Specialist

General  Practitioner

Anaesthetic

U

R

U

R

U

R          T/M

8.1

Oral cavity

1462

Removal of embedded foreign body: vestibule of mouth, simple

41.1

1 212.45

41.1

1 212.45

5

689.30 +T

1464

Removal of embedded foreign body: vestibule of mouth, complicated

73.1

2 156.45

73.1

2 156.45

5

689.30 +T

1466

Removal of embedded foreign body: Dentoalveolar structures, soft tissues

52.8

1 557.60

52.8

1 557.60

5

689.30 +T

1467

Drainage of intra-oral abscess

31

914.50

31

914.50

4

551.44 +T

1469

Local excision of mucosal lesion of oral cavity

23

678.50

23

678.50

4

551.44 +T

1471

Resection of malignant lesion of buccal mucosa including radical neck dissection (Commando operation), but not including reconstructive plastic procedure

549

16 195.50

439.2

12 956.40

7

965.02 +T

1478

Velopharyngeal reconstruction with myoneuro-vascular transfer (dynamic repair)

Pre-authorisation and motivation letter required

240

7 080.00

192

5 664.00

6

827.16 +T

1479

Velopharyngeal reconstruction with or without pharyngeal flap (static repair)

227

6 696.50

181.6

5 357.20

6

827.16 +T

1480

Repair of oronasal fistula (large), e.g. distant flap

tariff code 1480 cannot be used with tariff codes 1481 and 1482

227

6 696.50

181.6

5 357.20

6

827.16 +T

1481

Repair of oronasal fistula (small), e.g. trapdoor: One stage or first stage

tariff code 1481 cannot be used with tariff codes 1480 and 1482

138

4 071.00

120

3 540.00

5

689.30 +T

1482

Repair of oronasal fistula (large), Second stage

tariff code 1482 cannot be used with tariff codes 1480 and 1481

138

4 071.00

120

3 540.00

5

689.30 +T

1483

Alveolar periosteal or other flaps for arch closure

138

4 071.00

120

3 540.00

4

551.44 +T

1486

Closure of anterior nasal floor

138

4 071.00

120

3 540.00

5

689.30 +T

8.2

Lips

1485

Local excision of benign lesion of lip

27

796.50

27

796.50

4

551.44 +T

1499

Lip reconstruction following an injury: Directed repair

May not be used with tariff codes 1501 and 1503 to 1504

105.6

3 115.20

105.6

3 115.20

4

551.44 +T

1501

Lip reconstruction following an injury: Flap repair

May not be used with tariff codes 1499 and 1503 to 1504

206

6 077.00

164.8

4 861.60

4

551.44 +T

1503

Lip reconstruction following an injury only: Total reconstruction (first stage)

May not be used with tariff codes 1499 and 1501 to 1503

206

6 077.00

164.8

4 861.60

4

551.44 +T

1504

Lip reconstruction following an injury only: Subsequent stages (see item 0297)

May not be used with tariff codes 1499 and 1501 to 1503

104

3 068.00

104

3 068.00

4

551.44 +T

8.3

Tongue

1505

Partial glossectomy

225

6 637.50

180

5 310.00

6

827.16 +T

1507

Local excision of lesion of tongue

27

796.50

27

796.50

4

551.44 +T

8.4

Palate, uvula and salivary gland

1526

Total parotidectomy with preservation of facial nerve

359

10 575.75

287

8 460.60

5

682.30 +T

1527

Total parotidectomy

359

10 575.75

287

8 460.60

5

689.30 +T

1531

Drainage of parotid abscess

25

737.50

25

737.50

4

551.44 +T

8.5

Oesophagus

1545

Oesophagoscopy with rigid instrument: First and subsequent

47

1 386.50

47

1 386.50

4

551.44 +T

1550

Oesophagoscopy with removal of foreign body

May not be used with tariff code 1545

70

2 065.00

70

2 065.00

4

551.44 +T

1557

Oesophageal dilatation

Can be used with tariff code 1587

40

1 180.00

40

1 180.00

4

551.44 +T

1563

Hiatus hernia and diaphragmatic hernia repair: With anti-reflux procedure

300

8 850.00

240

7 080.00

11

1516.46 +T

1565

Hiatus hernia and diaphragmatic hernia repair: With Collins Nissen oesophageal lengthening procedure

350

10 325.00

280

8 260.00

11

1516.46 +T

8.6

Stomach

1587

Upper gastro-intestinal endoscopy: Using hospital equipment

48.75

1 438.13

48.75

1 438.13

4

551.44 +T

1589

Endoscopio control of gastro-intestinal haemorrhage from upper gastro-intestinal tract, intestine or large bowel, by injection, ligation or application of energy devices (endoscopic haemostasis): ADD to gastroscopy (tariff code 1587), small bowel endocopy (tariff code 1626) or colonoscopy (tariff code 1653 or tariff code 1656)

