037 47,593 1,763
mediastinal lymphadenectomy
Mammoplasty, plastic operation on breast, reduction or repositioning, one stage

19305 9,987 24,967 925
operation, unilateral
Mammoplasty, augmentation (unilateral); with prosthetic implant or expander. Cost

19325 8,249 20,623 764
of prosthesis not included
19328 Removal of intact mammary implant or expander (unilateral) 5,587 13,968 517
19330 Removal of mammary implant material (gel) (unilateral) 6,879 17,197 637
19350 Nipple/areola reconstruction 9,681 24,202 896
19351 Operation for inversion of nipple, unilateral 2,504 6,260 232
Breast reconstruction, immediate or delayed, with tissue expander, including

19357 17,759 44,398 1,644
subsequent expansion
19358 Removal of expander and replacement by definitive prosthesis 3,617 9,042 335
Breast reconstruction with transverse rectus abdominis flap (TRAM), including
19362 closure of donor site, single or double pedicle, with or without micro vascular 12,060 30,149 1,117
anastomosis
19367 - with simultaneous insertion of prosthesis. Cost of prosthesis not included 25,787 64,468 2,388
Insertion of prosthesis under previously prepared flap. Separate procedure. Cost

19368 29,973 74,934 2,775
of prosthesis not included
19371 Periprosthetic capsulectomy, breast 9,956 24,890 922
19380 Revision of reconstructive breast 9,890 24,725 916
MUSCULOSKELETAL - -
20000 Incision of soft tissue abscess or haematoma FFS FFS FFS
Bone abscess: as per consultation and/or visits plus the tariff which would be
20001 applicable for compound fracture involved, including three weeks post-operative FFS FFS FFS
care
20005 Incision and drainage deep abscess or haematoma, any area 3,110 7,774 288
20200 Biopsy, muscle, superficial 1,765 4,413 163

20205 deep (for excision of muscle tumour,deep,see specific anatomical section) 2,725 6,812 252
20220 - bone, trochar, superficial (eg. ilium, spinous process) 1,643 4,107 152
20240 Marrow Aspirate only + Slides 2,917 7,291 270
20245 - bone, deep (eg. Humerus, ischium, femur) 5,220 13,051 483
20260 Osteotomy, partial, superficial eg. bone spur or exostosis (independent procedure) 2,419 6,048 224
20268 - deep or complicated (independent procedure) 3,629 9,072 336
20270 Resection of cyst or tumour - as for malunion of that bone with or without graft. BR BR BR
20271 - with extensive dissection BR BR BR
20275 Incision of superficial soft tissue abscess secondary to osteomyelitis 151 378 14
20276 Drainage of infected bursa 181 454 17

20280 Excision tumour benign, deep, subfascial or intra-muscular BR BR BR
20500 Injections of sinus tract, therapeutic (independent procedure) 1,004 2,510 93
20502 Removal of deep foreign body, hand or foot 907 2,268 84
20550 Injection, tendon sheath, ligament or trigger points 670 1,676 62
20600 Arthrocentesis, apsiration or injection, small joint (eg. fingers, toes) 674 1,686 62
20605 - intermediate joint, large joint or bursa 689 1,723 64
- major joint or bursa (eg. shoulder, hip, knee joint,subacromial bursa) [Initial -
20610 742 1,855 69
subsequent]
Insertion of wire or pin for skeletal traction including removal (independent

20650 2,022 5,054 187
procedure)
Application of cranial tongs, caliper, or stereotactic frame, including removal

20660 2,646 6,614 245
(separate procedure)
Application and subsequent removal, caliper or tongs (independent

20661 1,210 3,024 112
procedure)cranial
20665 Removal of tongs or halo applied by another physician 1,200 3,000 111
Removal of buried wire, pin, screw, or metal band, rod, nail or plate, superficial
20670 2,569 6,423 238
(independent procedure)
20680 - deep 4,834 12,086 448
20685 - completely embedded in bone, By Report 3,272 8,180 303
20902 Autogenous bone,any donor area(no reduction in fee for secondary incision) 6,880 17,199 637
20950 Examination of joint(s) under general anaesthesia (independent procedure) 1,976 4,940 183
21298 Dislocations not requiring anaesthesia for reduction FFS FFS FFS
21299 Fractures not requiring reduction FFS FFS FFS
21314 Therapeutic dislocation of turbinates 1,325 3,311 123
21315 closed treatment of nasal bone fracture without stabilisation 2,256 5,640 209
21320 with stabilisation 2,639 6,597 244
21335 with concomitant open treatment of fractured septum 10,580 26,451 980
21336 open treatment of nasal septal fracture with or without stabilisation 6,247 15,617 578
21350 Malar area fracture (eg. zygomatic arch, etc) FFS FFS FFS
21351 Fracture of zygonmatic arch or malar complex temporal "lift" without open reduction 1,615 4,037 150
21355 - closed reduction, zygomatic arch (eg. towel clip technique) 3,613 9,032 335
21360 - depressed open reduction 7,542 18,856 698
- complicated, open reduction with internal skeletal fixation and multiple surgical
21365 15,100 37,751 1,398
approaches
21380 Orbital floor fracture, closed or open, without reduction FFS FFS FFS
21385 open treatment of orbital blow out fracture (caldwell luc type procedure) 10,254 25,635 949
Palatal or alveolar ridge fractures (Le Fort I Type) closed reduction with inter-dental
21421 7,055 17,638 653
wire fixation or fixation of denture or splint
21423 Combination of I, II, III fractures Le Fort Type 11,138 27,844 1,031
Naso-maxillary complex fracture (Le Fort II type), closed reduction with inter-dental
21426 3,205 8,014 297
wire fixation or fixation of denture or splint
Cranio-facial separation (Le Fort III type), closed reduction using inter-dental wire
21431 7,934 19,834 735
fixation of denture or splint
21450 Mandibular fracture, closed or open, without reduction FFS FFS FFS
21455 - closed reduction without inter-dental fixation 3,205 8,014 297
21461 - open reduction without inter-dental fixation 13,529 33,821 1,253
21462 - with inter-dental fixation 15,440 38,599 1,430
Temporo-mandibular dislocation with uncomplicated closed reduction, initial or

21480 FFS FFS FFS
subsequent

21490 - open reduction 10,557 26,394 978
21556 deep,subfacial,intramusular 5,331 13,328 494
21610 Costotransversectomy (independent procedure) 9,493 23,733 879
21615 Excision compression syndrome or other cause 10,750 26,875 995
21705 Division of scalenus with/without resection of cervical rib 8,183 20,456 758
21720 Division of sternocleidomastoid for torticollis, open 5,323 13,309 493
21740 Pectus excavatum or carinatum, plastic repair 14,317 35,793 1,326
21798 Dislocation not requiring anaesthesia for reduction FFS FFS FFS
21810 "Flail chest", stove-in chest treated by external fixation 7,809 19,523 723
21820 Sternum, fracture, closed reduction 1,550 3,875 144
21825 - open reduction 7,924 19,809 734
22031 Excision tumour, benign, deep, subfascial or intramuscular, cervical BR BR BR
Partial resection or vertebral component, spinous process (eg. "Kissing spines"),

22100 9,021 22,552 835
cervical
Osteotomy of spine for correction of fixed deformity (eg. Ankylosing spondylitis),

22200 10,584 26,460 980
anterior or posterior approach (except scoliosis)
22202 - anterior and posterior BR BR BR
22315 Vertebral body fracture, manipulative reduction with anaesthesia 64,166 160,415 5,941
22325 - open reduction 15,727 39,316 1,456

- cervical spine, open reduction and fusion, posterior approach, with local bone graft
22330 11,189 27,972 1,036
and/or skeletal fixation, multiple
22331 - single 10,330 25,825 956
- anterior approach, with iliac or other autogenous bone graft (includes obtaining
22345 12,096 30,240 1,120
graft)
- thoracic or lumbar spine, open reduction and fusion, posterior approach, local bone
22355 10,584 26,460 980
graft and/or skeletal fixation
22372 Spine, closed reduction of dislocation, cervical, thoracic or lumbar 3,024 7,560 280
22500 Spine, and region 121 302 11
22505 Spine, any region, with anaesthesia 1,595 3,986 148
Posterior approach, cranio-cervical fusion (occiput through C2), with iliac or other
22602 10,886 27,216 1,008
autogenous bone graft (includes obtaining graft)
Posterior or anterior approach, atlas-axis fusion (C1 to C2 or C3), with iliac or other
22603 12,096 30,240 1,120
autogenous bone graft (includes obtaining graft)
22604 Posteria approach, cervical below C1 level, local bone graft and/or skeletal fixation 9,677 24,192 896
Posterior or posteriolateral approach, thoracic or lumbar, local bone graft or skeletal
22640 9,677 24,192 896
fixation
Posterior interbody technique, lumbar, with iliac or other autogenous bone graft
22655 12,701 31,752 1,176
(includes obtaining graft) single level
Lateral approach (transverse process to transverse process and/or sacrum) with

22670 12,701 31,752 1,176
iliac or other autogenous bone graft and/or skeletal fixation (includes obtaining graft)
Anterior approach (C3 - T1) with iliac or other autogenous bone graft (includes
22675 11,189 27,972 1,036
discectomy and obtaining graft), single
Anterior interbody technique, lumbar (includes discectomy and obtaining graft),

22700 12,701 31,752 1,176
single
22730 Multiple levels, one additional level, add 2,419 6,048 224
22735 - more than two levels BR BR BR
22799 Halo-splint and POP jacket 3,024 7,560 280
Scoliosis correction (includes first postoperative cast), uncomplicated, each stage, 6

22800 21,491 53,728 1,990
or less vertebrae, local bone
22802 - seven or more vertebrae, local bone 33,369 83,422 3,090

22840 Scoliosis correction, Harrington rod technique 9,837 24,594 911
22841 - Dryer technique 7,669 19,173 710
22842 Revision of fusion and repair of pseudoarthrosis at one or more levels 10,225 25,561 947
Multiple operative techniques by same surgeon within 12 months of scheduled fee

22850 8 20 75%
for lesser procedures
23000 Removal of subdeltoid (or intra tendious) careous deposits 4,983 12,456 461
23020 Capsular contracture release (eg. Sever's procedure) for Erb's palsy 9,097 22,742 842
Arthrotomy or capsulotomy with exploration, drainage, or removal of foreign body,

23038 4,415 11,038 409
glenohumeral joint
23045 - acromiclavicular or sternoclavicular joint 1,996 4,990 185
23105 Synovectomy, glenohumeral 9,914 24,784 918
23120 Claviculectomy, either end (eg. Mumford procedure) 6,806 17,016 630
23130 Acromionectomy 8,236 20,591 763
23190 Osteotomy of scapula, partial (eg. superior medical angle) 7,489 18,722 693
23195 Resection, humeral head 10,357 25,893 959
23300 Prosthetic implant removal from shoulder joint 4,415 11,038 409
23350 Injection procedure for shoulder arthrography 1,135 2,838 105
23355 Arthroscopy of shoulder, with/without biopsy 2,419 6,048 224
Muscle transfer, any type for paralysis of shoulder, single, including fascial
23395 14,591 36,478 1,351
extension
23400 Scapulopexy (eg. Sprengel's deformity or paralysis) 13,286 33,215 1,230
23410 Repair of ruptured supraspinatus tendon or musculotendinous cuff, accute 13,045 32,613 1,208
23412 - chronic 14,662 36,655 1,358

Decompression Rotator Cuff (Rookwood) - includes complete or partial
23416 7,197 17,993 666
acromionectomy and excision outer clavicle
23420 Repair of complete shoulder cuff avulsion, chronic (includes acromionectomy) 15,511 38,778 1,436
23430 Tenodesis for rupture of long tendon of biceps 9,902 24,756 917
Capsulorrhaphy for recurrent dislocation anterior (eg. Putti-Platt or Magnisen

23450 14,460 36,151 1,339
procedure)
23455 - Bankart procedure, with or without stapling 16,338 40,846 1,513
23457 Osteotomy neck of scapula, with or without skeletal fixation 7,258 18,144 672
23460 - with bone block 16,313 40,784 1,511
23462 - with coracoid process transfer 16,703 41,759 1,547
23465 - posterior, with or without bone block 16,628 41,569 1,540
23470 Arthroplasty, shoulder, with proximal humeral implant (eg. Neer endoprosthesis) 18,543 46,358 1,717
23472 - with glenoid and proximal humeral prosthetic replacement ("total should") 22,590 56,474 2,092
23480 Osteotomy, clavicle, with or without skeletal fixation 10,265 25,662 950
- with bone graft for non-union or malunion (includes obtaining graft and/or skeletal
23485 13,800 34,501 1,278
fixation)
23505 Clavicle fracture, closed manipulative reduction 3,793 9,483 351
23510 - open, with uncomplicated soft tissue closure, manipulative reduction 1,996 4,990 185
23515 - closed or open, open reduction with or without skeletal fixation 8,379 20,947 776
23525 Sternoclavicular dislocation, closed, manipulative reduction requiring anesthesia 3,457 8,643 320
23530 - closed or open, acute or chronic, open reduction or repair 7,783 19,458 721
23532 - with fascial graft (includes obtaining graft) 8,580 21,450 794
23545 Acromioclavicular dislocation, closed reduction and pinning 3,208 8,020 297
Acromioclavicular dislocation, closed or open acute or chronic, open reduction,

23550 8,589 21,472 795
includes skeletal fixation and coracoid transfer
23552 - with fascial graft (includes obtaining graft) 8,828 22,070 817
Scapular fracture, closed, manipulative reduction (with or without shoulder joint

23575 4,141 10,352 383
involvements)
Scapular fracture, open. With uncomplicated soft tissue closure, manipulative

23580 1,996 4,990 185
reduction
23585 - closed or open, juxta-articular, open reduction, with or without skeletal fixation 10,084 25,209 934
23605 Humerus, surgical or anatomical neck, fracture, closed, manipulative reduction 5,604 14,011 519
23615 - closed or open, open reduction with or without skeletal fixation 11,254 28,134 1,042
23625 Greater tuberosity fracture, closed, manipulative reduction 4,498 11,245 416
23656 Shoulder dislocation, closed, manipulative reduction, requiring anaesthesia 1,996 4,990 185
23670 - closed or open, open reduction 10,169 25,423 942
23680 - plus fractured neck of humerus, closed or open, open reduction 12,433 31,082 1,151
Manipulation under anaesthesia, including application or fixation apparatus

23700 2,655 6,638 246
(dislocation excluded)
23800 Fusion of shoulder joint, with or without local bone graft 7,862 19,656 728
23900 Interthoracoscapular (forequarter) 18,099 45,247 1,676
23920 Disarticulation of shoulder 15,717 39,293 1,455
Arthrotomy (Capsulotomy), elbow with exploration, drainage, or removal of foreign

24000 7,083 17,706 656
body
24102 Arthrotomy (Capsulotomy), elbow for synovectomy 8,532 21,330 790
24105 Olecranon bursa excision 8,445 21,112 782
24130 Radial head excision 8,686 21,715 804
24155 Resection of elbow joint (arthrectomy) 12,411 31,027 1,149
24160 Implant removal, elbow joint 7,396 18,491 685
24164 - from radius or ulna or carpus 6,619 16,547 613
Tendoplasty, transplantation or free graft, with muscle transfer and with or without
24320 10,950 27,374 1,014
free graft, elbow to shoulder, single (eg. Seddon Brooks procedure)
24330 Flexor-plasty, elbow (eg. Steindler advancement) 10,273 25,683 951
Reinsertion ruptured biceps tendon, distal, with or without tendon graft (includes
24342 11,665 29,163 1,080
obtaining graft)
Fasciotomy, lateral or medial (eg "tennis elbow" or epicondylitis), with or without

24352 2,419 6,048 224
extensor origin detachment, with or without annular ligament resection
24360 Arthroplasty, elbow, with membrane 14,808 37,020 1,371
24362 - with distal humeral and proximal ulnar prosthetic replacement ("total elbow") 15,144 37,859 1,402
24365 Arthroplasty, radial head, with implant 8,918 22,295 826
24400 Osteotomy, humerus, with or without skeletal fixation 11,080 27,701 1,026
Multiple osteotomies, humerus, with realignment or intramedullary rod (eg. Sofield

24410 15,923 39,807 1,474
procedure)
Repair of non-union or malunion, humerus (include bone grafting and/or internal

24430 15,266 38,165 1,414
fixation)
24498 Dislocations not requiring anaesthesia for reduction 12,437 31,091 1,152
24505 Humeral shaft fracture, manipulative reduction 5,712 14,281 529
24515 - closed or open, open reduction, with or without skeletal fixation 11,960 29,901 1,107
24535 Humerus supracondylar fracture, closed, manipulative reduction 6,998 17,495 648
24536 - closed, with traction, pin or skin 3,629 9,072 336
24540 - open with uncomplicated soft tissue closure manipulative reduction 3,629 9,072 336
24565 Condylar or epicondylar fracture, medial or lateral, closed, manipulative reduction 5,475 13,687 507
Comminuted elbow fracture eg. fracture distal humerus and/or proximal radius),
24581 3,205 8,014 297
closed, manipulated reduction
24605 Elbow dislocation, closed, manipulative reduction requiring anaesthisia 4,720 11,800 437
24615 Elbow dislation, closed or open, open reduction 10,319 25,797 955
Monteggia type of fracture dislation at elbow (fracture proximal end of ulna with
24620 6,362 15,904 589
dislocation or radial head), closed, manipulative reduction
24635 - closed or open, open reduction, with or without fixation 13,123 32,808 1,215
24655 Olecranon, radial head or neck fracture, closed, manipulative reduction 4,553 11,383 422
24666 - with implant 10,847 27,118 1,004
24685 - closed or open, open reduction with or without skeletal fixation or excision 9,532 23,831 883
Manipulation of elbow joint under general anaesthesia (includes application of
24700 1,026 2,565 95
traction or other fixation device)
24800 Fusion of elbow joint, with or without local or non-autogenous graft 12,020 30,049 1,113
24900 Arm, through humerus, with primary closure 9,600 23,999 889
25000 Tenovaginotomy at wrist (eg. De Quervain's Disease). 4,381 10,953 406
25030 Incision and drainage of deep abscess or haematoma 1,996 4,990 185
25100 Arthrotmy (Capsulotomy), wrist joint, for biopsy 4,867 12,167 451
25111 Excision of ganglion, wrist (volar or dorsal) 3,911 9,778 362
25112 - recurrent 4,864 12,159 450
25116 Tenosynovectomy, tendon sheath, one or more sheaths, forearm or wrist 8,821 22,053 817
Synovectomy, distal radio-ulnar joint with excision of distal ulna for rheumatoid
25119 7,436 18,590 689
arthritis (independent procedure)
25210 Carpectomy, one bone 6,250 15,624 579
25215 - all bone of proximal row 9,234 23,085 855
25230 Radial styloidectomy (independent procedure) 6,063 15,158 561
25240 Excision distal ulna (e.g. Darrach procedure) 6,022 15,054 558
25260 Repair, flexor muscle or tendon, forearm or wrist, primary, single 7,719 19,297 715
25261 - each additional muscle or tendon 544 1,361 50
25262 - secondary, single 3,266 8,165 302
25263 - each additional muscle or tendon 8,243 20,608 763
25280 Lengthening or shortening of flexor or extensor tendon (independent procedure) 7,130 17,824 660
25281 - each additional tendon 544 1,361 50

25290 Tenotomy, open, single flexor or extensor tendon 5,392 13,479 499
25291 - each additional tendon 333 832 31
25300 Tenodesis at wrist, one or more flexors or extensors of digits 9,245 23,112 856
25308 Tendon transplant or transfer, flexor or extensor, single tendon 3,810 9,526 353
25317 Flexor origin slide, forearm - Seddon or Scaglietti 5,443 13,608 504
25330 Arthroplasty, wrist 4,536 11,340 420
25350 Osteotomy, radius or ulna, distal third 9,655 24,138 894
25355 - middle or proximal two - thirds 11,181 27,953 1,035
25365 - radius and ulna 13,105 32,761 1,213

Repair of non-union or mal-union, radius or ulna (includes bone grafting and/or
25400 12,422 31,056 1,150
internal fixation)[eg. compression technique]
- radius and ulna (includes bone grafting and/or internal fixation)[eg. compression
25415 14,283 35,707 1,322
technique]
25430 Centralisation of wrist on ulna (eg. radial club hand) 9,197 22,993 852
25440 Repair of non-union, carpal scaphoid (navicular), with or without radial styloidectomy 10,985 27,463 1,017
25441 Arthroplasty with prosthetic replacement, distal radius 13,518 33,795 1,252
25442 - distal ulna 10,320 25,800 956
25444 - lunate, scaphoid or trapezium 11,876 29,690 1,100
25446 distal radius and partial or entire carpus ("total wrist") 19,557 48,892 1,811

Radial or ulna fracture, includes distal ends, eg. Colles' or Smith's or epiphyseal
25504 1,754 4,385 162
separation, with or without fracture of ulna styloid, closed manipulative reduction
25514 - closed or open, open reduction, with or without skeletal fixation 4,052 10,130 375
25564 Radial and ulna shaft fractures, closed reduction 2,419 6,048 224
Carpal bone fracture(s), open, with or uncomplicated soft tissue closure,

25640 1,996 4,990 185
manipulative reduction
25645 -closed or open, open reduction 7,816 19,539 724
Radio-carpal or inter-carpal dislocation, closed, one or more bones, manipulative

25660 4,063 10,159 376
reduction requiring anaesthesia

Trans-scapho-perilunar fracture dislocation, closed, manipulative reduction requiring
25680 4,998 12,495 463
anaesthesia
25690 Lunate dislocation, manipulative reduction 5,916 14,789 548
25800 Wrist joint, without autogenous bone graft 11,391 28,477 1,055
25900 Forearm, through radius and ulna 9,374 23,435 868
25910 Kurkenberg 6,048 15,120 560
25920 Amputation through wrist 8,898 22,246 824
25927 Transmetacarpal 9,094 22,735 842
Drainage of finger tip abscess, complicated (eg. Felon), requiring general or regional
26011 2,967 7,417 275
anaesthesia
26020 Drainage of tendon sheath, acute suppurative tenosynovitis, one finger and/or palm 4,797 11,991 444
26030 Drainage of tendon sheath, acute suppurative tenosynovitis, multiple or complicated BR BR BR
26045 Fasciotomy, palmar, for Dupuytren's contracture - open 5,981 14,951 554
26055 Tenovaginotomy for "Trigger" finger or thumb 4,616 11,541 427
Capsulotomy or arthrotomy for biopsy carpometacarpal joint; metacarpophalangeal

26105 4,492 11,230 416
joint and interphalangeal joint
26120 Palmar fasciectomy, partial, simple for Dupuytren's contracture 2,480 6,199 230
- up to one-half palma fascia, with single finger involvement, with or without Z-plasty
26121 9,363 23,408 867
or other local tissue rearrangement
26124 - complicated, requiring skin graft (including obtaining graft) 6,048 15,120 560
26127 - each additional finger 1,210 3,024 112
26130 Synovectomy, carpometacarpal and intercarpal joint 5,964 14,909 552

26135 - metacarpophalangeal joint, including intrinsic release and extensor reconstruction 6,889 17,223 638
26140 - interphalangeal joint, including extensor reconstruction 6,174 15,435 572
26142 - each additional joint, including extensor reconstruction 1,270 3,175 118
26160 Excision of lesion of tendon sheath or capsule (eg. cyst or ganglion) hand or finger 4,303 10,758 398
Flexor tendon repair or advancement, single (without free tendon graft) primary or
26350 7,599 18,998 704
secondary
26352 Flexor tendon repair, with tendon graft (includes obtaining graft), single 8,945 22,361 828
Excision of flexor tendon with implantation of plastic tube or rod or sheath, for
26390 10,192 25,479 944
delayed tendon graft, single finger
26392 Removal of tube or rod and insertion of tendon graft (includes obtaining graft) 11,448 28,620 1,060
Extensor tendon repair, dorsum of hand, dorsum of finger, primary or secondary,

26418 5,373 13,432 497
single
26420 - with graft (includes obtaining graft) 7,826 19,564 725

26426 - central slip repair, secondary local tissues 7,507 18,769 695
26428 - with graft (includes obtaining graft) 8,093 20,232 749
26432 - distal insertion repair, secondary ("mallet finger") 4,843 12,106 448
26440 Tenolysis, flexor tendon, hand or fingers, single 5,892 14,731 546
26441 - multiple, through same incision 3,024 7,560 280
26447 Tenolysis, extensor tendon 1,512 3,780 140
26471 Tenodesis for proximal interphalangeal joint stabilization 6,394 15,985 592
26474 - for distal joint stabilization 6,357 15,892 589
26480 Tendon transfer or transplant, carpometacarpal area or dorsum of hand, single 8,403 21,006 778
26481 - multiple 4,536 11,340 420

26490 Opponens-plasty (transfer), sublimis tendon transfer type, with or without graft 9,640 24,100 893
26502 Tendon pulley reconstruction with tendon or fascial graft (includes obtaining graft) 7,723 19,308 715
26516 Capsulodesis for metacarpophalangeal joint stabilization, single finger 7,228 18,070 669
26518 - multiple, same hand 9,468 23,671 877
26530 Arthroplasty, metacarpophalangeal joint, single 6,829 17,073 632
26531 - with prosthetic implant 8,303 20,759 769
- multiple, with or without prosthetic implant (add 50% for second joint, 23% for each
26533 2,344 5,859 217
additional joint)
26535 - each interphalangeal joint, single 5,547 13,868 514
26536 - with prosthetic implant 8,061 20,153 746
- multiple, with or without prosthetic implant (add 50% for second joint, 25% for each
26538 3,240 8,100 300
additional joint)
26540 Reconstruction, collateral ligament, metacarpophalangeal joint 7,883 19,708 730
26550 Pollicization of finger 23,022 57,555 2,132
26560 Repair of syndactyly (web finger) with skin flaps 6,234 15,586 577
26561 - with skin flaps and grafts (includes obtaining graft) 11,582 28,955 1,072
26565 Osteotomy for correction of deformity, metacarpal or phalanx 7,730 19,324 716
26570 Bone graft, metacarpal or phalanx (includes obtaining graft and/or internal fixation) 3,024 7,560 280
Crushed hand - inital treatment, including removal of dead tissue under general
26581 6,048 15,120 560
anaesthetic and six weeks' after care
26605 Metacarpal fracture, single, closed, manipulative reduction 3,193 7,982 296
26610 - open, with manipulative reduction 1,270 3,175 118
26625 - multiple, manipulative reduction 1,512 3,780 140
- open reduction metacarpal fracture closed or open, multiple, with or without

26635 4,373 10,932 405
internal or external skeletal fixation
Carpometacarpal fracture and/or dislocation, thump (eg. Bennett fracture) closed,

26645 4,121 10,302 382
with manipulative reduction
26650 - closed, with skeletal fixation 5,726 14,315 530
Intercarpal, carpometacarpal or metacarpophalangeal dislocation, closed, single,

26705 3,823 9,559 354
manipulative reduction with anaesthesia
Phalangeal fracture, proximal or middle, finger or thumb, closed, manipulative
26725 3,158 7,896 292
reduction
26735 closed or open, open reduction, with or without skeletal fixation 5,953 14,882 551
26755 - distal phalanx, finger or thumb, closed manipulative reduction 3,103 7,758 287
26760 - open, with uncomplicated soft tissue closure, manipulative reduction 514 1,285 48
26765 - closed or open reduction, with or without skeletal fixation 4,393 10,983 407
26766 - intra-articular fracture, complex, open reduction, with or without skeletal fixation 2,540 6,350 235
Inter-phalangeal joint dislocation, closed, single, manipulative reduction requiring

26770 2,436 6,090 226
anaesthesia
Fusion in apposition, thumb, intermetacarpal with autogenous graft (includes
26820 9,080 22,701 841
obtaining graft)
26841 Carpometacarpal joint, thumb or finger, with or without skeletal fixation 8,250 20,626 764
26850 Metacarpophalangeal joint, with or without skeletal fixation 7,324 18,311 678
26860 Interphalangeal joint, with or without skeletal fixation 5,830 14,575 540
Metacarpal, with finger or thumb (ray amputation), single, with or without

26910 7,867 19,668 728
interosseous transfer
26951 Finger or thumb 5,278 13,195 489
26952 - with local advancement flaps (V-Y hood) 6,657 16,643 616
Tenotomy, adductor, subcutaneous, closed (independent procedure) requiring

27000 4,593 11,483 425
anaesthesia
27001 - open 6,196 15,491 574
27015 Iliac crest fasciotomy (eg. Soutter or Campbel procedures) with stripping of ilium 3,205 8,014 297
27030 Arthrotomy (capsulotomy), dip, for drainage 13,496 33,741 1,250
27054 Arthrotomy (capsulotomy) for synovectomy hip 10,425 26,062 965
27062 Hip excision of bursa or calcification 6,134 15,335 568
27081 Excision, saco-coccygeal teratoma, perineal approach BR BR BR
27082 - abdominal and perineal approach BR BR BR
27090 Removal of hip prosthesis (independent procedure) 12,047 30,118 1,115
27091 Removal of "total hip" component(s) 22,994 57,486 2,129
27110 Iliopsoas transfer to greater trochanter (eg. Mustard or Sharrad) 13,322 33,306 1,234
27115 Muscle release, complete ("Hanging hip") procedure 8,165 20,412 756
27120 Acetabuloplasty (eg. Colonna or Whittman) 19,483 48,707 1,804

27122 - resection femoral head (eg. Girdlestone procedure) 17,329 43,323 1,605
27126 Arthroplasty, cup 9,979 24,948 924
27127 - with acetabuloplasty 12,096 30,240 1,120
27130 Acetabular and proximal femoral prosthetic replacement ("total hip") 23,701 59,253 2,195
Giliberty or similar Endo Prosthesis where the acetabular component is not

27135 12,810 32,024 1,186
cemented into position
27140 Osteotomy and transfer of greater trochanter (independent procedure) 12,881 32,202 1,193
27147 Osteotomy, iliac or acetabular (eg. Pemberton, Chiari, or Salter procedure) 20,048 50,120 1,856
27154 - with open reduction of hip 8,770 21,924 812
27162 Osteotomy, femoral neck (independent procedure) 8,770 21,924 812
27165 Osteotomy, inter or subtrochanteric, including skeletal fixation and/or cast 19,001 47,503 1,759
Bone graft for non-union, femoral head, neck intertrochanteric or subtrochanteric
27170 17,713 44,284 1,640
area (includes obtaining graft and/or internal fixation)
27173 Slipped femoral epiphysis, treated by single or multiple pinning, in situ 8,165 20,412 756
27174 - closed reduction, with single or multiple pinning 8,467 21,168 784
27177 - open reduction, single or multiple pinning or bone graft (includes ontaining graft) 15,192 37,979 1,407
27181 - osteotomy and internal fixation 15,374 38,436 1,424
27188 Dislocations not requiring anaesthesia for reduction FFS FFS FFS
Iliac, pubic and or ischial fracture(s), closed or open, open reduction, with or without
27214 7,258 18,144 672
skeletal fixation
27222 Acetabulum fracture(s), manipulative reduction, with or without skeletal traction 10,842 27,105 1,004
27224 - closed skeletal fixation 8,770 21,924 812

Femur, fracture, proximal end, neck, intertrochanteric or pertrochanteric, closed,
27232 10,612 26,530 983
manipulative reduction, including skeletal traction
- open, with uncomplicated soft tissue closure, manipulative reduction including

27234 4,838 12,096 448
skeletal traction
27236 - closed or open, internal fixation or prosthetic replacement 17,588 43,970 1,629
27252 Hip dislocation, traumatic, closed manipulative reduction requiring anaesthesia 8,543 21,358 791
27253 - closed or open, open reduction 14,216 35,540 1,316
27255 - with acetabular lip fracture, with or without skeletal fixation 8,770 21,924 812
27256 - congenital, by abduction, splint or traction, any method FFS FFS FFS
27257 - closed reduction requiring anaesthesia 5,260 13,149 487
27258 - open reduction, including tenotomy 16,074 40,185 1,488
27275 Hip joints, requiring general anaesthesia 2,306 5,766 214

27276 - with hip spica, requiring general anaesthesia 1,421 3,553 132
27280 Sacro-iliac joint (includes obtaining graft) 14,277 35,694 1,322
27284 Hip joint (includes obtaining graft) 18,582 46,456 1,721
27286 - with subtrochanteric osteotomy 18,880 47,199 1,748
27290 Interpelviabdominial amputation (hind-quarter amputation) 29,793 74,483 2,759
27295 Disarticulation of hip 19,140 47,850 1,772
27305 Ilio-tibial fasciotomy (tenotomy), open (Ober-Yount) 5,609 14,023 519
Tenotomy, subcutaneous (closed), distal hamstrings, multiple, with or without

