Cimas Tariffs For Zimbabwe Relative Value Schedule - Effective 1 March 2023

CIMAS TARIFFS FOR ZIMBABWE RELATIVE VALUE SCHEDULE - EFFECTIVE 1 MARCH 2023
SECURE &
STANDARD COMPREHENSIVE
TARIFF CODE TARIFF DESCRIPTION TARIFF CATEGORY HEALTHGUARD
PACKAGES PACKAGES
PACKAGES
ZWL ZWL USD
INTEGUMENTARY SYSTEM
10000 Incision and drainage of infected or non-infected sebaceous cyst, one lesion Intergumentary system 19,950.00 23,100.00 21.00
10001 second lesion Intergumentary system 12,350.00 14,300.00 13.00
10002 - over two, each additional lesion Intergumentary system 4,750.00 5,500.00 5.00
Incision and drainage of infected or non-infected epithelial inclusion cyst

10003 Intergumentary system 35,150.00 40,700.00 37.00
("sebaceous cyst") with complete removal of and treatment of cavity
10020 Incision and drainage of furuncle Intergumentary system 19,950.00 23,100.00 21.00
Acne surgery (eg. marsupialization, opening or removal of multiple milia,

comedones, cysts, pustules)
Acne surgery (eg. marsupialization, opening or removal of multiple milia,

comedones, cysts, pustules)[undertaken by Nursing Sister]
Incision and drainage of abscess (eg. carbuncle supportive, hydradenitis and other
cutaneous or subcutaneous abscesses): simple
10061 - under general anaesthetic Intergumentary system 276,450.00 320,100.00 291.00
10100 Drainage of onychia or paranychia: simple Intergumentary system 15,200.00 17,600.00 16.00
10101 - multiple or complicated Intergumentary system 12,350.00 14,300.00 13.00
10120 Incision and removal of foreign body, subcutaneous tissues:simple Intergumentary system 165,300.00 191,400.00 174.00
10121 - complicated Intergumentary system 345,800.00 400,400.00 364.00
10122 Incision and removal of foreign body, subcutaneous tissues: intermediate Intergumentary system 33,250.00 38,500.00 35.00
10140 Drainage of haematoma: simple Intergumentary system 190,000.00 220,000.00 200.00
10141 - under general anaesthetic Intergumentary system 45,600.00 52,800.00 48.00
10160 Puncture aspiration of abscess or haematoma Intergumentary system 152,000.00 176,000.00 160.00
Biopsy of skin or subcutaneous tissue (including simple closure), unless otherwise

listed (independent procedure)
11101 - each additional lesion Intergumentary system 57,950.00 67,100.00 61.00
11102 Biopsy, punch Intergumentary system 12,350.00 14,300.00 13.00
11200 Excision, skin tags, multiple (fibro-cutaneous tags), any area, up to 15 Intergumentary system 105,450.00 122,100.00 111.00
11201 - each additional 10 lesions Intergumentary system 53,200.00 61,600.00 56.00
11400 - lesion diameter up to 0.5 cm Intergumentary system 139,650.00 161,700.00 147.00
11401 - lesion diameter 0.5 to 1.0 cm Intergumentary system 184,300.00 213,400.00 194.00
11403 - each additional 2 cm or part thereof add Intergumentary system 270,750.00 313,500.00 285.00
11421 - lesion diameter 0.5 up to 1.0 cm Intergumentary system 204,250.00 236,500.00 215.00
11430 Lesions less than 3.00 mm in diameter Intergumentary system 45,600.00 52,800.00 48.00
11431 Lesions up to 0.5 cm in diameter Intergumentary system 122,550.00 141,900.00 129.00
11432 - each additional 0.5 cm or part thereof add Intergumentary system 60,800.00 70,400.00 64.00
11441 - lesion diameter 0.5 cm to 1.0 cm Intergumentary system 223,250.00 258,500.00 235.00
Excision of skin and subcutaneous tissue for hydradentis, axillary; with simple or
intermediate repair
11451 - with complex repair Intergumentary system 627,950.00 727,100.00 661.00
Excision of skin and subcutaneous tissue for hydradentis, inguinal; with simple or
intermediate repair
11463 - with coplex repair Intergumentary system 575,700.00 666,600.00 606.00
Excision of skin and subcutaneous tissue for hydradentis, perianal, perineal, or

umbilical; with simple or intermediate repair
11471 - with complex repair Intergumentary system 643,150.00 744,700.00 677.00
11603 - each additional 2 cm or part thereof, add Intergumentary system 399,000.00 462,000.00 420.00
11622 - lesions diameter 1.0 to 2.0 cm Intergumentary system 385,700.00 446,600.00 406.00
11730 Avulsion nail plate, partial or complete, simple, single Intergumentary system 141,550.00 163,900.00 149.00
11731 - second nail plate Intergumentary system 15,200.00 17,600.00 16.00
11732 - each additional nail plate Intergumentary system 58,900.00 68,200.00 62.00
Excision of nail and nail matrix, partial or complete (e.g. ingrown or deformed nail)
for permanent removal
11770 Excision of pilonidal cyst or sinus, simple Intergumentary system 445,550.00 515,900.00 469.00
11771 Excision of pilonidal cyst or sinus, extensive Intergumentary system 843,600.00 976,800.00 888.00
11900 Injection, intralesional Intergumentary system 72,200.00 83,600.00 76.00
11901 - more than 7 lesions Intergumentary system 104,500.00 121,000.00 110.00
Tattooing, intradermal, introduction of insoluble opaque pigments to correct colour

defects up to 6 sq cm
11921 - 6 to 20 sq cm Intergumentary system 312,550.00 361,900.00 329.00
11922 - over 20 sq cm Intergumentary system 72,200.00 83,600.00 76.00
11950 Subcutaneous injection of 'filling' material, e.g. silicon, up to 1 ml Intergumentary system 159,600.00 184,800.00 168.00
11951 1 to 5 ml Intergumentary system 191,900.00 222,200.00 202.00
11952 - 6 to 10 ml Intergumentary system 243,200.00 281,600.00 256.00
11953 - over 10 ml Intergumentary system 53,200.00 61,600.00 56.00
12001 Up to 2.5 cm Intergumentary system 188,100.00 217,800.00 198.00

12002 2.5 to 7.5 cm Intergumentary system 212,800.00 246,400.00 224.00
12005 12.5 to 20 cm Intergumentary system 337,250.00 390,500.00 355.00
12006 20 to 30 cm Intergumentary system 424,650.00 491,700.00 447.00
12007 For every 12.5 cm over 30 cm add Intergumentary system 511,100.00 591,800.00 538.00
12011 Up to 2.5 cm Intergumentary system 205,200.00 237,600.00 216.00
12016 12.5 to 20 cm Intergumentary system 471,200.00 545,600.00 496.00
12017 For every 12.5 cm over 20 cm add Intergumentary system 555,750.00 643,500.00 585.00
12060 Suture of multiple surface wounds - first half hour Intergumentary system 55,100.00 63,800.00 58.00
12061 - first hour Intergumentary system 107,350.00 124,300.00 113.00
12062 - each quater of an hour thereafter Intergumentary system 76,950.00 89,100.00 81.00
13001 Suture of single simple muscle and deeper tissue wound Intergumentary system 38,000.00 44,000.00 40.00
13002 Suture of large complicated wounds of muscle and deeper tissues - first half hour Intergumentary system 76,950.00 89,100.00 81.00
13004 - each quater of an hour thereafter Intergumentary system 30,400.00 35,200.00 32.00
13006 Debridement of single simple muscle and deeper tissue wound Intergumentary system 107,350.00 124,300.00 113.00
Debridement of large complicated wounds of muscle and deeper tissues - first half
hour
13009 - each quarter of an hour thereafter Intergumentary system 76,950.00 89,100.00 81.00
13011 Debribement and cleaning of superficial wound under general anaesthetic Intergumentary system 114,950.00 133,100.00 121.00
13100 Linear repair complex up to 2.5 cm Intergumentary system 401,850.00 465,300.00 423.00
13101 -2.5 to 7.5 cm Intergumentary system 542,450.00 628,100.00 571.00

13102 - each additional 7.5 cm Intergumentary system 160,550.00 185,900.00 169.00
13160 Linear repair complex up to 2.5 cm Intergumentary system 1,167,550.00 1,351,900.00 1,229.00
14020 For defects up to 10 sq cm Intergumentary system 1,001,300.00 1,159,400.00 1,054.00
14021 - 10 sq cm to 30 sq cm Intergumentary system 1,393,650.00 1,613,700.00 1,467.00
14050 Filleted finger or toe flap, including preparation of recipient site Intergumentary system 611,800.00 708,400.00 644.00
Excision of intact skin or scar in preparation of recipient site prior to repair with free
15000 Intergumentary system Add 50% Add 50% 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
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 Intergumentary system 1,195,100.00 1,383,800.00 1,258.00
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
children or part thereof
- face, mouth, neck, ears, eyelids. Orbit, genitalia or multiple digits, up to 100 sq
cm 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,
or part thereof
15200 Full thickness, free, including direct closure of donor site, trunk up to 20 sq cm Intergumentary system 1,081,100.00 1,251,800.00 1,138.00
15201 - each addition 20 sq cm Intergumentary system 286,900.00 332,200.00 302.00

15220 Scalp, arms and legs, up to 20 sq cm Intergumentary system 1,108,650.00 1,283,700.00 1,167.00
15221 - each additional 20 sq cm Intergumentary system 269,800.00 312,400.00 284.00
Forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and feet, up to 20 sq
cm
15260 Eyelids, nose, ears and lips up to 20 sq cm Intergumentary system 1,488,650.00 1,723,700.00 1,567.00
15500 Formation of tube pedicle without transfer or major delay Intergumentary system 359,100.00 415,800.00 378.00
15505 - scalp, arms and legs, up to 50 sq cm Intergumentary system 359,100.00 415,800.00 378.00
15507 - up to 100 sq cm Intergumentary system 420,850.00 487,300.00 443.00
- forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and feet, up to 12.5
sq cm
15515 - eyelids, nose, ears and lips, up to 12.5 sq cm Intergumentary system 359,100.00 415,800.00 378.00
15517 - each additional 12.5 sq cm Intergumentary system 114,950.00 133,100.00 121.00
Transfer including simultaneous formation of open or tubed pedicle flap to recipient

site requiring minimal preparation, trunk up to 100 sq cm
15545 - scalp, arms and legs, up to 50 sq cm Intergumentary system 198,550.00 229,900.00 209.00
forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and feet, up to 12.5
sq cm

15556 - each additional 12.5 sq cm Intergumentary system 45,600.00 52,800.00 48.00
Intermediate "delay" of any flap , primary "delay" to flap or sections of pedicle of

tubed or open flap, trunk
15610 - scalp, arms and legs Intergumentary system 494,000.00 572,000.00 520.00
15620 - forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and feet Intergumentary system 628,900.00 728,200.00 662.00
15630 - eyelids, nose, ears and lips Intergumentary system 671,650.00 777,700.00 707.00
Intermediate transfer of any pedicle flap (eg abdomen to wrist, walking tube, etc),
any location up to 12.5 sq cm
Excision of lesion and/or excisional preparation of recipient site and attachment of

direct or tubed pidicle flap including simultaneous formation, trunk up to 100 sq cm
15710 - scalp, arms and legs up to 50 sq cm Intergumentary system 252,700.00 292,600.00 266.00
- forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and feet up to 25 sq
cm
15731 - each additional 12.5 sq cm Intergumentary system 1,721,400.00 1,993,200.00 1,812.00
15732 Division of pedicle flap and return of unused pedicle to donor area, trunk Intergumentary system 2,454,800.00 2,842,400.00 2,584.00
15734 - scalp, arms and legs Intergumentary system 2,935,500.00 3,399,000.00 3,090.00
15736 - forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and feet Intergumentary system 2,618,200.00 3,031,600.00 2,756.00
15738 - eyelids, nose, ears and lips Intergumentary system 2,183,100.00 2,527,800.00 2,298.00
15740 Island pedicle flap, scalp, face, etc Intergumentary system 1,677,700.00 1,942,600.00 1,766.00
15750 Neurovascular pedicle flap, hand or digit including skin graft Intergumentary system 1,829,700.00 2,118,600.00 1,926.00
Composite (full thickness of external ear or nasal ala), including primary closure,
donor area
15770 Derma-fat facia Intergumentary system 1,184,650.00 1,371,700.00 1,247.00
15775 Punch graft for hair transplant, 1 to 15, each punch graft Intergumentary system 572,850.00 663,300.00 603.00
Abrasion of skin, for removal of scars, tattoos, actinic changes (keratoses), primary
15780 Intergumentary system 888,250.00 1,028,500.00 935.00
or secondary, total face
15785 - region (Quater face, cheeks, chin, fore-head or elsewhere), primary or secondary Intergumentary system 84,550.00 97,900.00 89.00
15786 Abrasion, single lesion (eg. keratosis, scar, etc) Intergumentary system 268,850.00 311,300.00 283.00
15787 - each additional four lesions or less Intergumentary system 59,850.00 69,300.00 63.00
15820 Rhytidectomy, lower eyelids Intergumentary system 915,800.00 1,060,400.00 964.00
15821 - with excision of extensive herniated fat pad Intergumentary system 1,011,750.00 1,171,500.00 1,065.00
15822 - upper eyelids Intergumentary system 807,500.00 935,000.00 850.00
15824 - forehead Intergumentary system 1,402,200.00 1,623,600.00 1,476.00
15826 - glabellar frown Intergumentary system 1,325,250.00 1,534,500.00 1,395.00
Excision, excessive skin and subcutaneous tissue (including lipectomy); abdomen

(abdominoplasty)
15832 - with muscle plication Intergumentary system 1,608,350.00 1,862,300.00 1,693.00
15833 - simple abdominal cresent (not involving umbilicus) Intergumentary system 1,393,650.00 1,613,700.00 1,467.00
15840 Repair for facial nerve paralysis, free fascia graft (includes obtaining fascia) Intergumentary system 2,191,650.00 2,537,700.00 2,307.00
15850 Removal of sutures under anaesthesia (other than local), same surgeon Intergumentary system BR BR BR
15852 Dressing change (for other than burns) under anaesthesia (other than local) Intergumentary system 229,900.00 266,200.00 242.00
15920 Coccygectomy and primary closure Intergumentary system 910,100.00 1,053,800.00 958.00
15922 - with flap closure Intergumentary system 1,290,100.00 1,493,800.00 1,358.00
15930 Excision sacral decubitus ulcer with skin flap closure Intergumentary system 275,500.00 319,000.00 290.00
15932 - with ostectomy Intergumentary system 343,900.00 398,200.00 362.00
15940 Excision ischial decubitus ulcer with direct closure Intergumentary system 1,045,950.00 1,211,100.00 1,101.00
15942 - with skin (and muscle flap closure) Intergumentary system 343,900.00 398,200.00 362.00
15944 - with ostectomy Intergumentary system 1,623,550.00 1,879,900.00 1,709.00
15950 Excision trochanteric decubitus ulcer with direct closure Intergumentary system 871,150.00 1,008,700.00 917.00
15952 - with skin flap closure Intergumentary system 1,468,700.00 1,700,600.00 1,546.00
15954 - with ostectomy Intergumentary system 917,700.00 1,062,600.00 966.00
16000 Initial treatment, first degree burn, where local treatment only required. Intergumentary system 98,800.00 114,400.00 104.00
Dressing and/or debridement, initial or subsequent, under anaesthesia, small (less

than 9 % surface area)
16013 - moderate (9 - 18% surface area) Intergumentary system 152,950.00 177,100.00 161.00
16014 - large, or with debridement (more than 18% surface area) first half-hour Intergumentary system 198,550.00 229,900.00 209.00
- large, or with debridement (more than 18% surface area) each quarter of an hour
thereafter
16020 - without anaesthesia, office or hospital, small (up to 9% of surface area) Intergumentary system 100,700.00 116,600.00 106.00
16025 - medium (9 - 18% surface area) Intergumentary system 209,950.00 243,100.00 221.00
16030 - large (more than 18% surface area) Intergumentary system 242,250.00 280,500.00 255.00
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 Intergumentary system 99,750.00 115,500.00 105.00
location, with the exception of warts
17001 - second and third lesions, each Intergumentary system 15,200.00 17,600.00 16.00
17002 - over 3 lesion Intergumentary system 81,700.00 94,600.00 86.00
17010 - complicated lesion(s) Intergumentary system BR BR BR
Destruction by any method of benign skin lesion on any area other than face, and
warts of any area
17101 - second lesion Intergumentary system 7,600.00 8,800.00 8.00
17102 - over 2 lesions, each adition lesion Intergumentary system 4,750.00 5,500.00 5.00
17104 - 15 or more lesions Intergumentary system 76,950.00 89,100.00 81.00
17105 - complicated lesion(s) Intergumentary system BR BR BR
17110 - molluscum contagiosum, milia, up to 15 Intergumentary system 103,550.00 119,900.00 109.00
17200 Electro-surgical destruction of multiple fibrocutaneous tags, up to 15 Intergumentary system 15,200.00 17,600.00 16.00
17201 - each additional 10 lesions Intergumentary system 19,950.00 23,100.00 21.00
17340 Cryotherapy (CO2 snow, liquid N2) Intergumentary system 82,650.00 95,700.00 87.00
17341 - each additional lesion Intergumentary system 15,200.00 17,600.00 16.00
17342 - to a maximum of 16 lesions Intergumentary system 50,350.00 58,300.00 53.00
17380 Electrolysis epilation, each half hour Intergumentary system 63,650.00 73,700.00 67.00
19000 Puncture aspiration of cyst Intergumentary system 130,150.00 150,700.00 137.00
19020 Mastotomy with exploration or drainage of abscess, deep Intergumentary system 496,850.00 575,300.00 523.00
19100 Biopsy of breast, needle (independent procedure) Intergumentary system 185,250.00 214,500.00 195.00
19101 - incisional Intergumentary system 492,100.00 569,800.00 518.00
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, Intergumentary system 691,600.00 800,800.00 728.00
unilateral
19121 Microdochectomy Intergumentary system 229,900.00 266,200.00 242.00
19140 Mastectomy for gynaecomastia through circumareola or other incision, unilateral Intergumentary system 305,900.00 354,200.00 322.00
19160 Mastectomy, partial (quadrectomy or more), unilateral Intergumentary system 458,850.00 531,300.00 483.00
19180 Mastectomy, simple, complete, unilateral Intergumentary system 373,350.00 432,300.00 393.00
19182 Mastectomy, subcutaneous, unilateral Intergumentary system 499,700.00 578,600.00 526.00
19184 - with immediate prosthetic implant, unilateral Intergumentary system 556,700.00 644,600.00 586.00
Mastectomy, radical, including breast pectoral muscles and axillary lymph nodes,
unilateral
Mastectomy, modified radical, with modified axillary dissection, but leaving pectoral
muscles, unilateral
Excision of chest wall tumour including ribs with plastic reconstruction without
mediastinal lymphadenectomy
Mammoplasty, plastic operation on breast, reduction or repositioning, one stage

operation, unilateral
Mammoplasty, augmentation (unilateral); with prosthetic implant or expander. Cost

of prosthesis not included
19328 Removal of intact mammary implant or expander (unilateral) Intergumentary system 791,350.00 916,300.00 833.00
19330 Removal of mammary implant material (gel) (unilateral) Intergumentary system 974,700.00 1,128,600.00 1,026.00
19350 Nipple/areola reconstruction Intergumentary system 1,371,800.00 1,588,400.00 1,444.00
19351 Operation for inversion of nipple, unilateral Intergumentary system 354,350.00 410,300.00 373.00
Breast reconstruction, immediate or delayed, with tissue expander, including

subsequent expansion
19358 Removal of expander and replacement by definitive prosthesis Intergumentary system 512,050.00 592,900.00 539.00
Breast reconstruction with transverse rectus abdominis flap (TRAM), including
19362 closure of donor site, single or double pedicle, with or without micro vascular Intergumentary system 1,708,100.00 1,977,800.00 1,798.00
anastomosis
19367 - with simultaneous insertion of prosthesis. Cost of prosthesis not included Intergumentary system 3,652,750.00 4,229,500.00 3,845.00
Insertion of prosthesis under previously prepared flap. Separate procedure. Cost

of prosthesis not included
19371 Periprosthetic capsulectomy, breast Intergumentary system 1,410,750.00 1,633,500.00 1,485.00
19380 Revision of reconstructive breast Intergumentary system 1,401,250.00 1,622,500.00 1,475.00
MUSCULO-SKELETAL SYSTEM
20000 Incision of soft tissue abscess or haematoma Musculoskeletal system 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 Musculoskeletal system FFS FFS FFS
care
20005 Incision and drainage deep abscess or haematoma, any area Musculoskeletal system 273,600.00 316,800.00 288.00
20200 Biopsy, muscle, superficial Musculoskeletal system 154,850.00 179,300.00 163.00
20205 deep (for excision of muscle tumour,deep,see specific anatomical section) Musculoskeletal system 239,400.00 277,200.00 252.00
20220 - bone, trochar, superficial (eg. ilium, spinous process) Musculoskeletal system 144,400.00 167,200.00 152.00
20240 Marrow Aspirate only + Slides Musculoskeletal system 256,500.00 297,000.00 270.00
20245 - bone, deep (eg. Humerus, ischium, femur) Musculoskeletal system 458,850.00 531,300.00 483.00
20260 Osteotomy, partial, superficial eg. bone spur or exostosis (independent procedure) Musculoskeletal system 212,800.00 246,400.00 224.00
20268 - deep or complicated (independent procedure) Musculoskeletal system 319,200.00 369,600.00 336.00
20270 Resection of cyst or tumour - as for malunion of that bone with or without graft. Musculoskeletal system BR BR BR
20271 - with extensive dissection Musculoskeletal system BR BR BR
20275 Incision of superficial soft tissue abscess secondary to osteomyelitis Musculoskeletal system 13,300.00 15,400.00 14.00
20276 Drainage of infected bursa Musculoskeletal system 16,150.00 18,700.00 17.00
20280 Excision tumour benign, deep, subfascial or intra-muscular Musculoskeletal system BR BR BR
20500 Injections of sinus tract, therapeutic (independent procedure) Musculoskeletal system 88,350.00 102,300.00 93.00
20502 Removal of deep foreign body, hand or foot Musculoskeletal system 79,800.00 92,400.00 84.00
20550 Injection, tendon sheath, ligament or trigger points Musculoskeletal system 58,900.00 68,200.00 62.00
20600 Arthrocentesis, apsiration or injection, small joint (eg. fingers, toes) Musculoskeletal system 58,900.00 68,200.00 62.00
20605 - intermediate joint, large joint or bursa Musculoskeletal system 60,800.00 70,400.00 64.00
- major joint or bursa (eg. shoulder, hip, knee joint,subacromial bursa) [Initial -
20610 Musculoskeletal system 65,550.00 75,900.00 69.00
subsequent]
Insertion of wire or pin for skeletal traction including removal (independent

procedure)
Application of cranial tongs, caliper, or stereotactic frame, including removal

(separate procedure)
Application and subsequent removal, caliper or tongs (independent

procedure)cranial
20665 Removal of tongs or halo applied by another physician Musculoskeletal system 105,450.00 122,100.00 111.00
Removal of buried wire, pin, screw, or metal band, rod, nail or plate, superficial
(independent procedure)
20680 - deep Musculoskeletal system 425,600.00 492,800.00 448.00
20685 - completely embedded in bone, By Report Musculoskeletal system 287,850.00 333,300.00 303.00
20902 Autogenous bone,any donor area(no reduction in fee for secondary incision) Musculoskeletal system 605,150.00 700,700.00 637.00
20950 Examination of joint(s) under general anaesthesia (independent procedure) Musculoskeletal system 173,850.00 201,300.00 183.00
21298 Dislocations not requiring anaesthesia for reduction Musculoskeletal system FFS FFS FFS
21299 Fractures not requiring reduction Musculoskeletal system FFS FFS FFS
21314 Therapeutic dislocation of turbinates Musculoskeletal system 116,850.00 135,300.00 123.00
21315 closed treatment of nasal bone fracture without stabilisation Musculoskeletal system 198,550.00 229,900.00 209.00
21320 with stabilisation Musculoskeletal system 231,800.00 268,400.00 244.00
21335 with concomitant open treatment of fractured septum Musculoskeletal system 931,000.00 1,078,000.00 980.00
21336 open treatment of nasal septal fracture with or without stabilisation Musculoskeletal system 549,100.00 635,800.00 578.00
21350 Malar area fracture (eg. zygomatic arch, etc) Musculoskeletal system FFS FFS FFS
21351 Fracture of zygonmatic arch or malar complex temporal "lift" without open reduction Musculoskeletal system 142,500.00 165,000.00 150.00
21355 - closed reduction, zygomatic arch (eg. towel clip technique) Musculoskeletal system 318,250.00 368,500.00 335.00
21360 - depressed open reduction Musculoskeletal system 663,100.00 767,800.00 698.00
- complicated, open reduction with internal skeletal fixation and multiple surgical
21365 Musculoskeletal system 1,328,100.00 1,537,800.00 1,398.00
approaches
21380 Orbital floor fracture, closed or open, without reduction Musculoskeletal system FFS FFS FFS
21385 open treatment of orbital blow out fracture (caldwell luc type procedure) Musculoskeletal system 901,550.00 1,043,900.00 949.00
Palatal or alveolar ridge fractures (Le Fort I Type) closed reduction with inter-dental
wire fixation or fixation of denture or splint
21423 Combination of I, II, III fractures Le Fort Type Musculoskeletal system 979,450.00 1,134,100.00 1,031.00
Naso-maxillary complex fracture (Le Fort II type), closed reduction with inter-dental
wire fixation or fixation of denture or splint
Cranio-facial separation (Le Fort III type), closed reduction using inter-dental wire
fixation of denture or splint
21450 Mandibular fracture, closed or open, without reduction Musculoskeletal system FFS FFS FFS
21455 - closed reduction without inter-dental fixation Musculoskeletal system 282,150.00 326,700.00 297.00
21461 - open reduction without inter-dental fixation Musculoskeletal system 1,190,350.00 1,378,300.00 1,253.00
21462 - with inter-dental fixation Musculoskeletal system 1,358,500.00 1,573,000.00 1,430.00
Temporo-mandibular dislocation with uncomplicated closed reduction, initial or

21480 Musculoskeletal system FFS FFS FFS
subsequent
21485 - under general anaesthetic Musculoskeletal system 310,650.00 359,700.00 327.00
21490 - open reduction Musculoskeletal system 929,100.00 1,075,800.00 978.00
21556 deep,subfacial,intramusular Musculoskeletal system 469,300.00 543,400.00 494.00
21610 Costotransversectomy (independent procedure) Musculoskeletal system 835,050.00 966,900.00 879.00
21615 Excision compression syndrome or other cause Musculoskeletal system 945,250.00 1,094,500.00 995.00
21705 Division of scalenus with/without resection of cervical rib Musculoskeletal system 720,100.00 833,800.00 758.00
21720 Division of sternocleidomastoid for torticollis, open Musculoskeletal system 468,350.00 542,300.00 493.00
21740 Pectus excavatum or carinatum, plastic repair Musculoskeletal system 1,259,700.00 1,458,600.00 1,326.00
21798 Dislocation not requiring anaesthesia for reduction Musculoskeletal system FFS FFS FFS
21810 "Flail chest", stove-in chest treated by external fixation Musculoskeletal system 686,850.00 795,300.00 723.00
21820 Sternum, fracture, closed reduction Musculoskeletal system 136,800.00 158,400.00 144.00
21825 - open reduction Musculoskeletal system 697,300.00 807,400.00 734.00
22031 Excision tumour, benign, deep, subfascial or intramuscular, cervical Musculoskeletal system BR BR BR
Partial resection or vertebral component, spinous process (eg. "Kissing spines"),

cervical
Osteotomy of spine for correction of fixed deformity (eg. Ankylosing spondylitis),

22200 Musculoskeletal system 931,000.00 1,078,000.00 980.00
anterior or posterior approach (except scoliosis)
22202 - anterior and posterior Musculoskeletal system BR BR BR
22315 Vertebral body fracture, manipulative reduction with anaesthesia Musculoskeletal system 5,643,950.00 6,535,100.00 5,941.00
22325 - open reduction Musculoskeletal system 1,383,200.00 1,601,600.00 1,456.00
- cervical spine, open reduction and fusion, posterior approach, with local bone graft
22330 Musculoskeletal system 984,200.00 1,139,600.00 1,036.00
and/or skeletal fixation, multiple
22331 - single Musculoskeletal system 908,200.00 1,051,600.00 956.00
- anterior approach, with iliac or other autogenous bone graft (includes obtaining
graft)
- thoracic or lumbar spine, open reduction and fusion, posterior approach, local
bone graft and/or skeletal fixation
22372 Spine, closed reduction of dislocation, cervical, thoracic or lumbar Musculoskeletal system 266,000.00 308,000.00 280.00
22500 Spine, and region Musculoskeletal system 10,450.00 12,100.00 11.00
22505 Spine, any region, with anaesthesia Musculoskeletal system 140,600.00 162,800.00 148.00
Posterior approach, cranio-cervical fusion (occiput through C2), with iliac or other
autogenous bone graft (includes obtaining graft)
Posterior or anterior approach, atlas-axis fusion (C1 to C2 or C3), with iliac or other
autogenous bone graft (includes obtaining graft)
22604 Posteria approach, cervical below C1 level, local bone graft and/or skeletal fixation Musculoskeletal system 851,200.00 985,600.00 896.00
Posterior or posteriolateral approach, thoracic or lumbar, local bone graft or skeletal

fixation
Posterior interbody technique, lumbar, with iliac or other autogenous bone graft
(includes obtaining graft) single level
Lateral approach (transverse process to transverse process and/or sacrum) with

22670 iliac or other autogenous bone graft and/or skeletal fixation (includes obtaining Musculoskeletal system 1,117,200.00 1,293,600.00 1,176.00
graft)
Anterior approach (C3 - T1) with iliac or other autogenous bone graft (includes
discectomy and obtaining graft), single
Anterior interbody technique, lumbar (includes discectomy and obtaining graft),

single
22730 Multiple levels, one additional level, add Musculoskeletal system 212,800.00 246,400.00 224.00
22735 - more than two levels Musculoskeletal system BR BR BR
22799 Halo-splint and POP jacket Musculoskeletal system 266,000.00 308,000.00 280.00
Scoliosis correction (includes first postoperative cast), uncomplicated, each stage,

6 or less vertebrae, local bone
22802 - seven or more vertebrae, local bone Musculoskeletal system 2,935,500.00 3,399,000.00 3,090.00
22840 Scoliosis correction, Harrington rod technique Musculoskeletal system 865,450.00 1,002,100.00 911.00
22841 - Dryer technique Musculoskeletal system 674,500.00 781,000.00 710.00
22842 Revision of fusion and repair of pseudoarthrosis at one or more levels Musculoskeletal system 899,650.00 1,041,700.00 947.00
Multiple operative techniques by same surgeon within 12 months of scheduled fee

22850 Musculoskeletal system 950.00 1,100.00 1.00
for lesser procedures
23000 Removal of subdeltoid (or intra tendious) careous deposits Musculoskeletal system 437,950.00 507,100.00 461.00
23020 Capsular contracture release (eg. Sever's procedure) for Erb's palsy Musculoskeletal system 799,900.00 926,200.00 842.00
Arthrotomy or capsulotomy with exploration, drainage, or removal of foreign body,

glenohumeral joint
23045 - acromiclavicular or sternoclavicular joint Musculoskeletal system 175,750.00 203,500.00 185.00
23105 Synovectomy, glenohumeral Musculoskeletal system 872,100.00 1,009,800.00 918.00
23120 Claviculectomy, either end (eg. Mumford procedure) Musculoskeletal system 598,500.00 693,000.00 630.00
23130 Acromionectomy Musculoskeletal system 724,850.00 839,300.00 763.00
23190 Osteotomy of scapula, partial (eg. superior medical angle) Musculoskeletal system 658,350.00 762,300.00 693.00
23195 Resection, humeral head Musculoskeletal system 911,050.00 1,054,900.00 959.00
23300 Prosthetic implant removal from shoulder joint Musculoskeletal system 388,550.00 449,900.00 409.00
23350 Injection procedure for shoulder arthrography Musculoskeletal system 99,750.00 115,500.00 105.00
23355 Arthroscopy of shoulder, with/without biopsy Musculoskeletal system 212,800.00 246,400.00 224.00
Muscle transfer, any type for paralysis of shoulder, single, including fascial
extension
23400 Scapulopexy (eg. Sprengel's deformity or paralysis) Musculoskeletal system 1,168,500.00 1,353,000.00 1,230.00
23410 Repair of ruptured supraspinatus tendon or musculotendinous cuff, accute Musculoskeletal system 1,147,600.00 1,328,800.00 1,208.00
23412 - chronic Musculoskeletal system 1,290,100.00 1,493,800.00 1,358.00
Decompression Rotator Cuff (Rookwood) - includes complete or partial

acromionectomy and excision outer clavicle
23420 Repair of complete shoulder cuff avulsion, chronic (includes acromionectomy) Musculoskeletal system 1,364,200.00 1,579,600.00 1,436.00
23430 Tenodesis for rupture of long tendon of biceps Musculoskeletal system 871,150.00 1,008,700.00 917.00
Capsulorrhaphy for recurrent dislocation anterior (eg. Putti-Platt or Magnisen

procedure)
23455 - Bankart procedure, with or without stapling Musculoskeletal system 1,437,350.00 1,664,300.00 1,513.00
23457 Osteotomy neck of scapula, with or without skeletal fixation Musculoskeletal system 638,400.00 739,200.00 672.00
23460 - with bone block Musculoskeletal system 1,435,450.00 1,662,100.00 1,511.00
23462 - with coracoid process transfer Musculoskeletal system 1,469,650.00 1,701,700.00 1,547.00
23465 - posterior, with or without bone block Musculoskeletal system 1,463,000.00 1,694,000.00 1,540.00
23470 Arthroplasty, shoulder, with proximal humeral implant (eg. Neer endoprosthesis) Musculoskeletal system 1,631,150.00 1,888,700.00 1,717.00
23472 - with glenoid and proximal humeral prosthetic replacement ("total should") Musculoskeletal system 1,987,400.00 2,301,200.00 2,092.00
23480 Osteotomy, clavicle, with or without skeletal fixation Musculoskeletal system 902,500.00 1,045,000.00 950.00
- with bone graft for non-union or malunion (includes obtaining graft and/or skeletal
fixation)
23505 Clavicle fracture, closed manipulative reduction Musculoskeletal system 333,450.00 386,100.00 351.00
23510 - open, with uncomplicated soft tissue closure, manipulative reduction Musculoskeletal system 175,750.00 203,500.00 185.00
23515 - closed or open, open reduction with or without skeletal fixation Musculoskeletal system 737,200.00 853,600.00 776.00
23525 Sternoclavicular dislocation, closed, manipulative reduction requiring anesthesia Musculoskeletal system 304,000.00 352,000.00 320.00
23530 - closed or open, acute or chronic, open reduction or repair Musculoskeletal system 684,950.00 793,100.00 721.00
23532 - with fascial graft (includes obtaining graft) Musculoskeletal system 754,300.00 873,400.00 794.00
23545 Acromioclavicular dislocation, closed reduction and pinning Musculoskeletal system 282,150.00 326,700.00 297.00
Acromioclavicular dislocation, closed or open acute or chronic, open reduction,

includes skeletal fixation and coracoid transfer
23552 - with fascial graft (includes obtaining graft) Musculoskeletal system 776,150.00 898,700.00 817.00
Scapular fracture, closed, manipulative reduction (with or without shoulder joint

involvements)
Scapular fracture, open. With uncomplicated soft tissue closure, manipulative

reduction
23585 - closed or open, juxta-articular, open reduction, with or without skeletal fixation Musculoskeletal system 887,300.00 1,027,400.00 934.00
23605 Humerus, surgical or anatomical neck, fracture, closed, manipulative reduction Musculoskeletal system 493,050.00 570,900.00 519.00
23615 - closed or open, open reduction with or without skeletal fixation Musculoskeletal system 989,900.00 1,146,200.00 1,042.00
23625 Greater tuberosity fracture, closed, manipulative reduction Musculoskeletal system 395,200.00 457,600.00 416.00
23656 Shoulder dislocation, closed, manipulative reduction, requiring anaesthesia Musculoskeletal system 175,750.00 203,500.00 185.00
23670 - closed or open, open reduction Musculoskeletal system 894,900.00 1,036,200.00 942.00
23680 - plus fractured neck of humerus, closed or open, open reduction Musculoskeletal system 1,093,450.00 1,266,100.00 1,151.00
Manipulation under anaesthesia, including application or fixation apparatus

