Specialist

General Practitioner

Anaesthetic

U/E

R

U/E

R

U/E

R          T/M

3.3.1

Specific Amputations

0681

Amputation: Humerus, includes primary closure

211.6

5 389.45

169.28

4 311.56

4

476.08 +T+M

0682

Amputation: Fore-quarter amputation

294

7 488.18

235.2

5 990.54

9

1071.18 +T+M

0683

Amputation: Through shoulder

148

3 769.56

120

3 056.40

5

595.10 +T+M

0684

Amputation: Forearm

213.5

5 437.85

170.48

4 342.13

3

357.06 +T+M

0685

DELETED 2015: Amputation: Upper arm or fore-arm

0686

Amputation: Ankle (eg., Syme, Pirogoff type)

204.1

5 198.43

163.28

4 158.74

4

476.08 +T+M

0687

Partial amputation of the hand: One ray

102

2 597.94

102

2 597.94

3

357.06 +T+M

0688

Amputation: Foot, midtarsal (Chopart type)

165.7

4 220.38

132

3 362.04

3

357.06 +T+M

0691

Amputation: Whole or part of finger (skin flap included)

116.8

2 974.90

116.80

2 974.90

3

357.06 +T+M

0692

Scar revision/secondary closure: amputated thigh, through femur, any level

150.7

3 838.33

120.56

3 070.66

3

357.06 +T+M

0693

Hindquarter amputation

420

10 697.40

336

8 557.92

6

714.12 +T+M

0694

Scar revision/secondary closure: amputated leg, through tibia and fibula, any level

173.9

4 429.23

139.12

3 543.39

3

357.06 +T+M

0695

Amputation: through hip joint region

192

4 890.24

153.6

3 912.19

6

714.12 +T+M

0696

Re-amputation: Thigh, through femur, any level

217.3

5 534.63

173.84

4 427.70

3

357.06 +T+M

0697

Amputation: Through thigh

205

5 221.35

164

4 177.08

6

714.12 +T+M

0698

Re-amputation: Leg, through tibia and fibula

198.2

5 048.15

158.56

4 038.52

3

357.06 +T+M

0699

Amputation: Below knee, through knee/Syme

194

4 941.18

155.2

3 952.94

5

595.10 +T+M

0701

Amputation: Trans-metatarsal or trans-tarsal

142

3 616.74

120

3 056.40

3

357.06 +t+m

0703

DELETED 2015 Refer to item 0688 and item 0701: Amputation: Foot: One ray

0705

Amputation: toe (skin flap included)

66

1 681.02

66

1 681.02

3

357.06 +T+M

3.3.2

Post-amputation reconstruction

0706

Post-amputation reconstruction: Skin flap taken from a site remote from the injured finger or in cases of an advanced flap e.g. Cutler

Note:  If not performed on thumb or index linger it must be motivated

75

1 910.25

75

1 9210.25

3

357.06 +T+M

0709

DELETED 2015: Post-amputation reconstruction: Metacarpal transfer

0707

Post-amputation reconstruction: Krukenberg reconstruction

206

5 246.82

164.8

4 197.46

3

357.06 +T+m

0711

Post-amputation reconstruction: Pollicization of the finger (Prior permission must be obtained from the Commissioner at all times)

282

7 182.54

225.6

5 746.03

3

367.06 +T+M

0712

Post-amputation reconstruction: Toe to thumb transfer (Prior permission must be obtained from the Commissioner at all times)