+    34

1 003.00

34

1 003.00

6

827.16 +T

1591

Plus removal of foreign body (stomach or small bowel): ADD to gastro-intestinal endoscopy (tariff code 1587) or small bowel endoscopy (tariff code 1626)

+    25

737.50

+    25

737.50

4

551.44 +T

1597

Gastrostomy or Gastrotomy

For Percutaneous Endoscopic Gastrostomy (PEG), use tariff codes 1597 plus 1587 and 1780

147.5

4 351.25

120

3 540.00

6

827.16 +T

1613

Gastroenterostomy

203.6

6 006.20

162.88

4 804.96

6

827.16 +T

1615

Suture of perforated gastric wound or injury

Use tariff code for suturing of the duodenum

200

5 900.00

160

4 720.00

7

965.02 +T

1617

Partial gastrectomy

328.3

9 684.85

262.64

7 747.88

7

965.02 +T

1619

Total gastrectomy

384.43

11 340.69

307.54

9 072.43

7

965.02 +T

1621

Revision of gastrectomy or gastro-enterostomy

375

11 062.50

300

8 850.00

7

965.02 +T

8.7

Duodenum

1626

Endoscopic examination of the small bowel beyond the duodenojejunal flexure (enteroscopy), with or without biopsy: Hospital equipment used (refer to modifier 0074 for the use of own equipment)

120

3 540.00

120

3 540.00

6

827.16 +T

1627

Duodenal intubation (under X-ray screening)

8

236.00

8.8

Intestines

1634

Enterotomy or Enterostomy

202.6

5 976.70

162.08

4 781.36

6

827.16 +T

1637

Operation for relief of intestinal obstruction

240

7 080.00

192

5 664.00

7

965.02 +T

1639

Resection of small bowel with enterostomy or ananstomosis

May not be used with tariff code 1634

244.9

7 224.55

195.92

5 779.64

6

827.16 +T

1642

Gastrointestinal tract imaging, intraluminal (e.g. video capsule endoscopy): Hire fee (tariff code 0201 applicable for video capsule - disposable single patient use) - (Please note: All patients should have had a normal gastroscopy and colonoscopy)

150

4 425.00

120

3 540.00

1643

Gastrointestinal tract imaging, intraluminal (e.g. video capsule endoscopy), oesophagus through ileum: Doctor interpretation and report

90

2 655.00

90

2 655.00

1645

Suture of intestine (small or large): Wound or injury

Appropriate for the suturing of small or large intestines and post operative repair of perforation

185.2

5 463.40

148.16

4 370.72

6

827.16 +T

1647

Closure of intestinal fistula

258

7 611.00

206.4

6 088.80

6

827.16 +T

1653

Total colonoscopy with hospital equipment

90

2 655.00

90

2 655.00

4

551.44 +T

1656

Left-sided colonoscopy

60

1 770.00

60

1 770.00

4

551.44 +T

1657

Right or left hemicolectomy or segmental colectomy

325

9 587.50

260

7 670.00

6

827.16 +T

1661

Colotomy: Including removal of foreign body

205.7

6 068.15

164.56

4 854.52

6

827.16 +T

1663

Total colectomy

390

11 505.00

312

9 204.00

6

827.16 +T

1665

Colostomy or ileostomy isolated procedure

233.8

6 897.10

187.04

5 517.68

6

827.16 +T

1666

Continent ileostomy pouch (all types)

300

8 850.00

240

7 080.00

6

827.16 +T

1667

Colostomy: Closure

179.1

5 283.45

143.28

4 226.76

5

689.30 +T

1668

Revision of ileostomy pouch

375

11 062.50

300

8 850.00

6

827.16 +T

1676

Flexible sigmoidoscopy (including rectum and anus): Using hospital equipment

48.75

1 438.13

48.75

1 438.13

3

413.58 +T

8.9

Rectum and anus

1677

Sigmoidoscopy: First and subsequent, with or without biopsy

13

383.50

13

383.50

3

413.58 +T

1688

Total mesorectal excision with colo-anal anastomosis and defunctioning enterostomy or colostomy

445

13 127.50

356

10 502.00

8

1102.88 +T

1705

Incision and drainage of submucous abscess

40

1 180.00

40

1 180.00

3

413.58 +T

1707

Drainage of submucous abscess

40

1 180.00

40

1 180.00

3

413.58 +T

1737

Dilatation of ano-rectal structure

12.5

368.75

12.5

368.75

3

413.58 +T

1742

Bio-feedback training for faecal incontinence during anorectal manometry performed by doctor

