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Doctors Gazette 2021

Part lll : Procedures

3. Musculo-Skeletal System

3.4 Muscles, tendons and fascias

 

 

 

Specialist

General Practitioner

Anaesthetic

U/E

R

U/E

R

U/E

R          T/M

3.4

Muscles, tendons and fascias

 

 

 

 

 

 

3.4.1

Investigations

 

 

 

 

 

 

0713

Electromyography

75

2 127.75

75

2 127.75

3

397.68 +T    

0714

Electro-myographic neuro-muscular junctional study, including edrophonium response (not to be used with item 2730)

57

1 617.09

57

1 617.09

3

397.68 +T    

0715

Strength duration curve per session

10.5

297.89

10.5

297.89

3

397.68 +T    

0717

Electrical examination of single nerve or muscle

9

255.33

9

255.33

3

397.68 +T    

0721

Voltage integration during isometric contraction

12

340.44

12

340.44

3

397.68 +T    

0723

Tonometry with edrophonium

8

226.96

8

226.96

3

397.68 +T    

0725

Isometric tension studies with edrophonium

10

283.70

10

283.70

3

397.68 +T    

0727

Cranial reflex study (both early and late responses) supra occulofacial, comefacial or flabellofacial: Unilateral

8

226.96

8

226.96

3

397.68 +T    

0728

Cranial reflex study (both early and late responses) supra occulofacial, corneofacial or flabellofacial : Bilateral

14

397.18

14

397.18

3

397.68 +T    

0729

Tendon reflex time

7

198.59

7

198.59

3

397.68 +T    

0730

Limb-brain somatosensory studies (per limb)

49

1 390.13

49

1 390.13

3

 397.68 +T    

0731

Vision and audiosensory studies

49

1 390.13

49

1 390.13

 

 

0733

Motor nerve conduction studies (single nerve)

26

737.62

26

737.62

 

 

0735

Examinations of sensory nerve conduction by sweep averages (single nerve)

31

879.47

31

879.47

3

397.68 +T    

0737

Biopsy for motor nerve terminals and end plates

20

567.40

20

567.40

3

397.68 +T  

0739

Combined muscle biopsy with end plates and nerve terminal biopsy

34

964.58

34

964.58

8

1060.48 +T    

0740

Muscle fatigue studies

20

567.40

20

567.40

3

397.68 +T    

0741

Muscle biopsy

20

567.40

20

567.40

8

1060.48 +T    

0742

Global fee for all muscle studies, including histochemical studies

262

7 432.94

 

 

 

 

4701

Biochemical estimations on muscle biopsy specimens: Creatine kinase

20.25

574.49

 

 

 

 

4703

Biochemical estimations on muscle biopsy specimens: Adenylale kinase

33.3

944.72

 

 

 

 

4705

Biochemical estimations on muscle biopsy specimens: Pyruvate kinase

5.7

161.71

 

 

 

 

4707

Biochemical estimations on muscle biopsy specimens: Lactate dehydrogenase

1.6

45.39

 

 

 

 

4709

Biochemical estimations on muscle biopsy specimens: Adenylate deaminase

9.9

280.86

 

 

 

 

4711

Biochemical estimations on muscle biopsy specimens:  Phosplagycerate kinase

13.7

388.67

 

 

 

 

4713

Biochemical estimations on muscle biopsy specimens: Phosphoglycerate mutase

25.9

734.78

 

 

 

 

4715

Biochemical estimations on muscle biopsy specimens: Enolase

32.7

927.70

 

 

 

 

4717

Biochemical estimations on muscle biopsy specimens: Phospholructokinase

37.7

1 069.55

 

 

 

 

4719

Biochemical estimations on muscle biopsy specimens: Aldolase

15.75

446.83

 

 

 

 

4721

Biochemical estimations on muscle biopsy specimens: Gyceraldehyde 3 Phosphate Dehydrogenase

11.06

313.77

 

 

 

 

4723

Biochemical estimations on muscle biopsy specimens: Phosphorylase

34.7

984.44

 

 

 

 

4725

Biochemical estimations on muscle biopsy specimens: Phosphoglucomutase

40.3

1 143.31

 

 

 

 

4727

Biochemical estimations on muscle biopsy specimens: Phosphohexose Isomerase

28.8

817.06

 

 

 

 

 

 

 

 

 

 

 

 

3.4.2

Decompression Operations

 

 

 

 

 

 

0743

[DELETED 2015] Refer to items 5550-5563: Major Compartemental Decompression

 

 

 

 

 

 

0744

[DELETED 2015] Refer to items 5550-5563: Decompression operation: Fasciotomy only

 

 

 

 

 

 

5550

Decompression fasciotomy: Buttock compartment(s): Unilateral

243

6 893.91

194.4

5 515.13

5

662.80 +T=M

5551

Decompression fasciotomy: Leg: Anterior and/or lateral and posterior compartment(s). EXCLUDES debridement of nonviable muscle and/or nerve

151.9

4 309.40

121.52

3 447.52

3

397.68 +T+M

5552

Decompression fasciotomy: Leg: Anterior and/or lateral and posterior compartment(s). INCLUDES debridement of nonviable muscle and/or nerve