27307 5,198 12,995 481
adductor (independent procedure)
Arthrotomy or capsulotomy, knee, with exploration, drainage or removal of foreign

27310 10,250 25,625 949
body
27315 Hamstring or popliteal (gastrocnemius) neurectomy 3,508 8,770 325

27331 Arthrotomy with joint exploration, for removal of loose bodies 7,331 18,327 679
Arthrotomy (capsulotomy) knee, for excision of semilunar cartilage (meniscectomy),

27332 10,019 25,047 928
medial or lateral
27333 - meniscectomy, medial and lateral 10,010 25,026 927
27335 - for synovectomy, anterior or posterior 11,801 29,503 1,093
27336 - anterior and posterior (includes popliteal area) 6,955 17,388 644
27337 - including medial and lateral meniscectomies add 4,860 12,149 450
27338 - with pes anserinus transfer 6,955 17,388 644
27340 Excision, prepatella bursa 4,619 11,548 428
27345 Excision of synovial cyst of popliteal space (eg. Baker's cyst) 6,545 16,363 606
27350 Patellectomy or hemipatellectomy 9,601 24,003 889

27371 Removal of total knee components 4,838 12,096 448
27376 Arthroscopy of knee with or without biopsy 2,419 6,048 224
27380 Suture of infrapatellar tendon, primary 8,390 20,976 777
27381 - secondary reconstruction, including fascial or tendon graft 11,889 29,723 1,101
27385 Suture of quadriceps muscle or tendon rupture, primary 9,161 22,903 848
27386 - secondary reconstruction, including fascial or tendon graft 12,543 31,358 1,161
27387 Tenotomy, open, hamstring, knee to hip, single 1,996 4,990 185
27388 - multiple, one leg 2,843 7,106 263
27391 Lengthening of hamstring tendon, single 7,210 18,025 668
27393 - multiple, one leg 6,791 16,978 629

27397 - transplant of hamstring tendon to patella, multiple, one leg 10,948 27,369 1,014
27400 Tendon or muscle transfer, hamstrings to femur (eg. Egger's procedure) 9,428 23,569 873
Repair, primary. torn ruptured or severed collateral ligament, with or without

27405 10,236 25,589 948
menisetomy
27407 - cruciate ligament 10,628 26,571 984
27408 - with pes anserinus transfer 6,955 17,388 644
27409 - collateral and cruciate ligament 15,050 37,626 1,394
- secondary repair, collateral or cruciate ligament with pes anserinus transfer of

27415 18,912 47,279 1,751
fascial or tendon graft
- collateral and cruciate ligaments with pes anserinus transfer of fascial or tendon
27417 9,677 24,192 896
graft
27419 Pes anserinus transfer (independent procedure) 6,048 15,120 560
Reconstruction for recurrent dislocating patella (eg. Hauser, Campbell or

27420 11,353 28,382 1,051
Goldthwaite procedure) with or without patellectomy
Elevation anterior tibial tubercle (Maquet procedure), including bone graft with or
27422 11,532 28,830 1,068
without patellectomy
27426 Arthroplasty, prosthetic replacement of patella 6,048 15,120 560
27430 Quadricepsplasty (eg. Bennett or Thompson procedure) 10,505 26,261 973
Arthroplasty, knee, with femoral condyle and tibial plateau replacement, medial and
27447 25,142 62,855 2,328
lateral compartments, with or without patella ("total knee")
27449 Osteotomy, femur, shaft or supracondylar, without fixation 5,262 13,154 487
27451 - with fixation 7,560 18,900 700
27452 - multiple femoral shaft (eg. Sofield procedure) and rodding 8,165 20,412 756
Osteotomy proximal tibia, including fibular excision or osteotomy (includes

27455 correction of genu varus or valgus) unilateral, before epiphseal closure and/or 13,724 34,311 1,271
skeletal fixation
27456 - after epiphyseal closure 5,625 14,062 521
27465 Osteotomy, femoral, shortening 14,984 37,460 1,387

27466 - lengthening 16,500 41,249 1,528
27470 Repair, non-union or malunion, femur, distal to head and neck 17,780 44,449 1,646
27475 Epiphyseal arrest by epiphysiodesis or stapling, distal femur 9,152 22,880 847
27477 - proxima tibia and fibula 12,308 30,771 1,140
27479 - combined, distal femur and proximal tibia and fibula (knee) 13,698 34,246 1,268
hemi-epiphyseal arrest, distal femur or proximal tibia or fibula (eg. for genu varus or
27485 9,373 23,434 868
valgus)
27499 Fractures not requiring reductions FFS FFS FFS
Femur, shaft or condylar or epiphyseal fracture, closed with manipulative reduction

27501 6,344 15,860 587
(includes traction)
27504 - open with uncomplicated soft tissue closure, manipulative reduction 4,052 10,130 375
27506 - closed or open reduction, with or without skeletal fixation 18,458 46,144 1,709
27522 Patella, fracture, open, with uncomplicated soft tissue closure 1,633 4,082 151
27524 - closed or open, open reduction, with repair and/or excision 11,198 27,995 1,037
27532 Tibia, fracture, proximal (palteau) closed, with manipulative reduction 7,501 18,753 695
27552 Knee dislocation, closed manipulative reduction, with anaesthesia 6,786 16,965 628
27562 patellar dislocation, closed manipulative reduction with anaesthesia 6,157 15,393 570
27566 - closed or open, open reduction, with or without partial or total patellectomy 12,686 31,716 1,175
Manipulation of knee joint under general anaesthesia (includes application of
27570 1,990 4,974 184
traction or other fixation devices)
27580 Fusion of knee, any technique, includes local graft 17,109 42,773 1,584
27590 Thigh, through femur, any level, with primary closere 11,277 28,192 1,044
27594 - secondary closure or scar revision 6,065 15,163 562
27598 Disarticulation at knee 11,122 27,805 1,030
27600 Fasciotomy, leg, anterior compartment, for closed spaced decompression 5,111 12,777 473
27606 Tenotomy, Archilles tendon, subcutaneous, under general anaesthesia 3,636 9,090 337
Posterior capsular release, with or without Archilles tendon lengthening (see also
27612 8,147 20,366 754
27685)
27620 Arthrotomy (capsulotomy), ankle, for biopsy 6,711 16,778 621
27625 - for synovectomy 9,290 23,225 860

27630 Excision of lesion of tendon, sheath or capsule (eg. Cyst or ganglion) 5,155 12,887 477
27650 Repair, ruptured Achilles tendon, primary 10,289 25,723 953
27654 - secondary, with or without graft 11,272 28,179 1,044
27655 Repair, fascial defect of leg 2,419 6,048 224
27660 Repair, tendon, primary, without graft, single tendon 2,540 6,350 235
27662 - secondary, with or without free graft, single tendon 3,205 8,014 297
27675 Repair, for dislocating paroneal tendons, with or without fibular osteotomy 7,523 18,807 697
Lengthening or shortening of tendon single (independent procedure) (eg. Achilles

27685 6,345 15,864 588
tendon)[see also 27606 - 27612]
27686 Lengthening or shortening of tendon multiple (through same incision) 7,806 19,516 723
27687 Gastrocnemius recession (eg. Strayer procedure) 6,514 16,284 603
Transfer or transplant of tendon (with muscle redirection or rerouting), single,

27690 8,549 21,372 792
superficial (eg. anterior tibial or extensors into mid foot)
- each additional tendon (toe extensors as a group are considered to be a single

27691 9,980 24,949 924
tendon when transplanted into mid-foot)
27693 - anterior or posterior tibial, through interosseus space 4,052 10,130 375
27695 Repair, primary, torn, ruptured or severed ankle, collateral ligament 7,804 19,510 723
27696 - both collateral ligaments 8,502 21,255 787
27698 Repair, secondary, collateral ligament (eg. Watson-Jones procedure) 11,145 27,863 1,032
27702 Arthroplasty, total ankle replacement 17,304 43,261 1,602
Osteotomy, tibia or fibula multiple, with realignment and rodding (eg. Sofield
27712 13,599 33,999 1,259
procedure)
27715 Osteoplasty, tibia and fibula, lengthening 14,773 36,932 1,368
Repair of non-union or malunion, tibia (includes bone grafting and/or internal

27720 13,924 34,810 1,289
fixation)
27722 - with sliding graft, local bone with or without internal fixation 12,344 30,859 1,143
Distal and (medial, posterior or lateral) ie. uni-malleolar, closed, with manipulative
27762 5,149 12,872 477
reduction
27766 - closed or open, open reduction, with skeletal fixation 8,859 22,149 820
Fibula, fracture, proximal end or shaft, open, with uncomplicated soft tissue closure,
27782 1,512 3,780 140
manipulative reduction
27784 - closed or open, open reduction, with skeletal fixation 7,504 18,761 695
Tibia and fibula, fractures, shafts, closed with manipulative reduction, with or without
27802 3,508 8,770 325
external skeletal pinning
27804 - open, with manipulative reduction (eg. "pins above and below") 4,052 10,130 375
Bi-malleolar and tri-malleolar, closed, with manipulative reduction, requiring

27818 6,703 16,757 621
anaesthesia
- closed or open, open reduction, with or without skeletal fixation, medial and lateral
27822 11,330 28,324 1,049
malleoli only
27823 - with skeletal fixation of posterior lip (malleolus) 13,698 34,246 1,268
Proximal tibio-fibular joint dislocation, closed or open reduction and fixation or

27832 7,345 18,363 680
excision
27842 Ankle dislocation, closed, manipulative reduction with anaesthesia 5,059 12,648 468

27860 Manipulation (includes application of traction or other fixation apparatus) 2,208 5,520 204
27870 Fusion , ankle, includes local graft 13,962 34,906 1,293
27880 Leg, through tibia and fibula, any method 11,423 28,557 1,058
27888 Ankle, through malleoli of tibia and fibula (eg. Syme or Pirogoff procedures) 10,393 25,983 962
28008 Fasciotomy, plantar and/or toe, subcutaneous (see also 28060, 28250) 4,349 10,873 403
28010 Tenetomy, subcutaneous, toe, single 3,618 9,044 335
28011 - multiple 3,583 8,957 332
Arthrotomy (Capsulotomy), with exploration, drainage or removal of foreign body,

28020 5,630 14,075 521
intertarsal or tarsometatarsal joint
28022 - metatarsophalangeal joint 4,606 11,515 426
28024 - interphalangeal joint 4,256 10,640 394

28035 Tarsal tunnel release (posterior tibial nerve decompositions) 6,455 16,138 598
28060 Fasciotomy, excision of plantar fascia, partial (independent procedure) 5,647 14,118 523
28070 Synovectomy, intertarsal or tarsometatarsal joint 5,596 13,989 518
28072 - metatarsophalangeal joint 4,844 12,111 449
28073 - multiple, same foot 1,996 4,990 185
28080 Excision of Morton's neuroma 4,656 11,639 431
Excision of lesion of tendon, or fibrous sheath or capsule (eg. cyst or ganglion) foot
28090 4,604 11,510 426
or toe
28111 Ostectomy complete, first metatarsal head 5,857 14,641 542
28112 - other metatarsal head, single 5,097 12,742 472
28113 - each additional, either foot 5,492 13,731 509

- all metatarsal heads, with or without partial proximal phalangectomies (eg. Clayton
28114 10,481 26,202 970
procedure)
28116 Excision of tarsal coalition 7,388 18,469 684
28130 Astragalectomy 8,440 21,100 781
28150 Phalangectomy, single (filleting) 4,447 11,116 412
28152 - each additional, either foot 393 983 36
28200 Repair of tendon, flexor, single, primary or secondary, without free graft 5,599 13,998 518
28208 - extensor, single, primary or secondary 4,414 11,034 409
28220 Tenolysis, flexor, single 4,940 12,350 457

28222 - multiple (through same incision) 6,670 16,674 618
28225 - extensor, single 3,741 9,351 346
28226 - multiple (through same incision) 4,773 11,932 442
28230 Tenotomy, open, flexor, foot, single or multiple (independent procedure) 4,136 10,341 383
28234 - extensor, foot or toe 3,278 8,195 304
Advancement of posterior tibial tendon with excision of accessory scaphoid bone

28238 8,494 21,235 786
(eg. Kidner procedure)
28240 Tenotomy or release, abductor hallucis muscle (eg. McMauley procedure) 4,087 10,219 378
Division of plantar fascia and muscle (eg. "Steindler stripping") [independent

28250 6,148 15,371 569
procedure]
28260 Capsulotomy, mid-foot medial release only (independent procedure) 7,340 18,350 680
28262 - with tendon lengthening 14,899 37,247 1,380

- extensive, including posterior talotibial capsulotomy (eg. resistant club foot
28263 5,625 14,062 521
deformity)
28264 - midtarsal (eg. Heyman procedure) 11,174 27,934 1,035
28286 Plastic procedure for "cock-up" fifth toe (eg. Ruiz-Mora procedure) 4,892 12,230 453
28290 Hallux valgus, correction by exostectomy (eg. Silver procedure) 6,476 16,190 600
28292 - (eg. Keller, McBride or Mayo type procedure) 8,174 20,434 757
28293 - with resection of joint with implant 10,956 27,390 1,014
28294 - with tendon transplant (eg. Joplin procedure) 9,861 24,652 913
28296 - with metatarsal osteotomy (eg. Mitchell or Lapidus procedures) 10,128 25,321 938
28298 - with phalangeal osteotomy 9,361 23,403 867
Osteotomy, with or without internal fixation of calcis (eg Dwyer or Chambers

28300 9,090 22,726 842
procedures)
28302 - talus 10,127 25,319 938
28304 - other mid-tarsal bones 9,074 22,685 840
- metatarsals, base or shaft, single, for shortening or angular correction, first

28306 6,351 15,877 588
metatarsal
28308 - other metatarsals 6,365 15,913 589
- proximal phalanx, first toe, for shortening, angularly or rotational correction

28310 5,684 14,210 526
28312 - other phalanges, any toe 5,367 13,418 497
Repair of non-union or malunion, matatarsal, with or without bone graft (includes

28322 8,023 20,056 743
obtaining graft and/or fixation)
28435 Talus or calcaneum, closed, with manpulative reduction 3,934 9,834 364
28455 Navicular, cuneiforms or cuboid, closed with manipulative reduction 3,330 8,324 308
28475 Metatarsal(s), fracture(s), closed, with manipulative reduction 3,084 7,709 286
28495 Phalanx or phalanges, fracture, big toe closed with manipulative reduction 1,677 4,194 155
28515 Phalanges other than big toe, closed, with manipulative reduction 1,565 3,913 145
28575 Astragalo-tarsal joint, dislocation, closed, manipulative reduction with anaesthesia 3,535 8,839 327
28605 Tarsometatarsal joint, dislocation, closed, manipulative reduction, with anaesthesia 2,926 7,316 271
28606 - with percutaneous skeletal fixation 4,814 12,035 446
Metatarsophalangeal joint, dislocation, closed, manipulative reduction with

28635 2,012 5,029 186
anaesthesia
Interphalangeal joint, closed or open, with uncomplicated soft tissue closure,

28670 665 1,663 62
manipulative reduction requiring anaesthesia
28705 Plantar arthrodesis, includes local graft 17,303 43,258 1,602
28715 Triple arthrodesis, includes local graft 14,046 35,115 1,301
28725 Subastragalar arthrodesis (eg. Grice procedure, Batchelor) 11,643 29,108 1,078
28730 Midtarsal or tarsometatarsal arthrodesis, multiple or transverse 11,107 27,767 1,028
28750 Big toe, metatarsophalangeal joint, arthrodesis 7,141 17,853 661
28755 - interphalangeal joint 5,155 12,888 477
28760 - with extensor hallucis longus transfer to first matatarsal neck (Jones procedure) 7,172 17,930 664
28761 Interphalangeal joint arthrodesis, other than big toe 1,391 3,478 129
28800 Foot, midtarsal (eg. Chopart procedure) 8,126 20,315 752
28805 - transmetatarsal 8,577 21,443 794
28810 Metatarsal, with toe, single 5,658 14,145 524
28820 Toe, metatarsophalangeal joint 4,422 11,055 409
28825 - interphalangeal or transphalangeal joint 3,924 9,811 363
29010 Turnbuckle jacket, localizer, body only 2,766 6,914 256
29015 - including head 2,861 7,152 265
29035 Body, shoulder to hip, plaster jacket 2,396 5,991 222
29040 - including head, Minerva type 2,572 6,429 238

29049 Plaster figure of 8 (eg. Clavicle fracture) 865 2,162 80
29055 Shoulder spica 1,962 4,905 182
29065 Above elbow plaster cast 1,038 2,595 96
29075 Below elbow plaster cast 889 2,223 82
29305 Hip spica, unilateral 2,473 6,183 229
29325 Hip spica, bilateral 2,675 6,687 248
29340 Hinged thigh cast with pelvic band 302 756 28
29355 Above knee 1,602 4,004 148
29356 Hinged above knee plaster of paris cast 665 1,663 62
29365 Cylinger cast (thigh to ankle) 1,288 3,220 119

29366 Hinged cylinder cast 393 983 36
29425 Short leg (below knee to toes) 1,181 2,952 109
29435 Platella tendon bearing (P.T.B. cast) 1,418 3,546 131
Club foot strapping or cast with moulding or manipulation, long or short leg, under 24
29450 1,104 2,761 102
months, single
29456 Club foot manipulation under general anaesthesia and application of plaster of paris 569 1,421 53
29460 Plaster of Paris, wool, crepe and other supportive orthopaedic bandages At cost At cost At cost
RESPIRATORY SYSTEM - -
30000 Drainage abscess or haematoma ( nasal, internal approach) 2,754 6,885 255
30001 - under local anaesthesia. 816 2,041 76
30110 Excision , nasal polyps ( simple) office 1,959 4,898 181

30115 Excision , nasal polyps ( extensive ,hospital) 4,470 11,175 414
30120 Excision of rhinophyma 7,171 17,928 664
30130 Excision inferior turbinate partial or complete any method 4,612 11,529 427
30210 Displacement therapy ( PROETZ type) 963 2,409 89
30300 intranasal , office 2,062 5,155 191
30301 - requiring local anaesthetic 1,210 3,024 112
30310 - requiring general anaesthetic 1,302 3,254 121
30400 Rhinoplasty primary, lateral & alar cartilages & or tip elevation 7,183 17,958 665
30410 Complete , external bony pyramid lateral & alar cartilages & tip elevation 15,979 39,947 1,480
30420 including major septal repair 19,035 47,588 1,763

30430 Rhinoplasty secondary, minor revision & or tip work 8,664 21,661 802
30440 - new patient 7,427 18,567 688
30460 Rhinoplasty for post congenital cleft lip & palate repair columelar & tip work 10,441 26,102 967
30462 tip, septum ,& osteotomies 20,917 52,291 1,937
30500 Submucous resection, nasal septum, classic 6,199 15,498 574
30540 Repair of choanal atresia, intranasal 8,396 20,991 777
30545 transpalatine 12,616 31,540 1,168
30580 Repair oro-enteral fistula ,add 31030 if antrotomy is included 7,559 18,898 700
30620 Septal or intranasal dermoplasty 10,368 25,920 960
30799 Diathermy to turbinates 1,879 4,698 174

30800 - with local anaesthetic 605 1,512 56
30900 Cautery nasal (unilateral or bilateral), with local anaesthetic 1,058 2,646 98
30905 Control nasal haemorrhage, posteror with posterior nasal packs& or cautery initial 2,614 6,534 242
30910 Nasal and/or post-nasal pack for severe epistaxis under general anaesthetic 1,858 4,644 172
30911 - under local anaesthetic 1,015 2,538 94
30915 ligation arteries , ethmoidal 6,951 17,377 644
30999 unlisted procedure ,nose BR BR BR
31000 lavage by cannulation , maxillary sinus ( antral puncture or natural ostium) 1,240 3,099 115
31002 sphenoid sinus 1,673 4,182 155

31004 Antrum puncture, unilateral or bilateral, general anaesthetic 2,311 5,778 214
31005 Antral lavage 1,728 4,320 160
31020 Sinusotomy , maxillary, intranasal` 3,964 9,910 367
31030 Radical (Caldwell Luc) without removal of antrochoanal polyps 7,886 19,714 730
31049 Intranasal, frontal 4,633 11,583 429
31050 Sinusotomy ,sphenoid with or without biopsy 6,397 15,993 592
31070 Sinusotomy ,frontal,external ,simple trephine 5,209 13,022 482
31075 transorbital, unilateral Lynch type for mucocoele or osteoma 10,850 27,125 1,005
31085 obliterative with osteoplastic flap (Coronal incision) 16,697 41,742 1,546
31200 Ethmoidectomy , Intranasal , anterior 5,844 14,611 541

31201 intranasal , total 8,887 22,217 823
31220 External ethmoidectomy (Pattersons operation) 10,822 27,054 1,002
31225 maxillectomy , without orbital exenteration 20,938 52,345 1,939
31230 maxillectomy , with orbital exenteration 29,160 72,900 2,700
31240 with conca bullosa resection 7,258 18,144 672
31245 Ultrasound to pituitary, exclusive of operation 3,046 7,614 282
Nasal endoscopy, diagnostic (includes examination of the medial meatus,

31250 1,307 3,267 121
infundibulum and sinus ostia)
31252 Nasal endoscopy, surgical with nasal polypectomy 2,970 7,425 275
31254 nasal sinus endoscopy , surgical, with ethmoidectomy, partial (anterior) 5,579 13,947 517
31255 with ethmoidectomy , total (anterior & posterior) 8,350 20,875 773
31256 nasal sinus endoscopy , surgical with maxillary antrostomy 3,767 9,416 349
31258 - with removal of foreign body(s) 2,246 5,616 208
31260 Maxillary sinus endoscopy, diagnostic, with or without biopsy 2,246 5,616 208
31263 Maxillary sinus endoscopy, surgical; with removal of foreign body(s) 2,981 7,452 276
31265 - with removal of cyst 2,884 7,209 267
31267 - with removal of mucous membrane and/or polyp(s) 5,811 14,528 538
31268 - with removal of fungus ball 3,780 9,450 350
31270 Sphenoid endoscopy, diagnostic 2,462 6,154 228
31275 Sphenoid endoscopy, surgical; including sphenoidotomy 3,629 9,072 336
31277 - with removal of mucous membrane 4,244 10,611 393

31300 Laryngotomy , with removal of tumour or laryngocoele , cordectomy 14,917 37,292 1,381
31320 diagnostic 5,822 14,555 539
31360 Laryngectomy ,total, without radical neck dissection 21,277 53,192 1,970
31395 with reconstruction 35,555 88,887 3,292
31396 Laryngecotomy with laryngoplasty 21,362 53,406 1,978
31400 arytenoidectomy or arytenoidopexy, external approach 10,657 26,642 987
31500 Intubation` , endotracheal , emergency procedure 1,696 4,240 157
31505 Laryngoscopy,indirect , diagnostic 732 1,830 68
31510 with biopsy 1,781 4,454 165
31526 diagnostic , with operating microscope or telescope 3,360 8,400 311

31530 - direct operative, including foreign body removal 3,754 9,386 348
31536 with operative microscope or telescope 4,225 10,564 391
laryngoscopy , direct operative, with excision of tumour & or stripping vocal cord
31540 4,950 12,376 458
/epiglottis
31541 with operative microscope or telescope 4,791 11,978 444
31572 Ultrasound to larynx for papillomatosis, exclusive of operation fee 4,320 10,800 400
31600 Tracheostomy, planned 4,701 11,752 435
31619 Bronchial lavage - short 2,365 5,912 219
31620 Bronchoscopy, diagnostic (initial) 3,912 9,779 362
31621 - prolonged or repeat 3,002 7,506 278
31625 with bronchial biopsy 3,952 9,880 366

31635 with removal of foreign body 4,843 12,107 448
31636 - with removal of foreign body, infant, under 5 years of age 3,433 8,582 318
31640 - with radium insertion 5,266 13,166 488
31645 - with therapeutic aspiration of tracheobronchial tree 3,658 9,146 339
31646 - with excision of tumour 3,186 7,965 295
Installation of contrast material for laryngograph or bronchography without

31708 2,365 5,912 219
catheterization
31710 Catheterization for bronchography, with or without instillation of contrast material 2,365 5,912 219
31715 Transtracheal injection for bronchography 1,031 2,577 95
31750 Tracheoplasty , cervical 12,189 30,472 1,129
31760 - intrathoracic 18,722 46,806 1,734

31765 Excision, tracheal stenosis and anastomosis, cervical 14,278 35,694 1,322
31775 Brochoplasty, excision stenoids, with asnastomosis 21,621 54,053 2,002
31822 Surgical closure tracheostomy or fistula, with or without plastic repair 3,562 8,906 330
31899 Unlisted procedure ,trachea 14,987 37,467 1,388
Thoracentesis: puncuture of pleural cavity for aspiration, initial or subsequent

32000 272 680 25
(diagnostic or therapeutic)
32001 - detention time - after the first 15 minutes 181 454 17
32014 Intercostal drain - needle 272 680 25
32015 Tube thoracostomy with water seal (independent procedure) catheter 1,210 3,024 112
32035 Thoracostomy, with rib resection for emphyema 8,205 20,511 760
32036 - with open flap drainage for emphyema 9,013 22,533 835
32095 Thoractomy, limited 8,881 22,203 822
32100 Thoractomy, diagnostic, for inoperable Carcinoma 12,666 31,665 1,173
32101 Thoractomy, with major dissection 6,544 16,360 606
32141 - with excision-plication of bullae, pulmonary or emphysematous cysts 16,003 40,007 1,482
32150 - with removal of intrapleural or intra-pulmonary foreign or fibrin body 13,376 33,440 1,239
32160 - with cardiac massage 9,655 24,138 894
32161 with repair of bronchial Fracture 8,467 21,168 784
32200 Pneumonostomy, with open drainage of pulmonary abscess or cyst 12,419 31,047 1,150
32215 Introduction: for introduction of contrast medium for pleurography 10,462 26,155 969
32220 Decortication, pulmonary (independent procedure) 20,120 50,300 1,863

32320 Decortication and major pleurectomy 21,800 54,500 2,019
32321 Thoracoplasty: 1st stage 6,901 17,252 639
32322 - all stages 9,653 24,132 894
Thoracoplasty, total (Schede type or extrapleural) with or without closure of

32325 8,467 21,168 784
bronchopleural fistula, all stages
32420 Biopsy, pleural or lung, needle 1,775 4,438 164
32421 Pleaural, open method 1,377 3,443 128
32440 Pneumonectomy 22,070 55,175 2,044
32441 Radical pneumonectomy, with mediastinal lymphadenectomy 12,277 30,694 1,137
32480 Lobectomy, total or segmental 20,100 50,250 1,861
32485 Lobectomy, total or segmental with bronchoplasty 3,834 9,585 355

32490 - with decortication 16,772 41,931 1,553
32500 Wedge resection or enucleation of lesion, single or multiple 16,647 41,618 1,541
Pulmonary resection, with thoracoplasty with resection and reconstruction of chest

32520 10,886 27,216 1,008
wall
32540 Extra pleural enucleation of empyema cavity 16,302 40,755 1,509
32545 - with lobectomy 10,886 27,216 1,008
32546 Excision of cartilage 3,266 8,165 302
32700 Thoracoscopy, exploratory (independent procedure) 3,845 9,612 356
32705 - with biopsy, adhesion section or pondrage 4,212 10,530 390
32900 Extrapleural resection of ribs, any type, first stage 15,477 38,693 1,433
32960 Pneumothorax: intrapleural injection of air (independent procedure) 18,549 46,372 1,717
CARDIOVASCULAR SYSTEM - -
33010 Pericardiocentesis, initial 1,854 4,634 172
33020 Pericardiotomy for removal of clot or foreign body (primary procedure) 13,720 34,299 1,270
33025 Pericardial window or partial resection for drainage 13,748 34,370 1,273
33030 Partial resection for chronic constrictive pericarditis, without by-pass 21,012 52,530 1,946
33120 Excision of intracardiac tumour, resection with cardiopulmonary by-pass 28,076 70,191 2,600
33130 Resection of external cardiac tumour 20,560 51,399 1,904
33200 Insertion of permanent pacemake, with epicardial electrode by thoracotomy 1,976 4,941 183
33201 - by xiphoid approach 4,838 12,096 448
33205 - with transvenous electrodes, single chamber 4,234 10,584 392

33206 - with transvenous electrodes, dual chamber 7,699 19,248 713
33212 Insertion or replacement of pulse generator only 5,878 14,696 544
Insertion, replacement or repositioning of permanent transvenous electrodes only

33216 5,204 13,011 482
(15 days or more after initial insertion)
33218 Repair of pacemaker electrodes only 5,606 14,014 519
33222 - with replacement of pulse generator 5,808 14,519 538
33240 Insertion of temporary transvenous electrode (independent procedure) 7,189 17,974 666
33241 Tectronic analysis 3,099 7,747 287
33300 Repair of cardiac wound; without by-pass 20,772 51,931 1,923
33305 - with cardiopulmonary by-pass 27,974 69,934 2,590
33310 Cardiotomy, exploratory (includes removal of foreign body); without by-pass 16,503 41,257 1,528
33400 Valvoplasty, aortic valve, open with cardiopulmonary by-pass 29,014 72,535 2,686
33404 Construction of apical-aortic conduit 31,761 79,403 2,941
33405 Replacement, aortic valve, with cardiopulmonary by-pass 33,952 84,880 3,144
33407 Valvotomy, aortic valve (commissurotomy); with cardio-pulmonary by-pass 12,096 30,240 1,120
33411 Replacement, aortic valve; with aortic annulus enlargement, non-coronary cusp 41,421 103,552 3,835
33412 - with transventricular aortic annulus enlargement (Konno procedure) 40,066 100,165 3,710
33415 Resection or incision of sub-valvular tissue for discrete sub-valvular aortic stenosis 31,245 78,114 2,893
Ventriculomyotomy (-myectomy) for idiopathic hypertrophic sub-aortic stenosis (eg.