800

20 376.00

640

16 300.80

3

357.06 +T+M

0700

Scar revision/secondary closure: Amputated shoulder

128.1

3 262.71

120

3 056.40

3

357.06 +T    

0702

Scar revision/secondary closure: Amputated humerus

163.1

4 154.16

130.48

3 323.33

3

357.06 +T    

0704

Scar revision/secondary closure: Amputated forearm

184.1

4 689.03

147.28

3 751.22

3

357.06 +T    

0708

Re-amputation: Humerus

223.1

5 682.35

178.48

4 546.89

6

714.12 +T+M

0710

Re-amputation: Through forearm

206

5 246.82

164.8

4 197.46

3

357.06 +T+M

3.4

Muscles, tendons and fascias

3.4.1

Investigations

0713

Electromyography

75

1 910.25

75

1 910.25

3

357.06 +T    

0714

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

57

1 451.79

57

1 451.79

3

357.06 +T    

0715

Strength duration curve per session

10.5

267.44

10.5

267.44

3

357.06 +T    

0717

Electrical examination of single nerve or muscle

9

229.23

9

229.23

3

357.06 +T    

0721

Voltage integration during isometric contraction

12

305.64

12

305.64

3

357.06 +T    

0723

Tonometry with edrophonium

8

203.76

8

203.76

3

357.06 +T    

0725

Isometric tension studies with edrophonium

10

254.70

10

254.70

3

357.06 +T    

0727

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

8

203.76

8

203.76

3

357.06 +T    

0728

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

14

356.58

14

356.58

3

357.06 +T    

0729

Tendon reflex time

7

178.29

7

178.29

3

357.06 +T  

0730

Limb-brain somatosensory studies (per limb)

49

1 248.03

49

1 248.03

3

 357.06 +T    

0731

Vision and audiosensory studies

49

1 248.03

49

1 248.03

0733

Motor nerve conduction studies (single nerve)

26

662.22

26

662.22

0735

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

31

789.67

31

789.57

3

357.06 +T    

0737

Biopsy for motor nerve terminals and end plates

20

509.40

20

509.40

3

357.06 +T    

0739

Combined muscle biopsy with end plates and nerve terminal biopsy

34

865.98

34

865.98

8

952.16 +T    

0740

Muscle fatigue studies

20

509.40

20

509.40

3

357.06 +T    

0741

Muscle biopsy

20

509.40

20

509.40

3

952.16 +T    

0742

Global fee for all muscle studies, including histochemical studies

262

6 673.14

4701

Biochemical estimations on muscle biopsy specimens: Creatine kinase

20.25

515.77

4703

Biochemical estimations on muscle biopsy specimens: Adenylale kinase

33.3

848.15

4705

Biochemical estimations on muscle biopsy specimens: Pyruvate kinase

5.7

145.18

4707

Biochemical estimations on muscle biopsy specimens: Lactate dehydrogenase

1.6

40.75

4709

Biochemical estimations on muscle biopsy specimens: Adenylate deaminase

9.9

252.15

4711

Biochemical estimations on muscle biopsy specimens:  Phosplagycerate kinase

13.7

348.94

4713

Biochemical estimations on muscle biopsy specimens: Phosphoglycerate mutase

25.9

659.67

4715

Biochemical estimations on muscle biopsy specimens: Enolase

32.7

832.87

4717

Biochemical estimations on muscle biopsy specimens:

Phospholructokinase

37.7

960.22

4719

Biochemical estimations on muscle biopsy specimens: Aldolase

15.75

401.15

4721

Biochemical estimations on muscle biopsy specimens: Gyceraldehyde 3 Phosphate Dehydrogenase