(dislocation excluded)
23800 Fusion of shoulder joint, with or without local bone graft Musculoskeletal system 691,600.00 800,800.00 728.00
23900 Interthoracoscapular (forequarter) Musculoskeletal system 1,592,200.00 1,843,600.00 1,676.00
23920 Disarticulation of shoulder Musculoskeletal system 1,382,250.00 1,600,500.00 1,455.00
Arthrotomy (Capsulotomy), elbow with exploration, drainage, or removal of foreign

body
24102 Arthrotomy (Capsulotomy), elbow for synovectomy Musculoskeletal system 750,500.00 869,000.00 790.00
24105 Olecranon bursa excision Musculoskeletal system 742,900.00 860,200.00 782.00
24130 Radial head excision Musculoskeletal system 763,800.00 884,400.00 804.00
24155 Resection of elbow joint (arthrectomy) Musculoskeletal system 1,091,550.00 1,263,900.00 1,149.00
24160 Implant removal, elbow joint Musculoskeletal system 650,750.00 753,500.00 685.00
24164 - from radius or ulna or carpus Musculoskeletal system 582,350.00 674,300.00 613.00
Tendoplasty, transplantation or free graft, with muscle transfer and with or without
free graft, elbow to shoulder, single (eg. Seddon Brooks procedure)
24330 Flexor-plasty, elbow (eg. Steindler advancement) Musculoskeletal system 903,450.00 1,046,100.00 951.00
Reinsertion ruptured biceps tendon, distal, with or without tendon graft (includes
obtaining graft)
Fasciotomy, lateral or medial (eg "tennis elbow" or epicondylitis), with or without

extensor origin detachment, with or without annular ligament resection
24360 Arthroplasty, elbow, with membrane Musculoskeletal system 1,302,450.00 1,508,100.00 1,371.00
24362 - with distal humeral and proximal ulnar prosthetic replacement ("total elbow") Musculoskeletal system 1,331,900.00 1,542,200.00 1,402.00
24365 Arthroplasty, radial head, with implant Musculoskeletal system 784,700.00 908,600.00 826.00
24400 Osteotomy, humerus, with or without skeletal fixation Musculoskeletal system 974,700.00 1,128,600.00 1,026.00
Multiple osteotomies, humerus, with realignment or intramedullary rod (eg. Sofield

procedure)
Repair of non-union or malunion, humerus (include bone grafting and/or internal
fixation)
24498 Dislocations not requiring anaesthesia for reduction Musculoskeletal system 1,094,400.00 1,267,200.00 1,152.00
24505 Humeral shaft fracture, manipulative reduction Musculoskeletal system 502,550.00 581,900.00 529.00
24515 - closed or open, open reduction, with or without skeletal fixation Musculoskeletal system 1,051,650.00 1,217,700.00 1,107.00
24535 Humerus supracondylar fracture, closed, manipulative reduction Musculoskeletal system 615,600.00 712,800.00 648.00
24536 - closed, with traction, pin or skin Musculoskeletal system 319,200.00 369,600.00 336.00
24540 - open with uncomplicated soft tissue closure manipulative reduction Musculoskeletal system 319,200.00 369,600.00 336.00
24565 Condylar or epicondylar fracture, medial or lateral, closed, manipulative reduction Musculoskeletal system 481,650.00 557,700.00 507.00
24579 - closed or open, open reduction, with or without skeletal fixation Musculoskeletal system 987,050.00 1,142,900.00 1,039.00
Comminuted elbow fracture eg. fracture distal humerus and/or proximal radius),
closed, manipulated reduction
24605 Elbow dislocation, closed, manipulative reduction requiring anaesthisia Musculoskeletal system 415,150.00 480,700.00 437.00
24615 Elbow dislation, closed or open, open reduction Musculoskeletal system 907,250.00 1,050,500.00 955.00
Monteggia type of fracture dislation at elbow (fracture proximal end of ulna with
dislocation or radial head), closed, manipulative reduction
24635 - closed or open, open reduction, with or without fixation Musculoskeletal system 1,154,250.00 1,336,500.00 1,215.00
24655 Olecranon, radial head or neck fracture, closed, manipulative reduction Musculoskeletal system 400,900.00 464,200.00 422.00
24666 - with implant Musculoskeletal system 953,800.00 1,104,400.00 1,004.00
24685 - closed or open, open reduction with or without skeletal fixation or excision Musculoskeletal system 838,850.00 971,300.00 883.00
Manipulation of elbow joint under general anaesthesia (includes application of
traction or other fixation device)
24800 Fusion of elbow joint, with or without local or non-autogenous graft Musculoskeletal system 1,057,350.00 1,224,300.00 1,113.00
24900 Arm, through humerus, with primary closure Musculoskeletal system 844,550.00 977,900.00 889.00
25000 Tenovaginotomy at wrist (eg. De Quervain's Disease). Musculoskeletal system 385,700.00 446,600.00 406.00
25030 Incision and drainage of deep abscess or haematoma Musculoskeletal system 175,750.00 203,500.00 185.00
25100 Arthrotmy (Capsulotomy), wrist joint, for biopsy Musculoskeletal system 428,450.00 496,100.00 451.00
25111 Excision of ganglion, wrist (volar or dorsal) Musculoskeletal system 343,900.00 398,200.00 362.00
25112 - recurrent Musculoskeletal system 427,500.00 495,000.00 450.00
25116 Tenosynovectomy, tendon sheath, one or more sheaths, forearm or wrist Musculoskeletal system 776,150.00 898,700.00 817.00
Synovectomy, distal radio-ulnar joint with excision of distal ulna for rheumatoid
arthritis (independent procedure)
25210 Carpectomy, one bone Musculoskeletal system 550,050.00 636,900.00 579.00
25215 - all bone of proximal row Musculoskeletal system 812,250.00 940,500.00 855.00
25230 Radial styloidectomy (independent procedure) Musculoskeletal system 532,950.00 617,100.00 561.00
25240 Excision distal ulna (e.g. Darrach procedure) Musculoskeletal system 530,100.00 613,800.00 558.00
25260 Repair, flexor muscle or tendon, forearm or wrist, primary, single Musculoskeletal system 679,250.00 786,500.00 715.00
25261 - each additional muscle or tendon Musculoskeletal system 47,500.00 55,000.00 50.00
25262 - secondary, single Musculoskeletal system 286,900.00 332,200.00 302.00
25263 - each additional muscle or tendon Musculoskeletal system 724,850.00 839,300.00 763.00
25280 Lengthening or shortening of flexor or extensor tendon (independent procedure) Musculoskeletal system 627,000.00 726,000.00 660.00
25281 - each additional tendon Musculoskeletal system 47,500.00 55,000.00 50.00
25290 Tenotomy, open, single flexor or extensor tendon Musculoskeletal system 474,050.00 548,900.00 499.00
25300 Tenodesis at wrist, one or more flexors or extensors of digits Musculoskeletal system 813,200.00 941,600.00 856.00
25308 Tendon transplant or transfer, flexor or extensor, single tendon Musculoskeletal system 335,350.00 388,300.00 353.00

25317 Flexor origin slide, forearm - Seddon or Scaglietti Musculoskeletal system 478,800.00 554,400.00 504.00
25330 Arthroplasty, wrist Musculoskeletal system 399,000.00 462,000.00 420.00
25350 Osteotomy, radius or ulna, distal third Musculoskeletal system 849,300.00 983,400.00 894.00
25355 - middle or proximal two - thirds Musculoskeletal system 983,250.00 1,138,500.00 1,035.00
25365 - radius and ulna Musculoskeletal system 1,152,350.00 1,334,300.00 1,213.00
Repair of non-union or mal-union, radius or ulna (includes bone grafting and/or

internal fixation)[eg. compression technique]
- radius and ulna (includes bone grafting and/or internal fixation)[eg. compression
technique]
25430 Centralisation of wrist on ulna (eg. radial club hand) Musculoskeletal system 809,400.00 937,200.00 852.00
Repair of non-union, carpal scaphoid (navicular), with or without radial

styloidectomy
25441 Arthroplasty with prosthetic replacement, distal radius Musculoskeletal system 1,189,400.00 1,377,200.00 1,252.00
25442 - distal ulna Musculoskeletal system 908,200.00 1,051,600.00 956.00
25444 - lunate, scaphoid or trapezium Musculoskeletal system 1,045,000.00 1,210,000.00 1,100.00
25446 distal radius and partial or entire carpus ("total wrist") Musculoskeletal system 1,720,450.00 1,992,100.00 1,811.00
Radial or ulna fracture, includes distal ends, eg. Colles' or Smith's or epiphyseal
separation, with or without fracture of ulna styloid, closed manipulative reduction
25514 - closed or open, open reduction, with or without skeletal fixation Musculoskeletal system 356,250.00 412,500.00 375.00
25564 Radial and ulna shaft fractures, closed reduction Musculoskeletal system 212,800.00 246,400.00 224.00
Carpal bone fracture(s), open, with or uncomplicated soft tissue closure,

manipulative reduction
25645 -closed or open, open reduction Musculoskeletal system 687,800.00 796,400.00 724.00
Radio-carpal or inter-carpal dislocation, closed, one or more bones, manipulative

reduction requiring anaesthesia
25670 - closed or open, open reduction Musculoskeletal system 741,950.00 859,100.00 781.00
Trans-scapho-perilunar fracture dislocation, closed, manipulative reduction requiring
anaesthesia
25690 Lunate dislocation, manipulative reduction Musculoskeletal system 520,600.00 602,800.00 548.00
25691 - closed or open, open reduction Musculoskeletal system 266,000.00 308,000.00 280.00
25800 Wrist joint, without autogenous bone graft Musculoskeletal system 1,002,250.00 1,160,500.00 1,055.00
25900 Forearm, through radius and ulna Musculoskeletal system 824,600.00 954,800.00 868.00
25910 Kurkenberg Musculoskeletal system 532,000.00 616,000.00 560.00
25920 Amputation through wrist Musculoskeletal system 782,800.00 906,400.00 824.00
25927 Transmetacarpal Musculoskeletal system 799,900.00 926,200.00 842.00
Drainage of finger tip abscess, complicated (eg. Felon), requiring general or

regional anaesthesia
26020 Drainage of tendon sheath, acute suppurative tenosynovitis, one finger and/or palm Musculoskeletal system 421,800.00 488,400.00 444.00
26030 Drainage of tendon sheath, acute suppurative tenosynovitis, multiple or complicated Musculoskeletal system #VALUE! #VALUE! BR
26045 Fasciotomy, palmar, for Dupuytren's contracture - open Musculoskeletal system 526,300.00 609,400.00 554.00
26055 Tenovaginotomy for "Trigger" finger or thumb Musculoskeletal system 405,650.00 469,700.00 427.00
Capsulotomy or arthrotomy for biopsy carpometacarpal joint; metacarpophalangeal

joint and interphalangeal joint
26120 Palmar fasciectomy, partial, simple for Dupuytren's contracture Musculoskeletal system 218,500.00 253,000.00 230.00
- up to one-half palma fascia, with single finger involvement, with or without Z-plasty
or other local tissue rearrangement
26124 - complicated, requiring skin graft (including obtaining graft) Musculoskeletal system 532,000.00 616,000.00 560.00
26127 - each additional finger Musculoskeletal system 106,400.00 123,200.00 112.00
26130 Synovectomy, carpometacarpal and intercarpal joint Musculoskeletal system 524,400.00 607,200.00 552.00
26135 - metacarpophalangeal joint, including intrinsic release and extensor reconstruction Musculoskeletal system 606,100.00 701,800.00 638.00
26140 - interphalangeal joint, including extensor reconstruction Musculoskeletal system 543,400.00 629,200.00 572.00
26142 - each additional joint, including extensor reconstruction Musculoskeletal system 112,100.00 129,800.00 118.00
26160 Excision of lesion of tendon sheath or capsule (eg. cyst or ganglion) hand or finger Musculoskeletal system 378,100.00 437,800.00 398.00
Flexor tendon repair or advancement, single (without free tendon graft) primary or
secondary
26352 Flexor tendon repair, with tendon graft (includes obtaining graft), single Musculoskeletal system 786,600.00 910,800.00 828.00
Excision of flexor tendon with implantation of plastic tube or rod or sheath, for
delayed tendon graft, single finger
26392 Removal of tube or rod and insertion of tendon graft (includes obtaining graft) Musculoskeletal system 1,007,000.00 1,166,000.00 1,060.00
Extensor tendon repair, dorsum of hand, dorsum of finger, primary or secondary,

single
26420 - with graft (includes obtaining graft) Musculoskeletal system 688,750.00 797,500.00 725.00
26426 - central slip repair, secondary local tissues Musculoskeletal system 660,250.00 764,500.00 695.00
26428 - with graft (includes obtaining graft) Musculoskeletal system 711,550.00 823,900.00 749.00
26432 - distal insertion repair, secondary ("mallet finger") Musculoskeletal system 425,600.00 492,800.00 448.00
26440 Tenolysis, flexor tendon, hand or fingers, single Musculoskeletal system 518,700.00 600,600.00 546.00
26441 - multiple, through same incision Musculoskeletal system 266,000.00 308,000.00 280.00
26447 Tenolysis, extensor tendon Musculoskeletal system 133,000.00 154,000.00 140.00
26471 Tenodesis for proximal interphalangeal joint stabilization Musculoskeletal system 562,400.00 651,200.00 592.00
26474 - for distal joint stabilization Musculoskeletal system 559,550.00 647,900.00 589.00
26480 Tendon transfer or transplant, carpometacarpal area or dorsum of hand, single Musculoskeletal system 739,100.00 855,800.00 778.00
26481 - multiple Musculoskeletal system 399,000.00 462,000.00 420.00
26490 Opponens-plasty (transfer), sublimis tendon transfer type, with or without graft Musculoskeletal system 848,350.00 982,300.00 893.00
26502 Tendon pulley reconstruction with tendon or fascial graft (includes obtaining graft) Musculoskeletal system 679,250.00 786,500.00 715.00
26516 Capsulodesis for metacarpophalangeal joint stabilization, single finger Musculoskeletal system 635,550.00 735,900.00 669.00
26518 - multiple, same hand Musculoskeletal system 833,150.00 964,700.00 877.00
26530 Arthroplasty, metacarpophalangeal joint, single Musculoskeletal system 600,400.00 695,200.00 632.00
26531 - with prosthetic implant Musculoskeletal system 730,550.00 845,900.00 769.00
- multiple, with or without prosthetic implant (add 50% for second joint, 23% for
each additional joint)
26535 - each interphalangeal joint, single Musculoskeletal system 488,300.00 565,400.00 514.00
26536 - with prosthetic implant Musculoskeletal system 708,700.00 820,600.00 746.00
- multiple, with or without prosthetic implant (add 50% for second joint, 25% for
each additional joint)
26540 Reconstruction, collateral ligament, metacarpophalangeal joint Musculoskeletal system 693,500.00 803,000.00 730.00
26550 Pollicization of finger Musculoskeletal system 2,025,400.00 2,345,200.00 2,132.00
26560 Repair of syndactyly (web finger) with skin flaps Musculoskeletal system 548,150.00 634,700.00 577.00
26561 - with skin flaps and grafts (includes obtaining graft) Musculoskeletal system 1,018,400.00 1,179,200.00 1,072.00
26565 Osteotomy for correction of deformity, metacarpal or phalanx Musculoskeletal system 680,200.00 787,600.00 716.00
26570 Bone graft, metacarpal or phalanx (includes obtaining graft and/or internal fixation) Musculoskeletal system 266,000.00 308,000.00 280.00
Crushed hand - inital treatment, including removal of dead tissue under general
anaesthetic and six weeks' after care
26605 Metacarpal fracture, single, closed, manipulative reduction Musculoskeletal system 281,200.00 325,600.00 296.00
26610 - open, with manipulative reduction Musculoskeletal system 112,100.00 129,800.00 118.00
26625 - multiple, manipulative reduction Musculoskeletal system 133,000.00 154,000.00 140.00
- open reduction metacarpal fracture closed or open, multiple, with or without

internal or external skeletal fixation
Carpometacarpal fracture and/or dislocation, thump (eg. Bennett fracture) closed,

with manipulative reduction
26650 - closed, with skeletal fixation Musculoskeletal system 503,500.00 583,000.00 530.00
Intercarpal, carpometacarpal or metacarpophalangeal dislocation, closed, single,

manipulative reduction with anaesthesia
Phalangeal fracture, proximal or middle, finger or thumb, closed, manipulative

reduction
26735 closed or open, open reduction, with or without skeletal fixation Musculoskeletal system 523,450.00 606,100.00 551.00
26755 - distal phalanx, finger or thumb, closed manipulative reduction Musculoskeletal system 272,650.00 315,700.00 287.00
26765 - closed or open reduction, with or without skeletal fixation Musculoskeletal system 386,650.00 447,700.00 407.00
26766 - intra-articular fracture, complex, open reduction, with or without skeletal fixation Musculoskeletal system 223,250.00 258,500.00 235.00
Inter-phalangeal joint dislocation, closed, single, manipulative reduction requiring

anaesthesia
Fusion in apposition, thumb, intermetacarpal with autogenous graft (includes

obtaining graft)
26841 Carpometacarpal joint, thumb or finger, with or without skeletal fixation Musculoskeletal system 725,800.00 840,400.00 764.00
26850 Metacarpophalangeal joint, with or without skeletal fixation Musculoskeletal system 644,100.00 745,800.00 678.00
26860 Interphalangeal joint, with or without skeletal fixation Musculoskeletal system 513,000.00 594,000.00 540.00
Metacarpal, with finger or thumb (ray amputation), single, with or without

interosseous transfer
26951 Finger or thumb Musculoskeletal system 464,550.00 537,900.00 489.00
26952 - with local advancement flaps (V-Y hood) Musculoskeletal system 585,200.00 677,600.00 616.00
Tenotomy, adductor, subcutaneous, closed (independent procedure) requiring

anaesthesia
27001 - open Musculoskeletal system 545,300.00 631,400.00 574.00
27015 Iliac crest fasciotomy (eg. Soutter or Campbel procedures) with stripping of ilium Musculoskeletal system 282,150.00 326,700.00 297.00
27030 Arthrotomy (capsulotomy), dip, for drainage Musculoskeletal system 1,187,500.00 1,375,000.00 1,250.00
27054 Arthrotomy (capsulotomy) for synovectomy hip Musculoskeletal system 916,750.00 1,061,500.00 965.00
27062 Hip excision of bursa or calcification Musculoskeletal system 539,600.00 624,800.00 568.00
27081 Excision, saco-coccygeal teratoma, perineal approach Musculoskeletal system BR BR BR
27082 - abdominal and perineal approach Musculoskeletal system BR BR BR
27090 Removal of hip prosthesis (independent procedure) Musculoskeletal system 1,059,250.00 1,226,500.00 1,115.00
27091 Removal of "total hip" component(s) Musculoskeletal system 2,022,550.00 2,341,900.00 2,129.00
27110 Iliopsoas transfer to greater trochanter (eg. Mustard or Sharrad) Musculoskeletal system 1,172,300.00 1,357,400.00 1,234.00
27115 Muscle release, complete ("Hanging hip") procedure Musculoskeletal system 718,200.00 831,600.00 756.00
27120 Acetabuloplasty (eg. Colonna or Whittman) Musculoskeletal system 1,713,800.00 1,984,400.00 1,804.00
27122 - resection femoral head (eg. Girdlestone procedure) Musculoskeletal system 1,524,750.00 1,765,500.00 1,605.00
27126 Arthroplasty, cup Musculoskeletal system 877,800.00 1,016,400.00 924.00
27127 - with acetabuloplasty Musculoskeletal system 1,064,000.00 1,232,000.00 1,120.00
27130 Acetabular and proximal femoral prosthetic replacement ("total hip") Musculoskeletal system 2,085,250.00 2,414,500.00 2,195.00
Giliberty or similar Endo Prosthesis where the acetabular component is not

cemented into position
27140 Osteotomy and transfer of greater trochanter (independent procedure) Musculoskeletal system 1,133,350.00 1,312,300.00 1,193.00
27147 Osteotomy, iliac or acetabular (eg. Pemberton, Chiari, or Salter procedure) Musculoskeletal system 1,763,200.00 2,041,600.00 1,856.00
27154 - with open reduction of hip Musculoskeletal system 771,400.00 893,200.00 812.00
27162 Osteotomy, femoral neck (independent procedure) Musculoskeletal system 771,400.00 893,200.00 812.00
27165 Osteotomy, inter or subtrochanteric, including skeletal fixation and/or cast Musculoskeletal system 1,671,050.00 1,934,900.00 1,759.00
Bone graft for non-union, femoral head, neck intertrochanteric or subtrochanteric

area (includes obtaining graft and/or internal fixation)
27173 Slipped femoral epiphysis, treated by single or multiple pinning, in situ Musculoskeletal system 718,200.00 831,600.00 756.00
27174 - closed reduction, with single or multiple pinning Musculoskeletal system 744,800.00 862,400.00 784.00
27177 - open reduction, single or multiple pinning or bone graft (includes ontaining graft) Musculoskeletal system 1,336,650.00 1,547,700.00 1,407.00
27181 - osteotomy and internal fixation Musculoskeletal system 1,352,800.00 1,566,400.00 1,424.00
27188 Dislocations not requiring anaesthesia for reduction Musculoskeletal system FFS FFS FFS
Iliac, pubic and or ischial fracture(s), closed or open, open reduction, with or without
skeletal fixation
27222 Acetabulum fracture(s), manipulative reduction, with or without skeletal traction Musculoskeletal system 953,800.00 1,104,400.00 1,004.00
27224 - closed skeletal fixation Musculoskeletal system 771,400.00 893,200.00 812.00
Femur, fracture, proximal end, neck, intertrochanteric or pertrochanteric, closed,

manipulative reduction, including skeletal traction
- open, with uncomplicated soft tissue closure, manipulative reduction including

skeletal traction
27236 - closed or open, internal fixation or prosthetic replacement Musculoskeletal system 1,547,550.00 1,791,900.00 1,629.00
27252 Hip dislocation, traumatic, closed manipulative reduction requiring anaesthesia Musculoskeletal system 751,450.00 870,100.00 791.00
27253 - closed or open, open reduction Musculoskeletal system 1,250,200.00 1,447,600.00 1,316.00
27255 - with acetabular lip fracture, with or without skeletal fixation Musculoskeletal system 771,400.00 893,200.00 812.00
27256 - congenital, by abduction, splint or traction, any method Musculoskeletal system FFS FFS FFS
27257 - closed reduction requiring anaesthesia Musculoskeletal system 462,650.00 535,700.00 487.00
27258 - open reduction, including tenotomy Musculoskeletal system 1,413,600.00 1,636,800.00 1,488.00
27275 Hip joints, requiring general anaesthesia Musculoskeletal system 203,300.00 235,400.00 214.00
27276 - with hip spica, requiring general anaesthesia Musculoskeletal system 125,400.00 145,200.00 132.00
27280 Sacro-iliac joint (includes obtaining graft) Musculoskeletal system 1,255,900.00 1,454,200.00 1,322.00
27284 Hip joint (includes obtaining graft) Musculoskeletal system 1,634,950.00 1,893,100.00 1,721.00
27286 - with subtrochanteric osteotomy Musculoskeletal system 1,660,600.00 1,922,800.00 1,748.00
27290 Interpelviabdominial amputation (hind-quarter amputation) Musculoskeletal system 2,621,050.00 3,034,900.00 2,759.00
27295 Disarticulation of hip Musculoskeletal system 1,683,400.00 1,949,200.00 1,772.00
27305 Ilio-tibial fasciotomy (tenotomy), open (Ober-Yount) Musculoskeletal system 493,050.00 570,900.00 519.00
Tenotomy, subcutaneous (closed), distal hamstrings, multiple, with or without

adductor (independent procedure)
Arthrotomy or capsulotomy, knee, with exploration, drainage or removal of foreign

body
27315 Hamstring or popliteal (gastrocnemius) neurectomy Musculoskeletal system 308,750.00 357,500.00 325.00
27331 Arthrotomy with joint exploration, for removal of loose bodies Musculoskeletal system 645,050.00 746,900.00 679.00
Arthrotomy (capsulotomy) knee, for excision of semilunar cartilage (meniscectomy),

medial or lateral
27333 - meniscectomy, medial and lateral Musculoskeletal system 880,650.00 1,019,700.00 927.00
27335 - for synovectomy, anterior or posterior Musculoskeletal system 1,038,350.00 1,202,300.00 1,093.00
27336 - anterior and posterior (includes popliteal area) Musculoskeletal system 611,800.00 708,400.00 644.00
27337 - including medial and lateral meniscectomies add Musculoskeletal system 427,500.00 495,000.00 450.00
27338 - with pes anserinus transfer Musculoskeletal system 611,800.00 708,400.00 644.00
27340 Excision, prepatella bursa Musculoskeletal system 406,600.00 470,800.00 428.00
27345 Excision of synovial cyst of popliteal space (eg. Baker's cyst) Musculoskeletal system 575,700.00 666,600.00 606.00
27350 Patellectomy or hemipatellectomy Musculoskeletal system 844,550.00 977,900.00 889.00

27371 Removal of total knee components Musculoskeletal system 425,600.00 492,800.00 448.00
27376 Arthroscopy of knee with or without biopsy Musculoskeletal system 212,800.00 246,400.00 224.00
27380 Suture of infrapatellar tendon, primary Musculoskeletal system 738,150.00 854,700.00 777.00
27381 - secondary reconstruction, including fascial or tendon graft Musculoskeletal system 1,045,950.00 1,211,100.00 1,101.00
27385 Suture of quadriceps muscle or tendon rupture, primary Musculoskeletal system 805,600.00 932,800.00 848.00
27386 - secondary reconstruction, including fascial or tendon graft Musculoskeletal system 1,102,950.00 1,277,100.00 1,161.00
27387 Tenotomy, open, hamstring, knee to hip, single Musculoskeletal system 175,750.00 203,500.00 185.00
27388 - multiple, one leg Musculoskeletal system 249,850.00 289,300.00 263.00
27391 Lengthening of hamstring tendon, single Musculoskeletal system 634,600.00 734,800.00 668.00
27393 - multiple, one leg Musculoskeletal system 597,550.00 691,900.00 629.00
27397 - transplant of hamstring tendon to patella, multiple, one leg Musculoskeletal system 963,300.00 1,115,400.00 1,014.00
27400 Tendon or muscle transfer, hamstrings to femur (eg. Egger's procedure) Musculoskeletal system 829,350.00 960,300.00 873.00
Repair, primary. torn ruptured or severed collateral ligament, with or without

menisetomy
27407 - cruciate ligament Musculoskeletal system 934,800.00 1,082,400.00 984.00
27408 - with pes anserinus transfer Musculoskeletal system 611,800.00 708,400.00 644.00
27409 - collateral and cruciate ligament Musculoskeletal system 1,324,300.00 1,533,400.00 1,394.00
- secondary repair, collateral or cruciate ligament with pes anserinus transfer of

fascial or tendon graft
- collateral and cruciate ligaments with pes anserinus transfer of fascial or tendon
graft
27419 Pes anserinus transfer (independent procedure) Musculoskeletal system 532,000.00 616,000.00 560.00
Reconstruction for recurrent dislocating patella (eg. Hauser, Campbell or

Goldthwaite procedure) with or without patellectomy
Elevation anterior tibial tubercle (Maquet procedure), including bone graft with or
without patellectomy
27426 Arthroplasty, prosthetic replacement of patella Musculoskeletal system 532,000.00 616,000.00 560.00
27430 Quadricepsplasty (eg. Bennett or Thompson procedure) Musculoskeletal system 924,350.00 1,070,300.00 973.00
Arthroplasty, knee, with femoral condyle and tibial plateau replacement, medial and
lateral compartments, with or without patella ("total knee")
27449 Osteotomy, femur, shaft or supracondylar, without fixation Musculoskeletal system 462,650.00 535,700.00 487.00
27451 - with fixation Musculoskeletal system 665,000.00 770,000.00 700.00
27452 - multiple femoral shaft (eg. Sofield procedure) and rodding Musculoskeletal system 718,200.00 831,600.00 756.00
Osteotomy proximal tibia, including fibular excision or osteotomy (includes

27455 correction of genu varus or valgus) unilateral, before epiphseal closure and/or Musculoskeletal system 1,207,450.00 1,398,100.00 1,271.00
skeletal fixation
27456 - after epiphyseal closure Musculoskeletal system 494,950.00 573,100.00 521.00
27465 Osteotomy, femoral, shortening Musculoskeletal system 1,317,650.00 1,525,700.00 1,387.00
27466 - lengthening Musculoskeletal system 1,451,600.00 1,680,800.00 1,528.00
27470 Repair, non-union or malunion, femur, distal to head and neck Musculoskeletal system 1,563,700.00 1,810,600.00 1,646.00
27475 Epiphyseal arrest by epiphysiodesis or stapling, distal femur Musculoskeletal system 804,650.00 931,700.00 847.00
27477 - proxima tibia and fibula Musculoskeletal system 1,083,000.00 1,254,000.00 1,140.00
27479 - combined, distal femur and proximal tibia and fibula (knee) Musculoskeletal system 1,204,600.00 1,394,800.00 1,268.00
hemi-epiphyseal arrest, distal femur or proximal tibia or fibula (eg. for genu varus or
valgus)
27499 Fractures not requiring reductions Musculoskeletal system FFS FFS FFS
Femur, shaft or condylar or epiphyseal fracture, closed with manipulative reduction