33416 31,696 79,240 2,935
Asymmetric septal hypertrophy)
33417 Autoplasty (gusset) for supra-valvular stenosis 33,270 83,176 3,081
33420 Valvotomy, mitral valve (commissurotomy); closed 22,333 55,832 2,068

33422 - open, with cardiopulmonary by-pass 29,920 74,800 2,770
33425 Valvoplasty, mitral valve, with cardiopulmonary by-pass 33,654 84,135 3,116
33426 - with prosthetic ring 33,743 84,357 3,124
33427 - with radical reconstruction with or without ring 38,092 95,231 3,527
33430 Replacement, mitral valve, with cardiopulmonary by-pass 37,565 93,912 3,478
33452 Valvotomy, triscupid valve, with cardiopulmonary by pass 13,306 33,264 1,232
33460 Valvuloplasty or valvectomy, tricuspid valve, with cardiopulmonary by-pass 28,613 71,532 2,649
33465 - replacement 34,900 87,250 3,231
33468 Tricuspid valve repositioning and application for Ebstein anomaly 34,338 85,844 3,179
33470 Valvotomy, pulmonary valve (commissurotomy); closed (transventricular) 21,187 52,969 1,962
33472 - open, with inflow occlusion 27,004 67,509 2,500
33474 open, with cardiopulmonary by-pass 29,057 72,643 2,690
33476 Right ventricular resection for infundibular stenosis, with or without commissurotomy 28,292 70,730 2,620
33510 Coronary artery by-pass, vein only; single coronary venous graft 30,119 75,296 2,789
33533 Coronary artery by-pass, using arterial graft(s); single arterial graft 30,702 76,754 2,843
33534 - two coronary arterial grafts 34,681 86,702 3,211
33542 Myocardial resection (eg. ventricular aneurysmectomy) 33,676 84,190 3,118
Repair of post-infraction ventricular septal defect, with or without myocardial

33545 40,354 100,886 3,737
resection
Repair of arterial septal defect, secundum, with cardiopulmonary by-pass, with or

33641 25,521 63,802 2,363
without patch
Direct or patch closure, sinus venosus, with or without anomalous pulmonary

33645 27,690 69,225 2,564
venous drainage
33649 Repair of tricuspid atresia (eg. Fontan, Gago procedures) 28,804 72,009 2,667
Patch closure, endocardial cushion defect with or without repair of mitral and/or
33660 30,749 76,873 2,847
tricuspid cleft
33670 Repair of complete atrioventricular canal, with or without prosthetic valve 38,026 95,065 3,521
33681 Closure of ventricular septal defect, with or without patch 33,489 83,722 3,101
33684 - with pulmonary valvotomy or infundibular resection (Acyanotic) 34,417 86,042 3,187
33688 - with removal of pulmonary artery band, with or without guset, add 34,725 86,811 3,215
33690 Banding of pulmonary artery 21,939 54,848 2,031
33692 Complete repair tetralogy of Fallot 36,884 92,209 3,415
33694 - with transannular patch 37,238 93,095 3,448
33696 - with closure of previous shunt, add 2,117 5,292 196

33702 Repair of sinus of Valsalva fistula, with cardiopulmonary by-pass 30,048 75,120 2,782
33710 - with repair of ventricular septal defect 34,731 86,828 3,216
33720 Repair of sinus of Valsalva aneurysm, with cardiopulmonary by-pass 30,062 75,155 2,784
33730 Complete repair of anomalous venous return (Supra cardiac, or intracardiac types) 27,040 67,600 2,504
33735 Arterial septectomy or septostomy; closed (Blalock-Hanlon type operation) 24,563 61,408 2,274
33750 Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation) 22,926 57,314 2,123
33764 - central, with prosthetic graft 23,325 58,313 2,160
33766 - vena cava to pulmonary artery (Glen type operation) 24,020 60,049 2,224
Repair of transposition of the great arteries, aortic pulmonary artery reconstruction

33778 41,724 104,310 3,863
(eg. Jatene type)
33779 - with removal of pulmonary band 41,204 103,011 3,815

33780 - with closure of ventricular septal defect 42,003 105,008 3,889
33781 - with repair of subpulmonic obstruction 41,462 103,655 3,839
33786 Total repair, truncus arteriosus (Rastelli Type operation) 39,757 99,393 3,681
33788 Reimplantation of anomalous pulmonary artery 29,499 73,748 2,731
Aortic suspension (aortipexy) for tracheal decompression (eg. For tracheomalacial)

33800 16,373 40,934 1,516
(separate procedure)
33802 Division of aberrant vessel (vascular ring) 20,882 52,206 1,934
33803 - with reanastomosis 27,656 69,139 2,561
33813 Obliteration of aortopulmonary septal defect; without cardio-pulmonary by-pass 22,808 57,019 2,112
33814 - with cardiopulmonary by-pass 29,558 73,895 2,737
33820 Patent ductus arteriosus, ligation (primary procedure) 36,992 92,481 3,425
33822 - division, under 18 years 20,706 51,766 1,917
33824 - 18 years and older 22,124 55,309 2,048
33840 Coarctation, excision, with direct anastomosis (with or without association PDA) 26,715 66,786 2,474
33845 - with graft 27,755 69,388 2,570
- repair using either left subclavian artery or prosthetic material as gusset for
33851 27,129 67,824 2,512
enlargement
- repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic

33852 28,811 72,028 2,668
material
33855 - repair of hypoplastic left heart syndrom (eg. Norwood type) 34,322 85,806 3,178
Ascending aorta graft with cardiopulmonary by-pass, with or without coronary

33860 39,446 98,616 3,652
implant, with or without valve suspension; without valve replacement
33865 - with valve replacement 21,168 52,920 1,960
33870 Transverse arch graft, with cardiopulmonary by-pass 45,091 112,728 4,175
33875 Descending thoracia aorta graft, with or without by-pass 32,513 81,282 3,010
Repair of thoracoabdominal aortic aneurysm with graft, with or without

33877 48,926 122,315 4,530
cardiopulmonary by-pass
33960 Prolonged extra-corporeal circulation for cardiopulmonary insufficiency 14,909 37,274 1,381
33970 Intra-aortic balloon counter-pulsation; insertion only 8,567 21,417 793
Removal of intra-aortic balloon assist device including repair of femoral artery, with
33971 6,452 16,129 597
or without graft
34000 Carotid 5,643 14,107 522
34005 Subclavian, cervical approach 9,752 24,381 903
34006 - thoracic approach 10,195 25,488 944
34010 Axillary-brachial 7,484 18,711 693
34015 Innominate 7,484 18,711 693

34020 Renal 13,036 32,589 1,207
34025 Coeliac or mesenteric 8,316 20,790 770
34030 Aorta-iliac, abdominal approach 13,036 32,589 1,207
34032 - bilateral inguinal approach 6,786 16,965 628
34033 Ilio-femoral, inguinal approach 4,560 11,400 422
34034 Ilio-femoral-popliteal, inguinal approach 5,631 14,077 521
34035 Femoral popliteal, unilateral 8,316 20,790 770
34037 Popliteal-tibial region 9,331 23,328 864
35000 Carotid 14,731 36,828 1,364
35011 Brachial 14,103 35,257 1,306

35012 Axillary 13,824 34,560 1,280
35020 Subclavian, cervical approach 15,401 38,502 1,426
35030 Innominate 15,973 39,933 1,479
35070 Aortic Aneurysm 19,505 48,762 1,806
35071 - with iliac and/or femoral anastomoses 16,965 42,412 1,571
35072 - ruptured, add 23,501 58,752 2,176
35073 - with temporary gastrostomy, add 1,349 3,372 125
35100 Renal, unilateral 22,280 55,701 2,063
35110 Iliac 20,574 51,435 1,905
35120 Common femoral 12,593 31,482 1,166

35130 Popliteal 14,029 35,073 1,299
35201 Arteriovenous fistula, congenital 11,694 29,235 1,083
35202 Replacement of previous Aortic graft BR BR BR
35211 - traumatic BR BR BR
35221 - acquired 16,431 41,077 1,521
35250 Creation of arteria-venous fistula, using branchial artery 6,048 15,120 560
35252 - using radial artery 7,258 18,144 672
35300 Carotid or vertebral 13,241 33,102 1,226
35305 - external carotid 18,419 46,047 1,705
35320 Subclavian, cervical approach BR BR BR

35321 - thoracic approach BR BR BR
35330 Innominate BR BR BR
35340 Abdominal aorta 16,049 40,122 1,486
35350 Mesenteric or celiac 17,798 44,496 1,648
35360 Renal, unilateral 17,798 44,496 1,648
35370 Iliac 15,120 37,800 1,400
35375 Aorta - common iliac, unilateral 12,550 31,374 1,162
35376 - bilateral 18,468 46,170 1,710
35381 Combined aorta-ilio-femoral, unilateral 20,272 50,679 1,877
35395 Superficial femoral, localized 10,130 25,326 938

35400 Femoral and popliteal 3,687 9,218 341
35410 Popliteal 9,507 23,769 880
35509 Carotid - subclavian, autogenous, cervical approach 21,022 52,556 1,947
35511 - thoracic approach 15,565 38,912 1,441
35512 - non-autogenous, cervical approach 18,490 46,225 1,712
35519 Subclavian-axillary or brachial, autogenous, cervical approach 14,224 35,559 1,317
35532 Axillary-femoral, non-autogenous, unilateral 16,049 40,122 1,486

35570 Spleno-renal 14,063 35,158 1,302
35571 - with splenectomy 20,784 51,960 1,924
35580 Aorta-iliac, unilateral 11,201 28,002 1,037
35590 Aorto-femoral, unilateral 11,201 28,002 1,037
35600 Aorta-femoral-popliteal 3,943 9,858 365
35610 Femoral-popliteal, autogeneous, unilateral 10,856 27,140 1,005
35612 - attached to existing graft 17,097 42,741 1,583
35615 - non-autogenous, unilateral 7,796 19,490 722
35617 - non-autogenous, unilateral, attached to existing graft 8,340 20,850 772
35620 Femoral-femoral by-pass, autogenous 13,316 33,291 1,233

35621 - non-autogenous 17,433 43,582 1,614
35630 Femoral-tibial, autogenous 18,392 45,981 1,703
35631 - non-autogenous 24,762 61,905 2,293
35635 Autogenous vein graft when a vein is obtained from another part of the body, add 1,191 2,979 110
35700 Carotid 2,635 6,587 244
35710 External iliact 2,020 5,049 187
35720 Femoral 4,687 11,718 434
35740 Popliteal 4,687 11,718 434
35750 Tibial 4,547 11,367 421
35755 Popliteal-tibial 4,547 11,367 421

35900 Excision of infected graft 896 2,241 83
35910 - with re-vascularisation BR BR BR
35941 Vena Cava 10,433 26,082 966
35942 Brachial, axillary, femoral 6,372 15,930 590
35943 Iliac and subclavian 6,966 17,415 645
35944 Other vessels 6,372 15,930 590
36000 - unilateral 305 762 28
36011 - by placement into a superior or inferior vena cava 5,621 14,052 520
36013 - pulmonary artery 4,894 12,235 453
- selective (eg. renal, adrenal, hepatic, jugular), single vessel, with or without
36020 4,320 10,800 400
midstream injection
36100 - carotid or vertebral, unilateral 4,161 10,403 385
36120 - retrograde brachial 3,299 8,247 305
36140 - extremely artery 3,192 7,979 296
36145 - arteriovenous shunt for dialysis (cannula, fistula or graft) 2,797 6,993 259
36160 - aortic, translumbar 4,197 10,493 389
36200 - aorta (arch, abdominal, midstream renal, aorta-iliac run-off, etc) 4,678 11,696 433
- celebral or other arch vessel, selective, single artery, with or without midstream
36210 1,512 3,780 140
arch injection
- multiple cerebral arteries or other arch vessels, selective, with or without

36220 1,875 4,687 174
midstream arch injection
36230 - coronary, selective, unilateral or bilateral 1,996 4,990 185
- renal, celiac, mesenteric, or other artery, selective, single artery, with or without
36240 1,393 3,483 129
midstream injection
Venepunture, complex or non-routine, infant under 3 years, femoral, jugular or
36400 190 474 18
sagittal sinus
36401 intravenous infusion, below 3 years 162 405 15
36405 intravenous infusion, below 3 years (Venepuncture- scalp vein) 317 791 29
36410 intravenous infusion over 3 years 91 227 8
36420 Cutdown venepuncture, under age 1 year 782 1,956 72
36425 - age 1 year or over 448 1,120 41
36426 - venesection 242 605 22
36450 Exchange transfusion, newborn 2,256 5,639 209
36470 Injection of sclerosing solution, single vein 1,063 2,657 98
Central venous pressure catheter placement, subclavian, external jugular or other

36480 272 680 25
vein, percutaneous
36485 - by cutdown 363 907 34
36491 Insertion of Hickman line, including maintenance of patency 3,629 9,072 336
36601 Arterial puncture, withdrawal of blood for diagnosis 259 648 24
36620 Arterial catheterization for monitoring 875 2,188 81
36625 - cutdown 1,508 3,770 140
36810 Arteria-venous, external (Scriber type) 5,030 12,574 466
36815 - revision of closure 3,381 8,452 313
36821 Arteria-venous anastomosis, direct, any site 8,790 21,975 814
37140 Porto-caval anastomosis, thoracic 21,667 54,167 2,006
37160 Caval-mesentetic anastomosis 21,186 52,964 1,962

37400 Arteriorrhaphy: suture of wound or injury of major artery 5,074 12,686 470
37500 Phleborrhaphy: suture of wound or injury or major vein 10,449 26,122 967
37520 - neck 3,387 8,467 314
37600 Ligation, external carotid 6,384 15,961 591
37605 - internal or common carotid 7,282 18,205 674
37610 Ligation or biopsy temporal artery 2,300 5,751 213
37640 Ligation of other major veins 4,633 11,583 429
Ligation and division of long saphenous vein at spheno-femoral junction

37701 3,121 7,803 289
37724 Ligation - multiple of short saphenous system, unilateral 4,612 11,529 427
37725 - with ligation and division of short saphenous vein at spheno-popliteal junction, add 677 1,693 63
Ligation, division and complete stripping of long saphenous system, with ligation of
37730 5,411 13,527 501
perforator, initial or recurrent, unilateral
37731 - moderate 3,629 9,072 336
37732 - limited 2,377 5,942 220
37733 Combined ligation, subcutaneous stripping and sclerotherapy, unilateral 4,349 10,871 403
Compression sclerotherapy, complete leg (Fegan's technique) excluding material,

37740 2,395 5,988 222
unilateral
37760 Radical subfascial stripping (eg. Linton type procedure) 9,857 24,642 913
Ligation and division of short saphenous vein at spheno-popliteal junction

37780 3,282 8,206 304
37786 Ligation and excision of minor varicose vein of lower extrimity 432 1,080 40
37787 Ligation of jagular vein 497 1,242 46
37999 Unlisted vascular procedure BR BR BR

HAEMIC AND LYMPHATIC SYSTEM - -
38100 Splenectomy 12,570 31,424 1,164
38200 Injection procedure for splenoportography 2,364 5,910 219
38250 Splenorraphy 5,400 13,500 500
38300 drainage of lymph node abscess or lymphadenitis (simple) 1,795 4,486 166
38500 biopsy or exision of lymph node(s) open ,superficial 2,978 7,445 276
38510 open ,deep cervical node(s) 4,479 11,198 415
38520 open ,deep cervical node(s) with excision of scalene fat pad 4,937 12,343 457
38526 Excision lymph nodes 3,405 8,513 315
Excision of cystic hygroma, axillary or cervical, confined to skin and subcutaneous

38549 3,240 8,100 300
tissue, cervical approach
38700 suprahyoid lymphadenectomy 10,020 25,050 928
38720 cervical lymphadenectomy (complete) 16,340 40,851 1,513
38745 Axillary lymphadenectomy, complete 9,971 24,927 923
Inguino-femoral lymphadenectomy, superficial including Cloquet's node

38760 9,226 23,065 854
(independent procedure) unilateral
- in continuity with pelvic lymphadenectomy, including external iliac, hypogastric and

38765 16,335 40,837 1,512
obturator nodes (independent procedure), unilateral
Retroperitoneal lymphadenectomy, extensive, including pelvic, aortic, and renal

38780 17,333 43,333 1,605
nodes (independent procedure)
38790 Injection procedure for lymphangiography, unilateral 1,462 3,655 135
38792 Splenoportography - with pressure studies 1,651 4,128 153
MEDIASTINUM AND DIAPHRAGM SYSTEM - -
39020 Mediastinotomy, sternal split 7,020 17,550 650

39220 Excision of mediastinal tumour 17,624 44,061 1,632
39400 Mediastinoscopy, with or without biopsy 6,374 15,934 590
Repair diaphragmatic hernia (oesophageal hiatus) transabdominal or transthoracic,

39500 6,480 16,200 600
including fundoplasty
Repair, oesophageal hiatus hernia, transabdominal, with or without fundoplasty with

39501 12,837 32,093 1,189
vagotomy and/or pyloroplasty
39520 - diaphragmatic, any method 15,594 38,986 1,444
39530 - combined, thoraco-abdominal, with or without vagotomy and pyloroplasty 15,685 39,211 1,452
DIGESTIVE SYSTEM - -
40100 Oesophagoscopy, without gastroscopy, diagnostic initial 1,080 2,700 100
40101 - diagnostic, repeat 1,620 4,050 150
40102 - with dilatation, direct 1,620 4,050 150

40103 - with foreign body removal 2,700 6,750 250
40105 - with biopsy, one or more 2,700 6,750 250
40109 - with insertion of plastic tube or stent (Souttars tube) 4,860 12,150 450
40110 - with injection of varices 3,240 8,100 300
40120 Oesophagogastroscopy 1,080 2,700 100
40140 Upper gastro-intestinal endoscopy 2,700 6,750 250
40145 Oesophagogastroduodenoscopy with biopsy, one or more 1,620 4,050 150
- with cannulation of ampulla of Vater for radiographic studies and/or specimen

40148 2,700 6,750 250
collection for cytology
40160 Gastroscopy, without oesophagoscopy 1,080 2,700 100

40165 Gastroscopy with biopsy, one or more 1,620 4,050 150
40200 Colonoscopy, beyond splenic flexure 2,376 5,940 220
40201 - with collection of specimen by brushing or washing for cytology 2,160 5,400 200
40206 - with removal of polpy 4,320 10,800 400
40220 Colonoscopy, beyond 25 cm and below splenic flexure 1,620 4,050 150
40221 - with collection of specimen by brushing or washing for cytology 1,620 4,050 150
40226 - with removal of polyp 3,780 9,450 350
40239 Proctosigmoidoscopy; initial 2,268 5,670 210

40240 - subsequent 324 810 30
40245 - with biopsy, one or more 540 1,350 50
40246 Proctosigmoidoscopy: initial or subsequent, with removal of polyp 540 1,350 50
40247 - with removal of multiple excrescences, papillomata or polypi, simple 1,080 2,700 100
Endoscopic retrograde cholangio-pancreatography (ERCP); diagonistic, with or

40260 2,700 6,750 250
without collection of specimen(s)
40262 - with sphincterotomy/papillotomy 3,240 8,100 300
40268 - with endoscopic retrograde insertion of tube or stent into bile or pancreatic duct 3,780 9,450 350
40500 Vermilionectomy (lip shave), with mucosal advancement 5,836 14,590 540
40510 excision of lip (transverse wedge with primary closure) 6,128 15,320 567
40520 v -excision of lip (with primary closure) 5,613 14,032 520

40521 Flap repair 1,674 4,185 155
40530 resection lip more than one- fourth without closure 6,290 15,725 582
40650 Repair lip, full thickness; vermilion only, post trauma 4,877 12,193 452
40652 - up to half vertical height 5,722 14,306 530
40654 - over one-half vertical height, or complex 7,030 17,574 651
40700 Plastic repair of cleft lip, primary, partial or complete, unilateral 12,028 30,070 1,114
40701 - primary bilateral, one stage procedure 18,499 46,247 1,713
40702 - primary bilateral, one or two stages, per stage 12,298 30,745 1,139
40720 - secondary, unilateral, by reaction of defect and enclosure 13,266 33,164 1,228
40760 - with cross lip pedicle flap (Abbe Estlander type) 10,800 27,000 1,000
40761 - including sectioning and insetting of pedicle 14,418 36,044 1,335
40799 Unlisted procedure, lips BR BR BR
40800 drainage of abscess,cyst,haematoma,vestible of mouth (simple) 1,440 3,600 133
40801 complicated 2,783 6,957 258
40804 removal of embeded foreign body (simple) 1,435 3,587 133
40805 complicated 3,888 9,720 360
40806 incision 756 1,890 70
40808 biopsy , vestible of mouth 1,292 3,230 120
40810 excision of mucosal or submucosal lesion without repair 1,691 4,228 157
40812 with simple repair 2,520 6,301 233

40814 with complex repair 4,030 10,076 373
40816 complex with excision of underlying muscle 4,198 10,494 389
40818 excsion of mucosa of vestible as donor graft 3,240 8,100 300
40819 excision of frenum,labial or buccal (frenulectomy) 2,479 6,198 230
40820 destruction of lesion or scar by laser,cryo,chemical or thermal methods 1,577 3,942 146
40830 closure of laceration , vestible of mouth, less than 2.5cm 1,814 4,535 168
40831 over 2.5cm or complex 2,920 7,301 270
40840 vestibuloplasty (anterior) BR BR BR
40842 posterior (unilateral) BR BR BR
40843 posterior (bilateral) BR BR BR

40844 entire arch BR BR BR
40845 complex BR BR BR
40899 Unlisted procedure vestible of mouth BR BR BR
41000 intraoral incision & drainage of abscess,cyst,haematoma (tongue/mouth floor) 1,389 3,472 129
41005 sublingual 1,499 3,748 139
41006 sublingual 2,906 7,266 269
41007 submental space 3,661 9,153 339
41008 submandibular space 3,004 7,511 278
41009 masticator space 4,143 10,357 384
41010 incision of lingual frenum (frenotomy) 1,327 3,318 123

41015 extraoral incision & drainage of abscess,cyst,haematoma (tongue/mouth floor) 3,351 8,377 310
41016 submental space 4,605 11,514 426
41017 submandibular space 3,623 9,058 335
41018 masticator space 5,373 13,432 497
41100 biopsy of tongue 1,575 3,938 146
41105 posterior one third 1,580 3,950 146
41108 biopsy of floor of mouth 1,265 3,163 117
41110 excision 2,113 5,281 196
41112 excision 3,226 8,064 299
41113 posterior one third 3,974 9,934 368

41114 with local tongue flap 10,779 26,948 998
41115 excision 2,261 5,653 209
41116 excision 3,125 7,812 289
41120 glossectomy (less than one half) 10,496 26,241 972
41130 hemiglossectomy 12,634 31,584 1,170
41135 partial ,with unilateral radical neck dissection 21,190 52,976 1,962
41140 complete with or without tracheostomy, without radical neck dissection 25,746 64,365 2,384
41145 complete with or without tracheostomy, with radical neck dissection 30,954 77,386 2,866
41150 composite with resection mouth floor,mandible without neck dissection 23,831 59,576 2,207
41153 composite with resection mouth floor,mandible &suprahyoid neck dissection 27,770 69,425 2,571
41155 composite with resection mouth floor,mandible & radical neck dissection 32,588 81,471 3,017
41250 repair laceration less than 2.5cm mouth floor or anterior two thirds tongue 2,365 5,913 219
41251 posterior one third tongue 3,780 9,450 350
41252 repair laceration over 2.5cm or complex floor of mouth or tongue 3,283 8,208 304
41520 frenoplasty 3,487 8,718 323
41599 Unlisted procedure tongue,floor of mouth BR BR BR
42000 drainage of abscess of palate,uvula 1,296 3,240 120
42100 biopsy of palate , uvula 1,369 3,423 127
42104 excision lesion of palate,uvula without closure 2,309 5,772 214
42120 resection palate or extensive resection of lesion 8,518 21,294 789

42140 uvulectomy 2,047 5,118 190
42200 Palatoplasty for cleft palate, soft and/or hard palate 10,223 25,557 947
42205 - with closure of alveolar ridge, soft tissue 11,567 28,917 1,071
42210 - with bone graft to alveolar ridge (includes obtaining graft) 13,291 33,227 1,231
42215 - major revision 9,401 23,503 870
42220 - secondary lengthening procedure 10,260 25,650 950
42225 attachment of pharyngeal flap 10,330 25,824 956
42235 Repair, anterior palate, including vomerine flap 8,247 20,618 764
42250 Repair, oroantral or oronasal fistula, up to 1cm 5,400 13,500 500
42251 Palatal fistula BR BR BR

42300 drainage of abscess,parotid simple 1,911 4,777 177
42330 sialolithotomy submandibular,sublingual, parotid simple intraoral 2,165 5,413 200
42335 submandibular complicated intraoral 3,655 9,137 338
42410 excision of parotid tumour or gland,lateral lobe without nerve dissection 8,567 21,419 793
42415 lateral lobe with facial nerve dissection 16,304 40,759 1,510
42420 total with facial nerve dissection 18,867 47,168 1,747
42425 total en bloc removal with facial nerve sacrifice 13,070 32,676 1,210
42426 total with unilateral radical neck dissection 23,817 59,543 2,205
42440 excision of submandibular tumour or gland 7,907 19,766 732
42550 injection for sialography 1,185 2,962 110

42600 closure of salivary fistula 5,249 13,123 486
42650 dilation of salivary duct 773 1,932 72
42699 unlisted procedure ,salivary glands or ducts 3,780 9,450 350
42720 retropharyngeal or parapharyngeal (intraoral) 3,418 8,544 316
42725 retropharyngeal or parapharyngeal (external) 7,891 19,727 731
42730 Quinsy opening - general anaesthetic 2,376 5,940 220
42731 Quinsy opening - local anaesthetic 816 2,041 76
42804 nasopharynx (visible , simple) 1,667 4,167 154
42806 nasopharynx (survey , unknown primary) 2,033 5,082 188
42810 excision branchial cleft cyst or vestige (skin & subcutaneous tissue) 4,047 10,118 375
42815 excision branchial cleft cyst ,vestige,fistula ( deep to subcut to pharynx) 8,495 21,238 787
42830 Quinsy Tonsillectomy 5,400 13,500 500
42840 Adenotonsillectomy 4,050 10,125 375
42841 - age 12 years or over 4,320 10,800 400
42842 radical resection tonsil,pillars,& or retromolar trigone without closure 9,571 23,927 886
42850 adenoidectomy (primary under 12 years) 4,050 10,125 375
42880 Excision, nasopharyngeal lesion (eg. fibroma) 2,646 6,615 245
42896 Pharyngeal neoplasm, excision, benign, per oral 2,538 6,345 235
42897 Pharyngotomy - lateral for neoplasm 8,262 20,655 765
42950 pharyngoplasty (reconstruction of pharynx) 10,320 25,800 956

42962 with secondary surgical intervention 7,228 18,069 669
42965 Injection of Teflon into naso pharynx 1,296 3,240 120
43030 cricopharygeal myotomy 8,876 22,189 822
Oesophagectomy: resection of oesophagus (upper two-thirds) with gastric

43110 11,880 29,700 1,100
anastomosis, with or without vagotomy or pyloroplasty
Oesophagogastrectomy for lower one-third of oesophagus, combined

43121 30,477 76,191 2,822
thoracoabdominal vagotomy and pyloroplasty, one or two stages
43130 diverticulectomy with or without myotomy 11,919 29,799 1,104
43312 Oesophagoplasty, with repair of tracheo-oesophageal fistula 23,579 58,948 2,183
Oesophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty,

43321 6,480 16,200 600
abdominal approach
43325 Oesophagogastric fundoplasty (eg. Nissen II) 15,815 39,536 1,464

Oesophagomyotomy (Heller type), with or without hiatus hernia repair, thoracic
43333 6,480 16,200 600
approach
43340 Oesophagojejunostomy (without total gastrectomy) abdominal 16,094 40,235 1,490
43500 Gastrotomy, with exploration or foreign body removal 8,482 21,204 785
43520 Pyloromyotomy: cutting of pyloric muscle (Fredet-Rammstedt type operation) 7,273 18,183 673
43610 Local excision of ulcer or tumour 11,137 27,843 1,031
43620 Total gastrectomy, including intestinal anastomosis 22,255 55,639 2,061
Sub-total or hemi-gastrectomy, including pyloroplasty, gastroduodenostomy or

43630 7,560 18,900 700
gastrojejunostomy
43635 Sub-total gastrectomy, with vagotomy, any type 8,780 21,951 813
43640 Vagotomy and pyloroplasty, with or without gastrostomy 14,099 35,248 1,305
43641 Highly selective vagotomy 14,154 35,385 1,311

43800 Pyloroplasty 10,082 25,206 934
43820 Gastrojejunostomy 12,209 30,522 1,130
43825 - with vagotomy, any type 14,807 37,017 1,371
43830 Gastrotomy, temporary (tube, rubber or plastic) [independent procedure] 7,016 17,539 650
43831 - with retrograde intubation 6,913 17,283 640
43840 Gastrorrhaphy: suture of perforated duodenal or gastric ulcer, wound or injury. 12,080 30,199 1,118
Revision of gastroenteric anastomosis with reconstruction, without vagotomy, with or

43861 10,800 27,000 1,000
without partial gastrectomy or bowel resection
43870 Closure of gastrotomy, surgical 7,628 19,070 706
43880 Closure of gastro-colic fistula 16,621 41,553 1,539
44006 Intestinal obstruction of newborn 5,400 13,500 500

Enterotomy, other than duodenum, with exploration or foreign body removal, large or
44020 11,192 27,980 1,036
small bowel
44050 Reduction of volvulus, intussusception, internal hernia, by laporotomy 10,800 27,001 1,000
44100 Biopsy by capsule, per oral, via tube (one or more specimens) 1,669 4,173 155
44120 Entertectomy: resection of small intestine, with anastomosis 13,765 34,412 1,275
44130 Enteroenterostomy: anastomosis of intestine 12,591 31,478 1,166
44132 Ilio-transversostomy 5,940 14,850 550
44140 Colectomy, partial, with anastomosis 16,749 41,873 1,551
44141 - right or left hemicolectomy 18,326 45,815 1,697
44143 - with end colostomy and closure of distal segment (Hartmann type procedure) 17,218 43,044 1,594
44144 - with resection, with colostomy and creation of mucofistula 17,286 43,214 1,601
44145 - with coloproctostomy (low pelvic anastomosis) 20,521 51,303 1,900
44146 - with colostomy 22,909 57,272 2,121
44150 Colectomy, total, abdominal, with ileostomy, or ileoproctostomy, without protectomy 20,702 51,755 1,917
44155 - with proctectomy and ileostomy 23,527 58,818 2,178
44156 Excision of lesion or mesentery 21,070 52,675 1,951
44300 Tube enterostomy or caecostomy (independent procedure) 8,713 21,782 807
44310 Ileostomy 11,197 27,992 1,037
44320 Colostomy or skin level caecostomy (independent procedure) 12,032 30,080 1,114
Suture of intestine (enterorrhaphy), large or small, for perforated ulcer, wound, injury
44600 5,400 13,500 500
or rupture, single
44620 Closure of enterostomy, large or small intestine 10,750 26,876 995

44625 - with resection and anastomosis 11,609 29,023 1,075
44640 Closure of intestinal cutaneous fistula 13,134 32,834 1,216
44650 Closure of enteroenteric or enterocolic fistula 13,833 34,583 1,281
44660 Closure of enterovesical fistula (without intestinal or bladder resection) 13,757 34,393 1,274
44661 - wiht bowel and/or bladder resection 17,882 44,706 1,656
44680 Intestinal suture plication, complete (Noble type) [independent procedure] 13,131 32,828 1,216
44800 Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct 9,160 22,899 848
44900 Incision and drainage of appendiceal abscess transabdominal 7,686 19,215 712
44950 Appendicectomy 6,849 17,123 634
44960 - for ruptured appendix, with abscess or generalised peritonitis 9,602 24,004 889
45102 Formal dissection, excision/biopsy plus repair of the anorectal region 1,620 4,050 150
45106 Local excision of rectal tumour (posterior approach) 5,400 13,500 500
45110 Potectomy, complete, combined abdominoperineal 22,612 56,531 2,094
45120 - for congenital megacolon (Swenson, Duhamel or Soave type procedure) 22,262 55,656 2,061
45130 Excision of rectal procidential, with anastomosis, perineal approach 13,064 32,660 1,210
45150 Division of stricture of rectum, initial, with anaesthetic 5,021 12,551 465
45151 - subsequent, dilation, with anaesthetic 432 1,080 40
45160 Excision, tumour, rectum, with resection and anastomosis (Kraske type procedure) 11,818 29,545 1,094
45500 Proctoplasty, for stenosis 7,137 17,841 661
45505 - for prolapse of mucous membrane 6,957 17,392 644

45540 Proctopexy for prolapse, abdominal 12,970 32,426 1,201
45555 Prolapse of rectum - Rosco Graham Moskovitz 8,100 20,250 750
45556 Ivalon Sponge 4,860 12,150 450
45800 Closure of rectovesical fistula 13,683 34,207 1,267
45820 Closure of rectourethral fistula 13,522 33,805 1,252
45900 Reduction of procidentia (independent procedure) 1,600 4,000 148
46040 Incision and drainage of perirectal abscess (independent procedure) 4,447 11,118 412
Incision and drainage of ischiorectal, intramural, intramuscular or submucosal

46045 3,774 9,435 349
abscess, under anaesthesia
46050 Incision and drainage, perianal abscess, superficial (see also 46060) 1,329 3,323 123
Incision and drainage of ischiorectal or intramural abscess, with fistulectomy,

46060 5,983 14,958 554
submuscular
Sphincterotomy anal: division of anal sphincter or manual stretching of anal
46080 2,703 6,759 250
sphincter
46200 Fissurectomy, with or without sphincterotomy 3,973 9,933 368
46211 Cryptectomy, multiple or single, hospital (independent proceure) 864 2,160 80
46220 Paillectomy or excision of single tag, office (independent procedure) 1,524 3,809 141
46225 Haemorrhoidectomy by cryosurgery BR BR BR
46230 Excision of external haemorrhoid tags and/or multiple papillae, office 2,272 5,681 210
46250 Haemorrhoidectomy, external 4,493 11,231 416
46255 - internal and external, simple 5,783 14,456 535
46257 - with fissurectomy 6,166 15,414 571
46270 Fistulectomy, subcutaneous 3,797 9,492 352

46275 Fistula-in-ano, excision of intermediate fistula 5,870 14,676 544
46276 Fistula-in-ano, high level 3,780 9,450 350
46329 Enucleation or excision of external thrombotic haemorrhoid 378 945 35
46330 Manual removal faecal impact 972 2,430 90
Haemorrhoids, injection of sclerosing solution, per haemorrhoid to a maximum of