11.06

281.70

4723

Biochemical estimations on muscle biopsy specimens: Phosphorylase

34.7

883.81

4725

Biochemical estimations on muscle biopsy specimens: Phosphoglucomutase

40.3

1 026.44

4727

Biochemical estimations on muscle biopsy specimens: Phosphohexose isomerase

28.8

733.54

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

6 189.21

194.4

4 951.37

5

595.10 +T=M

5551

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

151.9

3 868.89

121.52

3 095.11

3

357.06 +T+M

5552

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

253.1

6 446.46

202.48

5 157.17

3

357.06 +T+M

5553

Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) 123.7 3150.64 120 +T +M

only. EXCLUDES debridement of nonviable muscle and/or nerves

123.7

3 150.64

120

3 056.40

3

357.06 +T+M

5554

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

162.1

4 128.69

129.68

3 302.95

3

357.06 +T+M

5555

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

130.8

3 331.48

120

3 056.40

3

357.06 +T+M

5556

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

171.5

4 368.11

137.2

3 494.48

3

357.06 +T+M

5557

Decompression fasciotomy: fasciotomy/tenotomy, iliotibial

137.3

3 497.03

120

3 056.40

4

476.08 +T+M

5558

Decompression fasciotomy: Fasciotomy: Foot and/or toe

86.6

2 205.70

86.6

2 205.70

3

357.06 +T+M

5559

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

226.3

5 763.86

181.04

4611.09

3

357.06 +T+M

5560

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

354.5

9 029.12

283.6

7 223.29

3

357.06 +T+M

5561

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

166.8

4 248.40

133.44

3 398.72

3

357.06 +T+M

5562

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

321.1

8 178.42

256.88

6 542.73

3

357.06 +T+M

5563

Decompression fasciotomy: Fingers and/or hand

165.6

4 217.83

132.48

3 374.27

3

357.06 +T+M

3.4.3

Muscle and tendon repair

0745

Muscle and tendon repair: Biceps humeri

109

2 776.23

109

2 776.23

3

357.06 +T    

0746

Muscle and tendon repair: Removal of calcification in Rotator cuff

96

2 445.12

96

2 445.12

3

357.06 +T+M

0747

Muscle and tendon repair: Rotator cuff

134

3 412.98

120

3 056.40

4

476.08 +T    

0748

Muscle and tendon repair: Debridement rotator cuff

139.7

3 558.16

120

3 056.40

4

476.08 +T    

0749

Muscle and tendon repair. Scapulopexy - stand alone procedure

271.90

6 925.29

217.52

5 540.23

4

476.08 +T    

0755

Muscle and tendon repair: Intrapatellar or quadriceps tendon

128

3 260.16

120

3 056.40

3

357.06 +T    

0757

Muscle and tendon repair. Achilles tendon repair

197.6

5 032.87

158.08

4 026.30

4

476.08 +T    

0759

Muscle and tendon repair. Other single tendon

77

1 961.19

77

1 961.19

3

357.06 +T    

0767

Muscle and tendon repair. Tendon or ligament infection

128

3 260.16

120

3 056.40

3

357.06 +T    

0760

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

220.3

5 611.04

176.24

4 488.83

3

357.06 +T    

0761

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

249.6

6 357.31

199.68

5 085.85

3

357.06 +T    

0769

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

160

4 075.20

126

3 260.16

3

357.06 +T    

0764

Hand: Flexor tendon repair: Secondary, zone 1

243.9

6 212.13

195.12

4 969.71

3

357.06 +T    

0765

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

249.6

6 357.31

199.68

5 085.85

3

357.06 +T    

0766

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

190.6

4 854.58

152.8

3 883.67

3

357.06 +T    

0768

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

125.3

3 191.39

100.24

2 553.11

3

357.06 +T    

0771

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

129.7

3 303.46

120

3 056.40

3

357.06 +T    

0773

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

80

2 037.60

80

2 037.60

3

357.06 +T    

0774

Repair of Boutonniére deformity or Mallet Finger with graft