(includes traction)
27504 - open with uncomplicated soft tissue closure, manipulative reduction Musculoskeletal system 356,250.00 412,500.00 375.00
27506 - closed or open reduction, with or without skeletal fixation Musculoskeletal system 1,623,550.00 1,879,900.00 1,709.00
27522 Patella, fracture, open, with uncomplicated soft tissue closure Musculoskeletal system 143,450.00 166,100.00 151.00
27524 - closed or open, open reduction, with repair and/or excision Musculoskeletal system 985,150.00 1,140,700.00 1,037.00
27532 Tibia, fracture, proximal (palteau) closed, with manipulative reduction Musculoskeletal system 660,250.00 764,500.00 695.00
27552 Knee dislocation, closed manipulative reduction, with anaesthesia Musculoskeletal system 596,600.00 690,800.00 628.00
27562 patellar dislocation, closed manipulative reduction with anaesthesia Musculoskeletal system 541,500.00 627,000.00 570.00
27566 - closed or open, open reduction, with or without partial or total patellectomy Musculoskeletal system 1,116,250.00 1,292,500.00 1,175.00
Manipulation of knee joint under general anaesthesia (includes application of
traction or other fixation devices)
27580 Fusion of knee, any technique, includes local graft Musculoskeletal system 1,504,800.00 1,742,400.00 1,584.00
27590 Thigh, through femur, any level, with primary closere Musculoskeletal system 991,800.00 1,148,400.00 1,044.00
27594 - secondary closure or scar revision Musculoskeletal system 533,900.00 618,200.00 562.00
27598 Disarticulation at knee Musculoskeletal system 978,500.00 1,133,000.00 1,030.00
27600 Fasciotomy, leg, anterior compartment, for closed spaced decompression Musculoskeletal system 449,350.00 520,300.00 473.00
27606 Tenotomy, Archilles tendon, subcutaneous, under general anaesthesia Musculoskeletal system 320,150.00 370,700.00 337.00
Posterior capsular release, with or without Archilles tendon lengthening (see also
27685)
27620 Arthrotomy (capsulotomy), ankle, for biopsy Musculoskeletal system 589,950.00 683,100.00 621.00
27625 - for synovectomy Musculoskeletal system 817,000.00 946,000.00 860.00
27630 Excision of lesion of tendon, sheath or capsule (eg. Cyst or ganglion) Musculoskeletal system 453,150.00 524,700.00 477.00
27650 Repair, ruptured Achilles tendon, primary Musculoskeletal system 905,350.00 1,048,300.00 953.00
27654 - secondary, with or without graft Musculoskeletal system 991,800.00 1,148,400.00 1,044.00
27655 Repair, fascial defect of leg Musculoskeletal system 212,800.00 246,400.00 224.00
27660 Repair, tendon, primary, without graft, single tendon Musculoskeletal system 223,250.00 258,500.00 235.00
27662 - secondary, with or without free graft, single tendon Musculoskeletal system 282,150.00 326,700.00 297.00
27675 Repair, for dislocating paroneal tendons, with or without fibular osteotomy Musculoskeletal system 662,150.00 766,700.00 697.00
Lengthening or shortening of tendon single (independent procedure) (eg. Achilles

tendon)[see also 27606 - 27612]
27686 Lengthening or shortening of tendon multiple (through same incision) Musculoskeletal system 686,850.00 795,300.00 723.00
27687 Gastrocnemius recession (eg. Strayer procedure) Musculoskeletal system 572,850.00 663,300.00 603.00
Transfer or transplant of tendon (with muscle redirection or rerouting), single,

superficial (eg. anterior tibial or extensors into mid foot)
- each additional tendon (toe extensors as a group are considered to be a single

tendon when transplanted into mid-foot)
27693 - anterior or posterior tibial, through interosseus space Musculoskeletal system 356,250.00 412,500.00 375.00
27695 Repair, primary, torn, ruptured or severed ankle, collateral ligament Musculoskeletal system 686,850.00 795,300.00 723.00
27696 - both collateral ligaments Musculoskeletal system 747,650.00 865,700.00 787.00
27698 Repair, secondary, collateral ligament (eg. Watson-Jones procedure) Musculoskeletal system 980,400.00 1,135,200.00 1,032.00
27702 Arthroplasty, total ankle replacement Musculoskeletal system 1,521,900.00 1,762,200.00 1,602.00
Osteotomy, tibia or fibula multiple, with realignment and rodding (eg. Sofield
procedure)
27715 Osteoplasty, tibia and fibula, lengthening Musculoskeletal system 1,299,600.00 1,504,800.00 1,368.00
Repair of non-union or malunion, tibia (includes bone grafting and/or internal

fixation)
27722 - with sliding graft, local bone with or without internal fixation Musculoskeletal system 1,085,850.00 1,257,300.00 1,143.00
Distal and (medial, posterior or lateral) ie. uni-malleolar, closed, with manipulative
reduction
27766 - closed or open, open reduction, with skeletal fixation Musculoskeletal system 779,000.00 902,000.00 820.00
Fibula, fracture, proximal end or shaft, open, with uncomplicated soft tissue closure,
manipulative reduction
27784 - closed or open, open reduction, with skeletal fixation Musculoskeletal system 660,250.00 764,500.00 695.00
Tibia and fibula, fractures, shafts, closed with manipulative reduction, with or
without external skeletal pinning
27804 - open, with manipulative reduction (eg. "pins above and below") Musculoskeletal system 356,250.00 412,500.00 375.00
Bi-malleolar and tri-malleolar, closed, with manipulative reduction, requiring

anaesthesia
- closed or open, open reduction, with or without skeletal fixation, medial and lateral
malleoli only
27823 - with skeletal fixation of posterior lip (malleolus) Musculoskeletal system 1,204,600.00 1,394,800.00 1,268.00
Proximal tibio-fibular joint dislocation, closed or open reduction and fixation or

excision
27842 Ankle dislocation, closed, manipulative reduction with anaesthesia Musculoskeletal system 444,600.00 514,800.00 468.00
27860 Manipulation (includes application of traction or other fixation apparatus) Musculoskeletal system 193,800.00 224,400.00 204.00
27870 Fusion , ankle, includes local graft Musculoskeletal system 1,228,350.00 1,422,300.00 1,293.00
27880 Leg, through tibia and fibula, any method Musculoskeletal system 1,005,100.00 1,163,800.00 1,058.00
27888 Ankle, through malleoli of tibia and fibula (eg. Syme or Pirogoff procedures) Musculoskeletal system 913,900.00 1,058,200.00 962.00
28008 Fasciotomy, plantar and/or toe, subcutaneous (see also 28060, 28250) Musculoskeletal system 382,850.00 443,300.00 403.00
28010 Tenetomy, subcutaneous, toe, single Musculoskeletal system 318,250.00 368,500.00 335.00
28011 - multiple Musculoskeletal system 315,400.00 365,200.00 332.00
Arthrotomy (Capsulotomy), with exploration, drainage or removal of foreign body,

intertarsal or tarsometatarsal joint
28022 - metatarsophalangeal joint Musculoskeletal system 404,700.00 468,600.00 426.00
28024 - interphalangeal joint Musculoskeletal system 374,300.00 433,400.00 394.00
28035 Tarsal tunnel release (posterior tibial nerve decompositions) Musculoskeletal system 568,100.00 657,800.00 598.00
28060 Fasciotomy, excision of plantar fascia, partial (independent procedure) Musculoskeletal system 496,850.00 575,300.00 523.00
28070 Synovectomy, intertarsal or tarsometatarsal joint Musculoskeletal system 492,100.00 569,800.00 518.00
28072 - metatarsophalangeal joint Musculoskeletal system 426,550.00 493,900.00 449.00
28073 - multiple, same foot Musculoskeletal system 175,750.00 203,500.00 185.00
28080 Excision of Morton's neuroma Musculoskeletal system 409,450.00 474,100.00 431.00
Excision of lesion of tendon, or fibrous sheath or capsule (eg. cyst or ganglion) foot
or toe
28111 Ostectomy complete, first metatarsal head Musculoskeletal system 514,900.00 596,200.00 542.00
28112 - other metatarsal head, single Musculoskeletal system 448,400.00 519,200.00 472.00
28113 - each additional, either foot Musculoskeletal system 483,550.00 559,900.00 509.00
- all metatarsal heads, with or without partial proximal phalangectomies (eg. Clayton
procedure)
28116 Excision of tarsal coalition Musculoskeletal system 649,800.00 752,400.00 684.00
28130 Astragalectomy Musculoskeletal system 741,950.00 859,100.00 781.00
28150 Phalangectomy, single (filleting) Musculoskeletal system 391,400.00 453,200.00 412.00
28152 - each additional, either foot Musculoskeletal system 34,200.00 39,600.00 36.00
28200 Repair of tendon, flexor, single, primary or secondary, without free graft Musculoskeletal system 492,100.00 569,800.00 518.00
28208 - extensor, single, primary or secondary Musculoskeletal system 388,550.00 449,900.00 409.00
28220 Tenolysis, flexor, single Musculoskeletal system 434,150.00 502,700.00 457.00
28222 - multiple (through same incision) Musculoskeletal system 587,100.00 679,800.00 618.00
28225 - extensor, single Musculoskeletal system 328,700.00 380,600.00 346.00
28226 - multiple (through same incision) Musculoskeletal system 419,900.00 486,200.00 442.00
28230 Tenotomy, open, flexor, foot, single or multiple (independent procedure) Musculoskeletal system 363,850.00 421,300.00 383.00
28234 - extensor, foot or toe Musculoskeletal system 288,800.00 334,400.00 304.00
Advancement of posterior tibial tendon with excision of accessory scaphoid bone

(eg. Kidner procedure)
28240 Tenotomy or release, abductor hallucis muscle (eg. McMauley procedure) Musculoskeletal system 359,100.00 415,800.00 378.00
Division of plantar fascia and muscle (eg. "Steindler stripping") [independent

procedure]
28260 Capsulotomy, mid-foot medial release only (independent procedure) Musculoskeletal system 646,000.00 748,000.00 680.00
28262 - with tendon lengthening Musculoskeletal system 1,311,000.00 1,518,000.00 1,380.00
- extensive, including posterior talotibial capsulotomy (eg. resistant club foot

deformity)
28264 - midtarsal (eg. Heyman procedure) Musculoskeletal system 983,250.00 1,138,500.00 1,035.00
28286 Plastic procedure for "cock-up" fifth toe (eg. Ruiz-Mora procedure) Musculoskeletal system 430,350.00 498,300.00 453.00
28290 Hallux valgus, correction by exostectomy (eg. Silver procedure) Musculoskeletal system 570,000.00 660,000.00 600.00
28292 - (eg. Keller, McBride or Mayo type procedure) Musculoskeletal system 719,150.00 832,700.00 757.00
28293 - with resection of joint with implant Musculoskeletal system 963,300.00 1,115,400.00 1,014.00
28294 - with tendon transplant (eg. Joplin procedure) Musculoskeletal system 867,350.00 1,004,300.00 913.00
28296 - with metatarsal osteotomy (eg. Mitchell or Lapidus procedures) Musculoskeletal system 891,100.00 1,031,800.00 938.00
28298 - with phalangeal osteotomy Musculoskeletal system 823,650.00 953,700.00 867.00
Osteotomy, with or without internal fixation of calcis (eg Dwyer or Chambers

procedures)
28302 - talus Musculoskeletal system 891,100.00 1,031,800.00 938.00
28304 - other mid-tarsal bones Musculoskeletal system 798,000.00 924,000.00 840.00
- metatarsals, base or shaft, single, for shortening or angular correction, first

metatarsal
28308 - other metatarsals Musculoskeletal system 559,550.00 647,900.00 589.00
- proximal phalanx, first toe, for shortening, angularly or rotational correction

28312 - other phalanges, any toe Musculoskeletal system 472,150.00 546,700.00 497.00
Repair of non-union or malunion, matatarsal, with or without bone graft (includes

obtaining graft and/or fixation)
28435 Talus or calcaneum, closed, with manpulative reduction Musculoskeletal system 345,800.00 400,400.00 364.00
28445 - closed or open, open reduction, with or without skeletal fixation Musculoskeletal system 996,550.00 1,153,900.00 1,049.00
28455 Navicular, cuneiforms or cuboid, closed with manipulative reduction Musculoskeletal system 292,600.00 338,800.00 308.00
28475 Metatarsal(s), fracture(s), closed, with manipulative reduction Musculoskeletal system 271,700.00 314,600.00 286.00
28495 Phalanx or phalanges, fracture, big toe closed with manipulative reduction Musculoskeletal system 147,250.00 170,500.00 155.00
28515 Phalanges other than big toe, closed, with manipulative reduction Musculoskeletal system 137,750.00 159,500.00 145.00
28575 Astragalo-tarsal joint, dislocation, closed, manipulative reduction with anaesthesia Musculoskeletal system 310,650.00 359,700.00 327.00
28605 Tarsometatarsal joint, dislocation, closed, manipulative reduction, with anaesthesia Musculoskeletal system 257,450.00 298,100.00 271.00
28606 - with percutaneous skeletal fixation Musculoskeletal system 423,700.00 490,600.00 446.00
Metatarsophalangeal joint, dislocation, closed, manipulative reduction with

anaesthesia
Interphalangeal joint, closed or open, with uncomplicated soft tissue closure,

manipulative reduction requiring anaesthesia
28705 Plantar arthrodesis, includes local graft Musculoskeletal system 1,521,900.00 1,762,200.00 1,602.00
28715 Triple arthrodesis, includes local graft Musculoskeletal system 1,235,950.00 1,431,100.00 1,301.00
28725 Subastragalar arthrodesis (eg. Grice procedure, Batchelor) Musculoskeletal system 1,024,100.00 1,185,800.00 1,078.00
28730 Midtarsal or tarsometatarsal arthrodesis, multiple or transverse Musculoskeletal system 976,600.00 1,130,800.00 1,028.00
28750 Big toe, metatarsophalangeal joint, arthrodesis Musculoskeletal system 627,950.00 727,100.00 661.00
28755 - interphalangeal joint Musculoskeletal system 453,150.00 524,700.00 477.00
28760 - with extensor hallucis longus transfer to first matatarsal neck (Jones procedure) Musculoskeletal system 630,800.00 730,400.00 664.00
28761 Interphalangeal joint arthrodesis, other than big toe Musculoskeletal system 122,550.00 141,900.00 129.00
28800 Foot, midtarsal (eg. Chopart procedure) Musculoskeletal system 714,400.00 827,200.00 752.00
28805 - transmetatarsal Musculoskeletal system 754,300.00 873,400.00 794.00
28810 Metatarsal, with toe, single Musculoskeletal system 497,800.00 576,400.00 524.00
28820 Toe, metatarsophalangeal joint Musculoskeletal system 388,550.00 449,900.00 409.00
28825 - interphalangeal or transphalangeal joint Musculoskeletal system 344,850.00 399,300.00 363.00
29010 Turnbuckle jacket, localizer, body only Musculoskeletal system 243,200.00 281,600.00 256.00
29015 - including head Musculoskeletal system 251,750.00 291,500.00 265.00
29035 Body, shoulder to hip, plaster jacket Musculoskeletal system 210,900.00 244,200.00 222.00
29040 - including head, Minerva type Musculoskeletal system 226,100.00 261,800.00 238.00
29049 Plaster figure of 8 (eg. Clavicle fracture) Musculoskeletal system 76,000.00 88,000.00 80.00
29055 Shoulder spica Musculoskeletal system 172,900.00 200,200.00 182.00
29065 Above elbow plaster cast Musculoskeletal system 91,200.00 105,600.00 96.00
29075 Below elbow plaster cast Musculoskeletal system 77,900.00 90,200.00 82.00
29305 Hip spica, unilateral Musculoskeletal system 217,550.00 251,900.00 229.00
29325 Hip spica, bilateral Musculoskeletal system 235,600.00 272,800.00 248.00
29340 Hinged thigh cast with pelvic band Musculoskeletal system 26,600.00 30,800.00 28.00
29355 Above knee Musculoskeletal system 140,600.00 162,800.00 148.00
29356 Hinged above knee plaster of paris cast Musculoskeletal system 58,900.00 68,200.00 62.00
29365 Cylinger cast (thigh to ankle) Musculoskeletal system 113,050.00 130,900.00 119.00
29366 Hinged cylinder cast Musculoskeletal system 34,200.00 39,600.00 36.00
29425 Short leg (below knee to toes) Musculoskeletal system 103,550.00 119,900.00 109.00
29435 Platella tendon bearing (P.T.B. cast) Musculoskeletal system 124,450.00 144,100.00 131.00
Club foot strapping or cast with moulding or manipulation, long or short leg, under
24 months, single
29456 Club foot manipulation under general anaesthesia and application of plaster of paris Musculoskeletal system 50,350.00 58,300.00 53.00
29460 Plaster of Paris, wool, crepe and other supportive orthopaedic bandages Musculoskeletal system At cost At cost At cost
RESPIRATORY SYSTEM
30000 Drainage abscess or haematoma ( nasal, internal approach) Respiratory 242,250.00 280,500.00 255.00
30001 - under local anaesthesia. Respiratory 72,200.00 83,600.00 76.00
30110 Excision , nasal polyps ( simple) office Respiratory 171,950.00 199,100.00 181.00
30115 Excision , nasal polyps ( extensive ,hospital) Respiratory 393,300.00 455,400.00 414.00
30120 Excision of rhinophyma Respiratory 630,800.00 730,400.00 664.00
30130 Excision inferior turbinate partial or complete any method Respiratory 405,650.00 469,700.00 427.00
30210 Displacement therapy ( PROETZ type) Respiratory 84,550.00 97,900.00 89.00
30300 intranasal , office Respiratory 181,450.00 210,100.00 191.00

30301 - requiring local anaesthetic Respiratory 106,400.00 123,200.00 112.00
30310 - requiring general anaesthetic Respiratory 114,950.00 133,100.00 121.00
30400 Rhinoplasty primary, lateral & alar cartilages & or tip elevation Respiratory 631,750.00 731,500.00 665.00
30410 Complete , external bony pyramid lateral & alar cartilages & tip elevation Respiratory 1,406,000.00 1,628,000.00 1,480.00
30420 including major septal repair Respiratory 1,674,850.00 1,939,300.00 1,763.00
30430 Rhinoplasty secondary, minor revision & or tip work Respiratory 761,900.00 882,200.00 802.00
30440 - new patient Respiratory 653,600.00 756,800.00 688.00
30460 Rhinoplasty for post congenital cleft lip & palate repair columelar & tip work Respiratory 918,650.00 1,063,700.00 967.00
30462 tip, septum ,& osteotomies Respiratory 1,840,150.00 2,130,700.00 1,937.00
30500 Submucous resection, nasal septum, classic Respiratory 545,300.00 631,400.00 574.00
30540 Repair of choanal atresia, intranasal Respiratory 738,150.00 854,700.00 777.00
30545 transpalatine Respiratory 1,109,600.00 1,284,800.00 1,168.00
30580 Repair oro-enteral fistula ,add 31030 if antrotomy is included Respiratory 665,000.00 770,000.00 700.00
30620 Septal or intranasal dermoplasty Respiratory 912,000.00 1,056,000.00 960.00
30799 Diathermy to turbinates Respiratory 165,300.00 191,400.00 174.00
30800 - with local anaesthetic Respiratory 53,200.00 61,600.00 56.00
30900 Cautery nasal (unilateral or bilateral), with local anaesthetic Respiratory 93,100.00 107,800.00 98.00
30905 Control nasal haemorrhage, posteror with posterior nasal packs& or cautery initial Respiratory 229,900.00 266,200.00 242.00
30910 Nasal and/or post-nasal pack for severe epistaxis under general anaesthetic Respiratory 163,400.00 189,200.00 172.00
30911 - under local anaesthetic Respiratory 89,300.00 103,400.00 94.00
30915 ligation arteries , ethmoidal Respiratory 611,800.00 708,400.00 644.00
30999 unlisted procedure ,nose Respiratory BR BR BR
31000 lavage by cannulation , maxillary sinus ( antral puncture or natural ostium) Respiratory 109,250.00 126,500.00 115.00
31002 sphenoid sinus Respiratory 147,250.00 170,500.00 155.00
31003 - under general anaesthetic Respiratory 152,000.00 176,000.00 160.00

31004 Antrum puncture, unilateral or bilateral, general anaesthetic Respiratory 203,300.00 235,400.00 214.00
31005 Antral lavage Respiratory 152,000.00 176,000.00 160.00
31020 Sinusotomy , maxillary, intranasal` Respiratory 348,650.00 403,700.00 367.00
31030 Radical (Caldwell Luc) without removal of antrochoanal polyps Respiratory 693,500.00 803,000.00 730.00
31049 Intranasal, frontal Respiratory 407,550.00 471,900.00 429.00
31050 Sinusotomy ,sphenoid with or without biopsy Respiratory 562,400.00 651,200.00 592.00
31070 Sinusotomy ,frontal,external ,simple trephine Respiratory 457,900.00 530,200.00 482.00
31075 transorbital, unilateral Lynch type for mucocoele or osteoma Respiratory 954,750.00 1,105,500.00 1,005.00
31085 obliterative with osteoplastic flap (Coronal incision) Respiratory 1,468,700.00 1,700,600.00 1,546.00
31200 Ethmoidectomy , Intranasal , anterior Respiratory 513,950.00 595,100.00 541.00
31201 intranasal , total Respiratory 781,850.00 905,300.00 823.00
31220 External ethmoidectomy (Pattersons operation) Respiratory 951,900.00 1,102,200.00 1,002.00
31225 maxillectomy , without orbital exenteration Respiratory 1,842,050.00 2,132,900.00 1,939.00
31230 maxillectomy , with orbital exenteration Respiratory 2,565,000.00 2,970,000.00 2,700.00
31240 with conca bullosa resection Respiratory 638,400.00 739,200.00 672.00
31245 Ultrasound to pituitary, exclusive of operation Respiratory 267,900.00 310,200.00 282.00
Nasal endoscopy, diagnostic (includes examination of the medial meatus,

31250 Respiratory 114,950.00 133,100.00 121.00
infundibulum and sinus ostia)
31252 Nasal endoscopy, surgical with nasal polypectomy Respiratory 261,250.00 302,500.00 275.00
31254 nasal sinus endoscopy , surgical, with ethmoidectomy, partial (anterior) Respiratory 491,150.00 568,700.00 517.00
31255 with ethmoidectomy , total (anterior & posterior) Respiratory 734,350.00 850,300.00 773.00
31256 nasal sinus endoscopy , surgical with maxillary antrostomy Respiratory 331,550.00 383,900.00 349.00
31258 - with removal of foreign body(s) Respiratory 197,600.00 228,800.00 208.00
31260 Maxillary sinus endoscopy, diagnostic, with or without biopsy Respiratory 197,600.00 228,800.00 208.00
31263 Maxillary sinus endoscopy, surgical; with removal of foreign body(s) Respiratory 262,200.00 303,600.00 276.00
31265 - with removal of cyst Respiratory 253,650.00 293,700.00 267.00

31267 - with removal of mucous membrane and/or polyp(s) Respiratory 511,100.00 591,800.00 538.00
31268 - with removal of fungus ball Respiratory 332,500.00 385,000.00 350.00
31270 Sphenoid endoscopy, diagnostic Respiratory 216,600.00 250,800.00 228.00
31275 Sphenoid endoscopy, surgical; including sphenoidotomy Respiratory 319,200.00 369,600.00 336.00
31277 - with removal of mucous membrane Respiratory 373,350.00 432,300.00 393.00
31300 Laryngotomy , with removal of tumour or laryngocoele , cordectomy Respiratory 1,311,950.00 1,519,100.00 1,381.00
31320 diagnostic Respiratory 512,050.00 592,900.00 539.00
31360 Laryngectomy ,total, without radical neck dissection Respiratory 1,871,500.00 2,167,000.00 1,970.00
31395 with reconstruction Respiratory 3,127,400.00 3,621,200.00 3,292.00
31396 Laryngecotomy with laryngoplasty Respiratory 1,879,100.00 2,175,800.00 1,978.00
31400 arytenoidectomy or arytenoidopexy, external approach Respiratory 937,650.00 1,085,700.00 987.00
31500 Intubation` , endotracheal , emergency procedure Respiratory 149,150.00 172,700.00 157.00
31505 Laryngoscopy,indirect , diagnostic Respiratory 64,600.00 74,800.00 68.00
31510 with biopsy Respiratory 156,750.00 181,500.00 165.00
31526 diagnostic , with operating microscope or telescope Respiratory 295,450.00 342,100.00 311.00
31530 - direct operative, including foreign body removal Respiratory 330,600.00 382,800.00 348.00
31536 with operative microscope or telescope Respiratory 371,450.00 430,100.00 391.00
laryngoscopy , direct operative, with excision of tumour & or stripping vocal cord
31540 Respiratory 435,100.00 503,800.00 458.00
/epiglottis
31541 with operative microscope or telescope Respiratory 421,800.00 488,400.00 444.00
31572 Ultrasound to larynx for papillomatosis, exclusive of operation fee Respiratory 380,000.00 440,000.00 400.00
31600 Tracheostomy, planned Respiratory 413,250.00 478,500.00 435.00
31619 Bronchial lavage - short Respiratory 208,050.00 240,900.00 219.00
31620 Bronchoscopy, diagnostic (initial) Respiratory 343,900.00 398,200.00 362.00
31621 - prolonged or repeat Respiratory 264,100.00 305,800.00 278.00
31625 with bronchial biopsy Respiratory 347,700.00 402,600.00 366.00

31635 with removal of foreign body Respiratory 425,600.00 492,800.00 448.00
31636 - with removal of foreign body, infant, under 5 years of age Respiratory 302,100.00 349,800.00 318.00
31640 - with radium insertion Respiratory 463,600.00 536,800.00 488.00
31645 - with therapeutic aspiration of tracheobronchial tree Respiratory 322,050.00 372,900.00 339.00
31646 - with excision of tumour Respiratory 280,250.00 324,500.00 295.00
Installation of contrast material for laryngograph or bronchography without

31708 Respiratory 208,050.00 240,900.00 219.00
catheterization
31710 Catheterization for bronchography, with or without instillation of contrast material Respiratory 208,050.00 240,900.00 219.00
31715 Transtracheal injection for bronchography Respiratory 90,250.00 104,500.00 95.00
31750 Tracheoplasty , cervical Respiratory 1,072,550.00 1,241,900.00 1,129.00
31760 - intrathoracic Respiratory 1,647,300.00 1,907,400.00 1,734.00
31765 Excision, tracheal stenosis and anastomosis, cervical Respiratory 1,255,900.00 1,454,200.00 1,322.00
31775 Brochoplasty, excision stenoids, with asnastomosis Respiratory 1,901,900.00 2,202,200.00 2,002.00
31822 Surgical closure tracheostomy or fistula, with or without plastic repair Respiratory 313,500.00 363,000.00 330.00
31899 Unlisted procedure ,trachea Respiratory 1,318,600.00 1,526,800.00 1,388.00
Thoracentesis: puncuture of pleural cavity for aspiration, initial or subsequent

32000 Respiratory 23,750.00 27,500.00 25.00
(diagnostic or therapeutic)
32001 - detention time - after the first 15 minutes Respiratory 16,150.00 18,700.00 17.00
32014 Intercostal drain - needle Respiratory 23,750.00 27,500.00 25.00
32015 Tube thoracostomy with water seal (independent procedure) catheter Respiratory 106,400.00 123,200.00 112.00
32035 Thoracostomy, with rib resection for emphyema Respiratory 722,000.00 836,000.00 760.00
32036 - with open flap drainage for emphyema Respiratory 793,250.00 918,500.00 835.00
32095 Thoractomy, limited Respiratory 780,900.00 904,200.00 822.00
32100 Thoractomy, diagnostic, for inoperable Carcinoma Respiratory 1,114,350.00 1,290,300.00 1,173.00
32101 Thoractomy, with major dissection Respiratory 575,700.00 666,600.00 606.00
32141 - with excision-plication of bullae, pulmonary or emphysematous cysts Respiratory 1,407,900.00 1,630,200.00 1,482.00
32150 - with removal of intrapleural or intra-pulmonary foreign or fibrin body Respiratory 1,177,050.00 1,362,900.00 1,239.00
32160 - with cardiac massage Respiratory 849,300.00 983,400.00 894.00
32161 with repair of bronchial Fracture Respiratory 744,800.00 862,400.00 784.00
32200 Pneumonostomy, with open drainage of pulmonary abscess or cyst Respiratory 1,092,500.00 1,265,000.00 1,150.00
32215 Introduction: for introduction of contrast medium for pleurography Respiratory 920,550.00 1,065,900.00 969.00
32220 Decortication, pulmonary (independent procedure) Respiratory 1,769,850.00 2,049,300.00 1,863.00
32320 Decortication and major pleurectomy Respiratory 1,918,050.00 2,220,900.00 2,019.00
32321 Thoracoplasty: 1st stage Respiratory 607,050.00 702,900.00 639.00
32322 - all stages Respiratory 849,300.00 983,400.00 894.00
Thoracoplasty, total (Schede type or extrapleural) with or without closure of

32325 Respiratory 744,800.00 862,400.00 784.00
bronchopleural fistula, all stages
32420 Biopsy, pleural or lung, needle Respiratory 155,800.00 180,400.00 164.00
32421 Pleaural, open method Respiratory 121,600.00 140,800.00 128.00
32440 Pneumonectomy Respiratory 1,941,800.00 2,248,400.00 2,044.00
32441 Radical pneumonectomy, with mediastinal lymphadenectomy Respiratory 1,080,150.00 1,250,700.00 1,137.00
32480 Lobectomy, total or segmental Respiratory 1,767,950.00 2,047,100.00 1,861.00
32485 Lobectomy, total or segmental with bronchoplasty Respiratory 337,250.00 390,500.00 355.00
32490 - with decortication Respiratory 1,475,350.00 1,708,300.00 1,553.00
32500 Wedge resection or enucleation of lesion, single or multiple Respiratory 1,463,950.00 1,695,100.00 1,541.00
Pulmonary resection, with thoracoplasty with resection and reconstruction of chest

32520 Respiratory 957,600.00 1,108,800.00 1,008.00
wall
32540 Extra pleural enucleation of empyema cavity Respiratory 1,433,550.00 1,659,900.00 1,509.00
32545 - with lobectomy Respiratory 957,600.00 1,108,800.00 1,008.00
32546 Excision of cartilage Respiratory 286,900.00 332,200.00 302.00
32700 Thoracoscopy, exploratory (independent procedure) Respiratory 338,200.00 391,600.00 356.00
32705 - with biopsy, adhesion section or pondrage Respiratory 370,500.00 429,000.00 390.00
32900 Extrapleural resection of ribs, any type, first stage Respiratory 1,361,350.00 1,576,300.00 1,433.00
32960 Pneumothorax: intrapleural injection of air (independent procedure) Respiratory 1,631,150.00 1,888,700.00 1,717.00
CARDIOVASCULAR SYSTEM
33010 Pericardiocentesis, initial Cardiovascular system 163,400.00 189,200.00 172.00
33020 Pericardiotomy for removal of clot or foreign body (primary procedure) Cardiovascular system 1,206,500.00 1,397,000.00 1,270.00
33025 Pericardial window or partial resection for drainage Cardiovascular system 1,209,350.00 1,400,300.00 1,273.00
33030 Partial resection for chronic constrictive pericarditis, without by-pass Cardiovascular system 1,848,700.00 2,140,600.00 1,946.00
33120 Excision of intracardiac tumour, resection with cardiopulmonary by-pass Cardiovascular system 2,470,000.00 2,860,000.00 2,600.00
33130 Resection of external cardiac tumour Cardiovascular system 1,808,800.00 2,094,400.00 1,904.00
33200 Insertion of permanent pacemaker, with epicardial electrode by thoracotomy Cardiovascular system 173,850.00 201,300.00 183.00
33201 - by xiphoid approach Cardiovascular system 425,600.00 492,800.00 448.00
33205 - with transvenous electrodes, single chamber Cardiovascular system 372,400.00 431,200.00 392.00
33206 - with transvenous electrodes, dual chamber Cardiovascular system 677,350.00 784,300.00 713.00
33212 Insertion or replacement of pulse generator only Cardiovascular system 516,800.00 598,400.00 544.00
Insertion, replacement or repositioning of permanent transvenous electrodes only

33216 Cardiovascular system 457,900.00 530,200.00 482.00
(15 days or more after initial insertion)
33218 Repair of pacemaker electrodes only Cardiovascular system 493,050.00 570,900.00 519.00
33222 - with replacement of pulse generator Cardiovascular system 511,100.00 591,800.00 538.00
33240 Insertion of temporary transvenous electrode (independent procedure) Cardiovascular system 632,700.00 732,600.00 666.00
33241 Tectronic analysis Cardiovascular system 272,650.00 315,700.00 287.00
33300 Repair of cardiac wound; without by-pass Cardiovascular system 1,826,850.00 2,115,300.00 1,923.00
33305 - with cardiopulmonary by-pass Cardiovascular system 2,460,500.00 2,849,000.00 2,590.00
33310 Cardiotomy, exploratory (includes removal of foreign body); without by-pass Cardiovascular system 1,451,600.00 1,680,800.00 1,528.00
33400 Valvoplasty, aortic valve, open with cardiopulmonary by-pass Cardiovascular system 2,551,700.00 2,954,600.00 2,686.00
33404 Construction of apical-aortic conduit Cardiovascular system 2,793,950.00 3,235,100.00 2,941.00
33405 Replacement, aortic valve, with cardiopulmonary by-pass Cardiovascular system 2,986,800.00 3,458,400.00 3,144.00
33407 Valvotomy, aortic valve (commissurotomy); with cardio-pulmonary by-pass Cardiovascular system 1,064,000.00 1,232,000.00 1,120.00
33411 Replacement, aortic valve; with aortic annulus enlargement, non-coronary cusp Cardiovascular system 3,643,250.00 4,218,500.00 3,835.00
33412 - with transventricular aortic annulus enlargement (Konno procedure) Cardiovascular system 3,524,500.00 4,081,000.00 3,710.00
33415 Resection or incision of sub-valvular tissue for discrete sub-valvular aortic stenosis Cardiovascular system 2,748,350.00 3,182,300.00 2,893.00
Ventriculomyotomy (-myectomy) for idiopathic hypertrophic sub-aortic stenosis (eg.

33416 Cardiovascular system 2,788,250.00 3,228,500.00 2,935.00
Asymmetric septal hypertrophy)
33417 Autoplasty (gusset) for supra-valvular stenosis Cardiovascular system 2,926,950.00 3,389,100.00 3,081.00
33420 Valvotomy, mitral valve (commissurotomy); closed Cardiovascular system 1,964,600.00 2,274,800.00 2,068.00
33422 - open, with cardiopulmonary by-pass Cardiovascular system 2,631,500.00 3,047,000.00 2,770.00
33425 Valvoplasty, mitral valve, with cardiopulmonary by-pass Cardiovascular system 2,960,200.00 3,427,600.00 3,116.00
33426 - with prosthetic ring Cardiovascular system 2,967,800.00 3,436,400.00 3,124.00
33427 - with radical reconstruction with or without ring Cardiovascular system 3,350,650.00 3,879,700.00 3,527.00
33430 Replacement, mitral valve, with cardiopulmonary by-pass Cardiovascular system 3,304,100.00 3,825,800.00 3,478.00
33452 Valvotomy, triscupid valve, with cardiopulmonary by pass Cardiovascular system 1,170,400.00 1,355,200.00 1,232.00
33460 Valvuloplasty or valvectomy, tricuspid valve, with cardiopulmonary by-pass Cardiovascular system 2,516,550.00 2,913,900.00 2,649.00
33465 - replacement Cardiovascular system 3,069,450.00 3,554,100.00 3,231.00
33468 Tricuspid valve repositioning and application for Ebstein anomaly Cardiovascular system 3,020,050.00 3,496,900.00 3,179.00
33470 Valvotomy, pulmonary valve (commissurotomy); closed (transventricular) Cardiovascular system 1,863,900.00 2,158,200.00 1,962.00
33472 - open, with inflow occlusion Cardiovascular system 2,375,000.00 2,750,000.00 2,500.00
33474 open, with cardiopulmonary by-pass Cardiovascular system 2,555,500.00 2,959,000.00 2,690.00
Right ventricular resection for infundibular stenosis, with or without

commissurotomy
33510 Coronary artery by-pass, vein only; single coronary venous graft Cardiovascular system 2,649,550.00 3,067,900.00 2,789.00
33533 Coronary artery by-pass, using arterial graft(s); single arterial graft Cardiovascular system 2,700,850.00 3,127,300.00 2,843.00
33534 - two coronary arterial grafts Cardiovascular system 3,050,450.00 3,532,100.00 3,211.00
33542 Myocardial resection (eg. ventricular aneurysmectomy) Cardiovascular system 2,962,100.00 3,429,800.00 3,118.00
Repair of post-infraction ventricular septal defect, with or without myocardial

resection
Repair of arterial septal defect, secundum, with cardiopulmonary by-pass, with or

without patch
Direct or patch closure, sinus venosus, with or without anomalous pulmonary

venous drainage
33649 Repair of tricuspid atresia (eg. Fontan, Gago procedures) Cardiovascular system 2,533,650.00 2,933,700.00 2,667.00
Patch closure, endocardial cushion defect with or without repair of mitral and/or
tricuspid cleft
33670 Repair of complete atrioventricular canal, with or without prosthetic valve Cardiovascular system 3,344,950.00 3,873,100.00 3,521.00
33681 Closure of ventricular septal defect, with or without patch Cardiovascular system 2,945,950.00 3,411,100.00 3,101.00
33684 - with pulmonary valvotomy or infundibular resection (Acyanotic) Cardiovascular system 3,027,650.00 3,505,700.00 3,187.00
33688 - with removal of pulmonary artery band, with or without guset, add Cardiovascular system 3,054,250.00 3,536,500.00 3,215.00
33690 Banding of pulmonary artery Cardiovascular system 1,929,450.00 2,234,100.00 2,031.00
33692 Complete repair tetralogy of Fallot Cardiovascular system 3,244,250.00 3,756,500.00 3,415.00
33694 - with transannular patch Cardiovascular system 3,275,600.00 3,792,800.00 3,448.00
33696 - with closure of previous shunt, add Cardiovascular system 186,200.00 215,600.00 196.00
33702 Repair of sinus of Valsalva fistula, with cardiopulmonary by-pass Cardiovascular system 2,642,900.00 3,060,200.00 2,782.00
33710 - with repair of ventricular septal defect Cardiovascular system 3,055,200.00 3,537,600.00 3,216.00
33720 Repair of sinus of Valsalva aneurysm, with cardiopulmonary by-pass Cardiovascular system 2,644,800.00 3,062,400.00 2,784.00
33730 Complete repair of anomalous venous return (Supra cardiac, or intracardiac types) Cardiovascular system 2,378,800.00 2,754,400.00 2,504.00
33735 Arterial septectomy or septostomy; closed (Blalock-Hanlon type operation) Cardiovascular system 2,160,300.00 2,501,400.00 2,274.00
33750 Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation) Cardiovascular system 2,016,850.00 2,335,300.00 2,123.00
33764 - central, with prosthetic graft Cardiovascular system 2,052,000.00 2,376,000.00 2,160.00
33766 - vena cava to pulmonary artery (Glen type operation) Cardiovascular system 2,112,800.00 2,446,400.00 2,224.00
Repair of transposition of the great arteries, aortic pulmonary artery reconstruction

(eg. Jatene type)
33779 - with removal of pulmonary band Cardiovascular system 3,624,250.00 4,196,500.00 3,815.00
33780 - with closure of ventricular septal defect Cardiovascular system 3,694,550.00 4,277,900.00 3,889.00
33781 - with repair of subpulmonic obstruction Cardiovascular system 3,647,050.00 4,222,900.00 3,839.00
33786 Total repair, truncus arteriosus (Rastelli Type operation) Cardiovascular system 3,496,950.00 4,049,100.00 3,681.00
33788 Reimplantation of anomalous pulmonary artery Cardiovascular system 2,594,450.00 3,004,100.00 2,731.00
Aortic suspension (aortipexy) for tracheal decompression (eg. For tracheomalacial)