253.1

7 180.45

202.48

5 744.36

3

397.68 +T+M

5553

Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) only. EXCLUDES debridement of nonviable muscle and/or nerve

123.7

3 509.37

120

3 404.40

3

397.68 +T+M

5554

Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) only. INCLUDES debridement of nonviable muscle and/or nerves

162.1

4 598.78

129.68

3 679.02

3

397.68 +T+M

5555

Decompression fasciotomy: Leg: Posterior compartment only. EXCLUDES debridement of nonviable muscle an/or nerve

130.8

3 710.80

120

3 404.40

3

397.68 +T+M

5556

Decompression fasciotomy: Leg: Posterior compartment only. INCLUDES debridement of nameable muscle and/or nerve

171.5

4 865.46

137.2

3 892.36

3

397.68 +T+M

5557

Decompression fasciotomy: fasciotomy/tenotomy, iliotibial

137.3

3 895.20

120

3 404.40

4

530.24 +T+M

5558

Decompression fasciotomy: Fasciotomy: Foot and/or toe

86.6

2 456.84

86.6

2 456.84

3

397.68 +T+M

5559

Decompression fasciotomy: Forearm and/or wrist: Flexor and extensor compartment. EXCLUDES debridement of nonviable muscle or nerve

226.3

6 420.13

181.04

5 136.10

3

397.68 +T+M

5560

Decompresson fasclotomy: Forearm and/or wrist: Flexor and extensor compartment, INCLUDES debridement of nonviable muscle or nerve

354.5

10 057.17

283.6

8 045.73

3

397.68 +T+M

5561

Decompression fasciotomy: Forearm and/or wrist: Flexor or extensor compartment. EXCLUDES debridement of nonviable muscle or nerve

166.8

4 732.12

133.44

3 785.69

3

397.68 +T+M

5562

Decompression fasciotomy: Forearm and/or wrist: Flexor or extensor compartment. INCLUDES debridement of nonviable muscle or nerve

321.1

9 109.61

256.88

7 287.69

3

397.68 +T+M

5563

Decompression fasciotomy: Fingers and/or hand

165.6

4 698,07

132.48

3 758.46

3

397.68 +T+M

 

 

 

 

 

 

 

 

3.4.3

Muscle and tendon repair

 

 

 

 

 

 

0745

Muscle and tendon repair: Biceps humeri

109

3 092.33

109

3 092.33

3

397.68 +T    

0746

Muscle and tendon repair: Removal of calcification in Rotator cuff

96

2 723.52

96

2 723.52

3

397.68 +T+M

0747

Muscle and tendon repair: Rotator cuff

134

3 801.58

120

3 404.40

4

530.24 +T    

0748

Muscle and tendon repair: Debridement rotator cuff

139.7

3 963.29

120

3 404.40

4

530.24 +T    

0749

Muscle and tendon repair. Scapulopexy - stand alone procedure

271.90

7 713.80

217.52

6 171.04

4

530.24 +T    

0755

Muscle and tendon repair: Intrapatellar or quadriceps tendon

128

3 631.36

120

3 404.40

3

397.68 +T    

0757

Muscle and tendon repair. Achilles tendon repair

197.6

5 605.91

158.08

4 484.73

4

530.24 +T    

0759

Muscle and tendon repair. Other single tendon

77

2 184.49

77

2 184.49

3

397.68 +T    

0767

Muscle and tendon repair. Tendon or ligament injection [Discontinued] Refer to item 0760, 0761, 0762

 

 

 

 

3

397.68 +T    

0760

Hand: Flexor tendon suture: Primary, zone 1 (each) (modifier 0005 applicable)

220.3

6 249.91

176.24

4 999.93

3

397.68 +T    

0761

Hand: Flexor tendon repair: Primary, zone 2 (no mans land) (each) (modifier 0005 applicable)

249.6

7 081.15

199.68

5 664.92

3

397.68 +T    

0762

Hand: Flexor tendon suture: Primary, zone 3 and 4 (wrist and forearm)(each)(modifier 0005 applicable)

191.30

5 427.18

153.04

4 341.74

3

397.68 +T    

0769

Hand: Flexor tendon suture: Primary, zone 3 and 4 (wrist and forearm) (each) (modifier 0005 applicable)

[Discontinued] Refer to item 0764, 0765, 0766

 

 

 

 

 

 

0764

Hand: Flexor tendon repair: Secondary, zone 1

243.9

6 919.44

195.12

5 535.55

3

397.68 +T    

0765

Hand: Flexor tendon repair Secondary, zone 2 (no mans land)

249.6

7 081.15

199.68

5 664.92

3

397.68 +T    

0766

Hand: Flexor tendon repair: Secondary, zone 3 and 4 (wrist and forearm)

190.6

5 407.32

152.48

4 325.86

3

397.68 +T    

0768

Repair: Intrinsic muscles of hand (each) (modifier 0005 applicable)

125.3

3 554.76

100.24

2 843.81

3

397.68 +T    

0771

Extensor tendon suture: Primary (per tendon, Modifier 0005 not applicable)