183.7

4 678.84

146.96

3 743.07

3

357.06 +T    

3.4.4

Tendon graft

0775

Free tendon graft

160

4 075.20

128

3 260.16

3

357.06 +T    

0776

Reconstruction of pulley for flexor tendon

50

1 273.50

50

1 273.50

3

357.06 +T    

0777

Tendon graft: Finger: Flexor

192

4 890.24

153.6

3 912.19

3

357.06 +T    

0779

Tendon graft: Finger: Extensor

122

3 107.34

120

3 056.40

3

357.06 +T    

0780

Two stage flexor tendon graft using silastic rod

240

6 112.80

192

4 890.24

3

357.06 +T  

3.4.5

Tenolysis

0781

Tendon freeing operation, except where specified elsewhere

64

1 630.08

64

1 630.08

3

357.06 +T    

0782

Carpal tunnel syndrome

98.7

2 513.89

98.7

2 513.89

3

357.06 +T    

0783

Tenolysis: De Quervain

38

967.86

38

967.86

3

357.06 +T    

0784

Trigger finger

38

967.86

38

967.86

3

357.06 +T    

0785

Flexor tendon freeing operation following free tendon graft or suture

186.8

4 757.80

149.44

3 806.24

3

357.06 +T    

0787

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

180.9

4 607.52

144.72

3 686.02

3

357.06 +T    

0788

Intrinsic tendon release per finger

64

1 630.08

64

1 630.08

3

357.06 +T    

0789

Central tendon tenotomy for Boutonniérre deformity

64

1 630.08

64

1 630.08

3

357.06 +T

3.4.6

Tenodesis

0790

Tenodesis: Digital joint

90

2 292.30

90

2 292.30

3

357.06 +T    

3.4.7

Muscle, tendon and fascia transfer

0791

Single tendon transfer

96

2 445.12

96

2 445.12

3

357.06 +T    

0792

Multiple tendon transfer

128

3 260.16

120

3 056.40

3

357.06 +T    

0793

Hamstring to quadriceps transfer

141

3 591.27

120

3 056.40

3

357.06 +T    

0794

Pectoralis major or Latissimus dorsi transfer to biceps tendon

320

8 150.40

256

6 520.32

5

595.10 +T    

0795

Tendon transfer at elbow

116

2 954.52

116

2 954.62

3

357.06 +T    

0803

Hand tendons: Single tendon transfer

96

2 445.12

96

2 445.12

3

357.06 +T    

0809

Hand tendons: Substitution for intrinsic paralysis of hand

224

5 705.28

179.2

4 564.22

3

357.06 +T  

0811

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

220.6

5 618.68

176.48

4 494.95

3

357.06 +T    

3.4.8

Muscle slide operations and tendon lengthening

0812

Percutaneous Tenotomy: All sites

38

967.86

38

967.86

3

357.06 +T    

0813

Torticollis

96

2 445.12

96

2 445.12

5

595.10 +T    

0815

Scalenotomy

132

3 362.04

120

3 056.40

5

595.10 +T    

0817

Scalenotomy with excision of first rib

190

4 839.30

152

3 871.44

3

357.06 +T+M

0822

Open release elbow (Mitals) - stand alone procedure

278.20

7 085.75

222.56

5 668.60

3

  357.06 +T+M  

0823

Excision or slide for Volksmann's Contracture

192

4 890.24

153.6

3 912.19

3

357.06 +T    

0825

Hip: Open muscle release

116

2 954.52

116

2 954.52

7

833.14 +T    

0829

Knee: Quadriceps plasty

160

4 075.20

128

3 260.16

3

357.06 +T    

0831

Knee: Open tenotomy

141

3 591.27

120

3 056.40

3

357.06 +T    

0835

Calf

96

2 445.12

96

2 445.12

4

476.08 +T    

0837

Open Elongation Tendon Achilles

96

2 445.12

96

2 445.12

4

476.08 +T    

0838

Percutaneous " Hoke" elongation tendoachilles - stand alone procedure

79.30

2 019.77

79.30

2 019.77

4

476.08 +T    

0845

Foot: Plantar fasciotomy

70

1 782.90

70

1 782.90

3

357.06 +T    

3.5

Bursae and ganglia

0847

Excision: Semi-membranosus

90

2 292.30

90

2 292.30

4

476.08 +T    

0849

Excision: Prepatellar

45

1 146.15

45

1 145.15

3

357.06 +T    

0851

Excision: Olecranon

81.8

2 083.45

81.8

2 083.45

3

357.06 +T    

0853

Excision: Small bursa or ganglion

80.9

2 060.52

80.9

2 060.52

3

357.06 +T    

0855

Excision: Compound palmar ganglion or synovectomy

128

3 260.16

120

3 056.40

3

357.06 +T    

0857

Bursae and ganglia: Aspiration or injection (not subject to rule G) (Modifier 0005 not applicable)

9

229.23

9

229.23

3

357.06 +T