(separate procedure)
33802 Division of aberrant vessel (vascular ring) Cardiovascular system 1,837,300.00 2,127,400.00 1,934.00
33803 - with reanastomosis Cardiovascular system 2,432,950.00 2,817,100.00 2,561.00
33813 Obliteration of aortopulmonary septal defect; without cardio-pulmonary by-pass Cardiovascular system 2,006,400.00 2,323,200.00 2,112.00
33814 - with cardiopulmonary by-pass Cardiovascular system 2,600,150.00 3,010,700.00 2,737.00
33820 Patent ductus arteriosus, ligation (primary procedure) Cardiovascular system 3,253,750.00 3,767,500.00 3,425.00
33822 - division, under 18 years Cardiovascular system 1,821,150.00 2,108,700.00 1,917.00
33824 - 18 years and older Cardiovascular system 1,945,600.00 2,252,800.00 2,048.00
33840 Coarctation, excision, with direct anastomosis (with or without association PDA) Cardiovascular system 2,350,300.00 2,721,400.00 2,474.00
33845 - with graft Cardiovascular system 2,441,500.00 2,827,000.00 2,570.00
- repair using either left subclavian artery or prosthetic material as gusset for
enlargement
- repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic

material
33855 - repair of hypoplastic left heart syndrom (eg. Norwood type) Cardiovascular system 3,019,100.00 3,495,800.00 3,178.00
Ascending aorta graft with cardiopulmonary by-pass, with or without coronary

implant, with or without valve suspension; without valve replacement
33865 - with valve replacement Cardiovascular system 1,862,000.00 2,156,000.00 1,960.00
33870 Transverse arch graft, with cardiopulmonary by-pass Cardiovascular system 3,966,250.00 4,592,500.00 4,175.00
33875 Descending thoracia aorta graft, with or without by-pass Cardiovascular system 2,859,500.00 3,311,000.00 3,010.00
Repair of thoracoabdominal aortic aneurysm with graft, with or without

cardiopulmonary by-pass
33960 Prolonged extra-corporeal circulation for cardiopulmonary insufficiency Cardiovascular system 1,311,950.00 1,519,100.00 1,381.00
33970 Intra-aortic balloon counter-pulsation; insertion only Cardiovascular system 753,350.00 872,300.00 793.00
Removal of intra-aortic balloon assist device including repair of femoral artery, with
or without graft
34000 Carotid Cardiovascular system 495,900.00 574,200.00 522.00
34005 Subclavian, cervical approach Cardiovascular system 857,850.00 993,300.00 903.00
34006 - thoracic approach Cardiovascular system 896,800.00 1,038,400.00 944.00
34010 Axillary-brachial Cardiovascular system 658,350.00 762,300.00 693.00
34015 Innominate Cardiovascular system 658,350.00 762,300.00 693.00

34020 Renal Cardiovascular system 1,146,650.00 1,327,700.00 1,207.00
34025 Coeliac or mesenteric Cardiovascular system 731,500.00 847,000.00 770.00
34030 Aorta-iliac, abdominal approach Cardiovascular system 1,146,650.00 1,327,700.00 1,207.00
34032 - bilateral inguinal approach Cardiovascular system 596,600.00 690,800.00 628.00
34033 Ilio-femoral, inguinal approach Cardiovascular system 400,900.00 464,200.00 422.00
34034 Ilio-femoral-popliteal, inguinal approach Cardiovascular system 494,950.00 573,100.00 521.00
34035 Femoral popliteal, unilateral Cardiovascular system 731,500.00 847,000.00 770.00
34037 Popliteal-tibial region Cardiovascular system 820,800.00 950,400.00 864.00
35000 Carotid Cardiovascular system 1,295,800.00 1,500,400.00 1,364.00
35011 Brachial Cardiovascular system 1,240,700.00 1,436,600.00 1,306.00
35012 Axillary Cardiovascular system 1,216,000.00 1,408,000.00 1,280.00
35020 Subclavian, cervical approach Cardiovascular system 1,354,700.00 1,568,600.00 1,426.00
35030 Innominate Cardiovascular system 1,405,050.00 1,626,900.00 1,479.00
35070 Aortic Aneurysm Cardiovascular system 1,715,700.00 1,986,600.00 1,806.00
35071 - with iliac and/or femoral anastomoses Cardiovascular system 1,492,450.00 1,728,100.00 1,571.00
35072 - ruptured, add Cardiovascular system 2,067,200.00 2,393,600.00 2,176.00
35073 - with temporary gastrostomy, add Cardiovascular system 118,750.00 137,500.00 125.00
35100 Renal, unilateral Cardiovascular system 1,959,850.00 2,269,300.00 2,063.00
35110 Iliac Cardiovascular system 1,809,750.00 2,095,500.00 1,905.00
35120 Common femoral Cardiovascular system 1,107,700.00 1,282,600.00 1,166.00
35130 Popliteal Cardiovascular system 1,234,050.00 1,428,900.00 1,299.00
35201 Arteriovenous fistula, congenital Cardiovascular system 1,028,850.00 1,191,300.00 1,083.00
35202 Replacement of previous Aortic graft Cardiovascular system BR BR BR
35211 - traumatic Cardiovascular system BR BR BR
35221 - acquired Cardiovascular system 1,444,950.00 1,673,100.00 1,521.00

35250 Creation of arteria-venous fistula, using branchial artery Cardiovascular system 532,000.00 616,000.00 560.00
35252 - using radial artery Cardiovascular system 638,400.00 739,200.00 672.00
35300 Carotid or vertebral Cardiovascular system 1,164,700.00 1,348,600.00 1,226.00
35305 - external carotid Cardiovascular system 1,619,750.00 1,875,500.00 1,705.00
35320 Subclavian, cervical approach Cardiovascular system BR BR BR
35321 - thoracic approach Cardiovascular system BR BR BR
35330 Innominate Cardiovascular system BR BR BR
35340 Abdominal aorta Cardiovascular system 1,411,700.00 1,634,600.00 1,486.00
35350 Mesenteric or celiac Cardiovascular system 1,565,600.00 1,812,800.00 1,648.00
35360 Renal, unilateral Cardiovascular system 1,565,600.00 1,812,800.00 1,648.00
35370 Iliac Cardiovascular system 1,330,000.00 1,540,000.00 1,400.00
35375 Aorta - common iliac, unilateral Cardiovascular system 1,103,900.00 1,278,200.00 1,162.00
35376 - bilateral Cardiovascular system 1,624,500.00 1,881,000.00 1,710.00
35381 Combined aorta-ilio-femoral, unilateral Cardiovascular system 1,783,150.00 2,064,700.00 1,877.00
35395 Superficial femoral, localized Cardiovascular system 891,100.00 1,031,800.00 938.00
35400 Femoral and popliteal Cardiovascular system 323,950.00 375,100.00 341.00
35410 Popliteal Cardiovascular system 836,000.00 968,000.00 880.00
35509 Carotid - subclavian, autogenous, cervical approach Cardiovascular system 1,849,650.00 2,141,700.00 1,947.00
35511 - thoracic approach Cardiovascular system 1,368,950.00 1,585,100.00 1,441.00
35512 - non-autogenous, cervical approach Cardiovascular system 1,626,400.00 1,883,200.00 1,712.00
35519 Subclavian-axillary or brachial, autogenous, cervical approach Cardiovascular system 1,251,150.00 1,448,700.00 1,317.00
35527 - thoracic approach Cardiovascular system 685,900.00 794,200.00 722.00
35532 Axillary-femoral, non-autogenous, unilateral Cardiovascular system 1,411,700.00 1,634,600.00 1,486.00

35570 Spleno-renal Cardiovascular system 1,236,900.00 1,432,200.00 1,302.00
35571 - with splenectomy Cardiovascular system 1,827,800.00 2,116,400.00 1,924.00
35580 Aorta-iliac, unilateral Cardiovascular system 985,150.00 1,140,700.00 1,037.00
35590 Aorto-femoral, unilateral Cardiovascular system 985,150.00 1,140,700.00 1,037.00
35600 Aorta-femoral-popliteal Cardiovascular system 346,750.00 401,500.00 365.00
35610 Femoral-popliteal, autogeneous, unilateral Cardiovascular system 954,750.00 1,105,500.00 1,005.00
35612 - attached to existing graft Cardiovascular system 1,503,850.00 1,741,300.00 1,583.00
35615 - non-autogenous, unilateral Cardiovascular system 685,900.00 794,200.00 722.00
35617 - non-autogenous, unilateral, attached to existing graft Cardiovascular system 733,400.00 849,200.00 772.00
35620 Femoral-femoral by-pass, autogenous Cardiovascular system 1,171,350.00 1,356,300.00 1,233.00
35621 - non-autogenous Cardiovascular system 1,533,300.00 1,775,400.00 1,614.00
35630 Femoral-tibial, autogenous Cardiovascular system 1,617,850.00 1,873,300.00 1,703.00
35631 - non-autogenous Cardiovascular system 2,178,350.00 2,522,300.00 2,293.00
35635 Autogenous vein graft when a vein is obtained from another part of the body, add Cardiovascular system 104,500.00 121,000.00 110.00
35700 Carotid Cardiovascular system 231,800.00 268,400.00 244.00
35710 External iliact Cardiovascular system 177,650.00 205,700.00 187.00
35720 Femoral Cardiovascular system 412,300.00 477,400.00 434.00
35740 Popliteal Cardiovascular system 412,300.00 477,400.00 434.00
35750 Tibial Cardiovascular system 399,950.00 463,100.00 421.00
35755 Popliteal-tibial Cardiovascular system 399,950.00 463,100.00 421.00
35900 Excision of infected graft Cardiovascular system 78,850.00 91,300.00 83.00
35910 - with re-vascularisation Cardiovascular system BR BR BR
35941 Vena Cava Cardiovascular system 917,700.00 1,062,600.00 966.00
35942 Brachial, axillary, femoral Cardiovascular system 560,500.00 649,000.00 590.00
35943 Iliac and subclavian Cardiovascular system 612,750.00 709,500.00 645.00

35944 Other vessels Cardiovascular system 560,500.00 649,000.00 590.00
36000 - unilateral Cardiovascular system 26,600.00 30,800.00 28.00
36011 - by placement into a superior or inferior vena cava Cardiovascular system 494,000.00 572,000.00 520.00
36013 - pulmonary artery Cardiovascular system 430,350.00 498,300.00 453.00
- selective (eg. renal, adrenal, hepatic, jugular), single vessel, with or without
midstream injection
36100 - carotid or vertebral, unilateral Cardiovascular system 365,750.00 423,500.00 385.00
36120 - retrograde brachial Cardiovascular system 289,750.00 335,500.00 305.00
36140 - extremely artery Cardiovascular system 281,200.00 325,600.00 296.00
36145 - arteriovenous shunt for dialysis (cannula, fistula or graft) Cardiovascular system 246,050.00 284,900.00 259.00
36160 - aortic, translumbar Cardiovascular system 369,550.00 427,900.00 389.00
36200 - aorta (arch, abdominal, midstream renal, aorta-iliac run-off, etc) Cardiovascular system 411,350.00 476,300.00 433.00
- celebral or other arch vessel, selective, single artery, with or without midstream
arch injection
- multiple cerebral arteries or other arch vessels, selective, with or without

midstream arch injection
36230 - coronary, selective, unilateral or bilateral Cardiovascular system 175,750.00 203,500.00 185.00
- renal, celiac, mesenteric, or other artery, selective, single artery, with or without
midstream injection
Venepunture, complex or non-routine, infant under 3 years, femoral, jugular or

sagittal sinus
36401 intravenous infusion, below 3 years Cardiovascular system 14,250.00 16,500.00 15.00
36405 intravenous infusion, below 3 years (Venepuncture- scalp vein) Cardiovascular system 27,550.00 31,900.00 29.00
36410 intravenous infusion over 3 years Cardiovascular system 7,600.00 8,800.00 8.00
36420 Cutdown venepuncture, under age 1 year Cardiovascular system 68,400.00 79,200.00 72.00
36425 - age 1 year or over Cardiovascular system 38,950.00 45,100.00 41.00
36426 - venesection Cardiovascular system 20,900.00 24,200.00 22.00
36450 Exchange transfusion, newborn Cardiovascular system 198,550.00 229,900.00 209.00
36470 Injection of sclerosing solution, single vein Cardiovascular system 93,100.00 107,800.00 98.00
Central venous pressure catheter placement, subclavian, external jugular or other

vein, percutaneous
36485 - by cutdown Cardiovascular system 32,300.00 37,400.00 34.00
36491 Insertion of Hickman line, including maintenance of patency Cardiovascular system 319,200.00 369,600.00 336.00
36601 Arterial puncture, withdrawal of blood for diagnosis Cardiovascular system 22,800.00 26,400.00 24.00
36620 Arterial catheterization for monitoring Cardiovascular system 76,950.00 89,100.00 81.00
36625 - cutdown Cardiovascular system 133,000.00 154,000.00 140.00
36810 Arteria-venous, external (Scriber type) Cardiovascular system 442,700.00 512,600.00 466.00
36815 - revision of closure Cardiovascular system 297,350.00 344,300.00 313.00
36821 Arteria-venous anastomosis, direct, any site Cardiovascular system 773,300.00 895,400.00 814.00
37140 Porto-caval anastomosis, thoracic Cardiovascular system 1,905,700.00 2,206,600.00 2,006.00
37160 Caval-mesentetic anastomosis Cardiovascular system 1,863,900.00 2,158,200.00 1,962.00
37400 Arteriorrhaphy: suture of wound or injury of major artery Cardiovascular system 446,500.00 517,000.00 470.00
37500 Phleborrhaphy: suture of wound or injury or major vein Cardiovascular system 918,650.00 1,063,700.00 967.00
37520 - neck Cardiovascular system 298,300.00 345,400.00 314.00
37600 Ligation, external carotid Cardiovascular system 561,450.00 650,100.00 591.00
37605 - internal or common carotid Cardiovascular system 640,300.00 741,400.00 674.00
37610 Ligation or biopsy temporal artery Cardiovascular system 202,350.00 234,300.00 213.00
37640 Ligation of other major veins Cardiovascular system 407,550.00 471,900.00 429.00
Ligation and division of long saphenous vein at spheno-femoral junction

37724 Ligation - multiple of short saphenous system, unilateral Cardiovascular system 405,650.00 469,700.00 427.00
37725 - with ligation and division of short saphenous vein at spheno-popliteal junction, add Cardiovascular system 59,850.00 69,300.00 63.00
Ligation, division and complete stripping of long saphenous system, with ligation of
perforator, initial or recurrent, unilateral
37731 - moderate Cardiovascular system 319,200.00 369,600.00 336.00
37732 - limited Cardiovascular system 209,000.00 242,000.00 220.00
37733 Combined ligation, subcutaneous stripping and sclerotherapy, unilateral Cardiovascular system 382,850.00 443,300.00 403.00
Compression sclerotherapy, complete leg (Fegan's technique) excluding material,

unilateral
37760 Radical subfascial stripping (eg. Linton type procedure) Cardiovascular system 867,350.00 1,004,300.00 913.00
Ligation and division of short saphenous vein at spheno-popliteal junction

37786 Ligation and excision of minor varicose vein of lower extrimity Cardiovascular system 38,000.00 44,000.00 40.00
37787 Ligation of jagular vein Cardiovascular system 43,700.00 50,600.00 46.00
37999 Unlisted vascular procedure Cardiovascular system BR BR BR
HAEMIC AND LYMPHATIC SYSTEM
38100 Splenectomy Haemic and Lymphatic 1,105,800.00 1,280,400.00 1,164.00
38200 Injection procedure for splenoportography Haemic and Lymphatic 208,050.00 240,900.00 219.00
38250 Splenorraphy Haemic and Lymphatic 475,000.00 550,000.00 500.00
38300 drainage of lymph node abscess or lymphadenitis (simple) Haemic and Lymphatic 157,700.00 182,600.00 166.00
38500 biopsy or exision of lymph node(s) open ,superficial Haemic and Lymphatic 262,200.00 303,600.00 276.00
38510 open ,deep cervical node(s) Haemic and Lymphatic 394,250.00 456,500.00 415.00
38520 open ,deep cervical node(s) with excision of scalene fat pad Haemic and Lymphatic 434,150.00 502,700.00 457.00
38526 Excision lymph nodes Haemic and Lymphatic 299,250.00 346,500.00 315.00
Excision of cystic hygroma, axillary or cervical, confined to skin and subcutaneous

38549 Haemic and Lymphatic 285,000.00 330,000.00 300.00
tissue, cervical approach
38700 suprahyoid lymphadenectomy Haemic and Lymphatic 881,600.00 1,020,800.00 928.00
38720 cervical lymphadenectomy (complete) Haemic and Lymphatic 1,437,350.00 1,664,300.00 1,513.00
38745 Axillary lymphadenectomy, complete Haemic and Lymphatic 876,850.00 1,015,300.00 923.00
Inguino-femoral lymphadenectomy, superficial including Cloquet's node

38760 Haemic and Lymphatic 811,300.00 939,400.00 854.00
(independent procedure) unilateral
- in continuity with pelvic lymphadenectomy, including external iliac, hypogastric

38765 Haemic and Lymphatic 1,436,400.00 1,663,200.00 1,512.00
and obturator nodes (independent procedure), unilateral
Retroperitoneal lymphadenectomy, extensive, including pelvic, aortic, and renal

38780 Haemic and Lymphatic 1,524,750.00 1,765,500.00 1,605.00
nodes (independent procedure)
38790 Injection procedure for lymphangiography, unilateral Haemic and Lymphatic 128,250.00 148,500.00 135.00
38792 Splenoportography - with pressure studies Haemic and Lymphatic 145,350.00 168,300.00 153.00
MEDIASTINUM AND DIAPHRAGM SYSTEM
Mediastinum and Diaphragm

39020 Mediastinotomy, sternal split 617,500.00 715,000.00 650.00
system
39220 Excision of mediastinal tumour 1,550,400.00 1,795,200.00 1,632.00
system

39400 Mediastinoscopy, with or without biopsy 560,500.00 649,000.00 590.00
system
Repair diaphragmatic hernia (oesophageal hiatus) transabdominal or transthoracic, Mediastinum and Diaphragm
39500 570,000.00 660,000.00 600.00
including fundoplasty system
Repair, oesophageal hiatus hernia, transabdominal, with or without fundoplasty with Mediastinum and Diaphragm
39501 1,129,550.00 1,307,900.00 1,189.00
vagotomy and/or pyloroplasty system

39520 - diaphragmatic, any method 1,371,800.00 1,588,400.00 1,444.00
system

39530 - combined, thoraco-abdominal, with or without vagotomy and pyloroplasty 1,379,400.00 1,597,200.00 1,452.00
system
DIGESTIVE SYSTEM
40100 Oesophagoscopy, without gastroscopy, diagnostic initial Digestive system 95,000.00 110,000.00 100.00
40101 - diagnostic, repeat Digestive system 142,500.00 165,000.00 150.00
40102 - with dilatation, direct Digestive system 142,500.00 165,000.00 150.00
40103 - with foreign body removal Digestive system 237,500.00 275,000.00 250.00
40105 - with biopsy, one or more Digestive system 237,500.00 275,000.00 250.00
40109 - with insertion of plastic tube or stent (Souttars tube) Digestive system 427,500.00 495,000.00 450.00
40110 - with injection of varices Digestive system 285,000.00 330,000.00 300.00
40120 Oesophagogastroscopy Digestive system 95,000.00 110,000.00 100.00
40140 Upper gastro-intestinal endoscopy Digestive system 237,500.00 275,000.00 250.00
40145 Oesophagogastroduodenoscopy with biopsy, one or more Digestive system 142,500.00 165,000.00 150.00
- with cannulation of ampulla of Vater for radiographic studies and/or specimen

40148 Digestive system 237,500.00 275,000.00 250.00
collection for cytology
40160 Gastroscopy, without oesophagoscopy Digestive system 95,000.00 110,000.00 100.00
40165 Gastroscopy with biopsy, one or more Digestive system 142,500.00 165,000.00 150.00
40200 Colonoscopy, beyond splenic flexure Digestive system 209,000.00 242,000.00 220.00
40201 - with collection of specimen by brushing or washing for cytology Digestive system 190,000.00 220,000.00 200.00
40206 - with removal of polpy Digestive system 380,000.00 440,000.00 400.00

40220 Colonoscopy, beyond 25 cm and below splenic flexure Digestive system 142,500.00 165,000.00 150.00
40221 - with collection of specimen by brushing or washing for cytology Digestive system 142,500.00 165,000.00 150.00
40226 - with removal of polyp Digestive system 332,500.00 385,000.00 350.00
40239 Proctosigmoidoscopy; initial Digestive system 199,500.00 231,000.00 210.00
40240 - subsequent Digestive system 28,500.00 33,000.00 30.00
40246 Proctosigmoidoscopy: initial or subsequent, with removal of polyp Digestive system 47,500.00 55,000.00 50.00
40247 - with removal of multiple excrescences, papillomata or polypi, simple Digestive system 95,000.00 110,000.00 100.00
Endoscopic retrograde cholangio-pancreatography (ERCP); diagonistic, with or

without collection of specimen(s)
40262 - with sphincterotomy/papillotomy Digestive system 285,000.00 330,000.00 300.00
40268 - with endoscopic retrograde insertion of tube or stent into bile or pancreatic duct Digestive system 332,500.00 385,000.00 350.00
40500 Vermilionectomy (lip shave), with mucosal advancement Digestive system 513,000.00 594,000.00 540.00
40510 excision of lip (transverse wedge with primary closure) Digestive system 538,650.00 623,700.00 567.00
40520 v -excision of lip (with primary closure) Digestive system 494,000.00 572,000.00 520.00
40521 Flap repair Digestive system 147,250.00 170,500.00 155.00
40530 resection lip more than one- fourth without closure Digestive system 552,900.00 640,200.00 582.00
40650 Repair lip, full thickness; vermilion only, post trauma Digestive system 429,400.00 497,200.00 452.00
40652 - up to half vertical height Digestive system 503,500.00 583,000.00 530.00
40654 - over one-half vertical height, or complex Digestive system 618,450.00 716,100.00 651.00
40700 Plastic repair of cleft lip, primary, partial or complete, unilateral Digestive system 1,058,300.00 1,225,400.00 1,114.00
40701 - primary bilateral, one stage procedure Digestive system 1,627,350.00 1,884,300.00 1,713.00
40702 - primary bilateral, one or two stages, per stage Digestive system 1,082,050.00 1,252,900.00 1,139.00
40720 - secondary, unilateral, by reaction of defect and enclosure Digestive system 1,166,600.00 1,350,800.00 1,228.00
40760 - with cross lip pedicle flap (Abbe Estlander type) Digestive system 950,000.00 1,100,000.00 1,000.00
40761 - including sectioning and insetting of pedicle Digestive system 1,268,250.00 1,468,500.00 1,335.00
40799 Unlisted procedure, lips Digestive system BR BR BR
40800 drainage of abscess,cyst,haematoma,vestible of mouth (simple) Digestive system 126,350.00 146,300.00 133.00
40801 complicated Digestive system 245,100.00 283,800.00 258.00
40804 removal of embeded foreign body (simple) Digestive system 126,350.00 146,300.00 133.00
40805 complicated Digestive system 342,000.00 396,000.00 360.00
40806 incision Digestive system 66,500.00 77,000.00 70.00
40808 biopsy , vestible of mouth Digestive system 114,000.00 132,000.00 120.00
40810 excision of mucosal or submucosal lesion without repair Digestive system 149,150.00 172,700.00 157.00
40812 with simple repair Digestive system 221,350.00 256,300.00 233.00
40814 with complex repair Digestive system 354,350.00 410,300.00 373.00
40816 complex with excision of underlying muscle Digestive system 369,550.00 427,900.00 389.00
40818 excsion of mucosa of vestible as donor graft Digestive system 285,000.00 330,000.00 300.00
40819 excision of frenum,labial or buccal (frenulectomy) Digestive system 218,500.00 253,000.00 230.00
40820 destruction of lesion or scar by laser,cryo,chemical or thermal methods Digestive system 138,700.00 160,600.00 146.00
40830 closure of laceration , vestible of mouth, less than 2.5cm Digestive system 159,600.00 184,800.00 168.00
40831 over 2.5cm or complex Digestive system 256,500.00 297,000.00 270.00
40840 vestibuloplasty (anterior) Digestive system BR BR BR
40842 posterior (unilateral) Digestive system BR BR BR
40843 posterior (bilateral) Digestive system BR BR BR
40844 entire arch Digestive system BR BR BR
40845 complex Digestive system BR BR BR
40899 Unlisted procedure vestible of mouth Digestive system BR BR BR
41000 intraoral incision & drainage of abscess,cyst,haematoma (tongue/mouth floor) Digestive system 122,550.00 141,900.00 129.00
41005 sublingual Digestive system 132,050.00 152,900.00 139.00

41006 sublingual Digestive system 255,550.00 295,900.00 269.00
41007 submental space Digestive system 322,050.00 372,900.00 339.00
41008 submandibular space Digestive system 264,100.00 305,800.00 278.00
41009 masticator space Digestive system 364,800.00 422,400.00 384.00
41010 incision of lingual frenum (frenotomy) Digestive system 116,850.00 135,300.00 123.00
41015 extraoral incision & drainage of abscess,cyst,haematoma (tongue/mouth floor) Digestive system 294,500.00 341,000.00 310.00
41016 submental space Digestive system 404,700.00 468,600.00 426.00
41017 submandibular space Digestive system 318,250.00 368,500.00 335.00
41018 masticator space Digestive system 472,150.00 546,700.00 497.00
41100 biopsy of tongue Digestive system 138,700.00 160,600.00 146.00
41105 posterior one third Digestive system 138,700.00 160,600.00 146.00
41108 biopsy of floor of mouth Digestive system 111,150.00 128,700.00 117.00
41110 excision Digestive system 186,200.00 215,600.00 196.00
41113 posterior one third Digestive system 349,600.00 404,800.00 368.00
41114 with local tongue flap Digestive system 948,100.00 1,097,800.00 998.00
41120 glossectomy (less than one half) Digestive system 923,400.00 1,069,200.00 972.00
41130 hemiglossectomy Digestive system 1,111,500.00 1,287,000.00 1,170.00
41135 partial ,with unilateral radical neck dissection Digestive system 1,863,900.00 2,158,200.00 1,962.00
41140 complete with or without tracheostomy, without radical neck dissection Digestive system 2,264,800.00 2,622,400.00 2,384.00
41145 complete with or without tracheostomy, with radical neck dissection Digestive system 2,722,700.00 3,152,600.00 2,866.00
41150 composite with resection mouth floor,mandible without neck dissection Digestive system 2,096,650.00 2,427,700.00 2,207.00
41153 composite with resection mouth floor,mandible &suprahyoid neck dissection Digestive system 2,442,450.00 2,828,100.00 2,571.00
41155 composite with resection mouth floor,mandible & radical neck dissection Digestive system 2,866,150.00 3,318,700.00 3,017.00
41250 repair laceration less than 2.5cm mouth floor or anterior two thirds tongue Digestive system 208,050.00 240,900.00 219.00
41251 posterior one third tongue Digestive system 332,500.00 385,000.00 350.00
41252 repair laceration over 2.5cm or complex floor of mouth or tongue Digestive system 288,800.00 334,400.00 304.00
41520 frenoplasty Digestive system 306,850.00 355,300.00 323.00
41599 Unlisted procedure tongue,floor of mouth Digestive system BR BR BR
42000 drainage of abscess of palate,uvula Digestive system 114,000.00 132,000.00 120.00
42100 biopsy of palate , uvula Digestive system 120,650.00 139,700.00 127.00
42104 excision lesion of palate,uvula without closure Digestive system 203,300.00 235,400.00 214.00
42120 resection palate or extensive resection of lesion Digestive system 749,550.00 867,900.00 789.00
42140 uvulectomy Digestive system 180,500.00 209,000.00 190.00
42200 Palatoplasty for cleft palate, soft and/or hard palate Digestive system 899,650.00 1,041,700.00 947.00
42205 - with closure of alveolar ridge, soft tissue Digestive system 1,017,450.00 1,178,100.00 1,071.00
42210 - with bone graft to alveolar ridge (includes obtaining graft) Digestive system 1,169,450.00 1,354,100.00 1,231.00
42215 - major revision Digestive system 826,500.00 957,000.00 870.00
42220 - secondary lengthening procedure Digestive system 902,500.00 1,045,000.00 950.00
42225 attachment of pharyngeal flap Digestive system 908,200.00 1,051,600.00 956.00
42235 Repair, anterior palate, including vomerine flap Digestive system 725,800.00 840,400.00 764.00
42250 Repair, oroantral or oronasal fistula, up to 1cm Digestive system 475,000.00 550,000.00 500.00
42251 Palatal fistula Digestive system BR BR BR
42300 drainage of abscess,parotid simple Digestive system 168,150.00 194,700.00 177.00
42330 sialolithotomy submandibular,sublingual, parotid simple intraoral Digestive system 190,000.00 220,000.00 200.00
42335 submandibular complicated intraoral Digestive system 321,100.00 371,800.00 338.00
42410 excision of parotid tumour or gland,lateral lobe without nerve dissection Digestive system 753,350.00 872,300.00 793.00
42415 lateral lobe with facial nerve dissection Digestive system 1,434,500.00 1,661,000.00 1,510.00
42420 total with facial nerve dissection Digestive system 1,659,650.00 1,921,700.00 1,747.00
42425 total en bloc removal with facial nerve sacrifice Digestive system 1,149,500.00 1,331,000.00 1,210.00
42426 total with unilateral radical neck dissection Digestive system 2,094,750.00 2,425,500.00 2,205.00
42440 excision of submandibular tumour or gland Digestive system 695,400.00 805,200.00 732.00
42550 injection for sialography Digestive system 104,500.00 121,000.00 110.00
42600 closure of salivary fistula Digestive system 461,700.00 534,600.00 486.00
42650 dilation of salivary duct Digestive system 68,400.00 79,200.00 72.00
42699 unlisted procedure ,salivary glands or ducts Digestive system 332,500.00 385,000.00 350.00
42720 retropharyngeal or parapharyngeal (intraoral) Digestive system 300,200.00 347,600.00 316.00
42725 retropharyngeal or parapharyngeal (external) Digestive system 694,450.00 804,100.00 731.00
42730 Quinsy opening - general anaesthetic Digestive system 209,000.00 242,000.00 220.00
42731 Quinsy opening - local anaesthetic Digestive system 72,200.00 83,600.00 76.00
42804 nasopharynx (visible , simple) Digestive system 146,300.00 169,400.00 154.00
42806 nasopharynx (survey , unknown primary) Digestive system 178,600.00 206,800.00 188.00
42810 excision branchial cleft cyst or vestige (skin & subcutaneous tissue) Digestive system 356,250.00 412,500.00 375.00
42815 excision branchial cleft cyst ,vestige,fistula ( deep to subcut to pharynx) Digestive system 747,650.00 865,700.00 787.00
42830 Quinsy Tonsillectomy Digestive system 475,000.00 550,000.00 500.00
42840 Adenotonsillectomy Digestive system 356,250.00 412,500.00 375.00
42841 - age 12 years or over Digestive system 380,000.00 440,000.00 400.00
42842 radical resection tonsil,pillars,& or retromolar trigone without closure Digestive system 841,700.00 974,600.00 886.00
42850 adenoidectomy (primary under 12 years) Digestive system 356,250.00 412,500.00 375.00
42880 Excision, nasopharyngeal lesion (eg. fibroma) Digestive system 232,750.00 269,500.00 245.00
42896 Pharyngeal neoplasm, excision, benign, per oral Digestive system 223,250.00 258,500.00 235.00
42897 Pharyngotomy - lateral for neoplasm Digestive system 726,750.00 841,500.00 765.00
42950 pharyngoplasty (reconstruction of pharynx) Digestive system 908,200.00 1,051,600.00 956.00

42962 with secondary surgical intervention Digestive system 635,550.00 735,900.00 669.00
42965 Injection of Teflon into naso pharynx Digestive system 114,000.00 132,000.00 120.00
43030 cricopharygeal myotomy Digestive system 780,900.00 904,200.00 822.00
Oesophagectomy: resection of oesophagus (upper two-thirds) with gastric

43110 Digestive system 1,045,000.00 1,210,000.00 1,100.00
anastomosis, with or without vagotomy or pyloroplasty
Oesophagogastrectomy for lower one-third of oesophagus, combined

thoracoabdominal vagotomy and pyloroplasty, one or two stages
43130 diverticulectomy with or without myotomy Digestive system 1,048,800.00 1,214,400.00 1,104.00
43312 Oesophagoplasty, with repair of tracheo-oesophageal fistula Digestive system 2,073,850.00 2,401,300.00 2,183.00
Oesophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty,

abdominal approach
43322 - thoracic approach Digestive system 570,000.00 660,000.00 600.00
43325 Oesophagogastric fundoplasty (eg. Nissen II) Digestive system 1,390,800.00 1,610,400.00 1,464.00
Oesophagomyotomy (Heller type), with or without hiatus hernia repair, thoracic

approach
43340 Oesophagojejunostomy (without total gastrectomy) abdominal Digestive system 1,415,500.00 1,639,000.00 1,490.00
43500 Gastrotomy, with exploration or foreign body removal Digestive system 745,750.00 863,500.00 785.00
43520 Pyloromyotomy: cutting of pyloric muscle (Fredet-Rammstedt type operation) Digestive system 639,350.00 740,300.00 673.00
43610 Local excision of ulcer or tumour Digestive system 979,450.00 1,134,100.00 1,031.00
43620 Total gastrectomy, including intestinal anastomosis Digestive system 1,957,950.00 2,267,100.00 2,061.00
Sub-total or hemi-gastrectomy, including pyloroplasty, gastroduodenostomy or

gastrojejunostomy
43635 Sub-total gastrectomy, with vagotomy, any type Digestive system 772,350.00 894,300.00 813.00
43640 Vagotomy and pyloroplasty, with or without gastrostomy Digestive system 1,239,750.00 1,435,500.00 1,305.00
43641 Highly selective vagotomy Digestive system 1,245,450.00 1,442,100.00 1,311.00
43800 Pyloroplasty Digestive system 887,300.00 1,027,400.00 934.00
43820 Gastrojejunostomy Digestive system 1,073,500.00 1,243,000.00 1,130.00
43825 - with vagotomy, any type Digestive system 1,302,450.00 1,508,100.00 1,371.00
43830 Gastrotomy, temporary (tube, rubber or plastic) [independent procedure] Digestive system 617,500.00 715,000.00 650.00
43831 - with retrograde intubation Digestive system 608,000.00 704,000.00 640.00

43840 Gastrorrhaphy: suture of perforated duodenal or gastric ulcer, wound or injury. Digestive system 1,062,100.00 1,229,800.00 1,118.00
Revision of gastroenteric anastomosis with reconstruction, without vagotomy, with