27

796.50

8.10

Liver

1743

Needle biopsy of liver

30.3

893.85

30.3

893.85

3

413.58 +T

1744

Extensive debridement, haemostasis and packing of liver wound or injury

483.8

14 272.10

387.04

11 417.68

13

1792.18 +T

1745

Biopsy of liver by laparotomy

125

3 867.50

120

3 540.00

4

551.44 +T

1747

Drainage of liver abscess

179.1

5 283.45

143.28

4 226.76

7

965.02 +T

1748

Body composition measured by bio-electrical impedance

3

88.50

3

88.50

1749

Hemi-hepatectomy: Right

564

16 638.00

451.2

13 310.40

9

1240.74 +T

1751

Hemi-hepatectomy: Left

521.1

15 372.45

416.88

12 297.96

9

1240.74 +T

1752

Extended right or left hepatectomy

570.9

16 841.55

456.72

13 473.24

9

1240.74 +T

1753

Partial or semental hepatectomy

378

11 151.00

302.4

8 920.80

9

1240.74 +T

1757

Suture of liver wound or injury

214.2

6 318.90

171.36

5 055.12

9

1240.74 +T

1758

Complex suture of liver wound or injury, including hepatic artery ligation

May not be used with tariff code 1757

296.6

8 749.70

237.28

6 999.76

13

1792.18 +T

8.11

Billary tract

1763

With exploration of common bile duct

264.5

7 802.75

211.6

6 242.20

6

827.16 +T

1765

Exploration of common bile duct: Secondary operation

327.7

9 667.15

262.16

7 733.72

6

827.16 +T

1767

Reconstruction of common bile duct

371.7

10 965.15

297.36

8 772.12

6

827.16 +T

8.12

Pancreas

1778

Endoscopic Retrograde Cholangiopancreatography (ERCP: Endoscopy + Catheterisation of pancreas duct or choledochus

106

3 124.05

106

3 124.05

4

551.44 +T

1779

Endoscopic retrograde removal of stone(s) as for biliary and/or pancreatic duct. ADD to ERCP (tariff code 1778)

16

466.69

16

466.69

4

551.44 +T

1780

Gastric and duodenal intubation

Code is not appropriate if gastric intubation forms part of anaesthetic indications

8

236.00

8

236.00

1791

Local, partial or subtotal pancreatectomy

351

10 363.35

281

8 290.68

8

1102.88 +T

1793

Distal pancreatectomy with internal drainage

377

11 133.30

302

8 906.64

8

1102.88 +T

8.13

Peritoneal cavity

1797

Pneumo-peritoneum: First

May not be used with tariff codes 1807 and 1797

13

383.50

13

383.50

4

551.44 +T

1799

Pneumo-Peritoneum: Repeat

May not be used with tariff codes 1807 and 1799

6

177.00

6

177.00

4

551.44 +T

1800

Peritoneal lavage

Appropriate when washing peritoneal cavity in cases of severe contamination

20

590.00

20

590.00

1801

Diagnostic paracentesis: Abdomen

8

236.00

8

236.00

1803

Therapeutic paracentesis: Abdomen

Appropriate for draining ascitic fluid from abdomen

13

383.50

13

383.50

1807

Add to open procedure where procedure was performed through a laparoscope (for anaesthetic refer to modifier 0027)

+     45

1 327.50

45

1 327.50

5

689.30 +T

1809

Laparotomy

If laparotomy is followed by an indicated intra-abdominal procedure, the tariff code with more RVUs should be used, and not both.

Includes peritoneal lavage.

No extra charge will be levied for the incision and closure of the abdomen for all intra-abdominal procedure.

196

5 782.00

156.8

4 625.60

4

551.44 +T

1811

Suture of burst abdomen

Includes peritoneal lavage.

188.3

5 554.85

150.64

4 443.88

7

965.02 +T

1812

Laparotomy for control of surgical haemorrhage

Includes peritoneal lavage.

105

3 097.50

105

3 097.50

9

1240.74 +T

1813

Drainage sub-phrenic abscess

180

5 310.00

144

4 248.00

7

965.02 +T

1815

Drainage of other intraperitoneal abscess (excluding appendix abscess): Transabdominal

May be used with tariff code 1637 if appropriate.

248.4

7 327.80

198.72

5 862.24

5

689.30 +T

1817

Drainage of intraperitoneal abscess (excluding appendix abscess)

Transrectal drainage of a pelvic abscess

75

2 212.50

75

2 212.50

4

551.44 +T