46500 1,424 3,561 132
three
46700 Anoplasty: plastic operation for stricture, adult 7,487 18,719 693
46705 - infant 5,952 14,881 551
46765 Thiersch procedure, including removal 1,296 3,240 120
46900 Destruction condylomata, multiple, simple, chemical 1,643 4,108 152
46910 - electro-desiccation 1,790 4,475 166

46920 - surgical excision, simple 324 810 30
47000 Needle biopsy of liver, percutaneous 2,244 5,610 208
47001 Needle aspiration 1,774 4,436 164
47002 - detention time - after the first thirty minutes, for every additional fifteen 162 405 15
47100 Wedge biopsy 6,988 17,471 647
47120 Hepatectomy (resection of liver), partial lobectomy 21,349 53,371 1,977
47125 - total left lobectomy 30,020 75,051 2,780
47130 - total right lobectomy 32,782 81,956 3,035
47300 Marsupialization of cyst or abscess of liver 10,702 26,756 991
47350 Hepatorrhaphy: suture of liver, wound or injury, simple 12,478 31,195 1,155
Hepatorrhaphy: suture of liver, wound or injury, with common duct or gall bladder
47360 17,310 43,275 1,603
drainage, complex
Choledochotomy or choledochostomy with exploration, drainange or removal of

47420 15,125 37,814 1,401
calculus, with or without cholecystotomy
47421 - with transduodenal sphincterotomy or sphincteroplasty 7,560 18,900 700
47425 Choledochotomy, secondary (exploration of common bile duct) 15,947 39,867 1,477
47460 Transduodenal sphincterotomy or sphincteriplasty 15,384 38,461 1,424
Cholecystotomy or cholecystostomy, with or without exploration, drainage or

47480 9,564 23,911 886
removal of calculus (independent procedure)
47500 Injection procedure for percutaneous transphepatic cholangiography 1,666 4,166 154
47600 Cholecystectomy 11,285 28,212 1,045
47605 - add fee cholangiography 11,766 29,415 1,089
47610 - with open exploration common bile duct 14,175 35,437 1,312
47615 - endoscopic (with no add-on charges for complications) 8,532 21,330 790
47720 Cholecystenterostomy or gastrostomy 12,831 32,078 1,188
47760 Direct anastomosis of extrahepatic biliary ducts and gastrointestinal tract 20,564 51,409 1,904
47800 Plastic reconstruction of extrahepatic biliary ducts and end-to-end anastomosis 18,524 46,311 1,715
48020 Removal of pancreatic calculus 12,325 30,813 1,141
48100 Biopsy of pancreas 9,057 22,642 839
48140 Pancreatectomy, subtotal, with or without splenectomy 18,820 47,049 1,743
48150 - Whipple type 37,480 93,701 3,470
48180 Pancreatic - jejunostomy (eg. Puestow type) procedure 9,720 24,300 900
48500 Marsupialization of cyst of pancreas 12,541 31,353 1,161

49000 Exploratory laparotomy: exploratory celiotomy (independent procedure) 9,408 23,520 871
49001 Staging laparotomy for lymphoma including splenectomy and liver and gland biopsy 7,992 19,980 740
49010 Retroperitoneal exploration (independent procedure) 10,940 27,350 1,013
49040 Drainage subphrenic or subdiaphragmatic abscess 9,807 24,518 908
49080 Peritoneocentesis, abdominal paracentesis, initial 1,482 3,706 137
49210 Excision of greater omentum 4,212 10,530 390
49300 Peritoneoscopy 2,052 5,130 190
49301 - with biopsy 2,592 6,480 240
49400 Pneumoperitoneum, initial (independent procedure) 1,946 4,865 180
49430 Injection procedure for retroperitoneal pneumography 756 1,890 70

49440 Injection procedure for pelvic pneumography 6,498 16,246 602
49501 All herniae with strangulation not to be charged; if resection performed, add 5,988 14,969 554
49508 Inguinal, all types, adult 3,024 7,560 280
49509 - infant, under 1 year 3,294 8,235 305
49510 - with orchidectomy, with or without implantation of prosthesis 3,780 9,450 350
49515 - with excision of hydrocele or spermatocele 3,780 9,450 350
49520 - sliding 7,761 19,402 719
49525 - recurrent 7,327 18,318 678
49540 Lumbar 7,908 19,769 732
49550 Femoral, groin incision 6,914 17,286 640

49552 - Henry approach 3,780 9,450 350
49555 - recurrent 7,786 19,465 721
49560 Central or incisional (independent procedure) 9,005 22,512 834
49565 - recurrent (independent procedure) 9,422 23,554 872
49570 Epigastric, simple, propertoneal fat, (independent procedure) 5,192 12,981 481
49575 more complex BR BR BR
49582 Umbilical, infant (independent procedure) 5,772 14,431 534
49583 - adult (independent procedure) 4,212 10,530 390
49600 Repair of ompalocele small, with primary closure 8,742 21,854 809
49605 - large, with or without prosthesis 28,605 71,512 2,649

49900 Secondary suture of abdominal wall for eviscreration or dehiscence 6,144 15,360 569
URINARY SYSTEM - -
50010 Renal exploration not necessitating other specific procedures 10,968 27,420 1,016
50020 Drainage of perirenal or renal abscess (independent procedure) 11,816 29,539 1,094
50040 Nephrostomy: nephrostomy with drainage 11,177 27,941 1,035
50045 Nephrostomy with exploration 13,732 34,331 1,272
50060 Nephrolithotomy, remocal of calculus 17,125 42,813 1,586
50065 - secondary surgical operation for calculus 18,679 46,698 1,730
50070 - complicated by congenital kidney abnormality 18,093 45,233 1,675
50075 - large (staghorn) calculus filling renal pelvis and calyces. 22,883 57,207 2,119
50100 Transection of repositioning of aberrant renal vessels (independent procedure) 14,462 36,156 1,339
50120 Pyelotomy, with exploration (independent procedure) 14,605 36,512 1,352
50125 Pyelotomy with drainage, pyelostomy (independent procedure) 15,014 37,534 1,390
50130 - with removal of calculus; pyelolithotomy; pelviolithotomy (independent procedure) 16,170 40,426 1,497
Pyelotomy, with exploration, complicated (eg. secondary operation, congenital

50135 19,199 47,997 1,778
kidney abnormality etc.)
50200 Renal biopsy, percutaneous, by trochar or needle 2,504 6,260 232
50205 - by surgical exposure of kidney 10,374 25,935 961
50220 Nephrectomy, including partial ureterectomy, any approach, including rib resection 16,317 40,793 1,511
50225 - complicated because of previous surgery on same kidney 19,562 48,904 1,811
50230 - radical, with regional lymphadenectomy 21,388 53,470 1,980

50234 - with total ureterectomy and bladder cuff, through same incision 20,949 52,372 1,940
50236 Nephrectomy, including partial ureterectomy, through separate incision 22,975 57,437 2,127
50240 - partial 20,359 50,896 1,885
50280 Excision or unroofing of cyst(s) of kidney 14,380 35,950 1,331
50290 Excision of perinephric cyst 12,955 32,388 1,200
50366 Renal homotransplantation; uni/bilateral recipient nephrectomy 17,539 43,848 1,624
50380 Renal autotransplantation; reimplantation of kidneys 17,487 43,718 1,619
50390 Aspiration and/or injection of renal cyst or pelvis, by needle, percutaneous 2,231 5,578 207
Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection,
50392 3,685 9,213 341
percutaneous
Injection procedure for pyelography (eg. nephrostogram, pyelostogram antegrade

50394 pyloureterogram) through nephrostomy or pyelostomy tube, or indwelling ureteral 913 2,283 85
catheter (independent procedure)
50395 Intra-Cavemosal Injection 3,884 9,711 360
Pyeloplasty, plastic operation on renal pelvis, with or without plastic operation on

50400 17,819 44,547 1,650
ureter, nephropexy, nephrostomy or ureteral splinting
- complicated (eg. congenital kidney abnormality, secondary pyeloplasty, solitary

50405 22,127 55,316 2,049
kidney)
50500 Nephrorrhaphy: suture of kidney wound or injury 17,417 43,542 1,613
Symphysiotomy for horseshoe kidney, with or without pyeloplasty and/or other

50540 18,211 45,528 1,686
plastic procedure, unilateral or bilateral (one operation)
Lithotripsy, extra corporeal shock wave. One or more stones in same kidney, first
50590 11,864 29,661 1,099
treatment
50591 - second treatment on same kidney. By Report (B.R.) 7,010 17,524 649
50592 Other open operations on the kidney 20,640 51,599 1,911
50600 Ureterotomy, with exploration or drainage (independent procedure) 13,897 34,742 1,287
50610 Ureterolithotomy, upper one-third of ureter 14,927 37,318 1,382

50620 - middle one-third of ureter 14,313 35,782 1,325
50630 - lower one-third of ureter 14,668 36,671 1,358
50650 Ureterectomy, with bladder cuff (independent procedure) 15,963 39,909 1,478
Ureterectomy, total ectopic; combination abdominal, vaginal and/or per perineal

50660 17,488 43,721 1,619
approach
Injection procedure for ireterography or ureteropyeleohraphy through ureterostomy

50684 1,259 3,148 117
or indwelling ureteral catheter (independent procedure)
Injection procedure for visualization of ilial conduit and/or ureteropyeleography,

50690 1,021 2,552 95
exclusive of radiological service (independent procedure)
50700 Uretoroplasty: plastic operation on ureter (eg. for stricture) 14,855 37,137 1,375
Ureterolysis, with or without repositioning of ureter, for retropertoneal fibrosis,

50715 16,549 41,372 1,532
unilateral
Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena
50725 16,561 41,402 1,533
cava
50740 Ureteropyelostomy: anastomosis of ureter and renal pelvis 17,025 42,562 1,576
50750 Ureterocalycostomy: anastomosis of ureter to renal calys 17,998 44,994 1,666
50760 Ureteroureterostomy 17,136 42,840 1,587
50770 Transureterouterostomy: anastomosis of ureter to contralateral ureter 18,540 46,351 1,717
Ureteroneocystostomy: anastomosis of ureter to bladder, or other operations for

50780 17,255 43,138 1,598
corrections of vesicoureteral reflux, unilateral
50785 - with bladder flaps, unilateral 19,274 48,185 1,785
50800 Ureteroenterostomy: direct anastomosis of ureter to intestine, unilateral 15,262 38,154 1,413
Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of

50810 17,793 44,483 1,648
abdominal or perineal colostomy, including bowel anastomosis
Utereosigmoidostomy, with creation of a defunctioned rectal bladder and

50811 13,306 33,264 1,232
intrasphincteric perineal colostomy (Gersay procedure)
50820 Ureteroileal conduct (ileal bladder), including bowel anastomosis, unilateral 21,654 54,135 2,005
50821 - bilateral 12,096 30,240 1,120

50822 Construction of substitute bladder, any method 15,120 37,800 1,400
Replacement of all, or part of, ureter by bowel segment, including bowel

50840 17,949 44,874 1,662
anastomosis, unilateral
50860 Ureterostomy: transplantation of ureter to skin, unilateal 14,141 35,353 1,309
51000 Aspiration of bladder by needle 91 227 8
51005 - by trochar or intracatheter 151 378 14
51010 - with insertion of suprapubic catheter 1,512 3,780 140
51020 Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material 7,214 18,036 668
51040 Cystostomy: cystotomy with drainage 5,436 13,589 503
51050 Cystolithotomy: cystotomy with removal of calculus without vesical neck resection 7,342 18,355 680
51060 Transvesical ureterolithotomy 10,022 25,056 928

51080 Drainage of perivesical or prevesical space abscess 6,002 15,005 556
51500 Excision of urachal cyst or sinus, with or without umbilical hernia repair 9,423 23,557 872
51520 Cystotomy for simple excision of vesical neck (independent procedure) 9,550 23,874 884
Cystotomy for excision of bladder diverticulum, single or multiple (independent

51525 13,172 32,930 1,220
procedure)
51530 Cystotomy for excision of bladder tumour 11,638 29,094 1,078
51535 For excision or incision of ureterocele, unilateral 11,163 27,907 1,034
51550 Cystectomy, partial, simple 14,204 35,510 1,315
51555 - complicated (eg. post-radiation, previous surgery, difficult location) 18,247 45,618 1,690
51565 - with reimplantation of urete(s) into bladder (Ureteroneocystostomy) 20,099 50,249 1,861
51570 - complete (independent procedure) 21,564 53,911 1,997

Cystectomy, complete, with bilateral pelvic lymphdenectomy including external iliac,
51575 28,418 71,044 2,631
hypogastric and obturator nodes
51580 - with ureterosigmoidostomy or ureterocutaneous transplantation 27,537 68,842 2,550
- with ureterosigmoidostomy and bilateral pelvic lymphadenectomy including

51585 32,253 80,633 2,986
external iliac hypogastric and obturator nodes
51590 - with ureteroileal conduit or sigmoid bladder including bowel anastomosis 30,525 76,314 2,826
- with ureteroileal conduit or sigmoid bladder including bowel anastomosis and

51595 bilateral pelvic lymphadenectomy including external iliac, hypogastric and obturator 37,188 92,970 3,443
nodes
Continent ileostomy (Montie Bladder) includes both incisional and reconstructive

51596 39,095 97,737 3,620
phases of procedure
Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with
removal of bladder and ureteral transplantation, with or without hysterectomy, and/or
51597 36,793 91,982 3,407
abdominoperineal resection of rectum and colon and colostomy, or any combination
there
51600 Injection procedure for cystography or voiding urethrocystography 1,260 3,151 117
Injection procedure and placement of chain for contrast and/or chain

51605 762 1,904 71
urethrocystography
51610 Injection procedure for retrograde urethrocystography 1,240 3,100 115

51700 Bladder irrigation, simple, lavage and/or instillation 806 2,014 75
Bladder instillation of anticarcinogenic agent, including detention time (excluding

51720 1,485 3,712 137
cost of material)
51740 Cystometrogram (independent procedure) 363 907 34
Cystoplasty or cystourethroplasty: plastic operation on bladder and/or vesical neck

51800 (anterior Y-plasty, vesical fundus resection etc) any procedure with or without wedge 4,762 11,905 441
resection of posterior vesical neck
Anterior vesicourethropexy, or urethropexy (eg. Marshall-Marchetti type procedure),

51840 10,264 25,660 950
simple
51841 - complicated (eg. secondary repair) 12,835 32,086 1,188
51860 Cystorrhaphy: suture of bladder wound, injury or rupture, simple 10,720 26,800 993
51865 - complicated 13,970 34,926 1,294
51880 Closure of cystostomy (independent procedure) 6,935 17,336 642
51900 Closure of vesico-vaginal fistula, abdominal approach 13,046 32,614 1,208

51940 Closure of exstrophy 24,760 61,900 2,293
51945 Hysterescopy 432 1,080 40
51992 Sling operation for stress incontinence (eg. fascia or synthetic) 11,094 27,736 1,027
52000 Cystourethroscopy (independent procedure), rooms 2,223 5,558 206
52100 - hospital 2,700 6,750 250
Cystourethroscopy, with urethral catherization and/or flexible ureteroscope, with or

52105 5,400 13,500 500
without irrigation, instillation or ureteropyelography, exclusive of radiology service
52202 Cystourentroscopy, with biopsy, hospital 3,240 8,100 300
- with fulguration (including cryo-surgery) or treatment of minor (less than 0.5cm)

52222 1,058 2,646 98
lesion(s) with or without biopsy, hospital
- with fulguration (including cryo-surgery) and/or resection of small bladder tumour(s)

52232 4,320 10,800 400
(0.5cm to 2.0cm)
- with fulguration (including cryo-surgery) and/or resection of medium bladder

52235 6,447 16,118 597
tumour(s) 2.0cm to 5.0cm)
52240 - with fulguration (including cryo-surgery) and/or resection of large bladder tumour(s) 10,645 26,612 986
- with insertion of radioactive substances, with or without biopsy or fulguration

52250 4,062 10,156 376
(excluding cost of material)
- with dilation of bladder for interstitial cystitis, general or conduction (spinal etc.)
52260 3,365 8,413 312
anaesthesia
52270 - with internal urethrotomy, female 4,867 12,168 451
52275 - with internal urethrotomy 5,861 14,653 543
52277 - with resection of external sphincter (sphincterotomy) 5,934 14,835 549
- with calibration and/or dilation of urethral stricture or stenosis, with or without

52280 3,240 8,100 300
meatotomy of injection procedure for cystography, male or female
with treatment of female urethral syndrome with any or all of the following: urethral
meatotomy, uretheral dilation, internal urethrotomy, lysis of urethrovaginal septal
52285 3,897 9,742 361
fibrosis, lateral incision of the vesical neck, fulguration of polyp(i) of urethra,vesical
neck and/or trigone
52290 - with uretera meatotomy, unilateral or bilateral 3,883 9,707 360
52305 - with incision or resection of orifice of bladder diverticulum, single or multiple 4,826 12,064 447
52310 - with removal of foreign body or calculus from urethra or bladder, simple 3,490 8,725 323
52315 - complicated 5,771 14,427 534
- with removal of ureteral calculus (uretheral catherization following extration of

52320 5,029 12,573 466
calculus in included)
- with incision, fulguration and/or resection of bladder neck and/or posterior urethra
52340 6,480 16,200 600
(eg. congenital valves, obstructive hypertropic mucosal folds)
52500 Transurethral resection of vesical neck (independent procedure) 8,536 21,339 790
Transuretheral resection of prostate, including control of post-operative bleeding

during the initial hospitalization, complete (vasectomy, meatotomy,
52601 13,018 32,546 1,205
cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy are
included)
Transurethral fulguration for post-operative bleeding after initial hospitalisation (in
52605 6,955 17,388 644
hospital)
52610 Transurethral resection of prostate, two stage (planned or medical necessity) 5,670 14,175 525
Transurethral resection of prostate, two stage (planned or medical necessity) of re-

52630 8,647 21,618 801
growth of obstructive tissue, longer than one year post-operative
52640 - post-operative bladder neck contracture 6,817 17,043 631

52700 Transurethral drainage of prostatic abscess 5,692 14,230 527
Litholapaxy: crushing of calculus in bladder and removal of fragments, simple, small

52800 3,508 8,770 325
(less that 2.50cm)
52805 Litholapaxy, complicate or large (over 2.50cm) 4,838 12,096 448
53000 Urethrotomy or urethrostomy, external (independent procedure), pendulous urethra 2,166 5,415 201
53010 - perineal urethra, external (independent procedure) 3,860 9,651 357
53021 Meatotomy: cutting of meatus (independent procedure), simple, hospital 665 1,663 62
53040 Drainage of deep periurethral abscess 4,807 12,017 445
53080 Drainage of perineal urinary extravasation, uncomplicated (independent procedure) 5,938 14,845 550
53085 Litholapaxy: complicated or large (over 2.5cm) 9,414 23,536 872
53200 Biopsy of urethra 2,155 5,388 200

53210 Urethrectomy, total, including cystostomy, female 10,674 26,684 988
53215 - male 13,932 34,830 1,290
53230 Excision of urethral divertoculum 9,483 23,707 878
53260 Excision of fulguration, urethral (polyp(i), distal urethra 2,493 6,234 231
53265 - urethral caruncle 2,962 7,405 274
53275 - urethral prolapse 3,874 9,685 359
53400 Urethroplasty: first stage, for fistula, diverticulum or sticture (eg. Johannsen type) 11,168 27,920 1,034
53405 - subsequent stage (formation of urethra) including urinary diversion 13,554 33,886 1,255
53410 Urethroplasty: one stage reconstruction of male anterior urethra 13,922 34,804 1,289
Urethroplasty: one stage reconstruction or repair of prostatic membranous urethra

53418 13,910 34,776 1,288
(Waterhouse Transpubic urethroplasty)
Urethroplasty: two stage reconstruction or repair of prostatic membenous urethra,
53420 13,362 33,406 1,237
first stage
53425 - subsequent stage 13,906 34,765 1,288
53430 Urethroplasty: reconstruction of female urethra 13,213 33,033 1,223
Operation for correction of male urinary incontinence, with or without introduction of

53440 13,729 34,322 1,271
prosthesis
53450 Urethromeatoplasty, with mucosal advancement 5,093 12,733 472
53505 Urethrorrhaphy, suture of urethral wound or injury, penile 7,078 17,694 655
53510 - perineal 9,420 23,551 872
53515 - prostatomembranous 12,246 30,615 1,134
53600 Dilation of urethral stricture by passage of sound, male 988 2,471 92
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator,

53605 989 2,472 92
male, general or conduction (spinal) anaesthesia, hospital
53620 Dilation of urethral stricture by passage of filiform and follower, male, initial 1,377 3,444 128
53660 Dilation of female urethra, including suppository and/or instillation, initial 707 1,769 66
53665 Dilation of female urethra, general or conduction (spinal) anaesthesia, hospital 624 1,559 58
53670 Catheterization, simple (independent procedure) 572 1,431 53
53675 - complications(may include difficult removal of balloon catheter) 454 1,134 42
54000 Dorsal or lateral "slit" of prepuce, newborn independent procedure 1,515 3,787 140
54001 - except newborn 2,018 5,046 187
54002 Reduction of paraphimosis, under general anaesthesia 1,512 3,780 140
54015 Incision and drainage of penis, abscess, deep 3,703 9,258 343
54050 Condylomata, multiple, simple, chemical 1,103 2,759 102

54055 - electra-desiccation 1,185 2,962 110
54060 - surgical excision 2,010 5,026 186
54065 - extensive 2,757 6,892 255
MALE GENITAL SYSTEM - -
54100 Biopsy of penis, cutaneous (independent procedure) 1,778 4,446 165
54105 - deep structure 2,971 7,429 275
54110 Excision, penile plague (peyronie's disease) 9,016 22,540 835
54115 Removal of foreign body from deep penile tissue (eg. Plastic impact) 5,868 14,670 543
54120 Amputation of penis, partial 9,011 22,528 834
54125 - complete 13,418 33,545 1,242

54130 - radical, with bilateral inguinofemoral pymphadenectomy 18,746 46,866 1,736
- in continuity with bilateral pelvic lymphadenectomy, including external iliac,

54135 23,888 59,721 2,212
hypogastric and obturator nodes
54150 Circumcision, clamp procedure, newborn 1,692 4,231 157
54160 Circumcision, infant under 6 months 2,662 6,654 246
54161 - infant over 6 months 3,035 7,587 281
54162 - adult - 12 years and over 3,398 8,495 315
54165 - with frenuloplasty, add 2,160 5,400 200
54200 Injection procedure for Peyronie's disease 982 2,455 91
54205 - with surgical exposure of plaque 7,229 18,072 669
54220 Irrigation of corpora cavernosa for priapism BR BR BR

Plastic operation on penis for straightening of chordee (eg. hypospadias) with or
54300 3,226 8,066 299
without mobilization of urethra
54305 - with transplantation prepuce 4,838 12,096 448
Urethroplasty, formation of urethra (Dennis Brown type procedure), including urinary

54320 6,048 15,120 560
diversion, penile or penoscrotal
54325 - scrotal or perineal 6,804 17,010 630
Urethroplasty and straightening of chordee (including urinary diversion), complete,

54330 7,560 18,900 700
one stage, for hypospadias
54380 Plastic operation on penis for epispadias, distal to external sphincter 12,361 30,902 1,145
54385 - with incontinence BR BR BR
54390 - with exstrophy of bladder BR BR BR
54400 Plastic operation for insertion of penil prosthesis 10,418 26,044 965
54420 Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral 10,536 26,339 976
Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or
54430 9,432 23,581 873
bilateral
54440 Plastic operation of penis for injury 11,676 29,190 1,081
54500 Biopsy, needle (independent procedure) 1,025 2,562 95
54505 - incisional, unilateral (independent procedure) 3,057 7,641 283
54506 - bilateral (independent procedure) 1,391 3,478 129
54510 Excision of local lesion of testis 2,117 5,292 196
Orchidectomy, simple (including subcapsular) with or without testicular prosthesis,

54520 5,549 13,873 514
scrotal or inguinal approach, unilateral
54530 Orchidectomy, radical, for tumour, inguinal approach, unilateral 8,603 21,507 797
54535 - with abdominal exploration 11,270 28,175 1,044
54550 Exploration for undescended testis (inguinal or scrotal area), unilateral 7,200 17,999 667
54560 - with abdominal exploration, unilateral 10,097 25,242 935
Reduction of torsion of testis by surgical means, with or without fixation of

54600 6,451 16,128 597
contralateral testis
54620 Fixation of contralateral testis (independent procedure) 4,543 11,356 421
54640 Orchidopexy, any type with or without hernia repair, unilateral 7,890 19,725 731
54645 - secondary stage (Torek type procedure) 726 1,814 67
54660 Insertion of testicular prosthesis, unilateral (independent procedure) 4,810 12,026 445
54670 Suture or repair of testicular injury 5,938 14,844 550
54680 Transplantation of testis(es) to thigh (because of scrotal destruction) 11,350 28,374 1,051
Incision and drainage of epididymis, testis and/or scrotal space (eg. abscess or
54700 2,618 6,544 242
haematoma)
54800 Biopsy of epididymis, needle 2,327 5,818 215

54820 Exploration of epididymis, with or without biopsy 2,117 5,292 196
54830 Excision of local lesion of epididymis 5,017 12,542 465
54840 Excision of spermatocele, with or without epididymectomy 5,417 13,543 502
54860 Epididymectomy, unilateral 6,308 15,770 584
54861 - bilateral 8,852 22,130 820
54900 Epididymovasostomy, anastomosis of epididymis to vas deferens, unilateral 4,158 10,395 385
54901 - bilateral 4,838 12,096 448
55000 Puncture aspiration of hydrocele, with or without injection of medication 1,257 3,141 116
55040 Excision of hydrocele, unilateral 5,554 13,884 514
55060 Repair of hydrocele, (Bottle type procedure) 5,388 13,469 499

55100 Drainage of scrotal wall abscess (see also 54700) 1,964 4,909 182
55120 Removal of foreign body in scrotum 4,086 10,215 378
55150 Resection of scrotum 6,928 17,319 641
55170 Scrotoplasty: plastic operation on scrotum BR BR BR
Vasotomy: cannulization, with or without incision of vas, unilateral or bilateral

55200 4,651 11,627 431
Vasectomy, unilateral or bilateral (independent procedure) including post-operative

55250 4,310 10,775 399
semen examination(s)
Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or

55300 756 1,890 70
bilateral
55400 Vasovasostomy, vasovasorrhaphy, unilateral 8,201 20,503 759
Ligation (percutaneous) of vas deferens, unilateral or bilateral (independent

55450 4,275 10,688 396
procedure)
55500 Excision of hydrocele of spermatic cord unilateral (independent procedure) 5,500 13,750 509
55520 Excision of lesion of spermatic cord (independent procedure) 5,255 13,137 487
Excision of varicocele or ligation of spermatic veins for varicocele (independent

55530 5,882 14,704 545
procedure)
55535 - abdominal approach 6,117 15,293 566
55540 - with hernia repair 6,876 17,189 637
55600 Vesiculotomy, unilateral or bilateral, simple 6,015 15,037 557
55605 - complicated 7,485 18,713 693
55650 Vesiculectomy, any approach, unilateral or bilateral 10,550 26,374 977
55680 Excision of Muellerian duct cyst 5,840 14,601 541
55700 Biopsy, prostate, needle or punch, single or multiple, any approach 2,202 5,504 204
55705 - incisional, any approach 4,334 10,834 401

55720 Prostatotomy: external drainage of prostate abscess, any approach, simple 6,464 16,161 599
55725 - complicated 7,808 19,520 723
55740 Prostatolithotomy: removal of prostatic calculus (independent procedure) 6,955 17,388 644
Prostatectomy, perineal, subtotal with cystourethroscopy, including control of post-

55801 operative bleeding during the initial hospitalization, complete (vasectomy, 16,417 41,044 1,520
meatotomy, urethral calibration and/or dilation, internal urethrotomy are included)
55810 - total, with cystourethroscopy 21,580 53,950 1,998
- suprapubic, subtotal with cystourethroscopy, one or two stages, including control of

55821 post-operative bleeding during the initial hospitalization, complete (vasectomy, 14,596 36,490 1,351
meatotomy, urethral calibration and/or dilation, internal urethrotomy are included)
- retropubic, subtotal with cystourethroscopy including control of post-operative
55831 bleeding during initial hospitalization, complete (vasectomy, meatotomy, urethral 15,837 39,592 1,466
calibration and or dilation, internal urethrotomy are included)
55840 - radical 21,102 52,755 1,954
- with bilateral pelvic lyphadenectomy, including external iliac, hypogastric and

55845 28,244 70,611 2,615
obturator nodes
55970 Male to female BR BR BR

55980 Female to male BR BR BR
FEMALE GENITAL SYSTEM - -
56420 Incision and drainage of Bartholin's abscess,unilateral 1,393 3,483 129
56440 Marsupialization of Bartholon's cyst or abscess 3,019 7,548 280
56441 Plastic enlargement of introitus 2,106 5,264 195
56500 Condylomata, multiple, simple, chemical 151 378 14
56505 Condylomata, electro-desiccation 242 605 22
56510 Surgical excision 333 832 31
56602 Biopsy of vulva (independent procedure). 212 529 20
56620 Vulvectomy, partial, unilateral or bilateral (but less than 80% of vulval area 7,616 19,039 705
56625 Valvectomy, simple, complete (skin and subcutaneous tissue), bilateral 9,553 23,882 885
56641 - radical with lymphadenectomy 8,856 22,140 820
56700 Hymenectomy: partial or complete excision of hymen 2,501 6,252 232
56740 Excision of Bartholin's tumour or cyst 3,851 9,628 357
56750 Excision of benign tumour of vulva 786 1,966 73
57000 Colpotomy, diagnostic 2,820 7,050 261
57010 - with drainage of pelvic abscess 4,979 12,449 461
57100 Biopsy of vaginal mucosa (independent procedure) 1,009 2,521 93
57105 - extensive, requiring suture (including cysts) 1,893 4,732 175
57120 Colpocleisis (Le Fort type procedure) 7,818 19,546 724

57130 Excision of vaginal septum 2,856 7,139 264
57210 Colpo-perineorrhaphy: suture of injury of vagina and/or perineum (non-obstetrical) 4,053 10,132 375
Anterior colporrhaphy: repair of cystocele with or without repair of urothrocele

57240 5,987 14,967 554
57245 - with abdominal colpo-urethra-cystopexy (Marshal-Marchetti-Krantz type) 5,564 13,910 515
57250 Posterior colporrhaphy: with perineoplasty or perineorrhaphy 7,536 18,841 698
57256 - with repair of enterocele 3,689 9,223 342
57260 Combined anterior-posterior colporrhaphy 9,808 24,521 908
57262 - with abdominal colpo-cysto-urethropexy (Marshall-Marchetti-Krantz type) 6,048 15,120 560
57265 - with enterocele repair 10,401 26,002 963
57267 - with Manchester type repair 3,999 9,997 370

57280 Colpopexy, abdominal approach. 10,688 26,721 990
57288 Sling operation for stress incontinence (eg fascia or synthetic) 12,808 32,019 1,186
Construction of artificial vagina (vaginal atresia or absence) (for skin graft, see
57290 6,834 17,086 633
15000 et seq)
57300 Closure of recto-vaginal fistula, vaginal approach 8,304 20,761 769
57320 Closure of vesica-vaginal fistula, vaginal approach 9,148 22,869 847
57410 Pelvic examination under anaesthesia (independent procedure) 767 1,918 71
57452 Colposcopy 1,099 2,748 102
57500 Biopsy or local excision of lesion 1,157 2,893 107
57510 Cauterization of cervix,electro or thermal 1,494 3,734 138
Conization,partial, circumferential (cone) with or without dilatation and curettage,

57521 1,814 4,536 168
with or without Sturmdorff type repair
57525 - only 726 1,814 67
57530 Trachelectomy: cervicectomy: amputation of cervix (independent procedure) 4,716 11,791 437
57540 Excision of cervical stump, abdominal approach 8,248 20,621 764
57550 Vaginal approach 6,413 16,034 594
57560 Cervical mucus oestrogen assay 169 423 16
57600 Insertion of any radioactive material, per application 1,349 3,372 125
57700 Tracheloplasty (Shirodkar or Lash type procedure) 3,491 8,728 323
57701 Removal of Shirodkar suture 212 529 20
57720 Trachelorrhaphy: plastic repair of uterine cervix, vaginal approach 4,160 10,400 385
58101 Endometrial washing (eg for cytology sampling) 97 242 9