43861 Digestive system 950,000.00 1,100,000.00 1,000.00
or without partial gastrectomy or bowel resection
43870 Closure of gastrotomy, surgical Digestive system 670,700.00 776,600.00 706.00
43880 Closure of gastro-colic fistula Digestive system 1,462,050.00 1,692,900.00 1,539.00
44006 Intestinal obstruction of newborn Digestive system 475,000.00 550,000.00 500.00
Enterotomy, other than duodenum, with exploration or foreign body removal, large
44020 Digestive system 984,200.00 1,139,600.00 1,036.00
or small bowel
44050 Reduction of volvulus, intussusception, internal hernia, by laporotomy Digestive system 950,000.00 1,100,000.00 1,000.00
44100 Biopsy by capsule, per oral, via tube (one or more specimens) Digestive system 147,250.00 170,500.00 155.00
44120 Entertectomy: resection of small intestine, with anastomosis Digestive system 1,211,250.00 1,402,500.00 1,275.00
44130 Enteroenterostomy: anastomosis of intestine Digestive system 1,107,700.00 1,282,600.00 1,166.00
44132 Ilio-transversostomy Digestive system 522,500.00 605,000.00 550.00
44140 Colectomy, partial, with anastomosis Digestive system 1,473,450.00 1,706,100.00 1,551.00
44141 - right or left hemicolectomy Digestive system 1,612,150.00 1,866,700.00 1,697.00
44143 - with end colostomy and closure of distal segment (Hartmann type procedure) Digestive system 1,514,300.00 1,753,400.00 1,594.00
44144 - with resection, with colostomy and creation of mucofistula Digestive system 1,520,950.00 1,761,100.00 1,601.00
44145 - with coloproctostomy (low pelvic anastomosis) Digestive system 1,805,000.00 2,090,000.00 1,900.00
44146 - with colostomy Digestive system 2,014,950.00 2,333,100.00 2,121.00
44150 Colectomy, total, abdominal, with ileostomy, or ileoproctostomy, without protectomy Digestive system 1,821,150.00 2,108,700.00 1,917.00
44155 - with proctectomy and ileostomy Digestive system 2,069,100.00 2,395,800.00 2,178.00
44156 Excision of lesion or mesentery Digestive system 1,853,450.00 2,146,100.00 1,951.00
44300 Tube enterostomy or caecostomy (independent procedure) Digestive system 766,650.00 887,700.00 807.00
44310 Ileostomy Digestive system 985,150.00 1,140,700.00 1,037.00
44320 Colostomy or skin level caecostomy (independent procedure) Digestive system 1,058,300.00 1,225,400.00 1,114.00
Suture of intestine (enterorrhaphy), large or small, for perforated ulcer, wound,

injury or rupture, single
44620 Closure of enterostomy, large or small intestine Digestive system 945,250.00 1,094,500.00 995.00
44625 - with resection and anastomosis Digestive system 1,021,250.00 1,182,500.00 1,075.00
44640 Closure of intestinal cutaneous fistula Digestive system 1,155,200.00 1,337,600.00 1,216.00
44650 Closure of enteroenteric or enterocolic fistula Digestive system 1,216,950.00 1,409,100.00 1,281.00
44660 Closure of enterovesical fistula (without intestinal or bladder resection) Digestive system 1,210,300.00 1,401,400.00 1,274.00
44661 - wiht bowel and/or bladder resection Digestive system 1,573,200.00 1,821,600.00 1,656.00
44680 Intestinal suture plication, complete (Noble type) [independent procedure] Digestive system 1,155,200.00 1,337,600.00 1,216.00
44800 Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct Digestive system 805,600.00 932,800.00 848.00
44900 Incision and drainage of appendiceal abscess transabdominal Digestive system 676,400.00 783,200.00 712.00
44950 Appendicectomy Digestive system 602,300.00 697,400.00 634.00
44960 - for ruptured appendix, with abscess or generalised peritonitis Digestive system 844,550.00 977,900.00 889.00
45102 Formal dissection, excision/biopsy plus repair of the anorectal region Digestive system 142,500.00 165,000.00 150.00
45106 Local excision of rectal tumour (posterior approach) Digestive system 475,000.00 550,000.00 500.00
45110 Potectomy, complete, combined abdominoperineal Digestive system 1,989,300.00 2,303,400.00 2,094.00
45120 - for congenital megacolon (Swenson, Duhamel or Soave type procedure) Digestive system 1,957,950.00 2,267,100.00 2,061.00
45130 Excision of rectal procidential, with anastomosis, perineal approach Digestive system 1,149,500.00 1,331,000.00 1,210.00
45150 Division of stricture of rectum, initial, with anaesthetic Digestive system 441,750.00 511,500.00 465.00
45151 - subsequent, dilation, with anaesthetic Digestive system 38,000.00 44,000.00 40.00
45160 Excision, tumour, rectum, with resection and anastomosis (Kraske type procedure) Digestive system 1,039,300.00 1,203,400.00 1,094.00
45500 Proctoplasty, for stenosis Digestive system 627,950.00 727,100.00 661.00
45505 - for prolapse of mucous membrane Digestive system 611,800.00 708,400.00 644.00
45540 Proctopexy for prolapse, abdominal Digestive system 1,140,950.00 1,321,100.00 1,201.00
45555 Prolapse of rectum - Rosco Graham Moskovitz Digestive system 712,500.00 825,000.00 750.00
45556 Ivalon Sponge Digestive system 427,500.00 495,000.00 450.00
45800 Closure of rectovesical fistula Digestive system 1,203,650.00 1,393,700.00 1,267.00
45820 Closure of rectourethral fistula Digestive system 1,189,400.00 1,377,200.00 1,252.00

45900 Reduction of procidentia (independent procedure) Digestive system 140,600.00 162,800.00 148.00
46040 Incision and drainage of perirectal abscess (independent procedure) Digestive system 391,400.00 453,200.00 412.00
Incision and drainage of ischiorectal, intramural, intramuscular or submucosal

abscess, under anaesthesia
46050 Incision and drainage, perianal abscess, superficial (see also 46060) Digestive system 116,850.00 135,300.00 123.00
Incision and drainage of ischiorectal or intramural abscess, with fistulectomy,

submuscular
Sphincterotomy anal: division of anal sphincter or manual stretching of anal

sphincter
46200 Fissurectomy, with or without sphincterotomy Digestive system 349,600.00 404,800.00 368.00
46211 Cryptectomy, multiple or single, hospital (independent proceure) Digestive system 76,000.00 88,000.00 80.00
46220 Paillectomy or excision of single tag, office (independent procedure) Digestive system 133,950.00 155,100.00 141.00
46225 Haemorrhoidectomy by cryosurgery Digestive system BR BR BR
46230 Excision of external haemorrhoid tags and/or multiple papillae, office Digestive system 199,500.00 231,000.00 210.00
46250 Haemorrhoidectomy, external Digestive system 395,200.00 457,600.00 416.00
46255 - internal and external, simple Digestive system 508,250.00 588,500.00 535.00
46257 - with fissurectomy Digestive system 542,450.00 628,100.00 571.00
46270 Fistulectomy, subcutaneous Digestive system 334,400.00 387,200.00 352.00
46275 Fistula-in-ano, excision of intermediate fistula Digestive system 516,800.00 598,400.00 544.00
46276 Fistula-in-ano, high level Digestive system 332,500.00 385,000.00 350.00
46329 Enucleation or excision of external thrombotic haemorrhoid Digestive system 33,250.00 38,500.00 35.00
46330 Manual removal faecal impact Digestive system 85,500.00 99,000.00 90.00
Haemorrhoids, injection of sclerosing solution, per haemorrhoid to a maximum of

three
46700 Anoplasty: plastic operation for stricture, adult Digestive system 658,350.00 762,300.00 693.00
46705 - infant Digestive system 523,450.00 606,100.00 551.00
46765 Thiersch procedure, including removal Digestive system 114,000.00 132,000.00 120.00
46900 Destruction condylomata, multiple, simple, chemical Digestive system 144,400.00 167,200.00 152.00
46910 - electro-desiccation Digestive system 157,700.00 182,600.00 166.00

46920 - surgical excision, simple Digestive system 28,500.00 33,000.00 30.00
47000 Needle biopsy of liver, percutaneous Digestive system 197,600.00 228,800.00 208.00
47001 Needle aspiration Digestive system 155,800.00 180,400.00 164.00
47002 - detention time - after the first thirty minutes, for every additional fifteen Digestive system 14,250.00 16,500.00 15.00
47100 Wedge biopsy Digestive system 614,650.00 711,700.00 647.00
47120 Hepatectomy (resection of liver), partial lobectomy Digestive system 1,878,150.00 2,174,700.00 1,977.00
47125 - total left lobectomy Digestive system 2,641,000.00 3,058,000.00 2,780.00
47130 - total right lobectomy Digestive system 2,883,250.00 3,338,500.00 3,035.00
47300 Marsupialization of cyst or abscess of liver Digestive system 941,450.00 1,090,100.00 991.00
47350 Hepatorrhaphy: suture of liver, wound or injury, simple Digestive system 1,097,250.00 1,270,500.00 1,155.00
Hepatorrhaphy: suture of liver, wound or injury, with common duct or gall bladder
drainage, complex
Choledochotomy or choledochostomy with exploration, drainange or removal of

calculus, with or without cholecystotomy
47421 - with transduodenal sphincterotomy or sphincteroplasty Digestive system 665,000.00 770,000.00 700.00
47425 Choledochotomy, secondary (exploration of common bile duct) Digestive system 1,403,150.00 1,624,700.00 1,477.00
47460 Transduodenal sphincterotomy or sphincteriplasty Digestive system 1,352,800.00 1,566,400.00 1,424.00
Cholecystotomy or cholecystostomy, with or without exploration, drainage or

removal of calculus (independent procedure)
47500 Injection procedure for percutaneous transphepatic cholangiography Digestive system 146,300.00 169,400.00 154.00
47600 Cholecystectomy Digestive system 992,750.00 1,149,500.00 1,045.00
47605 - add fee cholangiography Digestive system 1,034,550.00 1,197,900.00 1,089.00
47610 - with open exploration common bile duct Digestive system 1,246,400.00 1,443,200.00 1,312.00
47615 - endoscopic (with no add-on charges for complications) Digestive system 750,500.00 869,000.00 790.00
47720 Cholecystenterostomy or gastrostomy Digestive system 1,128,600.00 1,306,800.00 1,188.00
47760 Direct anastomosis of extrahepatic biliary ducts and gastrointestinal tract Digestive system 1,808,800.00 2,094,400.00 1,904.00
47800 Plastic reconstruction of extrahepatic biliary ducts and end-to-end anastomosis Digestive system 1,629,250.00 1,886,500.00 1,715.00
48020 Removal of pancreatic calculus Digestive system 1,083,950.00 1,255,100.00 1,141.00

48100 Biopsy of pancreas Digestive system 797,050.00 922,900.00 839.00
48140 Pancreatectomy, subtotal, with or without splenectomy Digestive system 1,655,850.00 1,917,300.00 1,743.00
48150 - Whipple type Digestive system 3,296,500.00 3,817,000.00 3,470.00
48180 Pancreatic - jejunostomy (eg. Puestow type) procedure Digestive system 855,000.00 990,000.00 900.00
48500 Marsupialization of cyst of pancreas Digestive system 1,102,950.00 1,277,100.00 1,161.00
49000 Exploratory laparotomy: exploratory celiotomy (independent procedure) Digestive system 827,450.00 958,100.00 871.00
49001 Staging laparotomy for lymphoma including splenectomy and liver and gland biopsy Digestive system 703,000.00 814,000.00 740.00
49010 Retroperitoneal exploration (independent procedure) Digestive system 962,350.00 1,114,300.00 1,013.00
49040 Drainage subphrenic or subdiaphragmatic abscess Digestive system 862,600.00 998,800.00 908.00
49080 Peritoneocentesis, abdominal paracentesis, initial Digestive system 130,150.00 150,700.00 137.00
49210 Excision of greater omentum Digestive system 370,500.00 429,000.00 390.00
49300 Peritoneoscopy Digestive system 180,500.00 209,000.00 190.00
49301 - with biopsy Digestive system 228,000.00 264,000.00 240.00
49400 Pneumoperitoneum, initial (independent procedure) Digestive system 171,000.00 198,000.00 180.00
49430 Injection procedure for retroperitoneal pneumography Digestive system 66,500.00 77,000.00 70.00
49440 Injection procedure for pelvic pneumography Digestive system 571,900.00 662,200.00 602.00
49501 All herniae with strangulation not to be charged; if resection performed, add Digestive system 526,300.00 609,400.00 554.00
49508 Inguinal, all types, adult Digestive system 266,000.00 308,000.00 280.00
49509 - infant, under 1 year Digestive system 289,750.00 335,500.00 305.00
49510 - with orchidectomy, with or without implantation of prosthesis Digestive system 332,500.00 385,000.00 350.00
49515 - with excision of hydrocele or spermatocele Digestive system 332,500.00 385,000.00 350.00
49520 - sliding Digestive system 683,050.00 790,900.00 719.00
49525 - recurrent Digestive system 644,100.00 745,800.00 678.00
49540 Lumbar Digestive system 695,400.00 805,200.00 732.00
49550 Femoral, groin incision Digestive system 608,000.00 704,000.00 640.00

49552 - Henry approach Digestive system 332,500.00 385,000.00 350.00
49555 - recurrent Digestive system 684,950.00 793,100.00 721.00
49560 Central or incisional (independent procedure) Digestive system 792,300.00 917,400.00 834.00
49565 - recurrent (independent procedure) Digestive system 828,400.00 959,200.00 872.00
49570 Epigastric, simple, propertoneal fat, (independent procedure) Digestive system 456,950.00 529,100.00 481.00
49575 more complex Digestive system BR BR BR
49582 Umbilical, infant (independent procedure) Digestive system 507,300.00 587,400.00 534.00
49583 - adult (independent procedure) Digestive system 370,500.00 429,000.00 390.00
49600 Repair of ompalocele small, with primary closure Digestive system 768,550.00 889,900.00 809.00
49605 - large, with or without prosthesis Digestive system 2,516,550.00 2,913,900.00 2,649.00
49900 Secondary suture of abdominal wall for eviscreration or dehiscence Digestive system 540,550.00 625,900.00 569.00
URINARY SYSTEM
50010 Renal exploration not necessitating other specific procedures Urinary system 1,205,550.00 1,395,900.00 1,269.00
50020 Drainage of perirenal or renal abscess (independent procedure) Urinary system 1,299,600.00 1,504,800.00 1,368.00
50040 Nephrostomy: nephrostomy with drainage Urinary system 1,229,300.00 1,423,400.00 1,294.00
50045 Nephrostomy with exploration Urinary system 1,509,550.00 1,747,900.00 1,589.00
50060 Nephrolithotomy, remocal of calculus Urinary system 1,882,900.00 2,180,200.00 1,982.00
50065 - secondary surgical operation for calculus Urinary system 2,053,900.00 2,378,200.00 2,162.00
50070 - complicated by congenital kidney abnormality Urinary system 1,989,300.00 2,303,400.00 2,094.00
50075 - large (staghorn) calculus filling renal pelvis and calyces. Urinary system 2,515,600.00 2,912,800.00 2,648.00
50100 Transection of repositioning of aberrant renal vessels (independent procedure) Urinary system 1,590,300.00 1,841,400.00 1,674.00
50120 Pyelotomy, with exploration (independent procedure) Urinary system 1,605,500.00 1,859,000.00 1,690.00
50125 Pyelotomy with drainage, pyelostomy (independent procedure) Urinary system 1,651,100.00 1,911,800.00 1,738.00
50130 - with removal of calculus; pyelolithotomy; pelviolithotomy (independent procedure) Urinary system 1,778,400.00 2,059,200.00 1,872.00
Pyelotomy, with exploration, complicated (eg. secondary operation, congenital

50135 Urinary system 2,110,900.00 2,444,200.00 2,222.00
kidney abnormality etc.)
50200 Renal biopsy, percutaneous, by trochar or needle Urinary system 275,500.00 319,000.00 290.00
50205 - by surgical exposure of kidney Urinary system 1,140,950.00 1,321,100.00 1,201.00
50220 Nephrectomy, including partial ureterectomy, any approach, including rib resection Urinary system 1,794,550.00 2,077,900.00 1,889.00
50225 - complicated because of previous surgery on same kidney Urinary system 2,150,800.00 2,490,400.00 2,264.00
50230 - radical, with regional lymphadenectomy Urinary system 2,351,250.00 2,722,500.00 2,475.00
50234 - with total ureterectomy and bladder cuff, through same incision Urinary system 2,303,750.00 2,667,500.00 2,425.00
50236 Nephrectomy, including partial ureterectomy, through separate incision Urinary system 2,526,050.00 2,924,900.00 2,659.00
50240 - partial Urinary system 2,238,200.00 2,591,600.00 2,356.00
50280 Excision or unroofing of cyst(s) of kidney Urinary system 1,580,800.00 1,830,400.00 1,664.00
50290 Excision of perinephric cyst Urinary system 1,424,050.00 1,648,900.00 1,499.00
50366 Renal homotransplantation; uni/bilateral recipient nephrectomy Urinary system 1,928,500.00 2,233,000.00 2,030.00
50380 Renal autotransplantation; reimplantation of kidneys Urinary system 1,922,800.00 2,226,400.00 2,024.00
50390 Aspiration and/or injection of renal cyst or pelvis, by needle, percutaneous Urinary system 245,100.00 283,800.00 258.00
Introduction of intracatheter or catheter into renal pelvis for drainage and/or

50392 Urinary system 405,650.00 469,700.00 427.00
injection, percutaneous
Injection procedure for pyelography (eg. nephrostogram, pyelostogram antegrade

50394 pyloureterogram) through nephrostomy or pyelostomy tube, or indwelling ureteral Urinary system 100,700.00 116,600.00 106.00
catheter (independent procedure)
50395 Intra-Cavemosal Injection Urinary system 427,500.00 495,000.00 450.00
Pyeloplasty, plastic operation on renal pelvis, with or without plastic operation on

50400 Urinary system 1,958,900.00 2,268,200.00 2,062.00
ureter, nephropexy, nephrostomy or ureteral splinting
- complicated (eg. congenital kidney abnormality, secondary pyeloplasty, solitary

50405 Urinary system 2,432,950.00 2,817,100.00 2,561.00
kidney)
50500 Nephrorrhaphy: suture of kidney wound or injury Urinary system 1,915,200.00 2,217,600.00 2,016.00
Symphysiotomy for horseshoe kidney, with or without pyeloplasty and/or other

50540 Urinary system 2,002,600.00 2,318,800.00 2,108.00
plastic procedure, unilateral or bilateral (one operation)
Lithotripsy, extra corporeal shock wave. One or more stones in same kidney, first
50590 Urinary system 1,304,350.00 1,510,300.00 1,373.00
treatment
50591 - second treatment on same kidney. By Report (B.R.) Urinary system 770,450.00 892,100.00 811.00
50592 Other open operations on the kidney Urinary system 2,269,550.00 2,627,900.00 2,389.00
50600 Ureterotomy, with exploration or drainage (independent procedure) Urinary system 1,527,600.00 1,768,800.00 1,608.00
50610 Ureterolithotomy, upper one-third of ureter Urinary system 1,641,600.00 1,900,800.00 1,728.00
50620 - middle one-third of ureter Urinary system 1,574,150.00 1,822,700.00 1,657.00
50630 - lower one-third of ureter Urinary system 1,613,100.00 1,867,800.00 1,698.00
50650 Ureterectomy, with bladder cuff (independent procedure) Urinary system 1,755,600.00 2,032,800.00 1,848.00
Ureterectomy, total ectopic; combination abdominal, vaginal and/or per perineal

50660 Urinary system 1,922,800.00 2,226,400.00 2,024.00
approach
Injection procedure for ireterography or ureteropyeleohraphy through ureterostomy

50684 Urinary system 138,700.00 160,600.00 146.00
or indwelling ureteral catheter (independent procedure)
Injection procedure for visualization of ilial conduit and/or ureteropyeleography,

50690 Urinary system 112,100.00 129,800.00 118.00
exclusive of radiological service (independent procedure)
50700 Uretoroplasty: plastic operation on ureter (eg. for stricture) Urinary system 1,633,050.00 1,890,900.00 1,719.00
Ureterolysis, with or without repositioning of ureter, for retropertoneal fibrosis,

50715 Urinary system 1,819,250.00 2,106,500.00 1,915.00
unilateral
Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena
50725 Urinary system 1,821,150.00 2,108,700.00 1,917.00
cava
50740 Ureteropyelostomy: anastomosis of ureter and renal pelvis Urinary system 1,871,500.00 2,167,000.00 1,970.00
50750 Ureterocalycostomy: anastomosis of ureter to renal calys Urinary system 1,978,850.00 2,291,300.00 2,083.00
50760 Ureteroureterostomy Urinary system 1,883,850.00 2,181,300.00 1,983.00
50770 Transureterouterostomy: anastomosis of ureter to contralateral ureter Urinary system 2,038,700.00 2,360,600.00 2,146.00
Ureteroneocystostomy: anastomosis of ureter to bladder, or other operations for

50780 Urinary system 1,897,150.00 2,196,700.00 1,997.00
corrections of vesicoureteral reflux, unilateral
50785 - with bladder flaps, unilateral Urinary system 2,119,450.00 2,454,100.00 2,231.00
50800 Ureteroenterostomy: direct anastomosis of ureter to intestine, unilateral Urinary system 1,677,700.00 1,942,600.00 1,766.00
Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of

50810 Urinary system 1,956,050.00 2,264,900.00 2,059.00
abdominal or perineal colostomy, including bowel anastomosis
Utereosigmoidostomy, with creation of a defunctioned rectal bladder and

50811 Urinary system 1,463,000.00 1,694,000.00 1,540.00
intrasphincteric perineal colostomy (Gersay procedure)
50820 Ureteroileal conduct (ileal bladder), including bowel anastomosis, unilateral Urinary system 2,380,700.00 2,756,600.00 2,506.00
50821 - bilateral Urinary system 1,330,000.00 1,540,000.00 1,400.00
50822 Construction of substitute bladder, any method Urinary system 1,662,500.00 1,925,000.00 1,750.00
Replacement of all, or part of, ureter by bowel segment, including bowel

50840 Urinary system 1,973,150.00 2,284,700.00 2,077.00
anastomosis, unilateral
50860 Ureterostomy: transplantation of ureter to skin, unilateal Urinary system 1,555,150.00 1,800,700.00 1,637.00
51000 Aspiration of bladder by needle Urinary system 10,450.00 12,100.00 11.00
51005 - by trochar or intracatheter Urinary system 17,100.00 19,800.00 18.00

51010 - with insertion of suprapubic catheter Urinary system 166,250.00 192,500.00 175.00
51020 Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material Urinary system 793,250.00 918,500.00 835.00
51040 Cystostomy: cystotomy with drainage Urinary system 597,550.00 691,900.00 629.00
51050 Cystolithotomy: cystotomy with removal of calculus without vesical neck resection Urinary system 807,500.00 935,000.00 850.00
51060 Transvesical ureterolithotomy Urinary system 1,102,000.00 1,276,000.00 1,160.00
51080 Drainage of perivesical or prevesical space abscess Urinary system 660,250.00 764,500.00 695.00
51500 Excision of urachal cyst or sinus, with or without umbilical hernia repair Urinary system 1,036,450.00 1,200,100.00 1,091.00
51520 Cystotomy for simple excision of vesical neck (independent procedure) Urinary system 1,049,750.00 1,215,500.00 1,105.00
Cystotomy for excision of bladder diverticulum, single or multiple (independent

51525 Urinary system 1,448,750.00 1,677,500.00 1,525.00
procedure)
51530 Cystotomy for excision of bladder tumour Urinary system 1,279,650.00 1,481,700.00 1,347.00
51535 For excision or incision of ureterocele, unilateral Urinary system 1,227,400.00 1,421,200.00 1,292.00
51550 Cystectomy, partial, simple Urinary system 1,561,800.00 1,808,400.00 1,644.00
51555 - complicated (eg. post-radiation, previous surgery, difficult location) Urinary system 2,006,400.00 2,323,200.00 2,112.00
51565 - with reimplantation of urete(s) into bladder (Ureteroneocystostomy) Urinary system 2,209,700.00 2,558,600.00 2,326.00
51570 - complete (independent procedure) Urinary system 2,371,200.00 2,745,600.00 2,496.00
Cystectomy, complete, with bilateral pelvic lymphdenectomy including external iliac,

51575 Urinary system 3,124,550.00 3,617,900.00 3,289.00
hypogastric and obturator nodes
51580 - with ureterosigmoidostomy or ureterocutaneous transplantation Urinary system 3,027,650.00 3,505,700.00 3,187.00
- with ureterosigmoidostomy and bilateral pelvic lymphadenectomy including

51585 Urinary system 3,546,350.00 4,106,300.00 3,733.00
external iliac hypogastric and obturator nodes
51590 - with ureteroileal conduit or sigmoid bladder including bowel anastomosis Urinary system 3,356,350.00 3,886,300.00 3,533.00
- with ureteroileal conduit or sigmoid bladder including bowel anastomosis and

51595 bilateral pelvic lymphadenectomy including external iliac, hypogastric and obturator Urinary system 4,088,800.00 4,734,400.00 4,304.00
nodes
Continent ileostomy (Montie Bladder) includes both incisional and reconstructive

51596 Urinary system 4,298,750.00 4,977,500.00 4,525.00
phases of procedure
Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with
removal of bladder and ureteral transplantation, with or without hysterectomy,
51597 Urinary system 4,045,100.00 4,683,800.00 4,258.00
and/or abdominoperineal resection of rectum and colon and colostomy, or any
combination there
51600 Injection procedure for cystography or voiding urethrocystography Urinary system 138,700.00 160,600.00 146.00
Injection procedure and placement of chain for contrast and/or chain

51605 Urinary system 83,600.00 96,800.00 88.00
urethrocystography
51610 Injection procedure for retrograde urethrocystography Urinary system 136,800.00 158,400.00 144.00
51700 Bladder irrigation, simple, lavage and/or instillation Urinary system 88,350.00 102,300.00 93.00
Bladder instillation of anticarcinogenic agent, including detention time (excluding

51720 Urinary system 163,400.00 189,200.00 172.00
cost of material)
51740 Cystometrogram (independent procedure) Urinary system 39,900.00 46,200.00 42.00
Cystoplasty or cystourethroplasty: plastic operation on bladder and/or vesical neck

51800 (anterior Y-plasty, vesical fundus resection etc) any procedure with or without Urinary system 523,450.00 606,100.00 551.00
wedge resection of posterior vesical neck
Anterior vesicourethropexy, or urethropexy (eg. Marshall-Marchetti type procedure),

51840 Urinary system 1,128,600.00 1,306,800.00 1,188.00
simple
51841 - complicated (eg. secondary repair) Urinary system 1,410,750.00 1,633,500.00 1,485.00
51860 Cystorrhaphy: suture of bladder wound, injury or rupture, simple Urinary system 1,178,950.00 1,365,100.00 1,241.00
51865 - complicated Urinary system 1,536,150.00 1,778,700.00 1,617.00
51880 Closure of cystostomy (independent procedure) Urinary system 762,850.00 883,300.00 803.00
51900 Closure of vesico-vaginal fistula, abdominal approach Urinary system 1,434,500.00 1,661,000.00 1,510.00
51940 Closure of exstrophy Urinary system 2,722,700.00 3,152,600.00 2,866.00
51945 Hysterescopy Urinary system 47,500.00 55,000.00 50.00
51992 Sling operation for stress incontinence (eg. fascia or synthetic) Urinary system 1,219,800.00 1,412,400.00 1,284.00
52000 Cystourethroscopy (independent procedure), rooms Urinary system 244,150.00 282,700.00 257.00
52100 - hospital Urinary system 297,350.00 344,300.00 313.00
Cystourethroscopy, with urethral catherization and/or flexible ureteroscope, with or

52105 Urinary system 593,750.00 687,500.00 625.00
without irrigation, instillation or ureteropyelography, exclusive of radiology service
52202 Cystourentroscopy, with biopsy, hospital Urinary system 356,250.00 412,500.00 375.00
- with fulguration (including cryo-surgery) or treatment of minor (less than 0.5cm)

52222 Urinary system 116,850.00 135,300.00 123.00
lesion(s) with or without biopsy, hospital
- with fulguration (including cryo-surgery) and/or resection of small bladder

52232 Urinary system 475,000.00 550,000.00 500.00
tumour(s) (0.5cm to 2.0cm)
- with fulguration (including cryo-surgery) and/or resection of medium bladder

52235 Urinary system 708,700.00 820,600.00 746.00
tumour(s) 2.0cm to 5.0cm)
- with fulguration (including cryo-surgery) and/or resection of large bladder

52240 Urinary system 1,170,400.00 1,355,200.00 1,232.00
tumour(s)
- with insertion of radioactive substances, with or without biopsy or fulguration

52250 Urinary system 446,500.00 517,000.00 470.00
(excluding cost of material)
- with dilation of bladder for interstitial cystitis, general or conduction (spinal etc.)
52260 Urinary system 369,550.00 427,900.00 389.00
anaesthesia
52270 - with internal urethrotomy, female Urinary system 534,850.00 619,300.00 563.00
52275 - with internal urethrotomy Urinary system 644,100.00 745,800.00 678.00

52277 - with resection of external sphincter (sphincterotomy) Urinary system 652,650.00 755,700.00 687.00
- with calibration and/or dilation of urethral stricture or stenosis, with or without

52280 Urinary system 356,250.00 412,500.00 375.00
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 Urinary system 428,450.00 496,100.00 451.00
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 Urinary system 426,550.00 493,900.00 449.00
52305 - with incision or resection of orifice of bladder diverticulum, single or multiple Urinary system 531,050.00 614,900.00 559.00
52310 - with removal of foreign body or calculus from urethra or bladder, simple Urinary system 383,800.00 444,400.00 404.00
52315 - complicated Urinary system 634,600.00 734,800.00 668.00
- with removal of ureteral calculus (uretheral catherization following extration of

52320 Urinary system 552,900.00 640,200.00 582.00
calculus in included)
- with incision, fulguration and/or resection of bladder neck and/or posterior urethra
52340 Urinary system 712,500.00 825,000.00 750.00
(eg. congenital valves, obstructive hypertropic mucosal folds)
52500 Transurethral resection of vesical neck (independent procedure) Urinary system 938,600.00 1,086,800.00 988.00
Transuretheral resection of prostate, including control of post-operative bleeding

during the initial hospitalization, complete (vasectomy, meatotomy,
52601 Urinary system 1,431,650.00 1,657,700.00 1,507.00
cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy are
included)
Transurethral fulguration for post-operative bleeding after initial hospitalisation (in
52605 Urinary system 764,750.00 885,500.00 805.00
hospital)
52610 Transurethral resection of prostate, two stage (planned or medical necessity) Urinary system 623,200.00 721,600.00 656.00
Transurethral resection of prostate, two stage (planned or medical necessity) of re-

52630 Urinary system 950,950.00 1,101,100.00 1,001.00
growth of obstructive tissue, longer than one year post-operative
52640 - post-operative bladder neck contracture Urinary system 749,550.00 867,900.00 789.00
52700 Transurethral drainage of prostatic abscess Urinary system 626,050.00 724,900.00 659.00
Litholapaxy: crushing of calculus in bladder and removal of fragments, simple, small

52800 Urinary system 385,700.00 446,600.00 406.00
(less that 2.50cm)
52805 Litholapaxy, complicate or large (over 2.50cm) Urinary system 532,000.00 616,000.00 560.00
53000 Urethrotomy or urethrostomy, external (independent procedure), pendulous urethra Urinary system 238,450.00 276,100.00 251.00
53010 - perineal urethra, external (independent procedure) Urinary system 424,650.00 491,700.00 447.00
53021 Meatotomy: cutting of meatus (independent procedure), simple, hospital Urinary system 73,150.00 84,700.00 77.00
53040 Drainage of deep periurethral abscess Urinary system 528,200.00 611,600.00 556.00
53080 Drainage of perineal urinary extravasation, uncomplicated (independent procedure) Urinary system 652,650.00 755,700.00 687.00
53085 Litholapaxy: complicated or large (over 2.5cm) Urinary system 1,035,500.00 1,199,000.00 1,090.00
53200 Biopsy of urethra Urinary system 236,550.00 273,900.00 249.00

53210 Urethrectomy, total, including cystostomy, female Urinary system 1,173,250.00 1,358,500.00 1,235.00
53215 - male Urinary system 1,531,400.00 1,773,200.00 1,612.00
53230 Excision of urethral divertoculum Urinary system 1,043,100.00 1,207,800.00 1,098.00
53260 Excision of fulguration, urethral (polyp(i), distal urethra Urinary system 274,550.00 317,900.00 289.00
53265 - urethral caruncle Urinary system 325,850.00 377,300.00 343.00
53275 - urethral prolapse Urinary system 425,600.00 492,800.00 448.00
53400 Urethroplasty: first stage, for fistula, diverticulum or sticture (eg. Johannsen type) Urinary system 1,228,350.00 1,422,300.00 1,293.00
53405 - subsequent stage (formation of urethra) including urinary diversion Urinary system 1,490,550.00 1,725,900.00 1,569.00
53410 Urethroplasty: one stage reconstruction of male anterior urethra Urinary system 1,530,450.00 1,772,100.00 1,611.00
Urethroplasty: one stage reconstruction or repair of prostatic membranous urethra

53418 Urinary system 1,529,500.00 1,771,000.00 1,610.00
(Waterhouse Transpubic urethroplasty)
Urethroplasty: two stage reconstruction or repair of prostatic membenous urethra,

53420 Urinary system 1,469,650.00 1,701,700.00 1,547.00
first stage
53425 - subsequent stage Urinary system 1,528,550.00 1,769,900.00 1,609.00
53430 Urethroplasty: reconstruction of female urethra Urinary system 1,452,550.00 1,681,900.00 1,529.00
Operation for correction of male urinary incontinence, with or without introduction of

53440 Urinary system 1,509,550.00 1,747,900.00 1,589.00
prosthesis
53450 Urethromeatoplasty, with mucosal advancement Urinary system 559,550.00 647,900.00 589.00
53505 Urethrorrhaphy, suture of urethral wound or injury, penile Urinary system 778,050.00 900,900.00 819.00
53510 - perineal Urinary system 1,035,500.00 1,199,000.00 1,090.00
53515 - prostatomembranous Urinary system 1,346,150.00 1,558,700.00 1,417.00
53600 Dilation of urethral stricture by passage of sound, male Urinary system 108,300.00 125,400.00 114.00
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator,

53605 Urinary system 108,300.00 125,400.00 114.00
male, general or conduction (spinal) anaesthesia, hospital
53620 Dilation of urethral stricture by passage of filiform and follower, male, initial Urinary system 151,050.00 174,900.00 159.00
53660 Dilation of female urethra, including suppository and/or instillation, initial Urinary system 77,900.00 90,200.00 82.00
53665 Dilation of female urethra, general or conduction (spinal) anaesthesia, hospital Urinary system 68,400.00 79,200.00 72.00
53670 Catheterization, simple (independent procedure) Urinary system 62,700.00 72,600.00 66.00
53675 - complications(may include difficult removal of balloon catheter) Urinary system 50,350.00 58,300.00 53.00
MALE GENITAL SYSTEM
54000 Dorsal or lateral "slit" of prepuce, newborn independent procedure Male genital system 166,250.00 192,500.00 175.00
54001 - except newborn Male genital system 222,300.00 257,400.00 234.00
54002 Reduction of paraphimosis, under general anaesthesia Male genital system 166,250.00 192,500.00 175.00
54015 Incision and drainage of penis, abscess, deep Male genital system 407,550.00 471,900.00 429.00
54050 Condylomata, multiple, simple, chemical Male genital system 121,600.00 140,800.00 128.00
54055 - electra-desiccation Male genital system 130,150.00 150,700.00 137.00
54060 - surgical excision Male genital system 221,350.00 256,300.00 233.00
54065 - extensive Male genital system 303,050.00 350,900.00 319.00
54100 Biopsy of penis, cutaneous (independent procedure) Male genital system 195,700.00 226,600.00 206.00
54105 - deep structure Male genital system 326,800.00 378,400.00 344.00
54110 Excision, penile plague (peyronie's disease) Male genital system 991,800.00 1,148,400.00 1,044.00
54115 Removal of foreign body from deep penile tissue (eg. Plastic impact) Male genital system 645,050.00 746,900.00 679.00
54120 Amputation of penis, partial Male genital system 990,850.00 1,147,300.00 1,043.00
54125 - complete Male genital system 1,475,350.00 1,708,300.00 1,553.00
54130 - radical, with bilateral inguinofemoral pymphadenectomy Male genital system 2,061,500.00 2,387,000.00 2,170.00
- in continuity with bilateral pelvic lymphadenectomy, including external iliac,