129.7

3 679.59

120

3 404.40

3

397.68 +T    

0773

Extensor tendon suture: Secondary (per tendon, Modifier 0005 not applicable)

170.00

4 822.90

136

3 858.32

3

397.68 +T    

0774

Repair of Boutonniére deformity or Mallet Finger with graft

216.60

6 144.94

216.60

6 144.94

3

397.68 +T    

 

 

 

 

 

 

 

 

3.4.4

Tendon graft

 

 

 

 

 

 

0775

Free tendon graft

160

4 539.20

128

3 631.36

3

397.68 +T    

0776

Reconstruction of pulley for flexor tendon

180.20

5 112.27

144.16

4 089.82

3

397.68 +T    

0777

Tendon graft: Finger: Flexor

192

5 447.04

153.6

4 357.63

3

397.68 +T    

0779

Tendon graft: Finger: Extensor

122

3 461.14

120

3 404.40

3

397.68 +T    

0780

Two stage flexor tendon graft using silastic rod

240

6 808.80

192

5 447.04

3

397.68 +T    

 

 

 

 

 

 

 

 

3.4.5

Tenolysis

 

 

 

 

 

 

0781

Tendon freeing operation, except where specified elsewhere

64

1 815.68

64

1 815.68

3

397.68 +T    

0782

Carpal tunnel syndrome

123

3 489.51

120

3 404.40

3

397.68 +T    

0783

Tenolysis: De Quervain

38

1 078.06

38

1 078.06

3

397.68 +T    

0784

Trigger finger

38

1 078.06

38

1 078.06

3

397.68 +T    

0785

Flexor tendon freeing operation following free tendon graft or suture

276.10

7 832.96

220.88

6 266.37

3

397.68 +T    

0787

Extensor tendon freeing operation following graft or suture in finger, hand or forearm

212.20

6 020.11

170

4 822.90

3

397.68 +T    

0788

Intrinsic tendon release per finger

64

1 815.68

64

1 815.68

3

397.68 +T    

0789

Central tendon tenotomy for Boutonniérre deformity

64

1 815.68

64

1 815.68

3

397.68 +T    

 

 

 

 

 

 

 

 

3.4.6

Tenodesis

 

 

 

 

 

 

0790

Tenodesis: Digital joint (each) (modifier 0005 applicable)

176.20

4 998.79

140.96

3 999.04

3

397.68 +T    

 

 

 

 

 

 

 

 

3.4.7

Muscle, tendon and fascia transfer

 

 

 

 

 

 

0791

Single tendon transfer

96

2 723.52

96

2 723.52

3

397.68 +T    

0792

Multiple tendon transfer

128

3 631.36

120

3 404.40

3

397.68 +T    

0793

Hamstring to quadriceps transfer

141

4 000.17

120

3 404.40

3

397.68 +T    

0794

Pectoralis major or Latissimus dorsi transfer to biceps tendon

320

9 078.40

256

7 26272

5

662.80 +T    

0795

Tendon transfer at elbow

116

3 290.92

116

3 290.92

3

397.68 +T    

0803

Hand tendons: Single transfer (each) (modifier 0005 applicable)

216.20

6 133.59

172.96

4 906.88

3

397.68 +T    

0809

Hand tendons: Substitution for intrinsic paralysis of hand tendon (all four fingers)

330.60

9 379.12

264.48

7 503.30

3

397.68 +T    

0811

Hand tendons: Opponens tendon transfer (including obtaining of graft)

220.6

6 258.42

176.48

5 006.74

3

397.68 +T    

 

 

 

 

 

 

 

 

3.4.8

Muscle slide operations and tendon lengthening

 

 

 

 

 

 

0812

Percutaneous Tenotomy: All sites

140.50

3 985.99

120

3 404.40

3

397.68 +T    

0813

Torticollis

96

2 723.52

96

2 723.52

5

662.80 +T    

0815

Scalenotomy

132

3 744.84

120

3 404.40

5

662.80 +T    

0817

Scalenotomy with excision of first rib

190

5 390.30

152

4 312,24

3

397.68 +T +M  

0822

Open release elbow (Mitals) - stand alone procedure

278.20

7 892.53

222.56

6 314.03

3

 397.68 +T +M  

0823

Excision or slide for Volksmann's Contracture

192

5 447.04

153.6

4 357.63

3

397.68 +T    

0825

Hip: Open muscle release

116

3 290.92

116

3 290.92

7

927.92 +T    

0829

Knee: Quadriceps plasty

160

4 539.20

128

3 631.36

3

397.68 +T    

0831

Knee: Open tenotomy

141

4 000.17

120

3 404.40

3

397.68 +T    

0835

Calf

96

2 723.52

96

2 723.52

4

530.24 +T    

0837

Open Elongation Tendon Achilles

96

2 723.52

96

2 723.52

4

530.24 +T    

0838

Percutaneous " Hoke" elongation tendoachilles - stand alone procedure

79.30

2 249.74

79.30

2 249.74

4

530.24 +T    

0845

Foot: Plantar fasciotomy

70

1 985.90

70

1 985.90

3

397.68 +T