Dilatation and curettage, diagnostic and/or therapeutic (non-obstetrical) with or
58120 3,163 7,907 293
without biopsy or removal of polypi (see also 57521)
58130 Dilatation and curettage, plus diathermy 1,784 4,460 165
Myomectomy: single or multiple, excision of fibroid tumour of uterus, abdominal

58140 10,092 25,231 934
approach (independent procedure)
58145 Vaginal myomectomy, simple 8,720 21,799 807
58146 - complicated 15,582 38,955 1,443
Total hysterectomy (corpus and cervix) with or without tubes, and/or ovaries, one or
58150 13,290 33,224 1,231
both, with or without dilatation and curettage
- with colpo-urethra-cystopexy (Marshall Marchetti Krantz type), with or without

58155 6,372 15,930 590
diagnostic dilatation and currettage
Total hysterectomy, cervical malignancy, with bilateral pelvic lymphadenectomy,
including external iliac, hypogastric and obturator nodes (Wertheim type operation),
58210 24,311 60,778 2,251
with or without diagnostic dilatation and curettage. ( For lymphadenectomy
[independent procedure
58260 Vaginal hysterectomy, with or without diagnostic dilataion and curettage 11,991 29,978 1,110
- with plastic repair of vagina anterior and/or posterior colporrhaphy, with or without
58265 7,850 19,626 727
diagnostic dilatation and curettage
58270 - with repair of enterocele, with or without diagnostic dilatation and curettage 13,133 32,833 1,216
58300 Insertion of intra-uterine device (IUD) 1,065 2,662 99
58301 Removal of intra-uterine device (IUD) 853 2,131 79
58320 Insufflation of uterus and tubes with air or CO2 998 2,495 92
58340 Injection procedure for hysterosalpingography 1,118 2,795 104
58350 Hydrotubation of oviduct 907 2,268 84
58351 Arificial insermination 46,656 116,640 4,320
Uterine suspension, with or without shortening of round ligaments, with or without

58400 6,504 16,260 602
shortening of sacrouterine ligaments (independent procedure), any method
58410 Presacral sympathectomy 8,034 20,085 744
58500 Hystero-salpingostomy: anastomosis of tube(s) to uterus 5,504 13,759 510

58520 Hysterorrhaphy: repair of ruptured uterus (non-obstetrical) 7,270 18,175 673
58540 Hysteroplasty: repair of uterine anomaly 9,995 24,986 925
Transection of Fallopian tube, unilateral, or bilateral, any method, or fulguration of

58600 oviduct (with or without transection) or any other methed of interruption of Fallopian 5,936 14,841 550
tubes
58700 Salpingectomy, complete, unilateral or bilateral (independent procedure) 7,946 19,864 736
Salping-oophorectomy, complete or partial, bilateral or unilateral (independent

58720 8,471 21,178 784
procedure)
58741 Salpingoplasty, tube or tubes 4,838 12,096 448
Anastomosis of tube or tubes (not applicable to the reversal of previous surgical

58743 5,322 13,306 493
sterilisation procedures)
Ectopic pregnancy, tubal, requiring salpingectomy, with or without ophorectomy,

58744 5,020 12,550 465
abdominal or vaginal approach
58830 Hormone implant 302 756 28
58840 Norplant, insertion 648 1,620 60

58841 - removal 648 1,620 60
58900 Partial resection of ovary, unilateral or bilateral (independent procedure) 6,107 15,269 566
58940 Oophorectomy, unilateral or bilateral, partial or total (independent procedure) 7,445 18,612 689
58945 - with total omenectomy (for ovarian malignancy) 4,644 11,610 430
58946 Excision of endometriotic nodules in the pelvis other than ovaries 4,415 11,038 409
58980 Laparoscopy for visualisation of pelvic viscera 2,298 5,746 213
58984 - with fulguration of ovarian or peritoneal lesions or lysis of adhesions 2,782 6,955 258
58986 - with biopsy (single or multiple) 2,782 6,955 258
- with transection of Fallopian tube, unilateral or bilateral, or fulguration of oviducts

58987 3,387 8,467 314
(with or without transection) or ay other method of interruption of Fallopian tubes
58990 Laparoscopy with dilatation and curettage and insufflation of dye 3,163 7,908 293
58993 - with fulguration of ovarian or peritoneal lesions or lysis of adhesions 3,798 9,495 352
58994 - with biopsy (single or multiple) 3,798 9,495 352
Amniocentesis for diagnostic purposes, abdominal approach, where certified there is

59000 1,465 3,661 136
a recognised risk
Initial and/or supervision of internal foetal monitoring during labour for established
59050 928 2,321 86
pathology where certified there is a high risk....
Surgical induction of labour for established pathology where certified there is a high
59230 648 1,620 60
risk
59231 Epidural, continuous anaesthesia 1,080 2,700 100
59232 Ante-natal external foetal heart trace (high risk cases only). By report 212 529 20
When the obstetrical care necessitates multiple procedures undertaken under one
59401 anaesthetic or on the same occasion, item 01030 and/or item 01031 apply to all 194 486 18
listed procedures except 59050, 59230 and 59231, 59497 and 59498.
59435 Emergency fee for normal delivery (see general rules 01040 and 01061) 508 1,270 47
59438 On call for vaginal delivery 714 1,784 66

Vaginal delivery (certification of the practitioner's presence at the delivery or arrival
59439 within thirty minutes of the delivery is required through endorsement of the claim to 2,026 5,065 188
this effect)
Vaginal delivery, with low forceps, vacuum delivery or midcavity forceps without mal-
59440 3,024 7,560 280
rotation of the occiput
59441 Midcavity forceps or vacuum with mal-rotation of the occiput 3,447 8,618 319
59443 Breech delivery 3,447 8,618 319
Twin delivery: full appropriate fee for the major delivery and 50% (add modifier 18)
59444 - -
of the second appropriate delivery fee.
Triplet delivery: full appropriate fee for the two major deliveries and 50% (add
59445 - -
modifier 41) of the third appropriate delivery fee.
59446 Multiple delivery, quadruplets or more BR BR BR
59455 Resuscitation of the new born, requiring intubation 529 1,323 49
59475 Initial ante-natal consultation by specialist obstetrician at rooms. 540 1,350 50
59476 Initail ante-natal consultation by specialist obstetrician at hospital 324 810 30

Subsequent ante-natal consultation by specialist obstetrician at rooms or hospital,
59477 270 675 25
per consultation to a maximum of nine consultations
59478 Initial ante-natal consultation by general practitioner 216 540 20
Subsequent ante-natal consultation by general practitioner, per consultation, to a

59479 162 405 15
maximum of nine consultations
Where the full obstetrical care is undertaken by a specialist obstetrician resulting in a
normal delivery without complications, post-natal care may not be charged by the
59483 140 351 13
referring practitioner. Where the infant is referred back to a general prctitioner for a
post-natal consultation the maximum charge shall be
Post-natal assessment of infant (independent procedure) where total obstetrical care
59484 is undertaken and the infant is not referred to another practitioner for post-natal 140 351 13
consultation. Maximum charge
Post-natal consultation by specialist obstetrician at hospital or rooms, per

59489 432 1,080 40
consultations to a maximum of five consultations
Post-natal consultation by general practitioner, per consultation, to a maximum to

59490 162 405 15
five consultations
59492 Suture of cervical laceration 324 810 30
59493 Second degree laceration (in consultation) 216 540 20
59494 Third degree laceration 810 2,025 75

59495 External version, without anaesthetic 486 1,215 45
59496 External version, with anaesthetic 1,080 2,700 100
Manual removal of placenta where a general anaesthetic is required and is

59497 216 540 20
administered by another medical practitioner
59498 - by any other method BR BR BR
59499 Dilatation and curettage for removal of retained products of conception 2,304 5,761 213
59500 Low cervical (independent procedure), single or multiple births 4,778 11,945 442
59502 Attendance at caesarean section by paediatrician and post follow-up of infant 324 810 30
Post-caesarean care of infant by general practitioner (independent procedure) per

59503 324 810 30
consultation, to a maximum of five consultation
Caesarean section and tubal oclusion by any method (including salpingectomy,

59550 5,074 12,686 470
partial or complete)
Caesarean section with hysterectomy, sub-total (independent procedure), single or

59560 6,653 16,632 616
multiple births
59562 Ruptured uterus in pregnancy 8,062 20,155 746
59861 Abortion, completed by dilatation and curettage 2,304 5,761 213
59862 -induced by dilatation and curettage (including suction curettage) 2,238 5,594 207
59865 - induced, by hysterotomy 5,020 12,550 465
ENDOCRINE SYSTEM - -
60100 biopsy thyroid (Needle) 1,160 2,899 107
60101 Biopsy 1,089 2,722 101
60200 excision of cyst or adenoma of thyroid or transection of isthmus 8,660 21,651 802
60240 thyroidectomy total or complete 14,743 36,857 1,365
60245 - subtotal or partial 3,888 9,720 360

60280 exision of thyroglossal duct cyst or sinus 7,007 17,517 649
60500 exploration of parathyroid(s) 15,113 37,783 1,399
Adrenalectomy, partial or complete, or exploration of adrenal gland with or without

60540 15,717 39,292 1,455
biopsy, transabdominal, lumbar or dorsal (independent procedure), unilateral
60600 excision of carotid body tumour witout excision of carotid artery 16,759 41,897 1,552
NERVOUS SYSTEM - -
60700 Concussion, simple FFS FFS FFS
60701 with brain damage, per consultation, up to a maximus of eight per week FFS FFS FFS
61000 Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial 1,525 3,813 141
61001 subsequent taps 1,397 3,493 129
Ventricular puncture through previous burr hole, fontanelle, suture, or implanted

61020 1,648 4,120 153
ventricular catheter/reservoir; without injection
61050 Cisternal or lateral cervical (Cl-C2) puncture; without injection (separate procedure) 1,411 3,529 131
61070 Puncture of shunt tubing or reservoir for aspiration or injection procedure 801 2,002 74
Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye
61120 9,029 22,573 836
or radioactive material);
61140 Burr hole(s) or trephine; with biopsy of brain or intracranial lesion 16,793 41,983 1,555
61150 with drainage of brain abscess or cyst 17,974 44,935 1,664
61151 with subsequent tapping (aspiration) of intracranial abscess or cyst 9,041 22,604 837
61154 Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural 17,798 44,495 1,648
61156 Burr hole(s); with aspiration of hematoma or cyst, intracerebral 17,905 44,763 1,658
61210 for implanting ventricular catheter, reservoir, EEG electrode(s), pressure 6,295 15,737 583
61250 Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery 11,125 27,813 1,030
61304 Craniectomy or craniotomy, exploratory; supratentorial 25,964 64,911 2,404
61305 infratentorial (posterior fossa) 30,120 75,299 2,789
61320 Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial 24,946 62,365 2,310
61321 infratentorial 27,301 68,253 2,528
61330 Decompression of orbit only, transcranial approach 17,463 43,657 1,617
61340 Subtemporal cranial decompression (pseudotumor cerebri, slit ventrical syndrome) 16,212 40,531 1,501
61345 Other cranial decompression, posterior fossa 26,144 65,359 2,421
Craniectomy, subtemporal, for section, compression, or decompression of sensory

61450 25,727 64,318 2,382
root of gasserian ganglion
61460 for section of one or more cranial nerves 29,337 73,341 2,716
61470 for medullary tractotomy 21,257 53,141 1,968

61490 Craniotomy for lobotomy, including cingulotomy 18,139 45,348 1,680
61500 Craniectomy and excision of skull tumour or bone lesion 20,681 51,702 1,915
Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor,

61510 29,253 73,132 2,709
supratentorial, except meningioma
61512 for excision of meningioma, supratentorial 31,788 79,471 2,943
61514 for excision of brain abscess, supratentorial 27,798 69,495 2,574
61516 for excision or fenestration of cyst, supratentorial 27,745 69,362 2,569
Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except

61518 36,393 90,983 3,370
meningloma, cerebellopontine angle tumor, or midline tumor at base of skull
61519 meningioma 38,310 95,774 3,547
61522 Craniectomy, infratentorial or posterior fossa; for excision of brain abscess 27,975 69,937 2,590
61524 for excision or fenestration of cyst 30,355 75,887 2,811

Craniectomy ,bone flap craniotomy,trans temporal mastoid for cerebellopontine
61526 38,827 97,067 3,595
angle tumour
61534 for excision of epileptogenic focus without electrocorticography during surgery 16,543 41,357 1,532
for excision of cerebral epileptogenic focus, with electrocorticography during

61536 31,006 77,514 2,871
surgery (includes removal of electrode array)
61538 for lobectomy, temporal lobe, with electrocorticography during surgery 33,127 82,817 3,067
for lobectomy, other than temporal lobe, partial or total with electrocorticography
61539 30,943 77,358 2,865
during surgery
61542 for total hemispherectomy 28,307 70,767 2,621
61546 Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach 32,237 80,592 2,985
Hypophysegtomy or excision of pituitary tumour transnasal or transeptal non

61548 24,742 61,855 2,291
stereotaxic
61550 Craniectomy for craniosynostosis;single cranial suture 14,176 35,441 1,313
61552 multiple cranial sutures 18,590 46,475 1,721

61570 Craniectomy or craniotomy; with excision of foreign body from brain 23,243 58,107 2,152
61700 Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation 40,637 101,593 3,763
61702 vertebrobasilar circulation 45,579 113,947 4,220
Surgery of intracranial aneurysm, cervical approach by application of occluding

61703 16,762 41,905 1,552
clamp to cervical carotid artery (Selverstone-Crutchfield type)
Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by

61705 36,937 92,343 3,420
intracranial and cervical occlusion of carotid artery
61710 by intra-arterial embolization, injection procedure, or balloon catheter 25,729 64,322 2,382
61711 Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries 38,407 96,018 3,556
Creation of lesion by stereotactic method, including burr hole(s) and localizing and
61720 19,818 49,545 1,835
recording techniques, single or multiple stages; globus pallidus or thalamus
61735 subcortical structure(s) other than globus pallidus or thalamus 17,587 43,967 1,628
Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg,

61790 13,454 33,635 1,246
alcohol, thermal, electrical, radiofrequency); gasserian ganglion
62000 Elevation of depressed skull fracture; simple, extradural 10,166 25,415 941
62005 compound or comminuted, extradural 15,306 38,265 1,417
62010 with repair of dura and/or debridement of brain 21,477 53,693 1,989
Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for

62100 23,878 59,695 2,211
rhinorrhea/otorrhea
62120 Repair of encephalocele, skull vault, including cranioplasty 22,922 57,306 2,122
62140 Cranioplasty for skull defect; up to 5 cm diameter 14,875 37,187 1,377
62141 larger than 5 cm diameter 17,699 44,246 1,639
62145 Cranioplasty for skull defect with reparative brain surgery 18,034 45,085 1,670
62180 Ventriculocisternostomy (Torkildsen type operation) 16,939 42,349 1,568
62190 Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular 13,323 33,309 1,234

62192 subarachnoid/subdural-peritoneal, -pleural, -other terminus 14,508 36,271 1,343
62194 Replacement or irrigation, subarachnoid/subdural catheter 2,974 7,436 275
62200 Ventriculocisternostomy, third ventricle 17,746 44,366 1,643
62220 Creation of shunt; ventriculo-atrial, -jugular, -auricular 15,501 38,752 1,435
62223 ventriculo-peritoneal, -pleural, -other terminus 16,248 40,620 1,504
62225 Replacement or irrigation, ventricular catheter 5,722 14,306 530
Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal

62230 11,305 28,263 1,047
catheter in shunt system
62256 Removal of complete cerebrospinal fluid shunt system; without replacement 7,263 18,157 672
62258 with replacement by similar or other shunt at same operation 16,129 40,324 1,493
62270 Spinal puncture, lumbar, diagnostic 1,248 3,121 116

Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or
62272 1,556 3,891 144
catheter)
62273 Thoraic Epidural cannula for post op pain relief 1,851 4,626 171
62274 Injection Of Anaesthetic substance ,epidural Continous 1,080 2,700 100
62280 Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline 2,424 6,061 224
62282 epidural, lumbar, sacral (caudal) 2,718 6,794 252
62284 Injection procedure for myelography and/or computed tomography, spinal 2,364 5,910 219
62290 Injection procedure for diskography, each level; lumbar 3,283 8,209 304
63001 laminectomy for exploration of intraspinal canal,one or 2 18,569 46,422 1,719
63003 thoracic 18,367 45,919 1,701
63005 lumbar, except for spondylolisthesis 17,406 43,516 1,612

63011 sacral 12,844 32,111 1,189
Laminectomy with removal of abnormal facets and/or pars inter-articularis with

63012 decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill 18,111 45,278 1,677
type procedure)
Laminectomy with exploration and/or decompression of spinal cord and/or cauda
63015 equina, without facetectomy, foraminotomy or diskectomy, (eg. spinal stenosis), 21,548 53,869 1,995
more than 2 vertebral segments; cervical
63016 thoracic 22,448 56,120 2,079
63017 lumbar 20,044 50,110 1,856
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including

63020 partial facetectomy, foraminotomy and/or excision of herniated intervertebral disk; 16,493 41,232 1,527
one interspace, cervical
63030 one interspace, lumbar (including open or endoscopically-assisted approach) 15,366 38,416 1,423
63035 each additional interspace, cervical or lumbar 3,865 9,663 358
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including

63040 partial facetectomy, foraminotomy and/or excision of herniated intervertebral disk, re- 22,368 55,920 2,071
exploration, single interspace; cervical
63042 lumbar 21,820 54,551 2,020

63043 each additional cervical interspace 3,085 7,712 286
63044 each additional lumbar interspace 3,213 8,033 298
63045 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with 19,766 49,415 1,830
63046 thoracic 19,309 48,272 1,788
63047 lumbar 17,985 44,964 1,665
63048 each additional segment, cervical thoracic or lumbar 4,214 10,534 390
Laminoplasty, cervical, with decompression of the spinal cord, two or more vertebral
63050 14,639 36,597 1,355
segments;
with reconstruction of the posterior bony elements (including the application of

63051 bridging bone graft and non-segmental fixation devices (eg, wire, suture, mini- 22,730 56,825 2,105
plates), when performed)
Transpedicular approach with decompression of spinal cord, equina and/or nerve

63055 24,899 62,247 2,305
root(s) (eg, herniated intervertebral disk), single segment; thoracic
63056 lumbar (including transfacet, or lateral extraforaminal approach) (eg, far 22,974 57,435 2,127
63057 each additional segment, thoracic or lumbar 4,264 10,661 395
Costovertebral approach with decompression of spinal cord or nerve root(s), (eg,

63064 26,558 66,394 2,459
herniated intervertebral disk), thoracic; single segment
63066 each additional segment 3,214 8,034 298
Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s),

63075 21,056 52,640 1,950
including osteophytectomy; cervical, single interspace
63076 cervical, each additional interspace 4,962 12,405 459
63077 thoracic, single interspace 22,827 57,067 2,114
63078 thoracic, each additional interspace 3,892 9,730 360
Vertebral corpectomy (vertebral body resection), partial or complete, anterior

63081 approach with decompression of spinal cord and/or nerve root(s); cervical, single 27,113 67,783 2,510
segment
63082 cervical, each additional segment 5,460 13,650 506
Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic

63085 approach with decompression of spinal cord and/or nerve root(s); thoracic, single 29,277 73,194 2,711
segment
63086 thoracic, each additional segment 4,149 10,374 384
Vertebral corpectomy (vertebral body resection), partial or complete, combined

63087 thoracolumbar approach with decompression of spinal cord, cauda equina or nerve 32,396 80,989 3,000
root(s), lower thoracic or lumbar; single segment
Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal

63090 or retroperitoneal approach with decompression of spinal cord, cauda equina or 30,806 77,016 2,852
nerve root(s), lower thoracic, lumbar, or sacral; single segment
Vertebral corpectomy (vertebral body resection), partial or complete, lateral

63101 extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, 30,215 75,537 2,798
for tumor or retropulsed bone fragments); thoracic, single segment
63102 lumbar, single segment 30,201 75,503 2,796
63103 thoracic or lumbar, each additional segment 3,623 9,058 335
63160 Laminectomy for implanation of dorsal column stimulator unit 10,282 25,704 952
63165 revision or removal of implant or system 5,508 13,770 510

Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic or
63170 21,183 52,957 1,961
thoracolumbar
63172 Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space 20,881 52,204 1,933
63173 to peritoneal or plueral space 21,103 52,757 1,954
Laminectomy and section of dentate ligaments, with or without dural graft, cervical;
63180 16,967 42,417 1,571
one or two segments
63182 more than two segments 20,133 50,331 1,864
63185 Laminectomy with rhizotomy; one or two segments 16,595 41,487 1,537
63190 more than two segments 20,490 51,225 1,897
63191 Laminectomy with section of spinal accessory nerve 17,057 42,642 1,579
Laminectomy with cordotomy, with section of one spinothalamic tract, one

63194 18,114 45,285 1,677
stage;cervical
63195 thoracic 18,425 46,061 1,706

Laminectomy with cordotomy, with section of both spinothalamic tracts, one
63196 21,407 53,517 1,982
stage;cervical
63197 thoracic 19,811 49,528 1,834
Laminectomy with cordotomy, with section of both spinothalamic tracts, two stages
63198 BR BR BR
within 14 days; cervical
63199 thoracic BR BR BR
63200 Laminectomy, with release of tethered spinal cord, lumbar 18,031 45,077 1,670
Laminectomy for excision or occlusion of arteriovenous malformation of spinal

63250 38,683 96,709 3,582
cord;cervical
63251 thoracic 36,912 92,279 3,418
63252 thoracolumbar 39,374 98,436 3,646
Laminectomy for excision or evacuation of intraspinal lesion other than

63265 23,916 59,790 2,214
neoplasm,extradural; cervical
63266 thoracic 25,581 63,952 2,369

63267 lumbar 21,350 53,375 1,977
63268 sacral 17,557 43,894 1,626
Laminectomy for excision of intraspinal lesion other than neoplasm,

63270 25,556 63,890 2,366
intradural;cervical
63271 thoracic 29,404 73,510 2,723
63272 lumbar 26,813 67,033 2,483
63273 sacral 23,613 59,032 2,186
63275 Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical 27,842 69,604 2,578
63276 extradural, thoracic 26,549 66,372 2,458
63277 extradural, lumbar 24,174 60,435 2,238
63278 extradural, sacral 23,787 59,469 2,203

63280 intradural, extramedullary, cervical 31,014 77,535 2,872
63281 intradural, extramedullary, thoracic 30,646 76,616 2,838
63282 intradural, extramedullary, lumbar 28,044 70,109 2,597
63283 intradural, sacral 24,735 61,837 2,290
63285 intradural, intramedullary, cervical 34,292 85,730 3,175
63286 intradural, intramedullary, thoracic 36,008 90,021 3,334
63287 intradural, intramedullary, thoracolumbar 35,292 88,230 3,268
63290 combined extradural-intradural lesion, any level 36,209 90,522 3,353
Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal

63295 4,473 11,183 414
procedure
Vertebral corpectomy (vertebral body resection), partial or complete for excision of

63300 23,384 58,459 2,165
intraspinal lesion, single segment; extradural, cervical
63301 extradural, thoracic by transthoracic approach 25,767 64,418 2,386
63302 extradural, thoracic by thoracolumbar approach 27,066 67,664 2,506
63303 extradural, lumbar or sacral by transperitoneal or retroperitoneal approach 27,543 68,857 2,550
63304 intradural, cervical 28,833 72,082 2,670
63305 intradural, thoracic by transthoracic approach 30,340 75,850 2,809
63306 intradural, thoracic by thoracolumbar approach 30,719 76,796 2,844
63307 intradural, lumbar or sacral by transperitoneal or retroperitoneal approach 30,456 76,141 2,820
Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality

63600 BR BR BR
(including stimulation and/or recording)
Stereotactic stimulation of spinal cord, percutaneous, separate procedure not

63610 BR BR BR
followed by other surgery
63615 Stereotactic biopsy, aspiration, or excision of lesion spinal cord BR BR BR
63650 Percutaneous implantation of neurostimulator electrode array, epidural 7,746 19,364 717
63655 Laminectomy for implantation of neuro-stimulator electrodes plate/paddle,epidural 13,447 33,617 1,245
Revision or removal of spinal neurostimulator electrode percutaneous array(s) or

63660 2,639 6,597 244
plate/paddle(s)
Insertion or replacement of spinal neurostimulator pulse generator or receiver,

63685 7,702 19,256 713
direct or inductive coupling
63688 Revision or removal of implanted spinal neurostimulator pulse generator or receiver 6,179 15,447 572
63700 Repair of meningocele; less than 5 cm diameter 15,869 39,672 1,469
63704 Repair of myelomeningocele; less than 5 cm diameter 19,871 49,677 1,840

63707 Repair of dural/cerebrospinal fluid leak, not requiring laminectomy 13,182 32,955 1,221
63709 Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy 16,967 42,417 1,571
63710 Dural graft, spinal 13,540 33,851 1,254
Creation of shunt, lumbar, subarachnoid- peritoneal, -pleural, or other; including

63740 13,599 33,996 1,259
laminectomy
63741 percutaneous, not requiring laminectomy 9,629 24,072 892
63744 Replacement, irrigation or revision of lumbosubarachnoid shunt 8,734 21,835 809
63746 Removal of entire lumbosubarachnoid shunt system without replacement 6,647 16,617 615
64400 Injection, anesthetic agent; trigeminal nerve, any division or branch 979 2,446 91
64402 facial nerve 1,189 2,973 110
64405 greater occipital nerve 1,099 2,747 102

64408 vagus nerve 1,328 3,319 123
64410 phrenic nerve 1,318 3,294 122
64412 spinal accessory nerve 1,173 2,931 109
64413 cervical plexus 1,214 3,034 112
64415 brachial plexus, single 1,153 2,883 107
64416 brachial plexus,continuous infusion by catheter (including catheter 2,330 5,824 216
64417 axillary nerve 1,300 3,251 120
64418 suprascapular nerve 1,309 3,273 121
64420 intercostal nerve, single 1,284 3,211 119
64421 intercostal nerves, multiple, regional block 1,854 4,635 172

64425 ilioinguinal, iliohypogastric nerves 1,325 3,312 123
64430 pudendal nerve 1,478 3,694 137
64435 paracervical (uterine) nerve 1,353 3,382 125
64445 sciatic nerve, single 1,244 3,110 115
sciatic nerve, continuous infusion by catheter, (including catheter placement)

64446 2,359 5,897 218
including daily management for anesthetic agent administration
64447 femoral nerve, single 1,070 2,675 99
64448 femoral nerve, continuous infusion by catheter, (including catheter 2,161 5,404 200
lumbar plexus, posterior approach, continuous infusion by catheter (including

64449 2,198 5,495 204
catheter placement) including daily management for anesthetic agent administration
64450 other peripheral nerve or branch 1,126 2,814 104
Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint
64470 1,620 4,050 150
nerve; cervical or thoracic, single level
64472 cervical or thoracic, each additional level 778 1,945 72
64475 lumbar or sacral, single level 1,620 4,050 150
64476 lumbar or sacral, each additional level 660 1,651 61
Injection, anesthetic agent and/or steroid, transforaminal epidural; cervical or

64479 3,428 8,570 317
thoracic, single level
64480 cervical or thoracic, each additional level 2,637 6,592 244
64483 lumbar or sacral, single level 3,244 8,110 300
64484 lumbar or sacral, each additional level 2,525 6,311 234
64505 Injection, anesthetic agent; sphenopalatine ganglion 1,097 2,742 102
64508 carotid sinus (separate procedure) 1,337 3,343 124
64510 stellate ganglion (cervical sympathetic) 1,279 3,199 118

64517 superior hypogastric plexus 1,908 4,770 177
64520 lumbar or thoracic (paravertebral sympathetic) 1,511 3,779 140
64530 celiac plexus, with or without radiologic monitoring BR BR BR
64553 Percutaneous implantation of neurostimulator electrodes;cranial nerve 1,968 4,919 182
64555 peripheral nerve (excludes sacral nerve) 1,726 4,316 160
64560 autonomic nerve 2,320 5,799 215
64561 sacral nerve (transforaminal placement) 8,567 21,418 793
64565 neuromuscular BR BR BR
64573 Incision for implantation of neurostimulator electrodes; cranial nerve 5,206 13,015 482
64575 peripheral nerve (excludes sacral nerve) 4,146 10,364 384

64577 autonomic nerve 4,461 11,151 413
64580 neuromuscular 3,988 9,970 369
64581 sacral nerve (transforaminal placement) BR BR BR
64585 Revision or removal of peripheral neurostimulator electrodes 2,762 6,904 256
Insertion or replacement of peripheral or gastric neurostimulator pulse generator or

64590 3,108 7,770 288
receiver, direct or inductive coupling
Revision or removal of peripheral or gastric neurostimulator pulse generator or

64595 2,634 6,585 244
receiver
Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental,

64600 3,424 8,559 317
or inferior alveolar branch
64605 second and third division branches at foramen ovale 4,687 11,717 434
64610 second and third division branches at foramen ovale under radiologic 7,894 19,734 731
Chemodenervation of muscle(s); muscle(s) innervated by facial nerve (eg, for

64612 2,000 4,999 185
blepharospasm, hemifacial spasm)
64613 neck muscle(s) (eg, for spasmodic torticollis, spasmotic dysphonia) 2,016 5,040 187
extremity(s) and/or trunk muscle(s) (eg, for dystonia, cerebral palsy, multiple
64614 1,915 4,788 177
sclerosis)
64620 Destruction by neurolytic agent; intercostal nerve 2,409 6,021 223
Destruction by neurolytic agent, paravertebral facet joint nerve;lumbar or sacral,

64622 3,052 7,630 283
single level
64623 lumbar or sacral, each additional level 1,162 2,906 108
64626 cervical or thoracic, single level 4,127 10,317 382
64627 cervical or thoracic, each additional level 2,282 5,705 211
64630 Destruction by neurolytic agent; pudendal nerve 2,596 6,490 240
64640 other peripheral nerve or branch 2,129 5,323 197
64650 Chemodenervation of eccrine glands; both axillae 642 1,605 59

64653 other area(s) (eg, scalp, face, neck), per day 787 1,966 73
64680 Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus 2,712 6,780 251
64681 superior hypogastric plexus 3,866 9,666 358
64702 Neuroplasty; digital, one or both, same digit 5,062 12,655 469
64704 nerve of hand or foot 5,397 13,492 500
64708 Neuroplasty, major peripheral nerve, arm or leg; other than specified 7,256 18,141 672
64712 sciatic nerve 8,987 22,466 832
64713 brachial plexus 11,147 27,867 1,032
64714 lumbar plexus 9,113 22,783 844
64716 Neuroplasty and/or transposition; cranial nerve (specify) 6,381 15,952 591
64718 ulnar nerve at elbow 7,211 18,028 668
64719 ulnar nerve at wrist 5,560 13,900 515
64721 median nerve at carpal tunnel 5,300 13,249 491
64722 Decompression; unspecified nerve(s) (specify) 5,571 13,927 516
64726 plantar digital nerve 3,005 7,513 278
64732 Transection or avulsion of; supraorbital nerve 4,931 12,326 457
64734 infraorbital nerve 5,407 13,518 501
64736 mental nerve 5,068 12,670 469
64738 inferior alveolar nerve by osteotomy 6,112 15,279 566
64740 lingual nerve BR BR BR

64742 facial nerve, differential or complete BR BR BR
64744 greater occipital nerve 6,226 15,564 576
64746 phrenic nerve 5,614 14,035 520
64752 vagus nerve (vagotomy), transthoracic 6,273 15,682 581
vagus nerve limited to proximal stomach (selective proximal vagotomy, proximal

64755 13,287 33,216 1,230
gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy)
64760 vagus nerve (vagotomy), abdominal 9,179 22,947 850
64761 pudendal nerve BR BR BR
Transection or avulsion of obturator nerve, extrapelvic, with or without adductor

64763 6,741 16,853 624
tenotomy
Transection or avulsion of obturator nerve, intrapelvic, with or without adductor

64766 8,565 21,413 793
tenotomy
64771 Transection or avulsion of other cranial nerve, extradural 7,744 19,360 717
64772 Transection or avulsion of other spinal nerve, extradural 7,814 19,535 724
64774 Excision of neuroma; cutaneous nerve, surgically identifiable 4,662 11,656 432
64776 digital nerve, one or both, same digit 4,621 11,553 428
64778 digital nerve, each additional digit 3,193 7,983 296
64782 hand or foot, except digital nerve 6,045 15,112 560
64783 hand or foot, each additional nerve, except same digit 3,801 9,502 352
64784 major peripheral nerve, except sciatic 8,983 22,459 832
64786 sciatic nerve 15,781 39,451 1,461
64787 Implantation of nerve end into bone or muscle 4,280 10,699 396
64788 Excision of neurofibroma or neurolemmoma; cutaneous nerve 4,706 11,765 436