54135 Male genital system 2,626,750.00 3,041,500.00 2,765.00
hypogastric and obturator nodes
54150 Circumcision, clamp procedure, newborn Male genital system 186,200.00 215,600.00 196.00
54160 Circumcision, infant under 6 months Male genital system 292,600.00 338,800.00 308.00
54161 - infant over 6 months Male genital system 333,450.00 386,100.00 351.00
54162 - adult - 12 years and over Male genital system 373,350.00 432,300.00 393.00
54165 - with frenuloplasty, add Male genital system 237,500.00 275,000.00 250.00
54200 Injection procedure for Peyronie's disease Male genital system 108,300.00 125,400.00 114.00
54205 - with surgical exposure of plaque Male genital system 795,150.00 920,700.00 837.00
54220 Irrigation of corpora cavernosa for priapism Male genital system BR BR BR

Plastic operation on penis for straightening of chordee (eg. hypospadias) with or
54300 Male genital system 354,350.00 410,300.00 373.00
without mobilization of urethra
54305 - with transplantation prepuce Male genital system 532,000.00 616,000.00 560.00
Urethroplasty, formation of urethra (Dennis Brown type procedure), including

urinary diversion, penile or penoscrotal
54325 - scrotal or perineal Male genital system 748,600.00 866,800.00 788.00
Urethroplasty and straightening of chordee (including urinary diversion), complete,

one stage, for hypospadias
54380 Plastic operation on penis for epispadias, distal to external sphincter Male genital system 1,359,450.00 1,574,100.00 1,431.00
54385 - with incontinence Male genital system BR BR BR
54390 - with exstrophy of bladder Male genital system BR BR BR
54400 Plastic operation for insertion of penil prosthesis Male genital system 1,145,700.00 1,326,600.00 1,206.00
Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or

bilateral
Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or

bilateral
54440 Plastic operation of penis for injury Male genital system 1,283,450.00 1,486,100.00 1,351.00
54500 Biopsy, needle (independent procedure) Male genital system 113,050.00 130,900.00 119.00
54505 - incisional, unilateral (independent procedure) Male genital system 336,300.00 389,400.00 354.00
54506 - bilateral (independent procedure) Male genital system 152,950.00 177,100.00 161.00
54510 Excision of local lesion of testis Male genital system 232,750.00 269,500.00 245.00
Orchidectomy, simple (including subcapsular) with or without testicular prosthesis,

scrotal or inguinal approach, unilateral
54530 Orchidectomy, radical, for tumour, inguinal approach, unilateral Male genital system 946,200.00 1,095,600.00 996.00
54535 - with abdominal exploration Male genital system 1,238,800.00 1,434,400.00 1,304.00
54550 Exploration for undescended testis (inguinal or scrotal area), unilateral Male genital system 791,350.00 916,300.00 833.00
54560 - with abdominal exploration, unilateral Male genital system 1,110,550.00 1,285,900.00 1,169.00
Reduction of torsion of testis by surgical means, with or without fixation of

contralateral testis
54620 Fixation of contralateral testis (independent procedure) Male genital system 499,700.00 578,600.00 526.00
54640 Orchidopexy, any type with or without hernia repair, unilateral Male genital system 867,350.00 1,004,300.00 913.00
54645 - secondary stage (Torek type procedure) Male genital system 79,800.00 92,400.00 84.00
54660 Insertion of testicular prosthesis, unilateral (independent procedure) Male genital system 529,150.00 612,700.00 557.00
54670 Suture or repair of testicular injury Male genital system 652,650.00 755,700.00 687.00
54680 Transplantation of testis(es) to thigh (because of scrotal destruction) Male genital system 1,248,300.00 1,445,400.00 1,314.00
Incision and drainage of epididymis, testis and/or scrotal space (eg. abscess or
haematoma)
54800 Biopsy of epididymis, needle Male genital system 255,550.00 295,900.00 269.00
54820 Exploration of epididymis, with or without biopsy Male genital system 232,750.00 269,500.00 245.00
54830 Excision of local lesion of epididymis Male genital system 551,950.00 639,100.00 581.00
54840 Excision of spermatocele, with or without epididymectomy Male genital system 595,650.00 689,700.00 627.00
54860 Epididymectomy, unilateral Male genital system 693,500.00 803,000.00 730.00
54861 - bilateral Male genital system 973,750.00 1,127,500.00 1,025.00
54900 Epididymovasostomy, anastomosis of epididymis to vas deferens, unilateral Male genital system 456,950.00 529,100.00 481.00
54901 - bilateral Male genital system 532,000.00 616,000.00 560.00
55000 Puncture aspiration of hydrocele, with or without injection of medication Male genital system 137,750.00 159,500.00 145.00
55040 Excision of hydrocele, unilateral Male genital system 610,850.00 707,300.00 643.00
55060 Repair of hydrocele, (Bottle type procedure) Male genital system 592,800.00 686,400.00 624.00
55100 Drainage of scrotal wall abscess (see also 54700) Male genital system 215,650.00 249,700.00 227.00
55120 Removal of foreign body in scrotum Male genital system 449,350.00 520,300.00 473.00
55150 Resection of scrotum Male genital system 761,900.00 882,200.00 802.00
55170 Scrotoplasty: plastic operation on scrotum Male genital system BR BR BR
Vasotomy: cannulization, with or without incision of vas, unilateral or bilateral

Vasectomy, unilateral or bilateral (independent procedure) including post-operative

semen examination(s)
Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or

bilateral
55400 Vasovasostomy, vasovasorrhaphy, unilateral Male genital system 901,550.00 1,043,900.00 949.00
Ligation (percutaneous) of vas deferens, unilateral or bilateral (independent

procedure)
55500 Excision of hydrocele of spermatic cord unilateral (independent procedure) Male genital system 605,150.00 700,700.00 637.00
55520 Excision of lesion of spermatic cord (independent procedure) Male genital system 577,600.00 668,800.00 608.00
Excision of varicocele or ligation of spermatic veins for varicocele (independent

procedure)
55535 - abdominal approach Male genital system 672,600.00 778,800.00 708.00
55540 - with hernia repair Male genital system 756,200.00 875,600.00 796.00
55600 Vesiculotomy, unilateral or bilateral, simple Male genital system 661,200.00 765,600.00 696.00
55605 - complicated Male genital system 822,700.00 952,600.00 866.00
55650 Vesiculectomy, any approach, unilateral or bilateral Male genital system 1,159,950.00 1,343,100.00 1,221.00
55680 Excision of Muellerian duct cyst Male genital system 642,200.00 743,600.00 676.00
55700 Biopsy, prostate, needle or punch, single or multiple, any approach Male genital system 242,250.00 280,500.00 255.00
55705 - incisional, any approach Male genital system 476,900.00 552,200.00 502.00
55720 Prostatotomy: external drainage of prostate abscess, any approach, simple Male genital system 710,600.00 822,800.00 748.00
55725 - complicated Male genital system 858,800.00 994,400.00 904.00
55740 Prostatolithotomy: removal of prostatic calculus (independent procedure) Male genital system 764,750.00 885,500.00 805.00
Prostatectomy, perineal, subtotal with cystourethroscopy, including control of post-

55801 operative bleeding during the initial hospitalization, complete (vasectomy, Male genital system 1,805,000.00 2,090,000.00 1,900.00
meatotomy, urethral calibration and/or dilation, internal urethrotomy are included)
55810 - total, with cystourethroscopy Male genital system 2,373,100.00 2,747,800.00 2,498.00
- suprapubic, subtotal with cystourethroscopy, one or two stages, including control

55821 of post-operative bleeding during the initial hospitalization, complete (vasectomy, Male genital system 1,604,550.00 1,857,900.00 1,689.00
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 Male genital system 1,741,350.00 2,016,300.00 1,833.00
calibration and or dilation, internal urethrotomy are included)
55840 - radical Male genital system 2,319,900.00 2,686,200.00 2,442.00
- with bilateral pelvic lyphadenectomy, including external iliac, hypogastric and

obturator nodes
55970 Male to female Male genital system BR BR BR
55980 Female to male Male genital system BR BR BR
FEMALE GENITAL SYSTEM
56420 Incision and drainage of Bartholin's abscess,unilateral Female genital system 122,550.00 141,900.00 129.00
56440 Marsupialization of Bartholon's cyst or abscess Female genital system 266,000.00 308,000.00 280.00
56441 Plastic enlargement of introitus Female genital system 185,250.00 214,500.00 195.00
56500 Condylomata, multiple, simple, chemical Female genital system 13,300.00 15,400.00 14.00
56505 Condylomata, electro-desiccation Female genital system 20,900.00 24,200.00 22.00
56510 Surgical excision Female genital system 29,450.00 34,100.00 31.00
56602 Biopsy of vulva (independent procedure). Female genital system 19,000.00 22,000.00 20.00
56620 Vulvectomy, partial, unilateral or bilateral (but less than 80% of vulval area Female genital system 669,750.00 775,500.00 705.00
56625 Vulvectomy, simple, complete (skin and subcutaneous tissue), bilateral Female genital system 840,750.00 973,500.00 885.00
56641 - radical with lymphadenectomy Female genital system 779,000.00 902,000.00 820.00
56700 Hymenectomy: partial or complete excision of hymen Female genital system 220,400.00 255,200.00 232.00
56740 Excision of Bartholin's tumour or cyst Female genital system 339,150.00 392,700.00 357.00
56750 Excision of benign tumour of vulva Female genital system 69,350.00 80,300.00 73.00
57000 Colpotomy, diagnostic Female genital system 247,950.00 287,100.00 261.00
57010 - with drainage of pelvic abscess Female genital system 437,950.00 507,100.00 461.00
57100 Biopsy of vaginal mucosa (independent procedure) Female genital system 88,350.00 102,300.00 93.00
57105 - extensive, requiring suture (including cysts) Female genital system 166,250.00 192,500.00 175.00
57120 Colpocleisis (Le Fort type procedure) Female genital system 687,800.00 796,400.00 724.00
57130 Excision of vaginal septum Female genital system 250,800.00 290,400.00 264.00
57210 Colpo-perineorrhaphy: suture of injury of vagina and/or perineum (non-obstetrical) Female genital system 356,250.00 412,500.00 375.00
Anterior colporrhaphy: repair of cystocele with or without repair of urothrocele

57240 Female genital system 526,300.00 609,400.00 554.00
57245 - with abdominal colpo-urethra-cystopexy (Marshal-Marchetti-Krantz type) Female genital system 489,250.00 566,500.00 515.00
57250 Posterior colporrhaphy: with perineoplasty or perineorrhaphy Female genital system 663,100.00 767,800.00 698.00
57256 - with repair of enterocele Female genital system 324,900.00 376,200.00 342.00
57260 Combined anterior-posterior colporrhaphy Female genital system 862,600.00 998,800.00 908.00
57262 - with abdominal colpo-cysto-urethropexy (Marshall-Marchetti-Krantz type) Female genital system 532,000.00 616,000.00 560.00
57265 - with enterocele repair Female genital system 914,850.00 1,059,300.00 963.00
57267 - with Manchester type repair Female genital system 351,500.00 407,000.00 370.00
57280 Colpopexy, abdominal approach. Female genital system 940,500.00 1,089,000.00 990.00
57288 Sling operation for stress incontinence (eg fascia or synthetic) Female genital system 1,126,700.00 1,304,600.00 1,186.00
Construction of artificial vagina (vaginal atresia or absence) (for skin graft, see
15000 et seq)
57300 Closure of recto-vaginal fistula, vaginal approach Female genital system 730,550.00 845,900.00 769.00
57320 Closure of vesica-vaginal fistula, vaginal approach Female genital system 804,650.00 931,700.00 847.00
57410 Pelvic examination under anaesthesia (independent procedure) Female genital system 67,450.00 78,100.00 71.00
57452 Colposcopy Female genital system 96,900.00 112,200.00 102.00
57500 Biopsy or local excision of lesion Female genital system 101,650.00 117,700.00 107.00
57510 Cauterization of cervix,electro or thermal Female genital system 131,100.00 151,800.00 138.00
Conization,partial, circumferential (cone) with or without dilatation and curettage,

with or without Sturmdorff type repair
57525 - only Female genital system 63,650.00 73,700.00 67.00
57530 Trachelectomy: cervicectomy: amputation of cervix (independent procedure) Female genital system 415,150.00 480,700.00 437.00
57540 Excision of cervical stump, abdominal approach Female genital system 725,800.00 840,400.00 764.00
57550 Vaginal approach Female genital system 564,300.00 653,400.00 594.00
57560 Cervical mucus oestrogen assay Female genital system 15,200.00 17,600.00 16.00
57600 Insertion of any radioactive material, per application Female genital system 118,750.00 137,500.00 125.00
57700 Tracheloplasty (Shirodkar or Lash type procedure) Female genital system 306,850.00 355,300.00 323.00
57701 Removal of Shirodkar suture Female genital system 19,000.00 22,000.00 20.00
57720 Trachelorrhaphy: plastic repair of uterine cervix, vaginal approach Female genital system 365,750.00 423,500.00 385.00
58101 Endometrial washing (eg for cytology sampling) Female genital system 8,550.00 9,900.00 9.00
Dilatation and curettage, diagnostic and/or therapeutic (non-obstetrical) with or

without biopsy or removal of polypi (see also 57521)
58130 Dilatation and curettage, plus diathermy Female genital system 156,750.00 181,500.00 165.00
Myomectomy: single or multiple, excision of fibroid tumour of uterus, abdominal

58140 Female genital system 887,300.00 1,027,400.00 934.00
approach (independent procedure)
58145 Vaginal myomectomy, simple Female genital system 766,650.00 887,700.00 807.00
58146 - complicated Female genital system 1,370,850.00 1,587,300.00 1,443.00

Total hysterectomy (corpus and cervix) with or without tubes, and/or ovaries, one or
58150 Female genital system 1,169,450.00 1,354,100.00 1,231.00
both, with or without dilatation and curettage
- with colpo-urethra-cystopexy (Marshall Marchetti Krantz type), with or without

diagnostic dilatation and currettage
Total hysterectomy, cervical malignancy, with bilateral pelvic lymphadenectomy,
including external iliac, hypogastric and obturator nodes (Wertheim type operation),
58210 Female genital system 2,138,450.00 2,476,100.00 2,251.00
with or without diagnostic dilatation and curettage. ( For lymphadenectomy
[independent procedure
58260 Vaginal hysterectomy, with or without diagnostic dilataion and curettage Female genital system 1,054,500.00 1,221,000.00 1,110.00
- with plastic repair of vagina anterior and/or posterior colporrhaphy, with or without
diagnostic dilatation and curettage
58270 - with repair of enterocele, with or without diagnostic dilatation and curettage Female genital system 1,155,200.00 1,337,600.00 1,216.00
58300 Insertion of intra-uterine device (IUD) Female genital system 94,050.00 108,900.00 99.00
58301 Removal of intra-uterine device (IUD) Female genital system 75,050.00 86,900.00 79.00
58320 Insufflation of uterus and tubes with air or CO2 Female genital system 87,400.00 101,200.00 92.00
58340 Injection procedure for hysterosalpingography Female genital system 98,800.00 114,400.00 104.00
58350 Hydrotubation of oviduct Female genital system 79,800.00 92,400.00 84.00
58352 Initial IVF Consultation Female genital system 95,000.00 110,000.00 100.00
58353 Subsequent IVF Consultations up to a maximum of 8 visits Female genital system 47,500.00 55,000.00 50.00
58354 Gynaecology IVF process including scans and drugs administration. Female genital system 950,000.00 1,100,000.00 1,000.00
58355 Embryologist/ Laboratory IVF processes. Female genital system 1,330,000.00 1,540,000.00 1,400.00
58356 IVF Drugs Female genital system 1,349,000.00 1,562,000.00 1,420.00
Uterine suspension, with or without shortening of round ligaments, with or without

shortening of sacrouterine ligaments (independent procedure), any method
58410 Presacral sympathectomy Female genital system 706,800.00 818,400.00 744.00
58500 Hystero-salpingostomy: anastomosis of tube(s) to uterus Female genital system 484,500.00 561,000.00 510.00
58520 Hysterorrhaphy: repair of ruptured uterus (non-obstetrical) Female genital system 639,350.00 740,300.00 673.00
58540 Hysteroplasty: repair of uterine anomaly Female genital system 878,750.00 1,017,500.00 925.00
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 Female genital system 522,500.00 605,000.00 550.00
tubes
58700 Salpingectomy, complete, unilateral or bilateral (independent procedure) Female genital system 699,200.00 809,600.00 736.00
Salping-oophorectomy, complete or partial, bilateral or unilateral (independent

procedure)
58741 Salpingoplasty, tube or tubes Female genital system 425,600.00 492,800.00 448.00
Anastomosis of tube or tubes (not applicable to the reversal of previous surgical
sterilisation procedures)
Ectopic pregnancy, tubal, requiring salpingectomy, with or without ophorectomy,

abdominal or vaginal approach
58830 Hormone implant Female genital system 26,600.00 30,800.00 28.00
58840 Norplant, insertion Female genital system 57,000.00 66,000.00 60.00
58841 - removal Female genital system 57,000.00 66,000.00 60.00
58900 Partial resection of ovary, unilateral or bilateral (independent procedure) Female genital system 537,700.00 622,600.00 566.00
58940 Oophorectomy, unilateral or bilateral, partial or total (independent procedure) Female genital system 654,550.00 757,900.00 689.00
58945 - with total omenectomy (for ovarian malignancy) Female genital system 408,500.00 473,000.00 430.00
58946 Excision of endometriotic nodules in the pelvis other than ovaries Female genital system 388,550.00 449,900.00 409.00
58980 Laparoscopy for visualisation of pelvic viscera Female genital system 202,350.00 234,300.00 213.00
58984 - with fulguration of ovarian or peritoneal lesions or lysis of adhesions Female genital system 245,100.00 283,800.00 258.00
58986 - with biopsy (single or multiple) Female genital system 245,100.00 283,800.00 258.00
- with transection of Fallopian tube, unilateral or bilateral, or fulguration of oviducts

(with or without transection) or ay other method of interruption of Fallopian tubes
58990 Laparoscopy with dilatation and curettage and insufflation of dye Female genital system 278,350.00 322,300.00 293.00
58993 - with fulguration of ovarian or peritoneal lesions or lysis of adhesions Female genital system 334,400.00 387,200.00 352.00
58994 - with biopsy (single or multiple) Female genital system 334,400.00 387,200.00 352.00
MATERNITY CARE AND DELIVERY SYSTEM
Amniocentesis for diagnostic purposes, abdominal approach, where certified there

59000 Maternity care and delivery 129,200.00 149,600.00 136.00
is a recognised risk
Initial and/or supervision of internal foetal monitoring during labour for established
pathology where certified there is a high risk....
Surgical induction of labour for established pathology where certified there is a high
risk
59231 Epidural, continuous anaesthesia Maternity care and delivery 95,000.00 110,000.00 100.00
59232 Ante-natal external foetal heart trace (high risk cases only). By report Maternity care and delivery 19,000.00 22,000.00 20.00
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 Maternity care and delivery 17,100.00 19,800.00 18.00
listed procedures except 59050, 59230 and 59231, 59497 and 59498.
59435 Emergency fee for normal delivery (see general rules 01040 and 01061) Maternity care and delivery 44,650.00 51,700.00 47.00
59438 On call for vaginal delivery Maternity care and delivery 62,700.00 72,600.00 66.00
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 Maternity care and delivery 285,000.00 330,000.00 300.00
this effect)
Vaginal delivery, with low forceps, vacuum delivery or midcavity forceps without mal-
rotation of the occiput
59441 Midcavity forceps or vacuum with mal-rotation of the occiput Maternity care and delivery 303,050.00 350,900.00 319.00
59443 Breech delivery Maternity care and delivery 303,050.00 350,900.00 319.00
Twin delivery: full appropriate fee for the major delivery and 50% (add modifier 18)
59444 Maternity care and delivery Add 50% Add 50% Add 50%
of the second appropriate delivery fee.
Triplet delivery: full appropriate fee for the two major deliveries and 50% (add
59445 Maternity care and delivery Add 50% Add 50% Add 50%
modifier 41) of the third appropriate delivery fee.
59446 Multiple delivery, quadruplets or more Maternity care and delivery BR BR BR
59455 Resuscitation of the new born, requiring intubation Maternity care and delivery 46,550.00 53,900.00 49.00
59475 Initial ante-natal consultation by specialist obstetrician at rooms. Maternity care and delivery 47,500.00 55,000.00 50.00
59476 Initial ante-natal consultation by specialist obstetrician at hospital Maternity care and delivery 28,500.00 33,000.00 30.00
Subsequent ante-natal consultation by specialist obstetrician at rooms or hospital,

per consultation to a maximum of nine consultations
59478 Initial ante-natal consultation by general practitioner Maternity care and delivery 19,000.00 22,000.00 20.00
Subsequent ante-natal consultation by general practitioner, per consultation, to a

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
referring practitioner. Where the infant is referred to a general practitioner for a post-
natal consultation the maximum charge shall be
Post-natal assessment of infant (independent procedure) where total obstetrical
59484 care is undertaken, and the infant is not referred to another practitioner for post- Maternity care and delivery 12,350.00 14,300.00 13.00
natal consultation. Maximum charge
Post-natal consultation by specialist obstetrician at hospital or rooms, per

consultations to a maximum of five consultations
Post-natal consultation by general practitioner, per consultation, to a maximum to

five consultations
59492 Suture of cervical laceration Maternity care and delivery 28,500.00 33,000.00 30.00
59493 Second degree laceration (in consultation) Maternity care and delivery 19,000.00 22,000.00 20.00
59494 Third degree laceration Maternity care and delivery 71,250.00 82,500.00 75.00
59495 External version, without anaesthetic Maternity care and delivery 42,750.00 49,500.00 45.00
59496 External version, with anaesthetic Maternity care and delivery 95,000.00 110,000.00 100.00
Manual removal of placenta where a general anaesthetic is required and is

administered by another medical practitioner
59498 - by any other method Maternity care and delivery BR BR BR
59499 Dilatation and curettage for removal of retained products of conception Maternity care and delivery 202,350.00 234,300.00 213.00
59500 Low cervical (independent procedure), single or multiple births Maternity care and delivery 570,000.00 660,000.00 600.00
59502 Attendance at caesarean section by paediatrician and post follow-up of infant Maternity care and delivery 28,500.00 33,000.00 30.00
Post-caesarean care of infant by general practitioner (independent procedure) per

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

partial or complete)
Caesarean section with hysterectomy, sub-total (independent procedure), single or

multiple births
59562 Ruptured uterus in pregnancy Maternity care and delivery 708,700.00 820,600.00 746.00
59861 Abortion, completed by dilatation and curettage Maternity care and delivery 202,350.00 234,300.00 213.00
59862 -induced by dilatation and curettage (including suction curettage) Maternity care and delivery 196,650.00 227,700.00 207.00
59865 - induced, by hysterotomy Maternity care and delivery 441,750.00 511,500.00 465.00
ENDOCRINE SYSTEM
60100 biopsy thyroid (Needle) Endocrine system 101,650.00 117,700.00 107.00
60101 Biopsy Endocrine system 95,950.00 111,100.00 101.00
60200 excision of cyst or adenoma of thyroid or transection of isthmus Endocrine system 761,900.00 882,200.00 802.00
60240 thyroidectomy total or complete Endocrine system 1,296,750.00 1,501,500.00 1,365.00
60245 - subtotal or partial Endocrine system 342,000.00 396,000.00 360.00
60280 exision of thyroglossal duct cyst or sinus Endocrine system 616,550.00 713,900.00 649.00
60500 exploration of parathyroid(s) Endocrine system 1,329,050.00 1,538,900.00 1,399.00
Adrenalectomy, partial or complete, or exploration of adrenal gland with or without

60540 Endocrine system 1,382,250.00 1,600,500.00 1,455.00
biopsy, transabdominal, lumbar or dorsal (independent procedure), unilateral
60600 excision of carotid body tumour witout excision of carotid artery Endocrine system 1,474,400.00 1,707,200.00 1,552.00
60700 Concussion, simple Endocrine system FFS FFS FFS
60701 with brain damage, per consultation, up to a maximus of eight per week Endocrine system FFS FFS FFS
NERVOUS SYSTEM
61000 Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial Nervous system 133,950.00 155,100.00 141.00
61001 subsequent taps Nervous system 122,550.00 141,900.00 129.00
Ventricular puncture through previous burr hole, fontanelle, suture, or implanted

61020 Nervous system 145,350.00 168,300.00 153.00
ventricular catheter/reservoir; without injection
61050 Cisternal or lateral cervical (Cl-C2) puncture; without injection (separate procedure) Nervous system 124,450.00 144,100.00 131.00
61070 Puncture of shunt tubing or reservoir for aspiration or injection procedure Nervous system 70,300.00 81,400.00 74.00
Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye
61120 Nervous system 794,200.00 919,600.00 836.00
or radioactive material);
61140 Burr hole(s) or trephine; with biopsy of brain or intracranial lesion Nervous system 1,477,250.00 1,710,500.00 1,555.00
61150 with drainage of brain abscess or cyst Nervous system 1,580,800.00 1,830,400.00 1,664.00
61151 with subsequent tapping (aspiration) of intracranial abscess or cyst Nervous system 795,150.00 920,700.00 837.00
61154 Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural Nervous system 1,565,600.00 1,812,800.00 1,648.00
61156 Burr hole(s); with aspiration of hematoma or cyst, intracerebral Nervous system 1,575,100.00 1,823,800.00 1,658.00
61210 for implanting ventricular catheter, reservoir, EEG electrode(s), pressure Nervous system 553,850.00 641,300.00 583.00
61250 Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery Nervous system 978,500.00 1,133,000.00 1,030.00
61304 Craniectomy or craniotomy, exploratory; supratentorial Nervous system 2,283,800.00 2,644,400.00 2,404.00
61305 infratentorial (posterior fossa) Nervous system 2,649,550.00 3,067,900.00 2,789.00
61320 Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial Nervous system 2,194,500.00 2,541,000.00 2,310.00
61321 infratentorial Nervous system 2,401,600.00 2,780,800.00 2,528.00
61330 Decompression of orbit only, transcranial approach Nervous system 1,536,150.00 1,778,700.00 1,617.00
61340 Subtemporal cranial decompression (pseudotumor cerebri, slit ventrical syndrome) Nervous system 1,425,950.00 1,651,100.00 1,501.00
61345 Other cranial decompression, posterior fossa Nervous system 2,299,950.00 2,663,100.00 2,421.00
Craniectomy, subtemporal, for section, compression, or decompression of sensory

61450 Nervous system 2,262,900.00 2,620,200.00 2,382.00
root of gasserian ganglion
61460 for section of one or more cranial nerves Nervous system 2,580,200.00 2,987,600.00 2,716.00
61470 for medullary tractotomy Nervous system 1,869,600.00 2,164,800.00 1,968.00
61490 Craniotomy for lobotomy, including cingulotomy Nervous system 1,596,000.00 1,848,000.00 1,680.00
61500 Craniectomy and excision of skull tumour or bone lesion Nervous system 1,819,250.00 2,106,500.00 1,915.00
Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor,

61510 Nervous system 2,573,550.00 2,979,900.00 2,709.00
supratentorial, except meningioma
61512 for excision of meningioma, supratentorial Nervous system 2,795,850.00 3,237,300.00 2,943.00
61514 for excision of brain abscess, supratentorial Nervous system 2,445,300.00 2,831,400.00 2,574.00
61516 for excision or fenestration of cyst, supratentorial Nervous system 2,440,550.00 2,825,900.00 2,569.00
Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except

61518 Nervous system 3,201,500.00 3,707,000.00 3,370.00
meningloma, cerebellopontine angle tumor, or midline tumor at base of skull
61519 meningioma Nervous system 3,369,650.00 3,901,700.00 3,547.00
61522 Craniectomy, infratentorial or posterior fossa; for excision of brain abscess Nervous system 2,460,500.00 2,849,000.00 2,590.00
61524 for excision or fenestration of cyst Nervous system 2,670,450.00 3,092,100.00 2,811.00
Craniectomy ,bone flap craniotomy,trans temporal mastoid for cerebellopontine

61526 Nervous system 3,415,250.00 3,954,500.00 3,595.00
angle tumour
61534 for excision of epileptogenic focus without electrocorticography during surgery Nervous system 1,455,400.00 1,685,200.00 1,532.00
for excision of cerebral epileptogenic focus, with electrocorticography during

61536 Nervous system 2,727,450.00 3,158,100.00 2,871.00
surgery (includes removal of electrode array)
61538 for lobectomy, temporal lobe, with electrocorticography during surgery Nervous system 2,913,650.00 3,373,700.00 3,067.00
for lobectomy, other than temporal lobe, partial or total with electrocorticography
61539 Nervous system 2,721,750.00 3,151,500.00 2,865.00
during surgery
61542 for total hemispherectomy Nervous system 2,489,950.00 2,883,100.00 2,621.00
Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial

61546 Nervous system 2,835,750.00 3,283,500.00 2,985.00
approach
Hypophysegtomy or excision of pituitary tumour transnasal or transeptal non

61548 Nervous system 2,176,450.00 2,520,100.00 2,291.00
stereotaxic
61550 Craniectomy for craniosynostosis;single cranial suture Nervous system 1,247,350.00 1,444,300.00 1,313.00
61552 multiple cranial sutures Nervous system 1,634,950.00 1,893,100.00 1,721.00
61570 Craniectomy or craniotomy; with excision of foreign body from brain Nervous system 2,044,400.00 2,367,200.00 2,152.00
61700 Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation Nervous system 3,574,850.00 4,139,300.00 3,763.00
61702 vertebrobasilar circulation Nervous system 4,009,000.00 4,642,000.00 4,220.00
Surgery of intracranial aneurysm, cervical approach by application of occluding

61703 Nervous system 1,474,400.00 1,707,200.00 1,552.00
clamp to cervical carotid artery (Selverstone-Crutchfield type)
Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by

61705 Nervous system 3,249,000.00 3,762,000.00 3,420.00
intracranial and cervical occlusion of carotid artery
61710 by intra-arterial embolization, injection procedure, or balloon catheter Nervous system 2,262,900.00 2,620,200.00 2,382.00
61711 Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries Nervous system 3,378,200.00 3,911,600.00 3,556.00
Creation of lesion by stereotactic method, including burr hole(s) and localizing and
61720 Nervous system 1,743,250.00 2,018,500.00 1,835.00
recording techniques, single or multiple stages; globus pallidus or thalamus
61735 subcortical structure(s) other than globus pallidus or thalamus Nervous system 1,546,600.00 1,790,800.00 1,628.00
Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg,

61790 Nervous system 1,183,700.00 1,370,600.00 1,246.00
alcohol, thermal, electrical, radiofrequency); gasserian ganglion
62000 Elevation of depressed skull fracture; simple, extradural Nervous system 893,950.00 1,035,100.00 941.00
62005 compound or comminuted, extradural Nervous system 1,346,150.00 1,558,700.00 1,417.00
62010 with repair of dura and/or debridement of brain Nervous system 1,889,550.00 2,187,900.00 1,989.00
Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for

62100 Nervous system 2,100,450.00 2,432,100.00 2,211.00
rhinorrhea/otorrhea
62120 Repair of encephalocele, skull vault, including cranioplasty Nervous system 2,015,900.00 2,334,200.00 2,122.00
62140 Cranioplasty for skull defect; up to 5 cm diameter Nervous system 1,308,150.00 1,514,700.00 1,377.00
62141 larger than 5 cm diameter Nervous system 1,557,050.00 1,802,900.00 1,639.00
62145 Cranioplasty for skull defect with reparative brain surgery Nervous system 1,586,500.00 1,837,000.00 1,670.00
62180 Ventriculocisternostomy (Torkildsen type operation) Nervous system 1,489,600.00 1,724,800.00 1,568.00
62190 Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular Nervous system 1,172,300.00 1,357,400.00 1,234.00
62192 subarachnoid/subdural-peritoneal, -pleural, -other terminus Nervous system 1,275,850.00 1,477,300.00 1,343.00
62194 Replacement or irrigation, subarachnoid/subdural catheter Nervous system 261,250.00 302,500.00 275.00
62200 Ventriculocisternostomy, third ventricle Nervous system 1,560,850.00 1,807,300.00 1,643.00
62220 Creation of shunt; ventriculo-atrial, -jugular, -auricular Nervous system 1,363,250.00 1,578,500.00 1,435.00
62223 ventriculo-peritoneal, -pleural, -other terminus Nervous system 1,428,800.00 1,654,400.00 1,504.00
62225 Replacement or irrigation, ventricular catheter Nervous system 503,500.00 583,000.00 530.00
Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal

62230 Nervous system 994,650.00 1,151,700.00 1,047.00
catheter in shunt system
62256 Removal of complete cerebrospinal fluid shunt system; without replacement Nervous system 638,400.00 739,200.00 672.00
62258 with replacement by similar or other shunt at same operation Nervous system 1,418,350.00 1,642,300.00 1,493.00
62270 Spinal puncture, lumbar, diagnostic Nervous system 110,200.00 127,600.00 116.00
Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or

62272 Nervous system 136,800.00 158,400.00 144.00
catheter)
62273 Thoraic Epidural cannula for post op pain relief Nervous system 162,450.00 188,100.00 171.00
62274 Injection Of Anaesthetic substance ,epidural Continous Nervous system 95,000.00 110,000.00 100.00
62280 Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline Nervous system 212,800.00 246,400.00 224.00
62282 epidural, lumbar, sacral (caudal) Nervous system 239,400.00 277,200.00 252.00
62284 Injection procedure for myelography and/or computed tomography, spinal Nervous system 208,050.00 240,900.00 219.00
62290 Injection procedure for diskography, each level; lumbar Nervous system 288,800.00 334,400.00 304.00
63001 laminectomy for exploration of intraspinal canal,one or 2 Nervous system 1,633,050.00 1,890,900.00 1,719.00
63003 thoracic Nervous system 1,615,950.00 1,871,100.00 1,701.00
63005 lumbar, except for spondylolisthesis Nervous system 1,531,400.00 1,773,200.00 1,612.00
63011 sacral Nervous system 1,129,550.00 1,307,900.00 1,189.00
Laminectomy with removal of abnormal facets and/or pars inter-articularis with

63012 decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill Nervous system 1,593,150.00 1,844,700.00 1,677.00
type procedure)
Laminectomy with exploration and/or decompression of spinal cord and/or cauda
63015 equina, without facetectomy, foraminotomy or diskectomy, (eg. spinal stenosis), Nervous system 1,895,250.00 2,194,500.00 1,995.00
more than 2 vertebral segments; cervical
63017 lumbar Nervous system 1,763,200.00 2,041,600.00 1,856.00
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including

63020 partial facetectomy, foraminotomy and/or excision of herniated intervertebral disk; Nervous system 1,450,650.00 1,679,700.00 1,527.00
one interspace, cervical
63030 one interspace, lumbar (including open or endoscopically-assisted approach) Nervous system 1,351,850.00 1,565,300.00 1,423.00
63035 each additional interspace, cervical or lumbar Nervous system 340,100.00 393,800.00 358.00
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including

63040 partial facetectomy, foraminotomy and/or excision of herniated intervertebral disk, Nervous system 1,967,450.00 2,278,100.00 2,071.00
re-exploration, single interspace; cervical
63043 each additional cervical interspace Nervous system 271,700.00 314,600.00 286.00
63044 each additional lumbar interspace Nervous system 283,100.00 327,800.00 298.00
63045 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with Nervous system 1,738,500.00 2,013,000.00 1,830.00
63048 each additional segment, cervical thoracic or lumbar Nervous system 370,500.00 429,000.00 390.00
Laminoplasty, cervical, with decompression of the spinal cord, two or more

63050 Nervous system 1,287,250.00 1,490,500.00 1,355.00
vertebral 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- Nervous system 1,999,750.00 2,315,500.00 2,105.00
plates), when performed)
Transpedicular approach with decompression of spinal cord, equina and/or nerve

63055 Nervous system 2,189,750.00 2,535,500.00 2,305.00
root(s) (eg, herniated intervertebral disk), single segment; thoracic
63056 lumbar (including transfacet, or lateral extraforaminal approach) (eg, far Nervous system 2,020,650.00 2,339,700.00 2,127.00
63057 each additional segment, thoracic or lumbar Nervous system 375,250.00 434,500.00 395.00
Costovertebral approach with decompression of spinal cord or nerve root(s), (eg,

63064 Nervous system 2,336,050.00 2,704,900.00 2,459.00
herniated intervertebral disk), thoracic; single segment
63066 each additional segment Nervous system 283,100.00 327,800.00 298.00
Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s),

63075 Nervous system 1,852,500.00 2,145,000.00 1,950.00
including osteophytectomy; cervical, single interspace
63076 cervical, each additional interspace Nervous system 436,050.00 504,900.00 459.00
63077 thoracic, single interspace Nervous system 2,008,300.00 2,325,400.00 2,114.00
63078 thoracic, each additional interspace Nervous system 342,000.00 396,000.00 360.00
Vertebral corpectomy (vertebral body resection), partial or complete, anterior

63081 approach with decompression of spinal cord and/or nerve root(s); cervical, single Nervous system 2,384,500.00 2,761,000.00 2,510.00
segment
63082 cervical, each additional segment Nervous system 480,700.00 556,600.00 506.00
Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic

63085 approach with decompression of spinal cord and/or nerve root(s); thoracic, single Nervous system 2,575,450.00 2,982,100.00 2,711.00
segment
63086 thoracic, each additional segment Nervous system 364,800.00 422,400.00 384.00
Vertebral corpectomy (vertebral body resection), partial or complete, combined

63087 thoracolumbar approach with decompression of spinal cord, cauda equina or nerve Nervous system 2,850,000.00 3,300,000.00 3,000.00
root(s), lower thoracic or lumbar; single segment
Vertebral corpectomy (vertebral body resection), partial or complete,

63090 transperitoneal or retroperitoneal approach with decompression of spinal cord, Nervous system 2,709,400.00 3,137,200.00 2,852.00
cauda equina or 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, Nervous system 2,658,100.00 3,077,800.00 2,798.00
for tumor or retropulsed bone fragments); thoracic, single segment
63102 lumbar, single segment Nervous system 2,656,200.00 3,075,600.00 2,796.00
63103 thoracic or lumbar, each additional segment Nervous system 318,250.00 368,500.00 335.00
63160 Laminectomy for implanation of dorsal column stimulator unit Nervous system 904,400.00 1,047,200.00 952.00
63165 revision or removal of implant or system Nervous system 484,500.00 561,000.00 510.00
Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic or

63170 Nervous system 1,862,950.00 2,157,100.00 1,961.00
thoracolumbar
63172 Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space Nervous system 1,836,350.00 2,126,300.00 1,933.00
63173 to peritoneal or plueral space Nervous system 1,856,300.00 2,149,400.00 1,954.00
Laminectomy and section of dentate ligaments, with or without dural graft, cervical;
63180 Nervous system 1,492,450.00 1,728,100.00 1,571.00
one or two segments
63182 more than two segments Nervous system 1,770,800.00 2,050,400.00 1,864.00
63185 Laminectomy with rhizotomy; one or two segments Nervous system 1,460,150.00 1,690,700.00 1,537.00
63190 more than two segments Nervous system 1,802,150.00 2,086,700.00 1,897.00
63191 Laminectomy with section of spinal accessory nerve Nervous system 1,500,050.00 1,736,900.00 1,579.00
Laminectomy with cordotomy, with section of one spinothalamic tract, one

63194 Nervous system 1,593,150.00 1,844,700.00 1,677.00
stage;cervical
Laminectomy with cordotomy, with section of both spinothalamic tracts, one

63196 Nervous system 1,882,900.00 2,180,200.00 1,982.00
stage;cervical
Laminectomy with cordotomy, with section of both spinothalamic tracts, two stages
63198 Nervous system BR BR BR
within 14 days; cervical
63199 thoracic Nervous system BR BR BR
63200 Laminectomy, with release of tethered spinal cord, lumbar Nervous system 1,586,500.00 1,837,000.00 1,670.00
Laminectomy for excision or occlusion of arteriovenous malformation of spinal

63250 Nervous system 3,402,900.00 3,940,200.00 3,582.00
cord;cervical
63252 thoracolumbar Nervous system 3,463,700.00 4,010,600.00 3,646.00
Laminectomy for excision or evacuation of intraspinal lesion other than

63265 Nervous system 2,103,300.00 2,435,400.00 2,214.00
neoplasm,extradural; cervical
Laminectomy for excision of intraspinal lesion other than neoplasm,

63270 Nervous system 2,247,700.00 2,602,600.00 2,366.00
intradural;cervical
63275 Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical Nervous system 2,449,100.00 2,835,800.00 2,578.00
63276 extradural, thoracic Nervous system 2,335,100.00 2,703,800.00 2,458.00
63277 extradural, lumbar Nervous system 2,126,100.00 2,461,800.00 2,238.00
63278 extradural, sacral Nervous system 2,092,850.00 2,423,300.00 2,203.00

63280 intradural, extramedullary, cervical Nervous system 2,728,400.00 3,159,200.00 2,872.00
63281 intradural, extramedullary, thoracic Nervous system 2,696,100.00 3,121,800.00 2,838.00
63282 intradural, extramedullary, lumbar Nervous system 2,467,150.00 2,856,700.00 2,597.00
63283 intradural, sacral Nervous system 2,175,500.00 2,519,000.00 2,290.00
63285 intradural, intramedullary, cervical Nervous system 3,016,250.00 3,492,500.00 3,175.00
63286 intradural, intramedullary, thoracic Nervous system 3,167,300.00 3,667,400.00 3,334.00
63287 intradural, intramedullary, thoracolumbar Nervous system 3,104,600.00 3,594,800.00 3,268.00
63290 combined extradural-intradural lesion, any level Nervous system 3,185,350.00 3,688,300.00 3,353.00
Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal

63295 Nervous system 393,300.00 455,400.00 414.00
procedure
Vertebral corpectomy (vertebral body resection), partial or complete for excision of

63300 Nervous system 2,056,750.00 2,381,500.00 2,165.00
intraspinal lesion, single segment; extradural, cervical
63301 extradural, thoracic by transthoracic approach Nervous system 2,266,700.00 2,624,600.00 2,386.00
63302 extradural, thoracic by thoracolumbar approach Nervous system 2,380,700.00 2,756,600.00 2,506.00
63303 extradural, lumbar or sacral by transperitoneal or retroperitoneal approach Nervous system 2,422,500.00 2,805,000.00 2,550.00
63304 intradural, cervical Nervous system 2,536,500.00 2,937,000.00 2,670.00
63305 intradural, thoracic by transthoracic approach Nervous system 2,668,550.00 3,089,900.00 2,809.00
63306 intradural, thoracic by thoracolumbar approach Nervous system 2,701,800.00 3,128,400.00 2,844.00
63307 intradural, lumbar or sacral by transperitoneal or retroperitoneal approach Nervous system 2,679,000.00 3,102,000.00 2,820.00
Creation of lesion of spinal cord by stereotactic method, percutaneous, any

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

followed by other surgery
63615 Stereotactic biopsy, aspiration, or excision of lesion spinal cord Nervous system BR BR BR
63650 Percutaneous implantation of neurostimulator electrode array, epidural Nervous system 681,150.00 788,700.00 717.00
63655 Laminectomy for implantation of neuro-stimulator electrodes plate/paddle,epidural Nervous system 1,182,750.00 1,369,500.00 1,245.00
Revision or removal of spinal neurostimulator electrode percutaneous array(s) or

63660 Nervous system 231,800.00 268,400.00 244.00
plate/paddle(s)
Insertion or replacement of spinal neurostimulator pulse generator or receiver,

63685 Nervous system 677,350.00 784,300.00 713.00
direct or inductive coupling
63688 Revision or removal of implanted spinal neurostimulator pulse generator or receiver Nervous system 543,400.00 629,200.00 572.00
63700 Repair of meningocele; less than 5 cm diameter Nervous system 1,395,550.00 1,615,900.00 1,469.00
63704 Repair of myelomeningocele; less than 5 cm diameter Nervous system 1,748,000.00 2,024,000.00 1,840.00
63707 Repair of dural/cerebrospinal fluid leak, not requiring laminectomy Nervous system 1,159,950.00 1,343,100.00 1,221.00
63709 Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy Nervous system 1,492,450.00 1,728,100.00 1,571.00
63710 Dural graft, spinal Nervous system 1,191,300.00 1,379,400.00 1,254.00
Creation of shunt, lumbar, subarachnoid- peritoneal, -pleural, or other; including

63740 Nervous system 1,196,050.00 1,384,900.00 1,259.00
laminectomy
63741 percutaneous, not requiring laminectomy Nervous system 847,400.00 981,200.00 892.00
63744 Replacement, irrigation or revision of lumbosubarachnoid shunt Nervous system 768,550.00 889,900.00 809.00
63746 Removal of entire lumbosubarachnoid shunt system without replacement Nervous system 584,250.00 676,500.00 615.00
64400 Injection, anesthetic agent; trigeminal nerve, any division or branch Nervous system 86,450.00 100,100.00 91.00
64402 facial nerve Nervous system 104,500.00 121,000.00 110.00
64405 greater occipital nerve Nervous system 96,900.00 112,200.00 102.00
64408 vagus nerve Nervous system 116,850.00 135,300.00 123.00
64410 phrenic nerve Nervous system 115,900.00 134,200.00 122.00
64412 spinal accessory nerve Nervous system 103,550.00 119,900.00 109.00
64413 cervical plexus Nervous system 106,400.00 123,200.00 112.00
64415 brachial plexus, single Nervous system 101,650.00 117,700.00 107.00
64416 brachial plexus,continuous infusion by catheter (including catheter Nervous system 205,200.00 237,600.00 216.00
64417 axillary nerve Nervous system 114,000.00 132,000.00 120.00
64418 suprascapular nerve Nervous system 114,950.00 133,100.00 121.00
64420 intercostal nerve, single Nervous system 113,050.00 130,900.00 119.00
64421 intercostal nerves, multiple, regional block Nervous system 163,400.00 189,200.00 172.00
64425 ilioinguinal, iliohypogastric nerves Nervous system 116,850.00 135,300.00 123.00
64430 pudendal nerve Nervous system 130,150.00 150,700.00 137.00
64435 paracervical (uterine) nerve Nervous system 118,750.00 137,500.00 125.00
64445 sciatic nerve, single Nervous system 109,250.00 126,500.00 115.00
sciatic nerve, continuous infusion by catheter, (including catheter placement)

64446 Nervous system 207,100.00 239,800.00 218.00
including daily management for anesthetic agent administration
64447 femoral nerve, single Nervous system 94,050.00 108,900.00 99.00
64448 femoral nerve, continuous infusion by catheter, (including catheter Nervous system 190,000.00 220,000.00 200.00
lumbar plexus, posterior approach, continuous infusion by catheter (including

64449 Nervous system 193,800.00 224,400.00 204.00
catheter placement) including daily management for anesthetic agent administration
64450 other peripheral nerve or branch Nervous system 98,800.00 114,400.00 104.00
Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint
64470 Nervous system 142,500.00 165,000.00 150.00
nerve; cervical or thoracic, single level
64472 cervical or thoracic, each additional level Nervous system 68,400.00 79,200.00 72.00
64475 lumbar or sacral, single level Nervous system 142,500.00 165,000.00 150.00
64476 lumbar or sacral, each additional level Nervous system 57,950.00 67,100.00 61.00
Injection, anesthetic agent and/or steroid, transforaminal epidural; cervical or

64479 Nervous system 301,150.00 348,700.00 317.00
thoracic, single level
64483 lumbar or sacral, single level Nervous system 285,000.00 330,000.00 300.00
64505 Injection, anesthetic agent; sphenopalatine ganglion Nervous system 96,900.00 112,200.00 102.00
64508 carotid sinus (separate procedure) Nervous system 117,800.00 136,400.00 124.00
64510 stellate ganglion (cervical sympathetic) Nervous system 112,100.00 129,800.00 118.00
64517 superior hypogastric plexus Nervous system 168,150.00 194,700.00 177.00
64520 lumbar or thoracic (paravertebral sympathetic) Nervous system 133,000.00 154,000.00 140.00
64530 celiac plexus, with or without radiologic monitoring Nervous system BR BR BR
64553 Percutaneous implantation of neurostimulator electrodes;cranial nerve Nervous system 172,900.00 200,200.00 182.00
64555 peripheral nerve (excludes sacral nerve) Nervous system 152,000.00 176,000.00 160.00
64560 autonomic nerve Nervous system 204,250.00 236,500.00 215.00
64561 sacral nerve (transforaminal placement) Nervous system 753,350.00 872,300.00 793.00
64565 neuromuscular Nervous system BR BR BR
64573 Incision for implantation of neurostimulator electrodes; cranial nerve Nervous system 457,900.00 530,200.00 482.00
64575 peripheral nerve (excludes sacral nerve) Nervous system 364,800.00 422,400.00 384.00
64577 autonomic nerve Nervous system 392,350.00 454,300.00 413.00
64580 neuromuscular Nervous system 350,550.00 405,900.00 369.00
64581 sacral nerve (transforaminal placement) Nervous system BR BR BR
64585 Revision or removal of peripheral neurostimulator electrodes Nervous system 243,200.00 281,600.00 256.00
Insertion or replacement of peripheral or gastric neurostimulator pulse generator or

64590 Nervous system 273,600.00 316,800.00 288.00
receiver, direct or inductive coupling
Revision or removal of peripheral or gastric neurostimulator pulse generator or

64595 Nervous system 231,800.00 268,400.00 244.00
receiver
Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental,

64600 Nervous system 301,150.00 348,700.00 317.00
or inferior alveolar branch
64605 second and third division branches at foramen ovale Nervous system 412,300.00 477,400.00 434.00
64610 second and third division branches at foramen ovale under radiologic Nervous system 694,450.00 804,100.00 731.00
Chemodenervation of muscle(s); muscle(s) innervated by facial nerve (eg, for

64612 Nervous system 175,750.00 203,500.00 185.00
blepharospasm, hemifacial spasm)
64613 neck muscle(s) (eg, for spasmodic torticollis, spasmotic dysphonia) Nervous system 177,650.00 205,700.00 187.00
extremity(s) and/or trunk muscle(s) (eg, for dystonia, cerebral palsy, multiple
64614 Nervous system 168,150.00 194,700.00 177.00
sclerosis)
64620 Destruction by neurolytic agent; intercostal nerve Nervous system 211,850.00 245,300.00 223.00
Destruction by neurolytic agent, paravertebral facet joint nerve;lumbar or sacral,

64622 Nervous system 268,850.00 311,300.00 283.00
single level
64626 cervical or thoracic, single level Nervous system 362,900.00 420,200.00 382.00
64630 Destruction by neurolytic agent; pudendal nerve Nervous system 228,000.00 264,000.00 240.00
64640 other peripheral nerve or branch Nervous system 187,150.00 216,700.00 197.00
64650 Chemodenervation of eccrine glands; both axillae Nervous system 56,050.00 64,900.00 59.00
64653 other area(s) (eg, scalp, face, neck), per day Nervous system 69,350.00 80,300.00 73.00
64680 Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Nervous system 238,450.00 276,100.00 251.00
64681 superior hypogastric plexus Nervous system 340,100.00 393,800.00 358.00
64702 Neuroplasty; digital, one or both, same digit Nervous system 445,550.00 515,900.00 469.00
64704 nerve of hand or foot Nervous system 475,000.00 550,000.00 500.00
64708 Neuroplasty, major peripheral nerve, arm or leg; other than specified Nervous system 638,400.00 739,200.00 672.00
64712 sciatic nerve Nervous system 790,400.00 915,200.00 832.00
64713 brachial plexus Nervous system 980,400.00 1,135,200.00 1,032.00
64714 lumbar plexus Nervous system 801,800.00 928,400.00 844.00
64716 Neuroplasty and/or transposition; cranial nerve (specify) Nervous system 561,450.00 650,100.00 591.00
64718 ulnar nerve at elbow Nervous system 634,600.00 734,800.00 668.00
64719 ulnar nerve at wrist Nervous system 489,250.00 566,500.00 515.00
64721 median nerve at carpal tunnel Nervous system 466,450.00 540,100.00 491.00
64722 Decompression; unspecified nerve(s) (specify) Nervous system 490,200.00 567,600.00 516.00
64726 plantar digital nerve Nervous system 264,100.00 305,800.00 278.00
64732 Transection or avulsion of; supraorbital nerve Nervous system 434,150.00 502,700.00 457.00
64734 infraorbital nerve Nervous system 475,950.00 551,100.00 501.00
64736 mental nerve Nervous system 445,550.00 515,900.00 469.00
64738 inferior alveolar nerve by osteotomy Nervous system 537,700.00 622,600.00 566.00
64740 lingual nerve Nervous system BR BR BR
64742 facial nerve, differential or complete Nervous system BR BR BR
64744 greater occipital nerve Nervous system 547,200.00 633,600.00 576.00
64746 phrenic nerve Nervous system 494,000.00 572,000.00 520.00
64752 vagus nerve (vagotomy), transthoracic Nervous system 551,950.00 639,100.00 581.00
vagus nerve limited to proximal stomach (selective proximal vagotomy, proximal

64755 Nervous system 1,168,500.00 1,353,000.00 1,230.00
gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy)
64760 vagus nerve (vagotomy), abdominal Nervous system 807,500.00 935,000.00 850.00
64761 pudendal nerve Nervous system BR BR BR
Transection or avulsion of obturator nerve, extrapelvic, with or without adductor

64763 Nervous system 592,800.00 686,400.00 624.00
tenotomy
Transection or avulsion of obturator nerve, intrapelvic, with or without adductor

64766 Nervous system 753,350.00 872,300.00 793.00
tenotomy
64771 Transection or avulsion of other cranial nerve, extradural Nervous system 681,150.00 788,700.00 717.00
64772 Transection or avulsion of other spinal nerve, extradural Nervous system 687,800.00 796,400.00 724.00
64774 Excision of neuroma; cutaneous nerve, surgically identifiable Nervous system 410,400.00 475,200.00 432.00
64776 digital nerve, one or both, same digit Nervous system 406,600.00 470,800.00 428.00
64778 digital nerve, each additional digit Nervous system 281,200.00 325,600.00 296.00
64782 hand or foot, except digital nerve Nervous system 532,000.00 616,000.00 560.00
64783 hand or foot, each additional nerve, except same digit Nervous system 334,400.00 387,200.00 352.00
64784 major peripheral nerve, except sciatic Nervous system 790,400.00 915,200.00 832.00
64786 sciatic nerve Nervous system 1,387,950.00 1,607,100.00 1,461.00
64787 Implantation of nerve end into bone or muscle Nervous system 376,200.00 435,600.00 396.00
64788 Excision of neurofibroma or neurolemmoma; cutaneous nerve Nervous system 414,200.00 479,600.00 436.00
64790 major peripheral nerve Nervous system 936,700.00 1,084,600.00 986.00
64792 extensive (including malignant type) Nervous system 1,206,500.00 1,397,000.00 1,270.00
64795 Biopsy of nerve Nervous system 264,100.00 305,800.00 278.00
64802 Sympathectomy, cervical Nervous system 704,900.00 816,200.00 742.00
64804 cervicothoracic Nervous system 1,300,550.00 1,505,900.00 1,369.00
64809 thoracolumbar Nervous system 1,159,000.00 1,342,000.00 1,220.00
64818 lumbar Nervous system 893,950.00 1,035,100.00 941.00
64820 digital arteries, each digit Nervous system 826,500.00 957,000.00 870.00
64821 radial artery Nervous system 768,550.00 889,900.00 809.00
64822 ulnar artery Nervous system 767,600.00 888,800.00 808.00

64823 superficial palmar arch Nervous system 881,600.00 1,020,800.00 928.00
64831 Suture of digital nerve, hand or foot; one nerve Nervous system 679,250.00 786,500.00 715.00
64832 each additional digital nerve Nervous system 373,350.00 432,300.00 393.00
64834 Suture of one nerve; hand or foot, common sensory nerve Nervous system 724,850.00 839,300.00 763.00
64835 median motor thenar Nervous system 867,350.00 1,004,300.00 913.00
64836 ulnar motor Nervous system 897,750.00 1,039,500.00 945.00
64837 Suture of each additional nerve, hand or foot Nervous system 529,150.00 612,700.00 557.00
64840 Suture of posterior tibial nerve Nervous system 1,121,950.00 1,299,100.00 1,181.00
64857 without transposition Nervous system 1,190,350.00 1,378,300.00 1,253.00
64858 Suture of sciatic nerve Nervous system 1,375,600.00 1,592,800.00 1,448.00
64859 Suture of each additional major peripheral nerve Nervous system 377,150.00 436,700.00 397.00
64861 Suture of; brachial plexus Nervous system 1,597,900.00 1,850,200.00 1,682.00
64862 lumbar plexus Nervous system 1,913,300.00 2,215,400.00 2,014.00
64864 Suture facial nerve,extracranial Nervous system 1,015,550.00 1,175,900.00 1,069.00
64865 infratemporal with or without grafting Nervous system 1,377,500.00 1,595,000.00 1,450.00
64866 Anastomosis , facial -spinal accessory Nervous system 1,359,450.00 1,574,100.00 1,431.00
64868 facial -hypoglossal Nervous system 1,247,350.00 1,444,300.00 1,313.00
64870 facial-phrenic Nervous system 1,414,550.00 1,637,900.00 1,489.00
64872 Suture of nerve; requiring secondary or delayed suture Nervous system 169,100.00 195,800.00 178.00
64874 requiring extensive mobilization, or transposition of nerve Nervous system 253,650.00 293,700.00 267.00
64876 requiring shortening of bone of extremity Nervous system BR BR BR
64885 Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Nervous system 1,459,200.00 1,689,600.00 1,536.00
64886 more than 4 cm in length Nervous system 1,735,650.00 2,009,700.00 1,827.00
64890 Nerve graft (includes obtaining graft), single strand hand or foot; up to 4 cm length Nervous system 1,344,250.00 1,556,500.00 1,415.00
64891 more than 4 cm length Nervous system 1,297,700.00 1,502,600.00 1,366.00

64892 Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Nervous system 1,264,450.00 1,464,100.00 1,331.00
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4
64895 Nervous system 1,596,950.00 1,849,100.00 1,681.00
cm length
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4
64897 Nervous system 1,529,500.00 1,771,000.00 1,610.00
cm. Length
64901 Nerve graft, each additional nerve; single strand Nervous system 1,452,550.00 1,681,900.00 1,529.00
64902 multiple strands (cable) Nervous system 984,200.00 1,139,600.00 1,036.00
64905 Nerve pedicle transfer; first stage Nervous system 1,137,150.00 1,316,700.00 1,197.00
64907 second stage Nervous system 1,564,650.00 1,811,700.00 1,647.00
64910 Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Nervous system 676,400.00 783,200.00 712.00
64911 with autogenous vein graft (includes harvest of vein graft), each nerve Nervous system 871,150.00 1,008,700.00 917.00
64999 Unlisted procedure, nervous system Nervous system BR BR BR
EYE
65091 evisceration without implant Eye 697,300.00 807,400.00 734.00
65093 - with implant Eye 730,550.00 845,900.00 769.00
65101 enucleation without implant Eye 758,100.00 877,800.00 798.00
65103 - with implant, muscles not attached to implant Eye 813,200.00 941,600.00 856.00
65105 - with implant, muscles attached to implant Eye 898,700.00 1,040,600.00 946.00
65110 exenteration of orbit Eye 1,432,600.00 1,658,800.00 1,508.00
65205 Removal of foreign body, external eye; conjuctival superficial Eye 58,900.00 68,200.00 62.00
- conjuctival embedded (includes concretions), sub-conjuctival, or scleral non-

65210 Eye 68,400.00 79,200.00 72.00
perforating
65220 - corneal, without slit lamp Eye 57,000.00 66,000.00 60.00
65222 - corneal, with slit lamp Eye 76,950.00 89,100.00 81.00
65223 Removal of foreign body eye with slit lamp under general anaesthesia Eye 65,550.00 75,900.00 69.00
65235 Removal of foreign body, intraocular; from anterior chamber or lens Eye 662,150.00 766,700.00 697.00
65260 - from posterior segment, magnetic extraction, anterior or posterior route Eye 968,050.00 1,120,900.00 1,019.00
65265 - from posterior segment, non-magnetic extraction Eye 1,115,300.00 1,291,400.00 1,174.00
65272 - conjuctiva, by mobilization and re-arrangement, without hospitalisation Eye 333,450.00 386,100.00 351.00
65273 - conjuctiva, by mobilization and re-arrangement, with hospitalisation Eye 367,650.00 425,700.00 387.00
65275 - cornea, non-perforating, with or without removal of foreign body Eye 362,900.00 420,200.00 382.00
65280 - cornea and/or sclera, perforating, not involving uveal tissue Eye 783,750.00 907,500.00 825.00
65285 - cornea and/or sclera, perforating, with re-position or resection of uveal tissue Eye 1,187,500.00 1,375,000.00 1,250.00
65286 - application of tissue glue, wounds of cornea and/or sclera Eye 569,050.00 658,900.00 599.00
65290 Repair of wound, extraocular muscle, tendon and/or Tenon's capsule Eye 552,900.00 640,200.00 582.00
65400 Excision of lesion, cornea (keratectomy, lamellar partial), except pterygium Eye 632,700.00 732,600.00 666.00
65410 Biopsy of cornea Eye 155,800.00 180,400.00 164.00
65420 Excision or transposition of pterygium; without graft Eye 455,050.00 526,900.00 479.00
65426 - with graft Eye 612,750.00 709,500.00 645.00
65710 Keratoplasty (corneal transplant); lamellar Eye 1,229,300.00 1,423,400.00 1,294.00
65730 - penetrating (except in aphakia) Eye 1,457,300.00 1,687,400.00 1,534.00
65750 - penetrating (in aphakia) Eye 1,518,100.00 1,757,800.00 1,598.00
65755 - penetrating (in pseudophakia) Eye 1,536,150.00 1,778,700.00 1,617.00
Paracentesis of anterior chamber of eye (seperate procedure); with diagnostic

65800 Eye 178,600.00 206,800.00 188.00
aspiration of aqueous
65805 - with therapeutic release of aqueous Eye 186,200.00 215,600.00 196.00
- with removal of vitreous and/or discission of anterior hyaloid membrane, with or

65810 Eye 498,750.00 577,500.00 525.00
without air injection
65815 - with removal of blood, with or without irrigation and/or air injection Eye 523,450.00 606,100.00 551.00
65820 Gonotomy Eye 845,500.00 979,000.00 890.00
65850 Trabeculotomy ab externo Eye 1,098,200.00 1,271,600.00 1,156.00
65855 Trabeculoplasty by laser surgery, one or more sessions (defined treatment series) Eye 607,050.00 702,900.00 639.00
65860 Severing adhesions of anterior segment, laser technique (seperate procedure) Eye 422,750.00 489,500.00 445.00
Severing adhesions of anterior segment, incessional technique (with or without

65865 Eye 593,750.00 687,500.00 625.00
injection of air or liquid) (seperate procedure); goniosynechiae
65870 - anterior synechiae Eye 599,450.00 694,100.00 631.00
65875 - posterior synechiae Eye 632,700.00 732,600.00 666.00
65880 - corneovitreal adhesions Eye 684,000.00 792,000.00 720.00
65900 Removal of epithelial downgrowth , anterior chamber Eye 956,650.00 1,107,700.00 1,007.00
65920 Removal of implanted material, anterior segment Eye 817,950.00 947,100.00 861.00
65930 Removal of blood clot, anterior segment Eye 724,850.00 839,300.00 763.00
66020 Injection, anterior chamber (seperate procedure); air or liquid Eye 187,150.00 216,700.00 197.00
66030 - medication Eye 112,100.00 129,800.00 118.00
66150 Fistulization of sclera for glaucoma; trephination with iridectomy Eye 878,750.00 1,017,500.00 925.00
66155 - thermocauterization with iridectomy Eye 866,400.00 1,003,200.00 912.00
66160 - sclerectomy with punch or scissors, with iridectomy Eye 1,017,450.00 1,178,100.00 1,071.00
66165 - iridencleisis or iridotasis Eye 849,300.00 983,400.00 894.00
66170 - trabeculectomy ab externo Eye 1,192,250.00 1,380,500.00 1,255.00
66180 Aqueous shunt to extraocular reservoir (e.g. Molteno, Schocket, Denver - Krupin) Eye 1,392,700.00 1,612,600.00 1,466.00
66185 Revision of aqueous shunt to extraocular reservoir Eye 855,000.00 990,000.00 900.00
66220 Repair of scleral staphyloma; without graft Eye 786,600.00 910,800.00 828.00
66225 - with graft Eye 1,300,550.00 1,505,900.00 1,369.00
66500 Iridectomy by stab incision (seperate procedure); except transfixion Eye 402,800.00 466,400.00 424.00
66505 - with transfixion as for iris bombe Eye 376,200.00 435,600.00 396.00
66600 Iridectomy, with corneoscleral or corneal section, for removal of lesion Eye 875,900.00 1,014,200.00 922.00
66605 - with cyclectomy Eye 1,193,200.00 1,381,600.00 1,256.00
66625 - peripheral for glaucoma (seperate procedure) Eye 570,000.00 660,000.00 600.00
66630 - sector for glaucoma (seperate procedure) Eye 646,950.00 749,100.00 681.00
66680 Repair of iris, ciliary body (as for iridodialysis) Eye 569,050.00 658,900.00 599.00
Suture of iris, ciliary body (seperate procedure) with retrieval of suture through
66682 Eye 658,350.00 762,300.00 693.00
small incision (e.g. McCannel suture)
66700 Ciliary body destruction; diathermy Eye 510,150.00 590,700.00 537.00
66710 - cyclophotocoagulation Eye 518,700.00 600,600.00 546.00
66720 - cryotherapy Eye 515,850.00 597,300.00 543.00
66740 - cyclodialysis Eye 514,900.00 596,200.00 542.00
66761 Iridotomy/iridectomy by laser surgery (e.g. for glaucoma) (one or more sessions) Eye 506,350.00 586,300.00 533.00
Iridoplastry by photocoagulation (one or more sessions) e.g for improvement of

66762 Eye 573,800.00 664,400.00 604.00
vision, for widening of anterior chamber angle)
66770 Destruction of cyst or lesion, iris or ciliary body (non-excisional procedure) Eye 665,000.00 770,000.00 700.00
Laser surgery (e.g. YAG) (one or more stages). Not applicable during follow-up
66821 Eye 373,350.00 432,300.00 393.00
period or within six months after cataract surgery
Repositioning of intraocular lens prosthesis, requiring an incision (separate

66825 Eye 770,450.00 892,100.00 811.00
procedure)
66826 Pachymetry, both eyes, two examinations per year Eye 76,000.00 88,000.00 80.00
66827 Optical Coherent Tomography (OCT) Eye 261,250.00 302,500.00 275.00
66828 Corneal Topography, two examinations per year Eye 114,000.00 132,000.00 120.00
66829 Retinal Topography, per eye Eye 114,000.00 132,000.00 120.00
Removal of secondary membranous cataract (opacified posterior lens capsule

66830 and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy Eye 768,550.00 889,900.00 809.00
(iridocapsulotomy, iridocapsulectomy)
66840 Removal of lens material; aspiration technique, one or more stages Eye 827,450.00 958,100.00 871.00
- phacofragmentation technique (mechanical or ultrasonic) (e.g.