64790 major peripheral nerve 10,645 26,613 986
64792 extensive (including malignant type) 13,713 34,281 1,270
64795 Biopsy of nerve 3,008 7,519 278
64802 Sympathectomy, cervical 8,017 20,043 742
64804 cervicothoracic 14,785 36,963 1,369
64809 thoracolumbar 13,172 32,930 1,220
64818 lumbar 10,165 25,413 941
64820 digital arteries, each digit 9,398 23,494 870
64821 radial artery 8,734 21,835 809
64822 ulnar artery 8,726 21,816 808

64823 superficial palmar arch 10,025 25,062 928
64831 Suture of digital nerve, hand or foot; one nerve 7,719 19,297 715
64832 each additional digital nerve 4,248 10,620 393
64834 Suture of one nerve; hand or foot, common sensory nerve 8,240 20,599 763
64835 median motor thenar 9,859 24,647 913
64836 ulnar motor 10,203 25,508 945
64837 Suture of each additional nerve, hand or foot 6,017 15,043 557
64840 Suture of posterior tibial nerve 12,751 31,877 1,181
64857 without transposition 13,536 33,840 1,253
64858 Suture of sciatic nerve 15,638 39,094 1,448

64859 Suture of each additional major peripheral nerve 4,289 10,722 397
64861 Suture of; brachial plexus 18,166 45,415 1,682
64862 lumbar plexus 21,752 54,379 2,014
64864 Suture facial nerve,extracranial 11,541 28,853 1,069
64865 infratemporal with or without grafting 15,661 39,151 1,450
64866 Anastomosis , facial -spinal accessory 15,452 38,629 1,431
64868 facial -hypoglossal 14,177 35,441 1,313
64870 facial-phrenic 16,083 40,206 1,489
64872 Suture of nerve; requiring secondary or delayed suture 1,926 4,815 178
64874 requiring extensive mobilization, or transposition of nerve 2,886 7,215 267

64876 requiring shortening of bone of extremity BR BR BR
64885 Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length 16,583 41,459 1,536
64886 more than 4 cm in length 19,735 49,338 1,827
64890 Nerve graft (includes obtaining graft), single strand hand or foot; up to 4 cm length 15,287 38,216 1,415
64891 more than 4 cm length 14,752 36,879 1,366
64892 Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length 14,376 35,941 1,331
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4
64895 18,156 45,391 1,681
cm length
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4
64897 17,387 43,467 1,610
cm. Length
64901 Nerve graft, each additional nerve; single strand 16,514 41,286 1,529
64902 multiple strands (cable) 11,187 27,966 1,036
64905 Nerve pedicle transfer; first stage 12,926 32,315 1,197
64907 second stage 17,790 44,474 1,647
64910 Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve 7,691 19,228 712
64911 with autogenous vein graft (includes harvest of vein graft), each nerve 9,905 24,763 917
64999 Unlisted procedure, nervous system BR BR BR
EYES AND OCULAR ADNEXA - -
65091 evisceration without implant 7,928 19,821 734

65093 - with implant 8,308 20,769 769
65101 enucleation without implant 8,621 21,552 798
65103 - with implant, muscles not attached to implant 9,245 23,111 856
65105 - with implant, muscles attached to implant 10,216 25,539 946
65110 exenteration of orbit 16,291 40,727 1,508
65205 Removal of foreign body, external eye; conjuctival superficial 671 1,677 62
- conjuctival embedded (includes concretions), sub-conjuctival, or scleral non-

65210 777 1,942 72
perforating
65220 - corneal, without slit lamp 647 1,616 60
65222 - corneal, with slit lamp 879 2,198 81
65223 Removal of foreign body eye with slit lamp under general anaesthesia 744 1,860 69
65235 Removal of foreign body, intraocular; from anterior chamber or lens 7,523 18,807 697
65260 - from posterior segment, magnetic extraction, anterior or posterior route 11,003 27,506 1,019
65265 - from posterior segment, non-magnetic extraction 12,679 31,699 1,174
65272 - conjuctiva, by mobilization and re-arrangement, without hospitalisation 3,787 9,468 351
65273 - conjuctiva, by mobilization and re-arrangement, with hospitalisation 4,183 10,457 387
65275 - cornea, non-perforating, with or without removal of foreign body 4,123 10,309 382
65280 - cornea and/or sclera, perforating, not involving uveal tissue 8,907 22,269 825
65285 - cornea and/or sclera, perforating, with re-position or resection of uveal tissue 13,498 33,744 1,250
65286 - application of tissue glue, wounds of cornea and/or sclera 6,466 16,165 599
65290 Repair of wound, extraocular muscle, tendon and/or Tenon's capsule 6,284 15,710 582
65400 Excision of lesion, cornea (keratectomy, lamellar partial), except pterygium 7,190 17,974 666
65410 Biopsy of cornea 1,771 4,426 164
65420 Excision or transposition of pterygium; without graft 5,176 12,940 479
65426 - with graft 6,965 17,413 645
65710 Keratoplasty (corneal transplant); lamellar 13,978 34,945 1,294
65730 - penetrating (except in aphakia) 16,570 41,424 1,534
65750 - penetrating (in aphakia) 17,261 43,152 1,598
65755 - penetrating (in pseudophakia) 17,468 43,670 1,617
Paracentesis of anterior chamber of eye (seperate procedure); with diagnostic

65800 2,030 5,075 188
aspiration of aqueous
65805 - with therapeutic release of aqueous 2,114 5,284 196

- with removal of vitreous and/or discission of anterior hyaloid membrane, with or
65810 5,666 14,166 525
without air injection
65815 - with removal of blood, with or without irrigation and/or air injection 5,952 14,879 551
65820 Gonotomy 9,615 24,037 890
65850 Trabeculotomy ab externo 12,488 31,219 1,156
65855 Trabeculoplasty by laser surgery, one or more sessions (defined treatment series) 6,906 17,264 639
65860 Severing adhesions of anterior segment, laser technique (seperate procedure) 4,811 12,026 445
Severing adhesions of anterior segment, incessional technique (with or without

65865 6,750 16,874 625
injection of air or liquid) (seperate procedure); goniosynechiae
65870 - anterior synechiae 6,814 17,036 631
65875 - posterior synechiae 7,195 17,987 666
65880 - corneovitreal adhesions 7,775 19,438 720

65900 Removal of epithelial downgrowth , anterior chamber 10,871 27,177 1,007
65920 Removal of implanted material, anterior segment 9,300 23,250 861
65930 Removal of blood clot, anterior segment 8,238 20,594 763
66020 Injection, anterior chamber (seperate procedure); air or liquid 2,125 5,312 197
66030 - medication 1,279 3,197 118
66150 Fistulization of sclera for glaucoma; trephination with iridectomy 9,995 24,987 925
66155 - thermocauterization with iridectomy 9,852 24,630 912
66160 - sclerectomy with punch or scissors, with iridectomy 11,568 28,920 1,071
66165 - iridencleisis or iridotasis 9,658 24,145 894
66170 - trabeculectomy ab externo 13,556 33,891 1,255

66180 Aqueous shunt to extraocular reservoir (e.g. Molteno, Schocket, Denver - Krupin) 15,835 39,587 1,466
66185 Revision of aqueous shunt to extraocular reservoir 9,721 24,303 900
66220 Repair of scleral staphyloma; without graft 8,946 22,365 828
66225 - with graft 14,787 36,967 1,369
66500 Iridectomy by stab incision (seperate procedure); except transfixion 4,582 11,455 424
66505 - with transfixion as for iris bombe 4,272 10,681 396
66600 Iridectomy, with corneoscleral or corneal section, for removal of lesion 9,952 24,881 922
66605 - with cyclectomy 13,561 33,903 1,256
66625 - peripheral for glaucoma (seperate procedure) 6,475 16,188 600
66630 - sector for glaucoma (seperate procedure) 7,358 18,394 681

66680 Repair of iris, ciliary body (as for iridodialysis) 6,469 16,173 599
Suture of iris, ciliary body (seperate procedure) with retrieval of suture through small
66682 7,489 18,721 693
incision (e.g. McCannel suture)
66700 Ciliary body destruction; diathermy 5,803 14,507 537
66710 - cyclophotocoagulation 5,898 14,744 546
66720 - cryotherapy 5,865 14,663 543
66740 - cyclodialysis 5,856 14,640 542
66761 Iridotomy/iridectomy by laser surgery (e.g. for glaucoma) (one or more sessions) 5,758 14,395 533
Iridoplastry by photocoagulation (one or more sessions) e.g for improvement of

66762 6,522 16,304 604
vision, for widening of anterior chamber angle)
66770 Destruction of cyst or lesion, iris or ciliary body (non-excisional procedure) 7,565 18,912 700
Laser surgery (e.g. YAG) (one or more stages). Not applicable during follow-up
66821 4,245 10,613 393
period or within six months after cataract surgery
Repositioning of intraocular lens prosthesis, requiring an incision (separate
66825 8,760 21,901 811
procedure)
66826 Pachymetry, both eyes, two examinations per year 864 2,160 80
66827 Optical Coherent Tomography (OCT) 2,970 7,425 275
66828 Corneal Topography, two examinations per year 1,296 3,240 120
66829 Retinal Topography, per eye 1,296 3,240 120
Removal of secondary membranous cataract (opacified posterior lens capsule

66830 and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy 8,741 21,853 809
(iridocapsulotomy, iridocapsulectomy)
66840 Removal of lens material; aspiration technique, one or more stages 9,404 23,510 871
- phacofragmentation technique (mechanical or ultrasonic) (e.g.

66850 10,826 27,065 1,002
phacoemulsification), with aspiration
66852 - pars plana approach, with or without vitrectomy 12,289 30,723 1,138
66920 - intracapsular 10,508 26,269 973

66930 - intracapsular, for dislocated lens 11,215 28,038 1,038
66940 - extracapsular (other than 66840, 66850, 66852) 10,600 26,499 981
Intracpsular cataract extraction with insertion of intraocular lens prosthesis (one

66973 5,681 14,202 526
stage procedure)
Extracapsular cataract removal with insertion of intraocular lens prosthesis (one

66974 stage procedure), manual or mechanical technique (e.g. irrigation and aspiration or 7,290 18,225 675
phacoemulsification)
Insertion of intraocular lens prosthesis (secondary implant) not associated with

66985 9,972 24,930 923
concurrent cataract removal
66986 Exchange of intraocular lens 13,069 32,671 1,210
Axial length measurement and calculation of intraocular power by ultra-sonography

66987 623 1,557 58
"A" mode
66990 Removal of corneo scleral sutures under slit lamp or operating microscope 1,182 2,955 109
66996 Viscoelastic FFS FFS FFS
66998 Lenticulus FFS FFS FFS

Unlisted procedure, anterior segment of eye-Collagen cross-linking of cornea
66999 (including removal of the corneal epithelium and intraoperative pachymetry when 7,919 19,796 733
performed)
Removal of vitreous, anterior approach (open sky technique or limbal incision);

67005 11,402 28,505 1,056
partial removal
67010 - subtotal removal with mechanical vitrectomy 11,133 27,832 1,031
Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach

67015 7,389 18,474 684
(posterior sclerotomy)
Injection of vitreous substitute, pars plana or limbal approach, (fluid-gas exchange),

67025 7,853 19,633 727
with or without aspiration (separate procedure)
67028 Intravitreal injection of a pharmacologic agent (Separate procedure) 3,610 9,026 334
67030 Discission of vitreous strands (without removal ), pars plana approach 7,459 18,648 691
Severing of vitreous strands, vitreous face adhesions, sheets, membranes or

67031 7,810 19,526 723
opacities, laser surgery (one or more stages)
67036 Vitrectomy, mechanical, pars plana approcah 16,356 40,890 1,514
67038 - with epiretinal membrane stripping 10,221 25,553 946

67039 - with focal endolaser photo-coagulation 19,366 48,415 1,793
67040 - with endolaser panretinal photo-coagulation 21,933 54,834 2,031
Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with

67102 4,234 10,584 392
or without drainage of subretinal fluid
- photocoagulation (laser or xenon arc, one or more sessions), with or without

67105 10,006 25,015 926
drainage of sub-retinal fluid
- scleral buckling (such as lamellar excision, imbrication or encircling procedure),

67107 17,300 43,250 1,602
with or without implant, may include procedures 67101, 67105
- with vitrectomy, any method, with or without air or gas tamponade, with or without
67108 focal endolaser photocoagulation, may include procedures 67101 - 67107 and/or 24,822 62,055 2,298
removal of lens by same technique
67109 - by technique other than 67101 - 67108 and 67110 7,031 17,577 651
67110 - by injection of air or other gas (e.g. pneumoretinopexy) 11,732 29,331 1,086
67112 - previously operated upon, any technique 17,951 44,877 1,662
67115 Release of encircling material 6,180 15,450 572

67120 Removal of implanted material, posterior segment extraocular 7,462 18,655 691
67121 - intraocular 11,088 27,720 1,027
67130 Flurescein angiography (excluding materials) 635 1,588 59
Prophylaxis of retinal detachment (e.g. retinall break, lattice degeneration) without

67141 7,449 18,622 690
drainage, one or more sessions; cryotherapy, diathermy
67145 - photocoagulation (laser or xenon arc) 6,845 17,111 634
Destruction of localised lesion of retina (e.g. maculopathy, choroidopathy, small

67208 8,081 20,202 748
tumours), one or more sessions; cryotherapy, diathermy
67210 - photocoagulation (laser or xenon arc) 10,016 25,041 927
67218 - radiation by implantation of source (includes removal of source) 15,298 38,246 1,417
Destruction of extensive or progressive retinopathy (e.g. diabetic retinopathy), one

67227 8,000 20,000 741
or more sessions; cryotherapy, diathermy
67228 - photocoagulation (laser or xenon arc) 12,854 32,134 1,190

67250 Scleral reinforcement (seperate procedure; without graft 8,984 22,459 832
67255 - with graft 11,573 28,933 1,072
67313 Strabismus surgery, one, two or three muscle procedure 3,296 8,240 305
Transposition of eye muscles, such as for paretic muscle (one or more stages, one
67320 9,746 24,365 902
or more muscles, necessitating displacement of plane of action more than 5mm)
67331 Strabismus surgery, on patient previously operated on 8,974 22,434 831
67400 orbitotomy without bone flap with or without biopsy 11,473 28,684 1,062
67420 orbitotomy with bone flap or window , lateral approach with removal of lesion 6,448 16,119 597
67500 Injection, retrobulbar, local anaesthesia 919 2,298 85
67501 - general anaesthesia 744 1,860 69
67502 Regional anaethesia/Block 1,620 4,050 150

67510 Air or contrast medium for radiography 230 575 21
67800 Excision, chalazion, meibomian cyst, single or multiple, local anaesthesia 1,374 3,436 127
67808 - single or multiple, general anaesthesia 3,525 8,812 326
67825 Correction, trichiasis by eletrolysis (independent procedure) local anaesthesia 1,534 3,834 142
Excision of lesion (except chalazion), involving lid margin, tarsus or palpebral

67840 2,297 5,744 213
conjunctiva, with or without simple direct closure
67841 - wide excision of malignant or other complicated lesion 1,325 3,311 123
67842 Excision of lesion of bulbar conjunctiva without entering orbit 1,325 3,311 123
67845 Removal of lesion of bulbar conjunctiva infiltrating into orbit 2,770 6,925 256
Destruction of lesion of lid margin or conjunctiva (such as electro-surgery or

67850 1,605 4,012 149
cryotherapy), local anaesthesia
67851 - general anaesthesia 1,080 2,700 100
67880 Tarsorrhaphy, intermarginal lid adhesion (Blepharorrhaphy, canthorrhaphy) 4,619 11,549 428
67881 Severing tarsorrhapy 1,026 2,565 95
67901 Repair of blepharoptosis, suture only 8,683 21,707 804
67902 - with fascial sling, including obtaining fascia 8,836 22,091 818
67903 - levator resection, internal approach 8,645 21,614 801
67911 Correction of lid retraction 7,309 18,273 677
67912 Lagophthalmos - implant of magnets 7,610 19,025 705
67915 Repair of ectropian or entropion by cautery 3,003 7,508 278
67917 Repair of ectropion or entropion by operation 7,568 18,921 701

67918 Ectropion or intropion by cautery - general anaesthesia 1,026 2,565 95
67950 Canthoplasty (reconstruction of canthus) 7,354 18,384 681
Excision and repair, eyelid, full thickness, or involving lid margins by advancement
67961 7,229 18,074 669
flap such as wedge resection or halving procedures), up to quarter lid margin
67966 - over quarter lid margin 8,672 21,680 803
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from

67971 10,913 27,282 1,010
opposing eyelid, one or first stage, up to two-thirds lid
67973 - total eyelid, lower 14,120 35,301 1,307
67974 - upper 14,310 35,776 1,325
67975 - second or subsequent stage 7,719 19,298 715
68200 Subconjunctival injection 564 1,411 52
68440 Incision, snip of lacrimal punctum, local anaesthesia 1,064 2,661 99

68500 Excision of lacrimal gland (dacryoadenectomy) [except for tumour] total 10,768 26,920 997
68520 Excision, lacrimal sac (dacryocystectomy) 9,011 22,528 834
68700 Plastic repair, canaliculi 5,605 14,011 519
68720 dacryocystorhinostomy 9,966 24,916 923
68745 Conjunctiva-rhinostomy (fistulization of conjuctiva to nasal cavity), without tube 8,655 21,639 801
Probing of nasolacrimal duct, with or without irrigation and insertion of polythene

68820 702 1,755 65
tubes, unilateral
68825 - requiring general anaesthesia, unilateral, with or without insertion of tube or stent 744 1,860 69
68826 Pterygium 1,409 3,523 130
68827 Consultation and Education by Registered Ophthalmic Nurse 151 378 14

68828 Fundus camera 324 810 30
68829 Consumables 108 270 10
EAR SURGERY - -
69000 drainage of external ear , abscess or haematoma (simple) 1,352 3,381 125
69005 complicated 2,094 5,236 194
69140 excision exostosis (es) external auditory canal 9,721 24,304 900
69141 - multiple 11,775 29,439 1,090
69200 removal foreign body external auditory canal wihout general anaesthesia FFS FFS FFS
69201 - requiring local anaesthesia 786 1,966 73
69205 with general anaesthesia 1,302 3,256 121

69206 - with general anaesthesia, proceeding to post auricular incision 3,054 7,636 283
69209 Removal of impacted cerumen, one or both ears 127 318 12
69210 Removal of impacted keratotic debris, under general anaesthesia 2,129 5,322 197
69300 otoplasty protruding ear with or without size reduction 6,960 17,400 644
69301 Otoplastry, post trauma, unilateral, part of ear (e.g. "cauliflower" ear) 4,415 11,038 409
69302 - whole ear 5,032 12,580 466
69320 reconstruction of external auditory canal (congenital) single stage 18,763 46,907 1,737
69321 - acquired 10,022 25,054 928
69325 Construction of external ear from patient's own tissue, all stages, within six months 3,443 8,607 319
69326 Minor adjustment (of 69325) after six months period 2,661 6,653 246
69330 cochlear device implantation with or without mastoidectomy #VALUE! #VALUE! BR
69350 microotoscopy under general anaesthesia 821 2,052 76
69351 micro-otoscopy with microsuctioning under local anaesthesia 821 2,052 76
69400 Eustachian tube inflation, with local anaesthesia 1,009 2,523 93
69401 - with general anaesthesia 1,185 2,964 110
69418 Paracentesis of ear - one ear 2,002 5,005 185
69420 myringotomy without general anaesthesia 1,484 3,709 137
Tympanostomy (requires insertion of ventilating tube) in surgical suite with or without

69435 1,223 3,056 113
operating microscope (one ear)
69440 middle ear exploration (post auricular or permeatal ) 3,958 9,895 366
69502 mastoidectomy (cortical) 14,228 35,570 1,317

69505 modified radical 16,511 41,276 1,529
69511 radical 17,133 42,833 1,586
69535 resection temporal bone , externa approach 43,200 108,000 4,000
69536 - per oral excision styloid process 4,488 11,219 416
69539 Aural polypectomy, with general anaesthesia 1,676 4,190 155
69540 excision aural polyp 1,743 4,358 161
69555 Excission, surgical for neoplasm 18,894 47,235 1,749
69620 myringoplasty 10,368 25,920 960
69633 with ossicular reconstruction & synthetic prosthesis ( porp, torp) 15,157 37,894 1,403
69635 tympanoplasty with mastoidotomy(with canalplasty ,no ossiculoplasty) 16,989 42,473 1,573
69650 stapes mobilisation 11,962 29,904 1,108
69660 stapedectomy or stapedotomy with or without use of prosthesis 14,667 36,667 1,358
69661 with foot plate drill out 18,713 46,783 1,733
69666 repair oval window fistula 12,347 30,867 1,143
69668 Repair perforation of round window 9,078 22,695 841
69720 decopression facial nerve, intratemporal lateral to geniculate ganglion 17,654 44,135 1,635
69722 Microsuction 460 1,149 43
69740 suture facial nerve,intratemporal with or without graft or lateral decompression 15,783 39,456 1,461
69801 labyrinthotomy with or without cryo or other destructive procedures or perfusion 11,502 28,756 1,065
69805 endolymphatic sac operation without shunt 14,335 35,838 1,327

69806 with shunt 15,995 39,987 1,481
69820 fenestration semicircular canal 11,141 27,854 1,032
69900 Ultrasound to labyrinth, excluding mastoidectomy fee 9,078 22,695 841
69930 Unilateral Cochlear implant device implantation with or without masteidectomy 20,535 51,338 1,901
RADIOLOGY - -
70008 Hyperinflation practice expense surcharge, per attendance - - -
70009 Cash co-payment, per attendance - - -
70030 Orbital foreign body, without localisation 162 405 15
70040 with localisation 324 810 30
70100 Mandible 270 675 25

70130 Mastoids 324 810 30
70134 Internal auditory meati 324 810 30
70150 Facial bones and/or orbits 162 405 15
70160 Nose 162 405 15
70210 Post nasal space 108 270 10
70220 Para-nasal sinus 216 540 20
70240 Pituitary fossa (sella turcia), localised views only) 162 405 15
70260 Routine skull 162 405 15
70300 Teeth: one quadrant 162 405 15
70310 Teeth: two quadrant 162 405 15

70320 Teeth: Full mouth 1,080 2,700 100
70330 Tempro-mandibular joints 162 405 15
70332 Tempro-mandibular joints with tomography 162 405 15
70360 Throat or soft tissue, neck 162 405 15
Sialography (plus two-thirds for each additional gland)

70390 BR BR BR
………………………………………….
71019 Thoratic inlet 162 405 15
71020 Chest, routine 378 945 35
71100 Ribs 162 405 15
71120 Sternum or sterno-clavicular joints 162 405 15
72050 Spine per region, e.g. cervical, sacral, coccygeal, thoracic, 162 405 15
72090 Scoliosis studies 216 540 20
72111 Lumbar spine and pelvis 702 1,755 65
72114 Stress studies 162 405 15
72115 Whole spine and pelvis 486 1,215 45
72250 Myelography per region 1,296 3,240 120
72270 Myelography full 3,888 9,720 360
72290 Discography 3,240 8,100 300
73000 Per region of limp, eg Shoulder, elbow, forearm 216 540 20
73040 Orthography, per joint 270 675 25
73050 Acromio-clavicular joints, plain, per pair 162 405 15

73051 with weight bearing, per pair 216 540 20
73140 Finger 162 405 15
73520 Hip joints or pelvis with sacro-iliac 216 540 20
73530 Smith-Petersen or equivalent control, in theatre 108 270 10
73592 Stress studies, eg joint 162 405 15
73660 Toe 108 270 10
74000 Straight abdomen 432 1,080 40
74020 Acute abdomen studies 648 1,620 60
74210 Pharynx and oesophagus: plain or barium swallow 486 1,215 45
74242 Upper gastro-intestinal tract 702 1,755 65

74245 Gastro-intestinal tract, with follow through 583 1,458 54
74250 Small bowel meal 475 1,188 44
74251 Small bowel meal and follow through 583 1,458 54
74255 Appendix meal, without screening 324 810 30
74260 Duodenography, hypotonic 540 1,350 50
74261 insertion of tube add 162 405 15
74270 Barium enema 540 1,350 50
74272 with air contrast study add 54 135 5
74273 Barium meal and enema (single session) 756 1,890 70
74300 Cholangiography and/or pancreatography; intraoperative, radiological supervision 1,188 2,970 110
74305 post-operative 864 2,160 80
Percutaneous, trashepatic (For injection procedures for trnshepatic cholangiography

74320 864 2,160 80
or percutaneous see 47500)
74321 Tomography of biliary tract BR BR BR
74325 Pneumoperitoneography (for injection see 49400) - -
74340 Gastric/oesophageal/duodenal intubation control 324 810 30
74341 insertion of tube 162 405 15
74346 Bowel washout 54 135 5
74400 Urography, intravenous 756 1,890 70
74402 time sequence add 108 270 10
74405 voiding cysto-urethrography, without additional contrast medium add 108 270 10
74420 Retrograde pyelography 972 2,430 90
74430 Cystography or urethrography (retrograde) 972 2,430 90
74450 Cysto - urethrography (retrograde) 972 2,430 90
74455 Urethrocystography (retrograde) voiding 972 2,430 90
74472 Renal cyst puncture 972 2,430 90
74710 Pelvimetry 864 2,160 80
74740 Hystero-salpingoraphy 756 1,890 70
75505 Angiocardiography: first series 821 2,052 76
75605 Aortography: first series (For injection procedure, see 36200) 594 1,485 55
75616 Other arteriogra 594 1,485 55

75635 Cerebral angiography first two series 562 1,404 52
Per additional series for 74720, 75505, 75605,75616, 75785, 75905, and 75970,
75636 216 540 20
add 50% to the fee - add (For injectioprocedure, see 36210, 36220)
Peripheral andiography, per limb: first series (For injection procedure, see 36210,
75785 410 1,026 38
36200)
75905 Vena-cavography: first series (for injection procedure, see 36011) 518 1,296 48
75965 Splenoportography (For injection, see 38200) 594 1,485 55
75970 Venography, per field or limb 756 1,890 70
75985 Lymphangiography (For injection procedure, see 38790,38791) 3,240 8,100 300
76000 Fluoroscopy: per half-hour 162 405 15
76020 Bone age assessment 108 270 10
76040 Long bones length studies, per right and left pair 162 405 15
76060 Skeletal survey, over five years 1,512 3,780 140
76065 Skeletal survey, under five years 810 2,025 75
Radiological guidance for percutaneous drainage of abscess or specimen collection,

76070 with or without placement of indwelling catheter, radiological supervision and 540 1,350 50
interpretation
76082 Sinography (includes fee for injection) 864 2,160 80
76086 Dexa central skeletal bone mineral density study 540 1,350 50
76087 Dexa peripheral skeletal bone mineral density study 648 1,620 60
76088 QCT measurement of bone mineral density 648 1,620 60
76090 Mammography per side 270 675 25
76101 Tomography (pluridirectional) per projection - add 150% 16 41 2
Tomography (conventional) per projection (except where otherwise specified) add

76105 #VALUE! #VALUE! Add 100%
100%
76120 Cinematrography for first series, add 100% #VALUE! #VALUE! Add 100%
76125 Cinematrography: for subsequent series charge each 80% of primary fee for the Add 80% Add 80% Add 80%
76130 Foreign body localisation: fee for part, add two-thirds for each additional series, 162 405 15
76131 Foreign body localisation introduction of sterile needle markers 324 810 30
76140 Consultation in rooms, hospital or nursing home 162 405 15
Stereoscopic breast biopsy (This is a composite fee to cover the entire procedure
and there
76141 10,098 25,245 935
will be no additional fees or tariffs charged together with the tariff
code 76141).
Attendance at operations except 73530 and 74300, per half-hour (plus fee for region
76142 162 405 15
examined)
Where a radiography service is provided on a "call-out" basis, outside normal
working hours (weekdays 5pm to 7am, weekends Saturday 1pm to Monday 7am
76150 54 135 5
and public holidays add....(Note: Where provided in conjunction with a “call-out”
radiologist service, this fee to be independent of the procedure fee. By report)
76180 Where portable X-ray unit has to be transported 54 135 5
76182 Where portable X-ray unit is kept and used in a hospital 54 135 5
76201 Surcharge per procedure requiring the use of consumables 54 135 5
76210 Conray 280, per 20ml 216 540 20
76211 Conray 280, per 50ml 216 540 20
76215 Conray 420, per 20ml 216 540 20
76216 Conray 420, per 50ml 216 540 20
76220 Biloptin, per 6 capsules At cost At cost At cost
76231 Lidpiodol, per ampule At cost At cost At cost
76232 Urografin 30% per 250ml 1,350 3,375 125

76233 Urografin 30% per 20ml 108 270 10
76235 Biliscopin, per ampule At cost At cost At cost
76237 Jopamiron (Iorpamidol), per ampule 216 540 20
76240 Iohexol 240mg per 1ml, 20ml 216 540 20
76241 Iohexol 300mg per 1ml, 20ml 216 540 20
76242 Iohexol 350mg per 1ml, 1 x 20ml 216 540 20
76243 Iohexol 240mg per 1ml, 1 x 50ml 540 1,350 50
76244 EZHD, per 300 gms 540 1,350 50
76245 EZHD, 340mg 540 1,350 50
76247 Bariopaque, per examination 540 1,350 50

76248 Omnipaque 300mg, per 50ml 540 1,350 50
76249 Omnipaque 350mg, per 50ml 540 1,350 50
76250 Ultravist 350, per 20ml 216 540 20
76251 Ultravist 300, per 50ml 540 1,350 50
76252 Ultravist 300, per 100ml 540 1,350 50
76253 Ultravist 370, per 50ml 540 1,350 50
76254 Magnevist 300, per 20ml 216 540 20
76256 Gastrogafin, per 100ml 540 1,350 50
76258 EZ Paque, per bottle 540 1,350 50
76259 EX Cat, per 225ml 2,430 6,075 225

76260 EZ Gas 24g 11 27 1
76262 Polibar ACB 397g 4,288 10,719 397
76264 Optiray 240, per 50ml 540 1,350 50
76265 Optiray 320, per 50ml 540 1,350 50
76266 Optiray 350, per 50ml 540 1,350 50
76269 Contrast media not otherwise listed BR BR BR
Surcharge per procedure requiring the use of Standard film, single 76269
76280 54 135 5
……………
76281 each, to a maximum of two films 54 135 5
76282 each, to a maximum of three films …………………………………………………… 54 135 5
76283 each to a maximum of four films …………………………………………………… 54 135 5

76284 each, to a maximum of five films (Applicable only to procedure items 73040,76065) 54 135 5
each, to a maximum of six films (Applicable only to procedure codes

76285 54 135 5
74455,75505,75635,75985)
each, to a maximum of eight films (Applicable only to procedure

76286 54 135 5
items,72115,74270,74400,76060)
each, to a maximum of twelve films (Apllicable only to procedure items

76287 54 135 5
72270,74273)
76290 Surcharge per procedure requiring the use of laser film, single 216 540 20
76291 each to a maximum ot two films 216 540 20
76292 each to a maximum of three films 216 540 20
each to maximum of four films (Applicable to procedure items

76293 216 540 20
76430,76434,77017,77037,77511,77512,77514,77515,77517,77519,
76295 each to a maximum of six films 216 540 20
76296 each to a maximum of seven films 216 540 20

76297 each to a maximum of eight films 216 540 20
76301 Hyperinflation practice expense surcharge, per attendance - -
76302 Cash co-payment per attendance - -
76310 Thyroid imaging; only 1,458 3,645 135
76311 with vascular flow 1,690 4,226 157
76312 Thyroid carcinoma metastates imaging: limited area (e.g neck and chest only) 2,368 5,921 219
76314 Multiple areas, whole body - -
76315 Multiple areas, whole body - -
76320 Bone marrow imaging; limited area 1,356 3,391 126
76321 multiple areas 2,020 5,049 187

76322 whole body 2,480 6,199 230
Spleen imaging only, with or without vascular flow (If combined with liver study, use
76326 1,396 3,491 129
procedures 76334 and 76335)
76329 Lymphatics and lymph glands imaging 2,413 6,032 223
76331 Liver imaging; static only 1,419 3,548 131
76333 Liver imaging (SPECT) 3,283 8,208 304
76334 Liver imaging: static only 1,728 4,320 160
76336 Liver function study with hepatobiliary agents, with serial images. 2,100 5,249 194
Hepato-biliary ductal system imaging, including gallbladder, with or without

76337 pharmacologic intervention, with or without quantitative measurement of gallbladder 2,316 5,789 214
function
76345 Acute gastro-intestinal blood loss imaging 2,996 7,490 277
76346 Gastro-intestinal blood loss study (e.g Stool counting) 1,745 4,363 162
76348 Bowel imaging (e.g Ectopic gastric mucosa, Meckel's Localisation, volvulus 1,861 4,652 172
76410 Bone and/or joint imaging; limited area 1,574 3,934 146
76411 multiple areas 2,250 5,624 208
76412 whole body 2,550 6,375 236
76413 vascular flow only 915 2,287 85
76414 three phase study 2,886 7,214 267
76415 tomographic (SPECT) 3,416 8,540 316
76420 Vascular flow imaging (e.g angiography, venography) 1,202 3,005 111
Myocardial perfusion imaging; single study, resting or stress (exercise and/or
76422 1,675 4,188 155
pharmacologic), quantitative or qualitative
multiple studies, resting and/or stress (exercise and/or pharmacologic), and

76423 3,006 7,514 278
redistribution and/or rest injection, qualitative or quantitative
Tomographic (SPECT), single study at rest or stress (exercise and/or

76424 3,991 9,977 370
pharmacologic, with or without quantification
76426 Myocardial imaging; infarct, avid, planar; qualitative or quantitative 1,684 4,209 156
76427 with ejection fraction by first pass technique 2,223 5,557 206
tomographic (SPECT) with or without

76428 3,027 7,568 280
quantification………………………………………………………..
Cardiac blood pool imaging, gated equilibrium; single study at rest wall motion study
76429 3,200 8,000 296
plus ejection fraction, with or without additional quantitative processing
multiple studies, wall motion study plus ejection fraction, resting and stress (with
76430 3,893 9,734 361
exercise and/or pharmacologic), with or without additional quantification
Myocardial perfusion imaging with wall motion, qualitative or quantitative study (list
76431 separately in addition to code for primary 1,171 2,927 108
procedure) (Use only for codes 76422, 76423, 76424)
Myocardial perfusion study with ejection fraction (list separately in addition to code
76432 1,171 2,927 108
for primary procedure) (use only for codes 76422, 76423, 76424)
Cardiac blood pool imaging, first pass technique; single study, at rest, wall motion
76433 3,160 7,900 293
study, with ejection fraction
multiple studies, resting and with stress (exercise and/or pharmacologic), with or
76434 4,747 11,867 440
without additional quantification
76440 Pulmonary perfusion imaging; articulate 2,144 5,360 199
76441 gaseous 1,618 4,045 150
76442 gaseous, with ventilation, re-breathing and washout 2,422 6,056 224
Pulmonary perfusion imaging; particulate, with ventilation; single breath

76443 2,216 5,540 205
………………..
re-breathing and washout, with or without single

76444 3,420 8,551 317
breath………………………………………..
76445 Pulmonary ventilation imaging, aerosol; single projection 1,502 3,756 139
76446 multiple projections (e.g anterior, posterior, lateral views) 1,671 4,177 155
76447 Pulmonary ventilation imaging, gaseous, single breath, single projection 1,631 4,077 151
Pulmonary ventilation imaging, gaseous, with rebreathing and washout, with or
76448 1,968 4,919 182
without single breath; single projection
76449 multiple projections (e.g anterior, posterior, lateral views) 2,731 6,828 253
76450 Pulmonary quantitative differential function (Ventilation/perfusion) study 4,238 10,595 392
76452 Brain, imaging, limited procedure; static 1,671 4,177 155
76454 Brain, imaging, complete study; static 1,988 4,971 184
76457 Brain Imaging, vascular flow only 950 2,376 88
76458 Cerebral blood flow 2,145 5,362 199

76460 cerebrospinal fluid flow, imaging (not including introduction of material); 2,856 7,139 264
76461 ventriculography 1,631 4,077 151
76462 shunt evaluation 2,027 5,068 188
76463 SF leakage detection and localisation 2,621 6,553 243
76465 Radio nuclide identification of eye tumour 2,749 6,872 255
76470 Kidney imaging; static only 1,745 4,363 162
76472 with function study (ie imaging renogram) 2,387 5,967 221
76473 with vascular flow and function study 2,771 6,928 257
76474 Kidney imaging (SPECT) 3,249 8,122 301
76475 Kidney vascular flow only 950 2,376 88
76476 Kidney function study without pharmacologic intervention 840 2,101 78
76477 Kidney function study including pharmacologic intervention 2,011 5,027 186
76480 Urinary blooder residual study 937 2,344 87
76481 Ureteral reflex study (radionuclide voiding cystogram) 1,405 3,513 130
76483 Testicular imaging 2,011 5,027 186
Generation of automated data: interactive process involving nuclear physician

76490 and/or allied professional personnel; simple manipulations and interpretation. 645 1,612 60
Exceeding 30minutes
76491 complex manipulations and interpretation, exceeding 30 minutes. 1,308 3,270 121
76494 Provision for radio-pharmacetical (s) 11 27 100%
76495 Provision for diagonstic radionuclide (s) 11 27 100%
76496 Handling charge, add 1 3 10%
76499 Unlisted miscellaneous procedure, diagnostic nuclear medicine BR BR BR
76501 Hyperinflation practice expense surcharge, per attendance - - -
76502 Ultrasound Co-payment per attendance - - -
Thyroid examination (high resolution B-mode) including assessment for neck nodes,
76535 378 945 35
with or without color Doppler
76540 Two dimensional ultrasonography of the paediatric brain. 270 675 25
Two-dimensional high resolution ultrasonography of one or both breasts including

76650 270 675 25
axillae, with or withour color Doppler assessment
76660 Eye and orbit, unilateral or bilateral assessment 270 675 25

76662 Cutaneous lesions such as lumps, ganglia, etc 270 675 25
76665 Musculoskeletal - tendons, muscles, rotator cuff, etc 270 675 25
76710 Liver sonogram (B-scan) 270 675 25
76720 Gallbladder sonogram (B-scan) 270 675 25
76730 Kidney sonogram, one or both kidnesy (B-scan) 270 675 25
76740 Pancreas sonogram (B-scan) 270 675 25
76750 Spleen sonogram (B-scan) 270 675 25
76765 Aorta sonogram (B-scan) 270 675 25
76770 Retroperitoneal space sonogram (B-scan) 270 675 25
76780 Urinary bladder (B-scan) 270 675 25

76790 Parts not covered by an of the above. By Report (B.R.) 270 675 25
Pregnancy and foetal age determination, placental localisation, foetal well being),
76810 594 1,485 55
initial
76815 subsequent/repeat 324 810 30
76816 Where two or more scans are performed for follicle maturation, an all-inclusive fee 324 810 30
76830 Uterus and adnexae, trans-vaginal assessment 432 1,080 40
Uterus and adnexae, trans-abdominal assessment including the bladder and female
76831 270 675 25
pelvic mass examination
Testes/Scrotum, search for undescended testes (high resolution B-mode), with or

76870 486 1,215 45
without color doppler assessment
Prostate assessment , trans-abdominal assessment including pre and post

76871 594 1,485 55
micturition assessment of bladder, with or without color Doppler assessment
76872 Prostate and seminal vesicles, transrectal assessment 378 945 35
Dopller echocardiography, pulsed wave and/or continuous wave with spectral

76925 432 1,080 40
display;
Echocardiography, including real-time with image documentation
76931 432 1,080 40
(2D)………………………
Echocardiography, during rest and cardiovascular stress treadmill or bicycle

76932 540 1,350 50
exercise,
Duplex scan of extra cranial arteries; complete bilateral study including 2D

76940 216 540 20
imaging…..
76941 follow up or limited study 162 405 15
76945 Transcranial doppler study of the intracranial arteries; complete study including 2D 162 405 15
76946 follow up or limited study 108 270 10
Duplex scan of lower extremity arteies or arterial bypass grafts; complete bilateral
76950 432 1,080 40
study
76951 Follow-up or limited study including 2D imaging 378 945 35
76955 Duplex scan of b-pass grafts; complete bilateral study inc 2D imaging. 432 1,080 40

Duplex scan of extremity veins inc responses to compression and other
76960 162 405 15
manoeuveres; complete bilateral study including 2D imaging
Duplex scanof arterial inflow and venous outflow of abdominal, pelvic and/or
76965 270 675 25
retroperitoneal organs; complete study including 2D imaging
Duplex scanning of aorta, inferior vena cava, liac vasculatre, or by-pass grafts,
76968 432 1,080 40
complete study including 2D imaging
76969 Follow-up or limited study including 2D imaging 432 1,080 40
76970 Duplex scan of arterial inflow and venous outflow of penile vessels;complete study 270 675 25
Radiological guidence for pertaneous drainage of abscess or specimen collection,

76980 with or without placement of indwelling catheter, radiological supervision and 864 2,160 80
interpretation
76990 Colour Flow mapping add 432 1,080 40

76996 Mileage Radiologist per km 3 8 0
76997 Mileage Radiologist per km 3 8 0
COMPUTED TOMOGRAPHY - -
77001 CT Brain 1,620 4,050 150
77002 - without contrast, followed by contrast and further sections 1,890 4,725 175
77005 CT Brain with add computer reconstructions (sagg, coro,oblique) 1,620 4,050 150
77007 CT Angiography Brain 1,728 4,320 160
77009 Orbit/Sella/Post Fossa/outer or inner or mid ear 1,944 4,860 180
77012 CT Neck larynx soft tissue 2,268 5,670 210
77015 CT Angiography Neck 1,728 4,320 160
77016 Thorax/mediastinum from apex of lungs to below diapragm 1,458 3,645 135
77019 CT Angiography - Thorax 1,728 4,320 160
Abdomen including base of lungs down to bifurcation of the aorta, with or without
77022 1,728 4,320 160
oral contrast.
77025 CT angiography - abdomen 1,728 4,320 160
77028 Pelvis with or without rectal contrast 1,728 4,320 160

Spine, one region (eg Cervical, upper or lower thoracic, lumber) wth or without
77034 2,052 5,130 190
additional
77036 Spine with additonal computer reconstructon(sagg,obl,coron) 3,456 8,640 320
77044 Limbs and other limited exams 1,728 4,320 160
77045 Hip,shoulder etc 1,512 3,780 140
77047 CT Angiography Legs 1,728 4,320 160
77070 CT Cash copayment - -
77071 CT cash copayment - -
Head or body limited for known tumour or other lesin for radiotherapy planning or
77080 1,080 2,700 100
biopsy
Radiological guidence for pertaneous drainage of abscess or specimen collection,
77081 1,512 3,780 140
with or
77085 Repeat examination within 6 weeks of 1st BR BR BR
77090 IV Contrast materials 11 27 100%
77091 Cardiac Calcium Scoring 2,592 6,480 240
77092 Cardiac and Coronary CT Angiography 7,517 18,792 696
77093 Cardiac Functional Analysis 1,944 4,860 180
77294 Typical -2D Dimensional Course of care 47,909 119,772 4,436
77295 Typical- 3D Typical Course Dimension Course of care 113,400 283,500 10,500
77371 Stereotactic radio surgery (SRS) -1 Fraction 46,008 115,020 4,260
77387 IMRT with CT scan for therapy guide (IGRT)-29 Fractions (Package/Benefit based) 258,660 646,650 23,950
MAGNETIC RESONANCE IMAGING - -
77450 MRI hyperinflation - - -
77451 MRI copayment - - -
77500 Temperomandibular joints 3,802 9,504 352
77510 Orbit, face, neck 4,536 11,340 420
77511 Brain including brain stem 4,536 11,340 420
77512 Brain including brain stem with contrast material 4,536 11,340 420
Brain including brain stem without contrast material, followed by contrast material
77513 9,180 22,950 850
and further sequences
77514 Chest ( eg for evaluation of hilr and mediastinum lymphadenoplasty) 4,374 10,935 405
77515 Cervical spine canal and contents, without contrast material. 4,266 10,665 395
77516 Cervical spine canal and contents, with contrast material. 4,698 11,745 435
77517 Thoracic spine canal and contents, without contrast material. 4,266 10,665 395
77518 Thoracic spine canal and contents, with contrast material. 4,698 11,745 435
77519 Lumbar spine canal and contents, without contrast material. 4,266 10,665 395
77520 Lumbar spine canal and contents, with contrast material. 4,698 11,745 435
Cervical spine canal and contents, without contrast material followed by contrast
77521 9,018 22,545 835
material
Thoracic spine canal and contents, without contrast material followed by contrast
77522 9,018 22,545 835
material
Lumbar spine canal and contents, without contrast material followed by contrast
77523 9,018 22,545 835
material
77524 Pelvis 3,834 9,585 355
77525 Upper extremity not joint 3,834 9,585 355

77526 Any joint of upper extremity eg shoulder, elbow 4,698 11,745 435
77527 Lower extremity not joint 3,834 9,585 355
77528 an joint of lower extremities, ankle etc 4,914 12,285 455
77529 Abdomen 4,266 10,665 395
77530 Myocardium 4,266 10,665 395
77531 Bone marrow supply 4,266 10,665 395
77532 Brain 4,752 11,880 440
77533 Large vessels neck 4,698 11,745 435
77534 Large vessels chest 4,698 11,745 435
77535 Large vessels abdomen 4,698 11,745 435

77536 Large vessels legs 4,698 11,745 435
77537 Heart 4,698 11,745 435
Contrast Medium (not applicable to codes

77550 11 27 100%
77512,77513,77516,77516,77518,77520,77520,77521,77522 and 77523
RADIOTHERAPY - -
78001 Stimulator film per procedure 140 351 13
78005 Making an outline or contour 540 1,350 50
78007 Simulation of treatment field, per field, simple 108 270 10
78008 Complex 896 2,241 83
Contact and superficial theraphy, malignant and benign lesions, per treatment day, 1
78010 216 540 20
or 2 fields
78011 each additional field 95 238 9

78015 Deep X - Ray theraphy and 60 cobalt therapy, per treatment day, 1 or 2 fields 421 1,053 39
78020 Linear accelerator, 1 or 2 fields 540 1,350 50
78025 Planning of field treatment, simple 173 432 16
78026 complex ( computerised ) 1,080 2,700 100
78028 Cobalt 810 2,025 75
78030 Radioactive eye application, per application 216 540 20
78035 Caesium implant up to 6 needles or grains 1,026 2,565 95
78036 up to 10 needles or grains 1,933 4,833 179

78040 Caesium insertion - uterine and/ or vaginal for artificial menopause or menorrhagia 810 2,025 75
Caesium insertion - uterine and/ or vaginal, rectal, oral, etc. for malignant disease,
78041 1,609 4,023 149
first insertion
78042 subsequent insertions 1,080 2,700 100
78045 H. D. R ( High Dose Rate) intra cavity insertion, first insertion 2,700 6,750 250
78046 each subsequent insertion 2,160 5,400 200
78050 Simulator film, per film 140 351 13
78052 Making an outline or contour 540 1,350 50
78055 Simulation of treatment field, simple 104 259 10
78056 Complex 896 2,241 83

Contact and superficial therapy, malignant and benign lesions, per treatment day, 1
78058 216 540 20
or 2 fields
78062 Deep X - ray therapy and 60 cobalt thaerapy, per treatment day , 1 or 2 fields 421 1,053 39
78065 Linear accelerator, 1 or 2 fields 540 1,350 50
78068 Planning of treatment field, field 173 432 16
78069 Complex ( computerised ) 1,080 2,700 100
78070 Cobalt 1,609 4,023 149
78072 Radioactive eye application, per application 432 1,080 40

78075 Caesium implant - up to 6 needles or grains 2,041 5,103 189
78080 Caesium insertion - uterine and/ or vaginal for artificial menopause or menorrhagia 1,620 4,050 150
Caesium insertion - uterine and/ or vaginal, rectal, oral, etc, for malignant disease,
78081 3,240 8,100 300
first insertion
78085 H. D. R ( High Dose Rate ) intra cavity insertion, first insertion 5,400 13,500 500
78090 Admission for chemotherapy administration per day 1,436 3,591 133
78111 131 Iodine, per 50 mCl 2,700 6,750 250

PHYSIOTHERAPY - -
79010 Initial assessment at rooms, hospital, nursing home or patient's residence 194 486 18
79012 Subsequent assessment at rooms, hospital, nursing home, up to 15 miutes 151 378 14
79014 Pre/Post operative assessment of patient not requiring further therapy 130 324 12
79016 Individual therapy at rooms, hospital, nursing home, up to 15 minutes 130 324 12
79017 15 to 30 minutes 216 540 20
79018 30 to 45 minutes 302 756 28
79019 45 to 60 minutes 410 1,026 38
emergency or other essential therapy carried out during a weekend or public holiday
79022 378 945 35
or out of normal working hours
Individual routine therapy at hospital or nursing home when only one patient to be
79024 302 756 28
treated
Individual therapy at patients residence where condition of the patient precludes
79025 410 1,026 38
treatment at the physiotherapists rooms
79031 Group therapy, at rooms, hospital, or nursing home, per person per session 54 135 5
Mileage. Per kilometre travelled. Applicable to all domicilary visits and to emergency
79040 and other essential visits to rooms, hospital or nursing home during weekends and 3 8 0
public holidays or outside normal working hours.
NURSING - -
79220 Initial ante-natal consultation 151 378 14
Subsequent ante-natal consultation, per consultation, to a maximum of nine

79221 108 270 10
consultations
Vaginal delivery (certificate of the midwife's presence at the delivery or arrival within
79222 ten minutes of the delivery is required through endorsement of the claim to this 918 2,295 85
effect)
79223 Breech delivery 1,555 3,888 144
Twin delivery (uncomplicated): full appropriate fee for the major delivery and 50%
79224 1,555 3,888 144
(add modifier 18) of the second appropriate delivery fee.
79225 Post-natal consultation, per consultation, to a maximum of five consultations 108 270 10
Maternity (vaginal delivery), per day, up to a maximum of seven days less the
79235 number of days the patient was in hospital. To include care and supervision of the 216 540 20
mother and baby
79236 Acute medical and post-surgical care, per visit, to a maximum of ten visits 216 540 20
79237 - thereafter, per visit to a maximum of twenty visits 130 324 12
79238 Terminal care, per visit, to a maximum of ninety days 216 540 20
Routine care for chronic disabling illness, per visit, to a maximum of two visits per
79242 130 324 12
week
Basic chronic care by an auxiliary nurse (eg. Red Cross Nurse) under the
79245 108 270 10
supervision of a registered general nurse, per twelve hours or part thereof
Basic nursing care of an acutely ill patient by an auxiliary nurse (eg. Red Cross
Nurse) under the supervision of a registered general nurse per hour up to a
79246 151 378 14
maximum per day….. Limited to a total of 180 days, with a report required after any
thirty day period of continuous care.
79281 Consultation and therapy at rooms (independent procedure) 130 324 12
Consultation and therapy at patient's residence, hospital or nursing home

79282 216 540 20
Mileage: per km travelled to a maximum of 10 km per visit from practitioner’s base

79290 3 8 0
(or maximum of 20km including return journey)
79304 Initial Consultation…………………………………………….. 194 486 18
PATHOLOGY - -
86003 Allergen specific IgE antibodies against inhaled allergen sources (M). 130 326 12
86004 Allergen specific IgE antibodies against food allergen sources (M) …….. 130 326 12
Allergen specific IgE antibodies against inhalation and food allergens

86005 130 326 12
sources…(O)……………………
86146 Beta 2 glycoprotein I antibody each IgG class…………………………. 501 1,252 46
86147 Cardiolipin (phospholipid) antibody each IgG class……………………. 501 1,252 46
86153 Physician interpretation and report when required……………………. - - -
86160 Complement antigen each component … (I)………………………. 42 104 4
86162 Total haemolytic complement (CH50)………………………………….. 589 1,474 55

86226 Allergen microarray for molecular diagnosis of allergy ………………. 42 104 4
Immunoglobulin subclasses (IgG1, IgG2, IgG3, IgG4 and IgA1 and IgA2
86228 42 104 4
(F)…..............
86234 IgG antibodies against nuclear antigens …..(L) 130 326 12
Extractable Nuclear antigen, antibody to any method (eg nrnp, SS-A, SS- B, RNP,
86235 355 887 33
Scl-70, Jo-1, dsdna, PCNA etc.)… (L)………………………..
86237 IgG antibodies against nucleoli in systemic sclerosis… (L)………… 355 887 33
86238 IgG antibodies in autoimmune liver diseases (IgG)…. (K)…………… 355 887 33
86304 IgG antibodies in Paraneoplastic Neurologic Syndromes… (J)………… 355 887 33
86326 Igg antibodies in Autoimmune inflammatory myopathies … (L)…….. 355 887 33
86337 Insulin antibodies … (T*1)……………..…………………….. 11 27 1
Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blast

86353 355 887 33
genesis …... (T*1)……………………………………………
86355 B cell, total count (CD19, CD20)…. (T*1)……………………………… 589 1,474 55
86359 T cells total count (CD3)…. (T*1)………………………………… 589 1,474 55
86367 Stem cells (i.e. CD34) total count…. (T*1)……………………. 486 1,215 45
Tuberculosis test, cell mediated immunity antigen response measurement gamma

86480 156 391 14
interferon…. (T*1)………………………………………..
86485 Skin test candida … (T*1)……………………………………………. 130 326 12
Tuberculosis, intradermal (for tuberculosis test, cell mediated immunity

86580 156 391 14
measurement of gamma interferon antigen response…. (T*1)……
86612 HLA typing A, B or C….. (F) 42 104 4
86677 Helicobacter pylori IgG………………………………………………… 198 496 18
86678 Helicobacter pylori IgA ELISA………………………………………… 276 691 26
86813 HLA A, B, C multi antigens…………………………………………… 42 104 4

86816 HLA DR/DQ single antigens…………………………………………... 42 104 4
89003 Transport 54 135 5
89011 Venepunture 86 216 8
89051 Full Blood Count 302 756 28
89052 Blood Group & Rhesus 162 405 15
89053 Blood Group & Rhesus Antibodies 335 837 31
89056 INR (Prothrombin Index) 205 513 19
89057 Bleeding and Clotting Time 86 216 8
89058 Partial Thromoplastin Time 157 392 15
89099 Coombes Direct 86 216 8

89100 Hypercoagulation/Thrombophilia 378 945 35
89101 Miscellaneous Microscopy 108 270 10
89102 Semen Culture 162 405 15
89103 PCR Chlamydia 486 1,215 45
89104 PCR Gonorrhoea 486 1,215 45
89105 PCR AAFB 416 1,040 39
89151 Glycosylated Hb 270 675 25
89152 VDRL/TPHA/FTA 319 797 30
89153 BFAT 270 675 25
89154 Pregnancy Test-Urine Latex 70 176 7

89155 ELISA (ONE ELISA - IgG or IgM) 227 567 21
89156 Western Blot 248 621 23
89157 HIV 1 RNA Viral Load 1,026 2,565 95
89158 T-Cell Profile (CD4/CD8) 648 1,620 60
89159 HIV 670 1,674 62
89160 CD4 Only 648 1,620 60
89162 Cryptococcal Antigen 270 675 25
89163 Lipoprotein HDL 238 594 22
89199 ASOT Screen Only 32 81 3
89200 Drugs Therapeutic Assay 227 567 21

89201 Cancer Markers & Hormones* 243 608 23
89247 Category 1 - Histology 346 864 32
89248 Category 2 - Histology 497 1,242 46
89249 Category 3 - Histology 972 2,430 90
89252 Cytology - One Slide 216 540 20
89253 Liquid based cytology- cervical cancer screening 313 783 29
89301 Liver Function Test* 540 1,350 50
89302 Urea & Electrolytes U's & E's* 243 608 23
89303 Amylase 146 365 14
89304 Glucose 146 365 14

89305 Creatinine 140 351 13
89350 Astrup Blood Gases 135 338 13
89352 Triglycerides 146 365 14
89357 Cholesterol 146 365 14
89359 Calcium 146 365 14
89401 Reducing Substances 54 135 5
89402 Occult Blood 70 176 7
89404 CSF Chem 216 540 20
89491 Hb Electrophoresis 162 405 15
89492 Rapid Antigen Tests 270 675 25

89499 ICT - Malaria 162 405 15
Helicobacter pylori breath test analysis for urease activity, non –radioactive
89555 756 1,890 70
isotope…………………………………………………….
MEDICINE - -
90000 Initial consultation at rooms 864 2,160 80
90001 Subsequent consultation at rooms for same illness 486 1,215 45
90002 Initial consultation at hospital, nursing home or residence 1,188 2,970 110
90003 Subsequent consultation at hospital per day 651 1,628 60
90004 Subsequent consultation at hospital or nursing home - maximum per week 2,695 6,737 250
90011 Initial consultation at rooms (specialist family practitioner) 335 837 31
90012 Subsequent consultation at rooms for same illness (specialist family practitioner) 248 621 23
Subsequent consultation at hospital or nursing home, per day (specialist family
90013 248 621 23
practitioner)
Subsequent consultation at hospital or nursing home - maximum per week

90014 821 2,052 76
(specialist family practitioner)
90015 Initial consultations at rooms 648 1,620 60
90016 Subsequent consultations at rooms for same illness 351 878 33
90017 Initial consultation at hospital or nursing home 648 1,620 60
90018 Subsequent consultation at hospital per day 443 1,107 41
90020 Consultation by specialist pathologist at rooms, hospital, nursing home or residence 270 675 25
90021 Home visit 356 891 33
Consultation by specialist pathologist registered in the sub-speciality haematology,

90023 864 2,160 80
on referral by a specialist physician, rooms, initial
90024 - subsequent, for same illness 486 1,215 45
Consultation by specialist pathologist registered in the sub-speciality haematology,

90025 972 2,430 90
on referral by a specialist physician, at hospital, nursing home or residence, initial
90026 - subsequent 594 1,485 55
90027 - maximum per week 2,700 6,750 250
90031 Subsequent consultation at rooms for same illness 324 810 30
90032 Subsequent consultation at hospital or nursing home, per day 648 1,620 60
90033 Subsequent consultation at hospital or nursing home, per day 378 945 35
90035 subsequent consultation at hospital or nursing home-maximum per week 1,868 4,671 173
90036 Initial consultation by Audiologist 162 405 15

90037 Subsequent Review by Audiologist 108 270 10
90042 Initial consultation at hospital or nursing home 756 1,890 70
90050 Initial consultation at rooms 270 675 25
90051 Subsequent consultation at rooms for same illness 194 486 18
90053 Subsequent consultation at hospital or nursing home - maximum per week 653 1,634 61
90054 Routine visit to nursing home for the aged - maximum of 1 per week - first patient 324 810 30
90055 - each additional patient 162 405 15
Emergency visit to hospital - as per the appropriate home visiting fee for the first
90056 194 486 18
patient, plus appropriate consultation room fee for each additional patient
Where a practitioner has to especially open his rooms outside of his normal
90058 consulting hours to consult with a specific patient on an emergency basis, then such 432 1,080 40
consultation fee is chargeable in accordance with the appropriate home visit fee.
If having opened his rooms in accordance with the provisions under tariff 90058, he
consults with other patients (on an emergency or routine basis), then consultation
90059 194 486 18
fees in respect of such other patients are only chargeable in accordance with tariff
90050
90060 Weekday visit (between 7 am and 5 pm) 427 1,067 40
Weekend or holiday visit - weekend: a call received and a visit made on Saturday
90061 between 1 pm and 5 pm and Sunday between 7 am and 5 pm - holiday: a call 491 1,229 46
received and a visit made between 7 am and 6 pm.
90062 Night visit. 564 1,411 52
In the case of a home visit - where more than one patient is treated in the same
90064 household, the fee shall be as listed in 90060, 90061, and 90062 for the first patient 122 304 11
plus appropriate consultation room fee for each additional patient.
90065 Subsequent visits - maximum per week. 653 1,634 61

90067 Routine visits for chronic disabling illness - first three months - maximum per week. 2,268 5,670 210
90068 - thereafter, two routine visits per week - maximum per week. 1,361 3,402 126
90070 Injection (independent procedure) not requiring consultation 54 135 5
90071 Injection given during consultation - - -
Injection given by Registered General, Enrolled or Certified Nurse (if not immediately
90072 32 81 3
subsequent to a consultation)
Dressing - complex, requiring probing, irrigation, plugging or debridement or a
combination thereof and necessitating the medical practitioner's personal skill. Per
90073 54 135 5
day to a maximum of seven days. (For materials used see 96932). (For General
Rules see 01073)
90075 Dressing - simple - - -
90076 Mantoux or Heaf test - to be included in consultation fee - - -
Urine chemical - by reagent stick, strip, tablet or similar. For use in ante-natal care
90077 32 81 3
only, to a maximum of 7 tests in any one ante-natal period.
90078 Venepuncture or heel prick for pathological investigations 32 81 3

90080 Urine culture, microstix 32 81 3
90081 Urine, pregnancy test 32 81 3
90082 Glucometer-by glucostix 54 135 5
90084 Venepuncture, barrier conditions 32 81 3
90085 GP point of care - Cholera antigen 108 270 10
90086 GP point of care - H.Pylori 76 189 7
90087 GP point of care - HAV lgGM 130 324 12
90088 GP point of care - HCV 76 189 7
90089 GP point of care - HIV 130 324 12
90090 GP point of care - Syphilis 76 189 7

90091 GP point of care - Alpha-Feto protein test 86 216 8
90092 GP point of care - Prostate specific Antigen test 65 162 6
90093 GP point of care - Latex Cryptococcal Ag 76 189 7
90094 GP point of care - Malaria paracheck / test 76 189 7
90095 GP point of care - Hb A1c 162 405 15
90096 Cholesterol-room procedure 108 270 10
90097 HDL- room procedure 54 135 5
90098 TRIG- room procedure 54 135 5
90099 GP point of care - Urea Breath Test 594 1,485 55
90790 Initial consultation at rooms - Psychiatrist 702 1,755 65

90792 Initial consultation at hospital, nursing home or residence 810 2,025 75
90793 Subsequent consultation at hospital, per day 405 1,013 38
90803 Individual therapy, 25 to a maximum of 50 minutes, office 486 1,215 45
90804 - hospital or other facility 529 1,323 49
90806 Individual therapy, 15 - 25 minutes, office 335 837 31
90807 - hospital or other facility 335 837 31
90811 Individual therapy, up to 15 minutes, office 227 567 21
90812 Individual therapy, hospital or other facility 259 648 24

Group therapy (maximum 8 persons per group), per person per session, 45 - 50
90815 140 351 13
minutes, office
Group therapy (maximum 8 persons per group) per person per session, 90 minutes,
90817 227 567 21
office
90836 Convulsive therapy - up to 35 treatments in one year, in-patient 486 1,215 45
90838 - outpatient - up to 35 treatments in one year 486 1,215 45
Psychologic testing, with written report given by or under supervision of psychiatrist,

90841 637 1,593 59
per hour; psychometric test [identify test(s) used]
90842 - projective tests [identify test(s) used] 637 1,593 59
90875 Hypnotherapy 25 - 50 minutes 551 1,377 51
90876 - 15 - 25 minutes 335 837 31

90877 - up to 15 minutes 335 837 31
90955 Cannula insertion for peritoneal dialysis, including removal 97 243 9
90958 - with limited omentectomy 281 702 26
90961 Tenchkoff shunt 356 891 33
90962 Peritoneal dialysis (Removal of cannula or shunt, simple) 2,376 5,940 220
90963 Renal failure, institution of treatment programme, per dialysis 778 1,944 72
90964 Removal of cannula or shunt in an operating theatre and G.A. 184 459 17
90970 Acute renal failure and/or intoxication, initial haemodialysis 1,426 3,564 132
90971 - second haemodialysis 875 2,187 81
90972 - third haemodialysis 875 2,187 81

90973 - fourth haemodialysis through end of second week, per treatment 432 1,080 40
90974 third week through end of sixth week, per treatmeant 216 540 20
90980 Chronic renal failure, initial stabilisation through sixth treatment, per treatment 875 2,187 81
- seventh stabilisation through end of first month of chronic haemodialysis therapy,

90981 324 810 30
per treatment
90982 Haemodialysis in hospital by trained nursing staff under supervision of a physician 194 486 18
Gastric intubation by physician, washings, and preparing slides for cytology

91055 (independent procedure). (Naso-gatric intubation during an anaesthetic is 76 189 7
considered an incidental procedure and an additional charge is not to be made)
91056 Gastric snip ring biopsy 22 54 2
91100 Insertion of Sengstaken tube for intestinal bleeding 130 324 12
91110 Rectal biopsy with suction biopsy capsule 97 243 9
91112 Anus, snip ring biopsy 22 54 2

Determination of refractive state of eyes by general practitioner. Comprehensive
92015 216 540 20
including consultion
92020 Gonioscopy, in select cases only 108 270 10
Peripheral fundus examination with indirect opthalmoscope. Only applicable to initial

92021 108 270 10
consultation
Tonometry, per test to a maximum of two tests in any one year. Only applicable to
92022 108 270 10
initial consultation and glaucoma follow-up.
92023 Keratometry, per test to a maximum of two tests per year 108 270 10
Charting of visual field, Bjerum Screen or automatic recording perimeter, per test to
92024 108 270 10
a maximum of two tests per year
92531 Electronystagmorgraph with caloric test 648 1,620 60
92532 Otoscopy 162 405 15
92533 Labyrinthine caloric test 108 270 10
92535 Brain stem auditory evoked response, single bilateral run 216 540 20
92536 each additional run to a maximum of three, add 108 270 10
92551 Screening test, pure tone ,air only 216 540 20
92552 Pure tone audiometry (threshold), air only 216 540 20
92553 air & bone 281 702 26
92555 Speech audiometry, threshold only 162 405 15
92556 threshold and discrimination 281 702 26
Basic comprehensive audiometry (92553 and 92556 combined), (pure tone, air and
92557 562 1,404 52
bone, and speech, threshold and discrimination)
92560 Bekesey audiometry, screening 216 540 20
92561 Electronystamograph with caloric test/diagnostic 432 1,080 40
92562 Loudness balance test,alternate binaural or monoaural 76 189 7

92563 Tone decay test 76 189 7
92564 Short increment sensitivity index (SISI) 76 189 7
92565 Stengers test ,pure tone 119 297 11
92567 Tympanometry (impedance testing) 248 621 23
92568 Acoustic Reflex testing 173 432 16
92569 Acoustic Reflex delay test 173 432 16
92577 Stengers test ,speech 248 621 23
92582 Conditioning play audiometry 119 297 11
92584 Electrocochleography 648 1,620 60
92585 Brainstem auditory evoked response (evoked response EEG audiometry ) 648 1,620 60
92599 Unlisted ENT Service or procedure BR BR BR
92611 Electronystagmorgraph with caloric test 410 1,026 38
93000 Electrocardiogram with interpretation and report (resting) 454 1,134 42
93005 - tracing only, without interpretation and report 259 648 24
93010 - interpretation and report only 324 810 30
Electrocardiogram with multi-stage treadmill test, including monitoring, interpretation

93015 1,620 4,050 150
and report
93017 - monitoring and tracing only, without interpretation and report 1,188 2,970 110
93018 - interpretation and report only 432 1,080 40
- monitoring, tracing, interpretation and report by physician with use of hospital

93019 756 1,890 70
equipment
93021 Electrocardiogram with resting and limited exercise test, such as step test 799 1,998 74
93022 - tracing only without interpretation and report 378 945 35
93023 - interpretation and report only 454 1,134 42
Electrocardiogram, tracing and interpretation of report by physician with used of

93024 454 1,134 42
hospital equipment
Provision of electrocardiogram equipment and material by hospital (only) where

93025 130 324 12
tracing is undertaken by physician personally
Phonocardiogram with ECG lead, with supervision during recording with

93201 680 1,701 63
interpretation and report (when equipment is supplied by the physician)
Electrocardiogram monitoring utilising a sytem such as magnetic tape, for up to 12

93270 2,009 5,022 186
hours, includes recording, scanning analysis, interpretation and report
93274 - 12 through 24 hours recording 2,797 6,993 259
93278 - 24 through 72 hours recording 3,370 8,424 312
93501 Right heart catherization only 551 1,377 51
93502 - His bundle recording only 367 918 34

- placement of flow directed catheter (with or without balloon tip) only, when placed
93503 292 729 27
for monitoring purposes or angiography
93505 Endocardial biopsy 508 1,269 47
Left heart catheterization, retrograde, from the brachial artery, axillary artery or
93510 508 1,269 47
femoral artery percutaneous
93511 - by cutdown 583 1,458 54
93514 - by left ventricular puncture 583 1,458 54
93515 - by trans-septal venous catheterization 583 1,458 54
93524 Combined trans-septal and retrograde left heart cathererization 734 1,836 68
93526 Combined right heart catheterization and retrograde left heart catheterization 1,026 2,565 95
Combined right heart catheterization and trans-septal left heart catheterization (with
93527 1,102 2,754 102
or without retrograde left heart catheterization)
Combined right heart catheterization with left ventricular puncture (with or without
93528 1,102 2,754 102
retrograde left heart catheterization)
93541 Injection procedure during cardiac catheterization for pulmonary angiography 216 540 20
93542 - for selective right ventricular or right atrial angiography 216 540 20
93543 - for selective left ventricular or left atrial angiography 292 729 27
93544 - for aortography 367 918 34
- for selective coronary angiography (injection of radio-opaque material may be by

93545 432 1,080 40
hand)
93546 Combined left heart catheterization and left ventricular angiography 659 1,647 61
Combined left heart catheterization, selective coronary angiography, and selective

93547 left ventricular angiography (this code number is to be used when procedure 93510 1,026 2,565 95
is combined with procedures 93543 and 93545)
Combined left heart catheterization, selective coronary angiography, selective left

93548 1,166 2,916 108
ventriculography and aortic root aotography
Combined right and left heart catheterization selective coronary angiography and
93549 selective left ventricular angiography (this code number is to be used when 1,469 3,672 136
procedure 93547 is combined with right heart catheterization)
Indicator dilution studies such as dye or thermal dilution, including arterial and
93561 432 1,080 40
venous catheterization, with cardiac output measurement (independent procedure)
93562 - subsequent measurement of cardiac output 108 270 10
First day - for each total 15 minutes actual Intensive Care attendance with the
93570 2,160 5,400 200
patient to maximum of one hour.
- for each total 15 minutes actual attendance with the patient to a maximum of two
93571 216 540 20
hours
Second and third days - for each total 15 minutes actual attendance with the patient
93572 1,620 4,050 150
to a maximum of three hours per day
Fourth to seventh days - for each total 15 minuts actual attendance with the patient
93573 216 540 20
to a maximum of two hours per day, add (BR)
93574 Over seven days. BR BR BR
Re-admission to Unit - for each total 15 minutes actual attendance with the patient to
93575 216 540 20
a maximum of two hours per day for five days
93576 - over five days. BR BR BR
93580 Consultation, initial three days, per visit to a maximum of two visits per day 216 540 20
- subsequent, per day to a maximum of one visit per day for seven days where no
93581 216 540 20
surgery is undertaken
93582 - subsequent, pre-operative, per day to a maximum one visit per day for four days 216 540 20
- subsequent, post-operative in the absence of irreversible disease, per day to a

93583 216 540 20
maximum of one visit per day for seven days
93590 - for the first forty-eight hours thereafter, per quarter of an hour 205 513 19
93591 - fee for service basis thereafter. FFS FFS FFS
94000 Peak flow - maximum per day 11 27 1
Vital capacity, with expiratory flow determinations and/or flow volume loop with
94001 54 135 5
interpretation and report (Spirogram)
94002 - tracing only, without interpretation and report 32 81 3
94003 - interpretation and report only 162 405 15
94010 Pulmonary function test with vitallometer 302 756 28
94011 Forced expiratory volumes (F.E.V.O.5.F.E.V.I.O, etc) 65 162 6

Gas distribution. Closed circuit method (lung clearance method or single breath
94012 140 351 13
oxygen curve)
94013 Lung volumes. Closed circuit method or body plythyssograph 302 756 28
94014 Air-way resistance and conductance using body plythyssograph 302 756 28
94015 Compliance and resistance using oesophageal balloon 302 756 28
Exercise testing with a combination of the following measurements; pulse, oxygen

94016 302 756 28
uptake, ventilation, respiratory quotient, blood gases, compliance and resistance
94017 For complete pulmonary function battery, including the above 562 1,404 52
94019 Diffusion tests or equivalents 302 756 28
When using hospital equipment a 25% reduction will be granted on the above
94020 - - -
pulmonary function test
95005 Scratch or puncture test, unit charge per test - -
95006 - minimum unit charge 151 378 14

95019 Intradermal test, unit charge per test 302 756 28
95039 Patch test, unit charge per test 216 540 20
95045 Prick test, unit charge per test - -
95047 Punch biopsy 311 777 29
95050 Bilharzia skin test 11 27 1
95819 Electro-encephalogram (EEG), standard or portable same facility 1,080 2,700 100
95821 - portable, to an alternate facility 1,620 4,050 150

95822 - sleep 1,620 4,050 150
95823 - physical or pharmacological, activation 1,620 4,050 150
95824 - celebral death evaluation recording 1,620 4,050 150
95826 - intra-cerebral (depth) EEG 1,620 4,050 150
95828 - extended monitoring, greater than 1 hour 3,067 7,668 284
95829 - extended monitoring, 8 hours continous 4,730 11,826 438
95831 - sphenoidal recording, including insertion of electrode 1,620 4,050 150
95833 - interpretation of record 1,080 2,700 100
95836 Polysomnography; overnight sleep staging (digital) including interpretation of record 5,162 12,906 478
Multiple sleep latency testing, including recording, analysis and interpretation of

95837 4,320 10,800 400
record
95842 Nerve conduction studies 907 2,268 84
95845 Somatosensory evoked potentials 1,674 4,185 155
95848 Visual evoked potentials; unilateral 1,771 4,428 164
95849 - bilateral 3,067 7,668 284
95851 Auditory evoked potentials and/or testing of the central nervous system 1,393 3,483 129
95860 Electromyography, one extremity and related paraspinal areas 1,080 2,700 100
95861 - two extremities and related paraspinal areas 1,944 4,860 180
95863 - three extremities and related paraspinal areas 2,376 5,940 220
95864 - four extrimites and related paraspinal areas 2,808 7,020 260
95867 Cranial nerve supplied muscles, unilateral. BR BR BR

95868 - bilateral. BR BR BR
- limited study of specific muscles, eg. external anal sphincter, thoracic spinal
95869 BR BR BR
muscles, etc.
95870 - interpretation of record 1,080 2,700 100
95880 Tensilon test for Myasthenia Gravis 270 675 25
96000 Cardio-pulmonary resuscitation, e.g. cardiac arrest 2,160 5,400 200
96010 Nebulisation 15-30 minutes 54 135 5
Electrical conversion of arrhythmia, external (independent, elective or semi-elective

96020 216 540 20
procedure)
Chemical conversion of arrhythmia requiring intravenous bolus of anti-arrhythmia

96021 43 108 4
agent (to a maximum of three) per bolus
Therapy prepared and administered parenterally by the medical practitioner. Per
96030 day to a maximum of six days per week. Including venepuncture and not applicable 32 81 3
to an intensive care situation. Appropriate consultation fee plus
96055 Injection of intrathecal chemotherapeutic agent, administered by physician 76 189 7
96090 Gastric lavage, therapeutic - detention time plus FFS FFS FFS
96100 Desensitisation injection 32 81 3
96250 Hypothermia, regional 259 648 24
96450 Phlebotomy, therapeutic (independent procedure) 32 81 3
96451 Bone marrow - aspiration 65 162 6
96452 Radioscopy of chest 43 108 4
Morphine saturation test - morphine injection (plus intravenous infusion as per item
96460 32 81 3
36410)
96461 For each 15 minutes in attendance up to a maximum of 45 minutes 32 81 3

Pentothal saturation test - pentothal injection (plus intravenous infusion as per item
96462 32 81 3
36410)
96463 For each 15 minutes in attendance up to a maximum of 30 minutes 32 81 3
Cost of material, excluding local anaesthetic (see 96470), for minor procedure under
96465 At cost At cost At cost
local anaesthetic undertaken in rooms. Invoices to be attached.
96470 Local anaesthetic, including anaesthetic agent 32 81 3
96475 Venesection pack for therapeutic phlebotomy At cost At cost At cost
Abstract from clinical records or report supplied at the request of a medical aid
96480 54 135 5
society and with the patient's prior agreement. Not applicable to BR items.
96900 Actinotherapy (Ultraviolet light), local 22 54 2
96905 - general 54 135 5
96906 - to part or whole of body, administrated by trained nurse 22 54 2
Dressing materials used, or a combination thereof, including therapeutic bandages,

96932 At cost At cost At cost
etc to a maximum of seven dressings per lesion
Superficial or orthovoltage (under 600 KVP) dermatoses, 3 fields or less, per
96940 54 135 5
treatment
96941 - more than 3 fields, per treatment 65 162 6
96942 - other benign lesions, 3 fields or less, per treatment 65 162 6
96944 - super voltage (600 KVP - 2MeV) malignant lesion per course of treatment 346 864 32
General Practitioners. Per km travelled. Applicable to all domiciliary visits and

96991 emergency visits to hospitals and nursing homes. Emergency visits to consulting 3 8 0.31
rooms, by report. If second visit made en route, no additional charge may be raised
Specialists. Per km travelled. Applicable to all emergency hospital visits outside
normal working hours (weekdays 5pm - 7am, weekends Saturday 1pm - Monday
96993 3 8 0.31
7am, public holidays 7am - 5pm). Time to be specified. If second patient seen, no
additional
97600 Initial Consultation. 270 675 25
97601 Initial Consultation. 54 135 5
97602 Subsequent Consultation 194 486 18
Wound Treatment for complicated wound or potentially complicated wounds in

patient with metabolic conditions. -Patients requiring compression bandaging,
97603 162 405 15
debridement , off loading .Ongoing wound re-assessment and education with every
visit
Per specimen. This included correct collection of material, swab or tissue,
97604 32 81 3
completion of documentation
97605 Simple dressing (Conventional Dressing) 54 135 5
97606 Advanced Wound Care Dressing 162 405 15
97607 Short Compression-(2-3 bandages layers) 162 405 15
97608 Full Compression (4-6 bandages layers) 194 486 18
97609 Compression with drainage 238 594 22
Negative pressure wound therapy (e.g., vacuum assisted drainage collection),

utilizing durable medical equipment (DME), including topical application(s), wound
97610 162 405 15
assessment, and instruction(s) for ongoing care, per session; total wound(s) surface
area less than or equal to 50 square centimeters
97611 total wound(s) surface area greater than 50 square centimeters 248 621 23
Negative pressure wound therapy, (e.g., vacuum assisted drainage collection),

utilizing disposable, non-durable medical equipment including provision of exudates
97612 248 621 23
management collection system, topical application(s), wound assessment, and
instructions for ongoing care, per session; total wounds(s) surface area less than or
97613 total wounds(s) surface area greater than 50 square centimeters 248 621 23
ANAESTHETICS - -
99501 Amputation, digits 1,674 4,185 155
99502 Depo medrol injection 1,674 4,185 155
99503 Excision ganglion 1,674 4,185 155
99504 Foreign body removal 1,674 4,185 155
99505 Incision and drainage, digits 1,674 4,185 155
99506 In-growing toe nails 1,674 4,185 155
99507 K-wire removal 1,674 4,185 155
99508 Manipulation under anaesthetic and plaster of Paris 1,674 4,185 155
99509 Planter warts 1,674 4,185 155
99515 Carpal tunnel release 2,538 6,345 235
99516 Excision of bursae 2,538 6,345 235
99517 Excision of lipoma 2,538 6,345 235
99518 Arthroscopy 3,348 8,370 310
99519 Arthrotomy 3,240 8,100 300
99520 Incision and drainage myositic abscess 3,240 8,100 300
99521 K-nail removal 3,240 8,100 300
99522 Removal of plate and screws 3,240 8,100 300
99523 Sequestrectomy 3,240 8,100 300

99524 Split-skin graft/debridement 3,240 8,100 300
99525 Tendon repairs 3,240 8,100 300
99531 Amputation of limbs 4,860 12,150 450
99532 Dynamic condylar screw removal 4,860 12,150 450
99533 Dynamic hip screw removal 4,860 12,150 450
99534 K-nail insertion 4,860 12,150 450
99535 Medical soft tissue release 4,860 12,150 450
99536 Open reduction and internal fixation, arm/leg 4,860 12,150 450
99537 Open rediction and internal fixation clavicle 4,860 12,150 450
99538 Open reduction and internal fixation, femur 4,860 12,150 450
99545 G-K nail insertion 7,560 18,900 700
99546 Dynamic condylar screw insertion 7,560 18,900 700
99547 Dynamic hip screw insertion 7,560 18,900 700
99548 Hemiarthroplasty 7,560 18,900 700
99549 Multiple trauma 7,560 18,900 700
99550 Total hip replacement 8,640 21,600 800
99551 Total knee replacement 8,640 21,600 800
99561 Chalazion 1,674 4,185 155
99562 Conjunctival mass excision 1,674 4,185 155
99563 Examination under anaesthetic/fundoscopy 1,674 4,185 155

99564 Pterygectomy 1,674 4,185 155
99565 Syringing and probing 1,674 4,185 155
99571 Foreign body removal 2,484 6,210 230
99572 Gundason flap 2,484 6,210 230
99573 Keratectomy 2,484 6,210 230
99574 Anterior vitrectomy 3,348 8,370 310
99575 Cataract 3,348 8,370 310
99576 Corneal repair 3,348 8,370 310
99577 Cryotherapy 3,240 8,100 300
99578 Ectropion/entropion 3,240 8,100 300

99579 Enucleation 3,348 8,370 310
99580 Ptosis 3,348 8,370 310
99581 Squint 3,348 8,370 310
99582 Tarsorrhaphy 3,240 8,100 300
99583 Trabeculectomy 3,240 8,100 300
99591 Cornael grafting 4,860 12,150 450
99592 Exenteration 4,860 12,150 450
99593 Dacryocystorhinostomy 4,320 10,800 400
99594 Pars plana vitrectomy 4,320 10,800 400
99595 Retinal detachment 4,320 10,800 400

99596 Silicon oil removal 4,320 10,800 400
99601 Dental wire removal 1,620 4,050 150
99602 Biopsy lesion in mouth 2,376 5,940 220
99603 Cyst enucleation 2,376 5,940 220
99605 Fillings extraction 3,240 8,100 300
99606 Orbit 4,320 10,800 400
99607 Parotid tumour 4,320 10,800 400
99608 Cleft lip/palate 4,320 10,800 400
99609 Palatal tumour 4,320 10,800 400
99615 Excision of maxillary/mandibular tumuors 6,480 16,200 600

99616 Fractures, facial bones 6,480 16,200 600
99621 Anal dilatation 1,620 4,050 150
99622 Cautery of warts 1,620 4,050 150
99623 Circumcision 1,674 4,185 155
99624 Colonoscopy 1,620 4,050 150
99625 Fissure-in-ano 1,620 4,050 150
99626 Ganglion excision 1,620 4,050 150
99627 Haemorroids 1,620 4,050 150
99628 Proctoscopy 1,620 4,050 150
99629 Sigmoidoscopy 1,620 4,050 150

99630 Breast biopsy 1,674 4,185 155
99631 Bursae 1,674 4,185 155
99632 Incision and drainage of abscess 1,620 4,050 150
99633 Lipoma 1,674 4,185 155
99641 Appendicectomy 2,484 6,210 230
99642 Incisional hernia 2,484 6,210 230
99643 Inguinal hernia 2,484 6,210 230
99644 Split-skin graft/debridement 2,484 6,210 230
99645 Umbilical hernia 2,484 6,210 230
99651 Colostomy 3,348 8,370 310

99652 Exploratory laparotomy 3,348 8,370 310
99653 Mastectomy (radical) 3,348 8,370 310
99654 Mastectomy (simple) 3,348 8,370 310
99655 Parotidectomy and nerve dissection 3,348 8,370 310
99656 Parotidectomy (superficial) 3,348 8,370 310
99657 Thyroid surgery 4,860 12,150 450
99658 Bowel obstruction 4,860 12,150 450
99659 Cholecystectomy 4,860 12,150 450
99660 Gastrectomy 4,860 12,150 450
99661 Hemicolectomy 4,860 12,150 450

99665 Liver surgery 10,260 25,650 950
99666 Abdominoperineal resection 10,260 25,650 950
99667 Oesophagectomy 11,880 29,700 1,100
99668 Phaeochromocytoma 12,960 32,400 1,200
99681 Cautery of warts 1,674 4,185 155
99682 Circumcision 1,674 4,185 155
99683 Cystoscopy 1,674 4,185 155
99684 Examination under anaethetic 1,674 4,185 155
99685 J J stent insertion 1,674 4,185 155
99686 J J stent removal 1,674 4,185 155

99687 Optical internal urethrotomy 1,674 4,185 155
99688 Testicular biopsy 1,674 4,185 155
99695 Orchidectomy 2,538 6,345 235
99696 Orchidopexy 2,538 6,345 235
99697 Retrograde urogram 2,538 6,345 235
99698 Vasectomy 2,538 6,345 235
99705 Bladder neck dissection/resection 2,538 6,345 235
99706 Hypospadias repair 2,538 6,345 235
99707 Transuretheral resection of prostate 2,538 6,345 235
99708 Transvesical prostatectomy 2,538 6,345 235

99715 Nephrectomy 5,400 13,500 500
99716 Pyeloplasty 5,400 13,500 500
99717 Reimplantation of ureters 5,400 13,500 500
99718 Cystectomy 10,800 27,000 1,000
99719 Urinary diversion 10,800 27,000 1,000
99720 Radical prostatectomy 10,800 27,000 1,000
99731 Circumcision, under 6 months 1,836 4,590 170
99732 Circumcision, over 6 months 1,836 4,590 170
99733 Examination under anaesthetic 1,836 4,590 170
99734 Incision and drainage of abscess 1,836 4,590 170

99735 Lumps and bumps 1,836 4,590 170
99736 Rectal biopsy 1,836 4,590 170
99737 Tongue tie 1,836 4,590 170
99741 Hernia repair, under 6 months 3,132 7,830 290
99742 Hernia repair, over 6 months 3,132 7,830 290
99743 Orchidopexy 3,132 7,830 290
99751 Bowel obstruction 4,860 12,150 450
99752 Colostomy 4,860 12,150 450
99753 Intussusception 4,860 12,150 450
99754 Pyloroplasty 4,860 12,150 450

99761 Bowel atresia 10,800 27,000 1,000
99762 Gastroschisis 10,800 27,000 1,000
99763 Anal pull through (PENA pull through) 10,800 27,000 1,000
99764 Tracheoesophageal fistula 15,660 39,150 1,450
99765 Repair of cloaca 15,660 39,150 1,450
99771 Peripheral nerves 2,484 6,210 230
99775 Burr holes, epidural, subdural. Biopsy 5,400 13,500 500
99776 Elevation of depressed fracture 5,400 13,500 500
99777 Ventriculo-peritoneal shunt, adult 5,400 13,500 500
99778 Ventriculo-peritoneal shunt, infant under 6 months 5,400 13,500 500

99779 Ventriculo-peritoneal shunt, infant over 6 months 5,400 13,500 500
99785 Laminectomy 7,560 18,900 700
99786 Cervical fusion 8,424 21,060 780
99791 Craniotomy for tumour 11,880 29,700 1,100
99792 Posterior fossa surgery 11,880 29,700 1,100
99793 Transphenoidal procedures 11,880 29,700 1,100
99801 A-port insertion 1,620 4,050 150
99802 Bronchoscopy and biopsy 2,484 6,210 230
99803 Bronchoscopy and lavage 2,484 6,210 230
99804 Oesophagoscopy 2,484 6,210 230

99805 Thoracoscopy 2,484 6,210 230
99811 Lobectomy 5,400 13,500 500
99812 Pulmonary segmentectomy 5,400 13,500 500
99815 Pneumonectomy 11,880 29,700 1,100
99816 Mediastinal surgery, other 10,260 25,650 950
99817 Valvotomy 11,880 29,700 1,100
99818 Pericardectomy 7,560 18,900 700
99819 Pericardial window 7,560 18,900 700
99820 Oesophagectomy 11,880 29,700 1,100
99825 Peripheral endarterectomy 6,264 15,660 580

99826 Aortofemoral graft 8,424 21,060 780
99827 Aortoiliac graft 8,424 21,060 780
99828 Carotid endarterectomy 8,424 21,060 780
99829 Coarctation of aorta 8,424 21,060 780
99830 Femorofemoral 8,424 21,060 780
99831 Femoropopliteal 8,424 21,060 780
99832 Iliofemoral 8,424 21,060 780
99833 Patent ductus arteriosus ligation 10,476 26,190 970
99834 Aortic aneurysm 11,880 29,700 1,100
99841 Open heart surgery 18,900 47,250 1,750

99851 Bartholins abscess 1,620 4,050 150
99852 Cautery of warts 1,620 4,050 150
99853 Cervical surgery 1,620 4,050 150
99854 Dilatation and curettage 1,620 4,050 150
99855 Evacuation of uterus 1,620 4,050 150
99856 Intra-uterine contraceptive device, insertion 1,620 4,050 150
99857 Intra-uterine contraceptive device, removal 1,620 4,050 150
99861 Laparoscopy and dye studies 2,484 6,210 230
99862 Laparoscopy 2,484 6,210 230
99863 Mini-laparotomy 2,484 6,210 230

99864 Perineal repair 2,484 6,210 230
99865 Tubal ligation 2,484 6,210 230
99871 Caesarian section 3,348 8,370 310
99872 Ectopic (not ruptured) 3,348 8,370 310
99873 Laparotomy 3,348 8,370 310
99874 Myomectomy 3,348 8,370 310
99875 Ovarian cystectomy 3,348 8,370 310
99881 Ectopic (ruptured) 4,860 12,150 450
99882 Eclampsia 4,860 12,150 450
99883 Ruptured uterus 4,860 12,150 450

99884 Total abdominal hysterectomy 4,860 12,150 450
99891 Excision polydactaly/syndactaly 1,620 4,050 150
99892 Excision of benign/malignant skin lesions 1,620 4,050 150
99893 Excision small keloid scar 1,620 4,050 150
99894 Repair small wound 1,620 4,050 150
99895 Excision extensive keloid scar 2,484 6,210 230
99901 Release ectropion 3,240 8,100 300
99902 Release of contracture/split-skin graft 3,348 8,370 310
99903 Rotation flaps (minor) 3,348 8,370 310
99904 Complex skin repairs 3,348 8,370 310

99911 Cleft lip and/palate 5,940 14,850 550
99912 Rotation flaps (major) 5,940 14,850 550
99915 Chin/neck lift only 5,940 14,850 550
99916 Eye lids only 5,940 14,850 550
99917 Mastectomy for gynaecomastia 5,940 14,850 550
99918 Face lift 8,640 21,600 800
99919 Liposuction 8,640 21,600 800
99920 Abdominoplasty 9,720 24,300 900
99921 Reduction mammoplasty 9,720 24,300 900
99931 Antrum washout 1,620 4,050 150

99932 Excision of nasal polyps 1,620 4,050 150
99933 Foreign body removal in nose/ear 1,620 4,050 150
99934 Grommets/tympanotomy 1,620 4,050 150
99935 Lymph node biopsy 1,620 4,050 150
99936 Myringotomy 1,620 4,050 150
99937 Otoscopy 1,620 4,050 150
99941 Adenoidectomy 2,592 6,480 240
99942 Laryngoscopy 3,240 8,100 300
99943 Parotidectomy 3,240 8,100 300
99944 Sinusotomy 3,240 8,100 300

99945 Tonsillectomy 3,240 8,100 300
99946 Turbinectomy 3,240 8,100 300
99947 Tympanoplasty 3,240 8,100 300
99948 Cochlear implant surgery 22,680 56,700 2,100
99951 Epistaxis control 2,592 6,480 240
99952 Ethmoidectomy 2,592 6,480 240
99953 Functional endoscopic sinus surgery 4,320 10,800 400
99954 Mastoidectomy 2,592 6,480 240
99955 Maxillectomy 2,592 6,480 240
99956 Rhinoplasty 2,592 6,480 240

99957 Tracheostomy 2,592 6,480 240
99961 Excision of laryngeal papillomata 5,400 13,500 500

99962 Laryngectomy 5,400 13,500 500
99963 Neck dissection 5,400 13,500 500
99964 Pharyngoplasty 2,592 6,480 240

CIMAS ZRVS TARIFF EFFECTIVE 1 APRIL 2020

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CIMAS ZRVS TARIFF EFFECTIVE 1 APRIL 2020

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CIMAS ZRVS TARIFF EFFECTIVE 1 APRIL 2020

STANDARD COMPREHENSIVE HEALTHGUARD

ZWL ZWL USD

10001 - second lesion 86 216 8

10002 - over two, each additional lesion 32 81 3

Incision and drainage of infected or non-infected epithelial inclusion cyst

10020 Incision and drainage of furuncle 140 351 13

Acne surgery (eg. marsupialization, opening or removal of multiple milia,

10061 - under general anaesthetic 1,953 4,883 181

10100 Drainage of onychia or paranychia: simple 108 270 10

10101 - multiple or complicated 86 216 8

10121 - complicated 2,444 6,110 226

10140 Drainage of haematoma: simple 1,343 3,357 124

10141 - under general anaesthetic 324 810 30

Biopsy of skin or subcutaneous tissue (including simple closure), unless otherwise

11101 - each additional lesion 406 1,016 38

11102 Biopsy, punch 86 216 8

11201 - each additional 10 lesions 377 943 35

11400 - lesion diameter up to 0.5 cm 987 2,469 91

11401 - lesion diameter 0.5 to 1.0 cm 1,302 3,256 121

11402 - lesion diameter 1.0 to 2.0 cm 1,575 3,938 146

11403 - each additional 2 cm or part thereof add 1,908 4,771 177

11421 - lesion diameter 0.5 up to 1.0 cm 1,440 3,601 133

11422 - lesion diameter 1.0 to 2.0 cm 1,697 4,244 157

11423 - each additional 2 cm or part thereof add 2,132 5,331 197

11430 Lesions less than 3.00 mm in diameter 324 810 30

11431 Lesions up to 0.5 cm in diameter 864 2,160 80

11432 - each additional 0.5 cm or part thereof add 432 1,080 40

11440 - lesion diameter up to 0.5 cm 1,202 3,006 111

11441 - lesion diameter 0.5 cm to 1.0 cm 1,573 3,933 146

11442 - lesion diameter 1.0 to 2.0 cm 1,869 4,672 173

11451 - with complex repair 4,433 11,083 410

11463 - with coplex repair 4,064 10,159 376

Excision of skin and subcutaneous tissue for hydradentis, perianal, perineal, or

11471 - with complex repair 4,537 11,342 420

11600 - lesion diameter up to 0.15 cm 1,656 4,140 153

11601 - lesion diameter 0.5 to 1.0 cm 2,104 5,260 195

11602 - lesion diameter 1.0 to 2.0 cm 2,419 6,048 224

11620 - lesion diameter up to 0.5 cm 1,720 4,299 159

11621 - lesion diameter 0.5 to 1.0 cm 2,283 5,707 211

11622 - lesions diameter 1.0 to 2.0 cm 2,725 6,812 252

11623 - each additional 2 cm or part thereof add 3,282 8,205 304

11640 - lesion diameter up to 0.5 cm 1,964 4,911 182

11641 - lesion diameter 0.5 to 1.0 cm 2,682 6,704 248

11642 - lesion diameter 1.0 to 2.0 cm 3,219 8,048 298

11643 - lesion diameter 0.5 to 1.0 cm 3,807 9,518 353

11732 - each additional nail plate 415 1,039 38

11770 Excision of pilonidal cyst or sinus, simple 3,146 7,865 291

11771 Excision of pilonidal cyst or sinus, extensive 5,954 14,885 551

11900 Injection, intralesional 508 1,270 47

11901 - more than 7 lesions 739 1,848 68

Tattooing, intradermal, introduction of insoluble opaque pigments to correct colour

11921 - 6 to 20 sq cm 2,203 5,508 204

11922 - over 20 sq cm 510 1,276 47

11951 1 to 5 ml 1,357 3,392 126

11952 - 6 to 10 ml 1,719 4,297 159

11953 - over 10 ml 378 945 35

12001 Up to 2.5 cm 1,330 3,324 123

12002 2.5 to 7.5 cm 1,504 3,760 139

12004 7.5 to 12.5 cm 1,871 4,678 173

12005 12.5 to 20 cm 2,384 5,959 221

12006 20 to 30 cm 2,999 7,497 278