66850 Eye 951,900.00 1,102,200.00 1,002.00
phacoemulsification), with aspiration
66852 - pars plana approach, with or without vitrectomy Eye 1,081,100.00 1,251,800.00 1,138.00
66920 - intracapsular Eye 924,350.00 1,070,300.00 973.00
66930 - intracapsular, for dislocated lens Eye 986,100.00 1,141,800.00 1,038.00
66940 - extracapsular (other than 66840, 66850, 66852) Eye 931,950.00 1,079,100.00 981.00
Intracpsular cataract extraction with insertion of intraocular lens prosthesis (one

66973 Eye 499,700.00 578,600.00 526.00
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 Eye 641,250.00 742,500.00 675.00
phacoemulsification)
Insertion of intraocular lens prosthesis (secondary implant) not associated with

66985 Eye 876,850.00 1,015,300.00 923.00
concurrent cataract removal
66986 Exchange of intraocular lens Eye 1,149,500.00 1,331,000.00 1,210.00
Axial length measurement and calculation of intraocular power by ultra-sonography

66987 Eye 55,100.00 63,800.00 58.00
"A" mode
66990 Removal of corneo scleral sutures under slit lamp or operating microscope Eye 103,550.00 119,900.00 109.00
66996 Viscoelastic Eye FFS FFS FFS
66998 Lenticulus Eye 163,400.00 189,200.00 172.00
Unlisted procedure, anterior segment of eye-Collagen cross-linking of cornea

66999 (including removal of the corneal epithelium and intraoperative pachymetry when Eye 696,350.00 806,300.00 733.00
performed)
Removal of vitreous, anterior approach (open sky technique or limbal incision);

67005 Eye 1,003,200.00 1,161,600.00 1,056.00
partial removal
67010 - subtotal removal with mechanical vitrectomy Eye 979,450.00 1,134,100.00 1,031.00
Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach

67015 Eye 649,800.00 752,400.00 684.00
(posterior sclerotomy)
Injection of vitreous substitute, pars plana or limbal approach, (fluid-gas exchange),

67025 Eye 690,650.00 799,700.00 727.00
with or without aspiration (separate procedure)
67028 Intravitreal injection of a pharmacologic agent (Separate procedure) Eye 317,300.00 367,400.00 334.00
67030 Discission of vitreous strands (without removal ), pars plana approach Eye 656,450.00 760,100.00 691.00
Severing of vitreous strands, vitreous face adhesions, sheets, membranes or

67031 Eye 686,850.00 795,300.00 723.00
opacities, laser surgery (one or more stages)
67036 Vitrectomy, mechanical, pars plana approcah Eye 1,438,300.00 1,665,400.00 1,514.00
67038 - with epiretinal membrane stripping Eye 898,700.00 1,040,600.00 946.00
67039 - with focal endolaser photo-coagulation Eye 1,703,350.00 1,972,300.00 1,793.00
67040 - with endolaser panretinal photo-coagulation Eye 1,929,450.00 2,234,100.00 2,031.00
Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with

67102 Eye 372,400.00 431,200.00 392.00
or without drainage of subretinal fluid
- photocoagulation (laser or xenon arc, one or more sessions), with or without

67105 Eye 879,700.00 1,018,600.00 926.00
drainage of sub-retinal fluid
- scleral buckling (such as lamellar excision, imbrication or encircling procedure),

67107 Eye 1,521,900.00 1,762,200.00 1,602.00
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 Eye 2,183,100.00 2,527,800.00 2,298.00
removal of lens by same technique
67109 - by technique other than 67101 - 67108 and 67110 Eye 618,450.00 716,100.00 651.00
67110 - by injection of air or other gas (e.g. pneumoretinopexy) Eye 1,031,700.00 1,194,600.00 1,086.00
67112 - previously operated upon, any technique Eye 1,578,900.00 1,828,200.00 1,662.00
67115 Release of encircling material Eye 543,400.00 629,200.00 572.00

67120 Removal of implanted material, posterior segment extraocular Eye 656,450.00 760,100.00 691.00
67121 - intraocular Eye 975,650.00 1,129,700.00 1,027.00
67130 Flurescein angiography (excluding materials) Eye 56,050.00 64,900.00 59.00
Prophylaxis of retinal detachment (e.g. retinall break, lattice degeneration) without

67141 Eye 655,500.00 759,000.00 690.00
drainage, one or more sessions; cryotherapy, diathermy
67145 - photocoagulation (laser or xenon arc) Eye 602,300.00 697,400.00 634.00
Destruction of localised lesion of retina (e.g. maculopathy, choroidopathy, small

67208 Eye 710,600.00 822,800.00 748.00
tumours), one or more sessions; cryotherapy, diathermy
67210 - photocoagulation (laser or xenon arc) Eye 880,650.00 1,019,700.00 927.00
67218 - radiation by implantation of source (includes removal of source) Eye 1,346,150.00 1,558,700.00 1,417.00
Destruction of extensive or progressive retinopathy (e.g. diabetic retinopathy), one

67227 Eye 703,950.00 815,100.00 741.00
or more sessions; cryotherapy, diathermy
67228 - photocoagulation (laser or xenon arc) Eye 1,130,500.00 1,309,000.00 1,190.00
67250 Scleral reinforcement (seperate procedure; without graft Eye 790,400.00 915,200.00 832.00
67255 - with graft Eye 1,018,400.00 1,179,200.00 1,072.00
67313 Strabismus surgery, one, two or three muscle procedure Eye 289,750.00 335,500.00 305.00
Transposition of eye muscles, such as for paretic muscle (one or more stages, one
67320 Eye 856,900.00 992,200.00 902.00
or more muscles, necessitating displacement of plane of action more than 5mm)
67331 Strabismus surgery, on patient previously operated on Eye 789,450.00 914,100.00 831.00
67400 orbitotomy without bone flap with or without biopsy Eye 1,008,900.00 1,168,200.00 1,062.00
67420 orbitotomy with bone flap or window , lateral approach with removal of lesion Eye 567,150.00 656,700.00 597.00
67500 Injection, retrobulbar, local anaesthesia Eye 80,750.00 93,500.00 85.00
67501 - general anaesthesia Eye 65,550.00 75,900.00 69.00
67502 Regional anaethesia/Block Eye 142,500.00 165,000.00 150.00
67510 Air or contrast medium for radiography Eye 19,950.00 23,100.00 21.00
67800 Excision, chalazion, meibomian cyst, single or multiple, local anaesthesia Eye 120,650.00 139,700.00 127.00
67808 - single or multiple, general anaesthesia Eye 309,700.00 358,600.00 326.00
67825 Correction, trichiasis by eletrolysis (independent procedure) local anaesthesia Eye 134,900.00 156,200.00 142.00

Excision of lesion (except chalazion), involving lid margin, tarsus or palpebral
67840 Eye 202,350.00 234,300.00 213.00
conjunctiva, with or without simple direct closure
67841 - wide excision of malignant or other complicated lesion Eye 116,850.00 135,300.00 123.00
67842 Excision of lesion of bulbar conjunctiva without entering orbit Eye 116,850.00 135,300.00 123.00
67845 Removal of lesion of bulbar conjunctiva infiltrating into orbit Eye 243,200.00 281,600.00 256.00
Destruction of lesion of lid margin or conjunctiva (such as electro-surgery or

67850 Eye 141,550.00 163,900.00 149.00
cryotherapy), local anaesthesia
67880 Tarsorrhaphy, intermarginal lid adhesion (Blepharorrhaphy, canthorrhaphy) Eye 406,600.00 470,800.00 428.00
67881 Severing tarsorrhapy Eye 90,250.00 104,500.00 95.00
67901 Repair of blepharoptosis, suture only Eye 763,800.00 884,400.00 804.00
67902 - with fascial sling, including obtaining fascia Eye 777,100.00 899,800.00 818.00
67903 - levator resection, internal approach Eye 760,950.00 881,100.00 801.00
67911 Correction of lid retraction Eye 643,150.00 744,700.00 677.00
67912 Lagophthalmos - implant of magnets Eye 669,750.00 775,500.00 705.00
67915 Repair of ectropian or entropion by cautery Eye 264,100.00 305,800.00 278.00
67917 Repair of ectropion or entropion by operation Eye 665,950.00 771,100.00 701.00
67918 Ectropion or intropion by cautery - general anaesthesia Eye 90,250.00 104,500.00 95.00
67950 Canthoplasty (reconstruction of canthus) Eye 646,950.00 749,100.00 681.00
Excision and repair, eyelid, full thickness, or involving lid margins by advancement
67961 Eye 635,550.00 735,900.00 669.00
flap such as wedge resection or halving procedures), up to quarter lid margin
67966 - over quarter lid margin Eye 762,850.00 883,300.00 803.00
Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from

67971 Eye 959,500.00 1,111,000.00 1,010.00
opposing eyelid, one or first stage, up to two-thirds lid
67973 - total eyelid, lower Eye 1,241,650.00 1,437,700.00 1,307.00
67974 - upper Eye 1,258,750.00 1,457,500.00 1,325.00
67975 - second or subsequent stage Eye 679,250.00 786,500.00 715.00
68200 Subconjunctival injection Eye 49,400.00 57,200.00 52.00
68440 Incision, snip of lacrimal punctum, local anaesthesia Eye 94,050.00 108,900.00 99.00
68500 Excision of lacrimal gland (dacryoadenectomy) [except for tumour] total Eye 947,150.00 1,096,700.00 997.00
68520 Excision, lacrimal sac (dacryocystectomy) Eye 792,300.00 917,400.00 834.00
68700 Plastic repair, canaliculi Eye 493,050.00 570,900.00 519.00
68720 dacryocystorhinostomy Eye 876,850.00 1,015,300.00 923.00
68745 Conjunctiva-rhinostomy (fistulization of conjuctiva to nasal cavity), without tube Eye 760,950.00 881,100.00 801.00
Probing of nasolacrimal duct, with or without irrigation and insertion of polythene

68820 Eye 61,750.00 71,500.00 65.00
tubes, unilateral
68825 - requiring general anaesthesia, unilateral, with or without insertion of tube or stent Eye 65,550.00 75,900.00 69.00
68826 Pterygium Eye 123,500.00 143,000.00 130.00
68827 Consultation and Education by Registered Ophthalmic Nurse Eye 13,300.00 15,400.00 14.00
68828 Fundus camera Eye 28,500.00 33,000.00 30.00
68829 Consumables Eye 9,500.00 11,000.00 10.00
EAR
69000 drainage of external ear , abscess or haematoma (simple) Ear 118,750.00 137,500.00 125.00
69005 complicated Ear 184,300.00 213,400.00 194.00
69140 excision exostosis (es) external auditory canal Ear 855,000.00 990,000.00 900.00
69141 - multiple Ear 1,035,500.00 1,199,000.00 1,090.00
69200 removal foreign body external auditory canal wihout general anaesthesia Ear FFS FFS FFS
69201 - requiring local anaesthesia Ear 69,350.00 80,300.00 73.00
69205 with general anaesthesia Ear 114,950.00 133,100.00 121.00
69206 - with general anaesthesia, proceeding to post auricular incision Ear 268,850.00 311,300.00 283.00
69209 Removal of impacted cerumen, one or both ears Ear 11,400.00 13,200.00 12.00
69210 Removal of impacted keratotic debris, under general anaesthesia Ear 187,150.00 216,700.00 197.00
69300 otoplasty protruding ear with or without size reduction Ear 611,800.00 708,400.00 644.00
69301 Otoplastry, post trauma, unilateral, part of ear (e.g. "cauliflower" ear) Ear 388,550.00 449,900.00 409.00
69302 - whole ear Ear 442,700.00 512,600.00 466.00
69320 reconstruction of external auditory canal (congenital) single stage Ear 1,650,150.00 1,910,700.00 1,737.00
69321 - acquired Ear 881,600.00 1,020,800.00 928.00
69325 Construction of external ear from patient's own tissue, all stages, within six months Ear 303,050.00 350,900.00 319.00
69326 Minor adjustment (of 69325) after six months period Ear 233,700.00 270,600.00 246.00
69330 cochlear device implantation with or without mastoidectomy Ear BR BR BR
69350 microotoscopy under general anaesthesia Ear 72,200.00 83,600.00 76.00
69351 micro-otoscopy with microsuctioning under local anaesthesia Ear 72,200.00 83,600.00 76.00
69400 Eustachian tube inflation, with local anaesthesia Ear 88,350.00 102,300.00 93.00
69401 - with general anaesthesia Ear 104,500.00 121,000.00 110.00
69418 Paracentesis of ear - one ear Ear 175,750.00 203,500.00 185.00
69420 myringotomy without general anaesthesia Ear 130,150.00 150,700.00 137.00
Tympanostomy (requires insertion of ventilating tube) in surgical suite with or

69435 Ear 107,350.00 124,300.00 113.00
without operating microscope (one ear)
69440 middle ear exploration (post auricular or permeatal ) Ear 347,700.00 402,600.00 366.00
69502 mastoidectomy (cortical) Ear 1,251,150.00 1,448,700.00 1,317.00
69505 modified radical Ear 1,452,550.00 1,681,900.00 1,529.00
69511 radical Ear 1,506,700.00 1,744,600.00 1,586.00
69535 resection temporal bone , externa approach Ear 3,800,000.00 4,400,000.00 4,000.00
69536 - per oral excision styloid process Ear 395,200.00 457,600.00 416.00
69539 Aural polypectomy, with general anaesthesia Ear 147,250.00 170,500.00 155.00
69540 excision aural polyp Ear 152,950.00 177,100.00 161.00
69555 Excission, surgical for neoplasm Ear 1,661,550.00 1,923,900.00 1,749.00
69620 myringoplasty Ear 912,000.00 1,056,000.00 960.00
69633 with ossicular reconstruction & synthetic prosthesis ( porp, torp) Ear 1,332,850.00 1,543,300.00 1,403.00
69635 tympanoplasty with mastoidotomy(with canalplasty ,no ossiculoplasty) Ear 1,494,350.00 1,730,300.00 1,573.00
69650 stapes mobilisation Ear 1,052,600.00 1,218,800.00 1,108.00
69660 stapedectomy or stapedotomy with or without use of prosthesis Ear 1,290,100.00 1,493,800.00 1,358.00
69661 with foot plate drill out Ear 1,646,350.00 1,906,300.00 1,733.00
69666 repair oval window fistula Ear 1,085,850.00 1,257,300.00 1,143.00
69668 Repair perforation of round window Ear 798,950.00 925,100.00 841.00
69720 decopression facial nerve, intratemporal lateral to geniculate ganglion Ear 1,553,250.00 1,798,500.00 1,635.00
69722 Microsuction Ear 40,850.00 47,300.00 43.00
69740 suture facial nerve,intratemporal with or without graft or lateral decompression Ear 1,387,950.00 1,607,100.00 1,461.00
69801 labyrinthotomy with or without cryo or other destructive procedures or perfusion Ear 1,011,750.00 1,171,500.00 1,065.00
69805 endolymphatic sac operation without shunt Ear 1,260,650.00 1,459,700.00 1,327.00
69806 with shunt Ear 1,406,950.00 1,629,100.00 1,481.00
69820 fenestration semicircular canal Ear 980,400.00 1,135,200.00 1,032.00
69900 Ultrasound to labyrinth, excluding mastoidectomy fee Ear 798,950.00 925,100.00 841.00
69930 Unilateral Cochlear implant device implantation with or without masteidectomy Ear 1,805,950.00 2,091,100.00 1,901.00
RADIOLOGY - DIAGNOSTIC
70008 Hyperinflation practice expense surcharge, per attendance Diagnostic Radiology - -
70009 Cash co-payment, per attendance Diagnostic Radiology - -
Diagnostic Radiology Head

70030 Orbital foreign body, without localisation 14,250.00 16,500.00 15.00
and Neck

70040 with localisation 28,500.00 33,000.00 30.00
and Neck

70100 Mandible 23,750.00 27,500.00 25.00
and Neck

70130 Mastoids 28,500.00 33,000.00 30.00
and Neck

70134 Internal auditory meati 28,500.00 33,000.00 30.00
and Neck

70150 Facial bones and/or orbits 14,250.00 16,500.00 15.00
and Neck

70160 Nose 14,250.00 16,500.00 15.00
and Neck

70210 Post nasal space 9,500.00 11,000.00 10.00
and Neck
70220 Para-nasal sinus 19,000.00 22,000.00 20.00
and Neck

70240 Pituitary fossa (sella turcia), localised views only) 14,250.00 16,500.00 15.00
and Neck

70260 Routine skull 14,250.00 16,500.00 15.00
and Neck

70300 Teeth: one quadrant 14,250.00 16,500.00 15.00
and Neck

70310 Teeth: two quadrant 14,250.00 16,500.00 15.00
and Neck

70320 Teeth: Full mouth 95,000.00 110,000.00 100.00
and Neck

70330 Tempro-mandibular joints 14,250.00 16,500.00 15.00
and Neck

70332 Tempro-mandibular joints with tomography 14,250.00 16,500.00 15.00
and Neck

70360 Throat or soft tissue, neck 14,250.00 16,500.00 15.00
and Neck
Sialography (plus two-thirds for each additional gland) Diagnostic Radiology Head
70390 BR BR BR
…………………………………………. and Neck

71019 Thoratic inlet 14,250.00 16,500.00 15.00
and Neck
71020 Chest, routine Diagnostic Radiology 33,250.00 38,500.00 35.00
71100 Ribs Diagnostic Radiology 14,250.00 16,500.00 15.00
71120 Sternum or sterno-clavicular joints Diagnostic Radiology 14,250.00 16,500.00 15.00
72050 Spine per region, e.g. cervical, sacral, coccygeal, thoracic, Diagnostic Radiology 14,250.00 16,500.00 15.00
72090 Scoliosis studies Diagnostic Radiology 19,000.00 22,000.00 20.00
72111 Lumbar spine and pelvis Diagnostic Radiology 61,750.00 71,500.00 65.00
72114 Stress studies Diagnostic Radiology 14,250.00 16,500.00 15.00
72115 Whole spine and pelvis Diagnostic Radiology 42,750.00 49,500.00 45.00
72250 Myelography per region Diagnostic Radiology 114,000.00 132,000.00 120.00
72270 Myelography full Diagnostic Radiology 342,000.00 396,000.00 360.00
72290 Discography Diagnostic Radiology 285,000.00 330,000.00 300.00
73000 Per region of limp, eg Shoulder, elbow, forearm Diagnostic Radiology 19,000.00 22,000.00 20.00
73040 Orthography, per joint Diagnostic Radiology 23,750.00 27,500.00 25.00
73050 Acromio-clavicular joints, plain, per pair Diagnostic Radiology 14,250.00 16,500.00 15.00
73051 with weight bearing, per pair Diagnostic Radiology 19,000.00 22,000.00 20.00
73140 Finger Diagnostic Radiology 14,250.00 16,500.00 15.00
73520 Hip joints or pelvis with sacro-iliac Diagnostic Radiology 19,000.00 22,000.00 20.00
73530 Smith-Petersen or equivalent control, in theatre Diagnostic Radiology 9,500.00 11,000.00 10.00
73592 Stress studies, eg joint Diagnostic Radiology 14,250.00 16,500.00 15.00
73660 Toe Diagnostic Radiology 9,500.00 11,000.00 10.00
74000 Straight abdomen Diagnostic Radiology 38,000.00 44,000.00 40.00
74020 Acute abdomen studies Diagnostic Radiology 57,000.00 66,000.00 60.00
74210 Pharynx and oesophagus: plain or barium swallow Diagnostic Radiology 42,750.00 49,500.00 45.00
74242 Upper gastro-intestinal tract Diagnostic Radiology 61,750.00 71,500.00 65.00
74245 Gastro-intestinal tract, with follow through Diagnostic Radiology 51,300.00 59,400.00 54.00
74250 Small bowel meal Diagnostic Radiology 41,800.00 48,400.00 44.00
74251 Small bowel meal and follow through Diagnostic Radiology 51,300.00 59,400.00 54.00
74255 Appendix meal, without screening Diagnostic Radiology 28,500.00 33,000.00 30.00
74260 Duodenography, hypotonic Diagnostic Radiology 47,500.00 55,000.00 50.00
74261 insertion of tube add Diagnostic Radiology 14,250.00 16,500.00 15.00
74270 Barium enema Diagnostic Radiology 47,500.00 55,000.00 50.00
74272 with air contrast study add Diagnostic Radiology 4,750.00 5,500.00 5.00
74273 Barium meal and enema (single session) Diagnostic Radiology 66,500.00 77,000.00 70.00
74300 Cholangiography and/or pancreatography; intraoperative, radiological supervision Diagnostic Radiology 104,500.00 121,000.00 110.00
74305 post-operative Diagnostic Radiology 76,000.00 88,000.00 80.00
Percutaneous, trashepatic (For injection procedures for trnshepatic

74320 Diagnostic Radiology 76,000.00 88,000.00 80.00
cholangiography or percutaneous see 47500)
74321 Tomography of biliary tract Diagnostic Radiology BR BR BR
74325 Pneumoperitoneography (for injection see 49400) Diagnostic Radiology - - -
74340 Gastric/oesophageal/duodenal intubation control Diagnostic Radiology 28,500.00 33,000.00 30.00

74341 insertion of tube Diagnostic Radiology 14,250.00 16,500.00 15.00
74346 Bowel washout Diagnostic Radiology 4,750.00 5,500.00 5.00
74400 Urography, intravenous Diagnostic Radiology 66,500.00 77,000.00 70.00
74402 time sequence add Diagnostic Radiology 9,500.00 11,000.00 10.00
74405 voiding cysto-urethrography, without additional contrast medium add Diagnostic Radiology 9,500.00 11,000.00 10.00
74420 Retrograde pyelography Diagnostic Radiology 85,500.00 99,000.00 90.00
74430 Cystography or urethrography (retrograde) Diagnostic Radiology 85,500.00 99,000.00 90.00
74450 Cysto - urethrography (retrograde) Diagnostic Radiology 85,500.00 99,000.00 90.00
74455 Urethrocystography (retrograde) voiding Diagnostic Radiology 85,500.00 99,000.00 90.00
74472 Renal cyst puncture Diagnostic Radiology 85,500.00 99,000.00 90.00
74710 Pelvimetry Diagnostic Radiology 76,000.00 88,000.00 80.00
74740 Hystero-salpingoraphy Diagnostic Radiology 66,500.00 77,000.00 70.00
75505 Angiocardiography: first series Diagnostic Radiology 72,200.00 83,600.00 76.00
75605 Aortography: first series (For injection procedure, see 36200) Diagnostic Radiology 52,250.00 60,500.00 55.00
75616 Other arteriogra Diagnostic Radiology 52,250.00 60,500.00 55.00
75635 Cerebral angiography first two series Diagnostic Radiology 49,400.00 57,200.00 52.00
Per additional series for 74720, 75505, 75605,75616, 75785, 75905, and 75970,
add 50% to the fee - add (For injectioprocedure, see 36210, 36220)
Peripheral andiography, per limb: first series (For injection procedure, see 36210,
36200)
75905 Vena-cavography: first series (for injection procedure, see 36011) Diagnostic Radiology 45,600.00 52,800.00 48.00
75965 Splenoportography (For injection, see 38200) Diagnostic Radiology 52,250.00 60,500.00 55.00
75970 Venography, per field or limb Diagnostic Radiology 66,500.00 77,000.00 70.00
75985 Lymphangiography (For injection procedure, see 38790,38791) Diagnostic Radiology 285,000.00 330,000.00 300.00
76000 Fluoroscopy: per half-hour Diagnostic Radiology 14,250.00 16,500.00 15.00
76020 Bone age assessment Diagnostic Radiology 9,500.00 11,000.00 10.00
76040 Long bones length studies, per right and left pair Diagnostic Radiology 14,250.00 16,500.00 15.00
76060 Skeletal survey, over five years Diagnostic Radiology 133,000.00 154,000.00 140.00
76065 Skeletal survey, under five years Diagnostic Radiology 71,250.00 82,500.00 75.00
Radiological guidance for percutaneous drainage of abscess or specimen

76070 collection, with or without placement of indwelling catheter, radiological supervision Diagnostic Radiology 47,500.00 55,000.00 50.00
and interpretation
76082 Sinography (includes fee for injection) Diagnostic Radiology 76,000.00 88,000.00 80.00
76086 Dexa central skeletal bone mineral density study Diagnostic Radiology 47,500.00 55,000.00 50.00
76087 Dexa peripheral skeletal bone mineral density study Diagnostic Radiology 57,000.00 66,000.00 60.00
76088 QCT measurement of bone mineral density Diagnostic Radiology 57,000.00 66,000.00 60.00
76090 Mammography per side Diagnostic Radiology 23,750.00 27,500.00 25.00
76101 Tomography (pluridirectional) per projection - add 150% Diagnostic Radiology 1,900.00 2,200.00 2.00
Tomography (conventional) per projection (except where otherwise specified) add

76105 Diagnostic Radiology Add 100% Add 100% Add 100%
100%
76120 Cinematrography for first series, add 100% Diagnostic Radiology Add 100% Add 100% Add 100%
76125 Cinematrography: for subsequent series charge each 80% of primary fee for the Diagnostic Radiology Add 100% Add 100% Add 80%
76130 Foreign body localisation: fee for part, add two-thirds for each additional series, Diagnostic Radiology 14,250.00 16,500.00 15.00
76131 Foreign body localisation introduction of sterile needle markers Diagnostic Radiology 28,500.00 33,000.00 30.00
76140 Consultation in rooms, hospital or nursing home Diagnostic Radiology 14,250.00 16,500.00 15.00
Stereoscopic breast biopsy (This is a composite fee to cover the entire procedure
and there
76141 Diagnostic Radiology 888,250.00 1,028,500.00 935.00
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 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
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 Diagnostic Radiology 4,750.00 5,500.00 5.00
76182 Where portable X-ray unit is kept and used in a hospital Diagnostic Radiology 4,750.00 5,500.00 5.00
76201 Surcharge per procedure requiring the use of consumables Diagnostic Radiology 4,750.00 5,500.00 5.00
76210 Conray 280, per 20ml Diagnostic Radiology 19,000.00 22,000.00 20.00
76220 Biloptin, per 6 capsules Diagnostic Radiology At cost At cost At cost
76231 Lidpiodol, per ampule Diagnostic Radiology At cost At cost At cost
76232 Urografin 30% per 250ml Diagnostic Radiology 118,750.00 137,500.00 125.00
76233 Urografin 30% per 20ml Diagnostic Radiology 9,500.00 11,000.00 10.00
76235 Biliscopin, per ampule Diagnostic Radiology At cost At cost At cost
76237 Jopamiron (Iorpamidol), per ampule Diagnostic Radiology 19,000.00 22,000.00 20.00
76240 Iohexol 240mg per 1ml, 20ml Diagnostic Radiology 19,000.00 22,000.00 20.00
76241 Iohexol 300mg per 1ml, 20ml Diagnostic Radiology 19,000.00 22,000.00 20.00
76242 Iohexol 350mg per 1ml, 1 x 20ml Diagnostic Radiology 19,000.00 22,000.00 20.00
76243 Iohexol 240mg per 1ml, 1 x 50ml Diagnostic Radiology 47,500.00 55,000.00 50.00
76244 EZHD, per 300 gms Diagnostic Radiology 47,500.00 55,000.00 50.00
76245 EZHD, 340mg Diagnostic Radiology 47,500.00 55,000.00 50.00
76247 Bariopaque, per examination Diagnostic Radiology 47,500.00 55,000.00 50.00
76248 Omnipaque 300mg, per 50ml Diagnostic Radiology 47,500.00 55,000.00 50.00
76249 Omnipaque 350mg, per 50ml Diagnostic Radiology 47,500.00 55,000.00 50.00
76250 Ultravist 350, per 20ml Diagnostic Radiology 19,000.00 22,000.00 20.00
76254 Magnevist 300, per 20ml Diagnostic Radiology 19,000.00 22,000.00 20.00
76256 Gastrogafin, per 100ml Diagnostic Radiology 47,500.00 55,000.00 50.00
76258 EZ Paque, per bottle Diagnostic Radiology 47,500.00 55,000.00 50.00
76259 EX Cat, per 225ml Diagnostic Radiology 213,750.00 247,500.00 225.00

76260 EZ Gas 24g Diagnostic Radiology 950.00 1,100.00 1.00
76262 Polibar ACB 397g Diagnostic Radiology 377,150.00 436,700.00 397.00
76264 Optiray 240, per 50ml Diagnostic Radiology 47,500.00 55,000.00 50.00
76269 Contrast media not otherwise listed Diagnostic Radiology BR BR BR
Surcharge per procedure requiring the use of Standard film, single 76269
……………
76281 each, to a maximum of two films Diagnostic Radiology 4,750.00 5,500.00 5.00
76282 each, to a maximum of three films …………………………………………………… X-Ray Film Standard Film 4,750.00 5,500.00 5.00
76283 each to a maximum of four films …………………………………………………… X-Ray Film Standard Film 4,750.00 5,500.00 5.00
76284 each, to a maximum of five films (Applicable only to procedure items 73040,76065) X-Ray Film Standard Film 4,750.00 5,500.00 5.00
each, to a maximum of six films (Applicable only to procedure codes

76285 X-Ray Film Standard Film 4,750.00 5,500.00 5.00
74455,75505,75635,75985)
each, to a maximum of eight films (Applicable only to procedure

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

72270,74273)
76290 Surcharge per procedure requiring the use of laser film, single X-Ray Film Standard Film 19,000.00 22,000.00 20.00
76291 each to a maximum ot two films X-Ray Film Standard Film 19,000.00 22,000.00 20.00
76292 each to a maximum of three films X-Ray Film Laser Film 19,000.00 22,000.00 20.00
each to maximum of four films (Applicable to procedure items

76293 X-Ray Film Laser Film 19,000.00 22,000.00 20.00
76430,76434,77017,77037,77511,77512,77514,77515,77517,77519,
76295 each to a maximum of six films X-Ray Film Laser Film 19,000.00 22,000.00 20.00
76296 each to a maximum of seven films X-Ray Film Laser Film 19,000.00 22,000.00 20.00
76297 each to a maximum of eight films X-Ray Film Laser Film 19,000.00 22,000.00 20.00
76301 Hyperinflation practice expense surcharge, per attendance X-Ray Film Laser Film - - -
76302 Cash co-payment per attendance X-Ray Film Laser Film - - -
76310 Thyroid imaging; only Nuclear Medicine- 128,250.00 148,500.00 135.00
76311 with vascular flow Nuclear Medicine- 149,150.00 172,700.00 157.00

Nuclear MedicineDiagnostic
76312 Thyroid carcinoma metastates imaging: limited area (e.g neck and chest only) 208,050.00 240,900.00 219.00
Endocrine
76314 Multiple areas, whole body - - -
Endocrine
76315 Multiple areas, whole body - - -
Endocrine
76320 Bone marrow imaging; limited area 119,700.00 138,600.00 126.00
Endocrine
76321 multiple areas 177,650.00 205,700.00 187.00
Endocrine
76322 whole body Nuclear Medicine- 218,500.00 253,000.00 230.00
Spleen imaging only, with or without vascular flow (If combined with liver study, use
76326 Nuclear Medicine- 122,550.00 141,900.00 129.00
procedures 76334 and 76335)
76329 Lymphatics and lymph glands imaging Nuclear Medicine- 211,850.00 245,300.00 223.00
76331 Liver imaging; static only Nuclear Medicine- 124,450.00 144,100.00 131.00
76333 Liver imaging (SPECT) Nuclear Medicine- 288,800.00 334,400.00 304.00
76334 Liver imaging: static only Nuclear Medicine- 152,000.00 176,000.00 160.00
76336 Liver function study with hepatobiliary agents, with serial images. Nuclear Medicine- 184,300.00 213,400.00 194.00
Hepato-biliary ductal system imaging, including gallbladder, with or without

76337 pharmacologic intervention, with or without quantitative measurement of gallbladder Nuclear Medicine- 203,300.00 235,400.00 214.00
function
76345 Acute gastro-intestinal blood loss imaging Nuclear Medicine- 263,150.00 304,700.00 277.00
76346 Gastro-intestinal blood loss study (e.g Stool counting) Nuclear Medicine- 153,900.00 178,200.00 162.00
76348 Bowel imaging (e.g Ectopic gastric mucosa, Meckel's Localisation, volvulus Nuclear Medicine- 163,400.00 189,200.00 172.00
76410 Bone and/or joint imaging; limited area Nuclear Medicine- 138,700.00 160,600.00 146.00
76411 multiple areas Nuclear Medicine- 197,600.00 228,800.00 208.00
76412 whole body Nuclear Medicine- 224,200.00 259,600.00 236.00
76413 vascular flow only Nuclear Medicine- 80,750.00 93,500.00 85.00
76414 three phase study Nuclear Medicine- 253,650.00 293,700.00 267.00
76415 tomographic (SPECT) Nuclear Medicine- 300,200.00 347,600.00 316.00
76420 Vascular flow imaging (e.g angiography, venography) Nuclear Medicine- 105,450.00 122,100.00 111.00
Myocardial perfusion imaging; single study, resting or stress (exercise and/or
pharmacologic), quantitative or qualitative
multiple studies, resting and/or stress (exercise and/or pharmacologic), and

redistribution and/or rest injection, qualitative or quantitative
Tomographic (SPECT), single study at rest or stress (exercise and/or

pharmacologic, with or without quantification
76426 Myocardial imaging; infarct, avid, planar; qualitative or quantitative Nuclear Medicine- 148,200.00 171,600.00 156.00
76427 with ejection fraction by first pass technique Nuclear Medicine- 195,700.00 226,600.00 206.00
tomographic (SPECT) with or without

quantification………………………………………………………..
Cardiac blood pool imaging, gated equilibrium; single study at rest wall motion
study plus ejection fraction, with or without additional quantitative processing
multiple studies, wall motion study plus ejection fraction, resting and stress (with
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 Nuclear Medicine- 102,600.00 118,800.00 108.00
procedure) (Use only for codes 76422, 76423, 76424)
Myocardial perfusion study with ejection fraction (list separately in addition to code
for primary procedure) (use only for codes 76422, 76423, 76424)
Cardiac blood pool imaging, first pass technique; single study, at rest, wall motion
study, with ejection fraction
multiple studies, resting and with stress (exercise and/or pharmacologic), with or
without additional quantification
76440 Pulmonary perfusion imaging; articulate Nuclear Medicine- 189,050.00 218,900.00 199.00
76441 gaseous Nuclear Medicine- 142,500.00 165,000.00 150.00
76442 gaseous, with ventilation, re-breathing and washout 212,800.00 246,400.00 224.00
Respiratory
Pulmonary perfusion imaging; particulate, with ventilation; single breath Nuclear MedicineDiagnostic
76443 194,750.00 225,500.00 205.00
……………….. Respiratory
re-breathing and washout, with or without single Nuclear MedicineDiagnostic

76444 301,150.00 348,700.00 317.00
breath……………………………………….. Respiratory
76445 Pulmonary ventilation imaging, aerosol; single projection 132,050.00 152,900.00 139.00
Respiratory
76446 multiple projections (e.g anterior, posterior, lateral views) 147,250.00 170,500.00 155.00
Respiratory
76447 Pulmonary ventilation imaging, gaseous, single breath, single projection 143,450.00 166,100.00 151.00
Respiratory
Pulmonary ventilation imaging, gaseous, with rebreathing and washout, with or Nuclear MedicineDiagnostic
76448 172,900.00 200,200.00 182.00
without single breath; single projection Respiratory
76449 multiple projections (e.g anterior, posterior, lateral views) 240,350.00 278,300.00 253.00
Respiratory
76450 Pulmonary quantitative differential function (Ventilation/perfusion) study 372,400.00 431,200.00 392.00
Respiratory
76452 Brain, imaging, limited procedure; static 147,250.00 170,500.00 155.00
Nervous
76453 with vascular flow 173,850.00 201,300.00 183.00
Nervous
76454 Brain, imaging, complete study; static 174,800.00 202,400.00 184.00
Nervous
Nervous
76456 tomographic (SPECT) 347,700.00 402,600.00 366.00
Nervous
76457 Brain Imaging, vascular flow only 83,600.00 96,800.00 88.00
Nervous
76458 Cerebral blood flow 189,050.00 218,900.00 199.00
Nervous
76460 cerebrospinal fluid flow, imaging (not including introduction of material); 250,800.00 290,400.00 264.00
Nervous
76461 ventriculography 143,450.00 166,100.00 151.00
Nervous
76462 shunt evaluation 178,600.00 206,800.00 188.00
Nervous
76463 SF leakage detection and localisation 230,850.00 267,300.00 243.00
Nervous
76464 tomographic (SPECT) 300,200.00 347,600.00 316.00
Nervous
76465 Radio nuclide identification of eye tumour 242,250.00 280,500.00 255.00
Nervous
76470 Kidney imaging; static only 153,900.00 178,200.00 162.00
Nervous
Nervous
76472 with function study (ie imaging renogram) Nuclear Medicine- 209,950.00 243,100.00 221.00
76473 with vascular flow and function study Nuclear Medicine- 244,150.00 282,700.00 257.00
76474 Kidney imaging (SPECT) Nuclear Medicine- 285,950.00 331,100.00 301.00
76475 Kidney vascular flow only Nuclear Medicine- 83,600.00 96,800.00 88.00
76476 Kidney function study without pharmacologic intervention Nuclear Medicine- 74,100.00 85,800.00 78.00
76477 Kidney function study including pharmacologic intervention Nuclear Medicine- 176,700.00 204,600.00 186.00
76480 Urinary blooder residual study Nuclear Medicine- 82,650.00 95,700.00 87.00
76481 Ureteral reflex study (radionuclide voiding cystogram) Nuclear Medicine- 123,500.00 143,000.00 130.00
76483 Testicular imaging Nuclear Medicine- 176,700.00 204,600.00 186.00
Generation of automated data: interactive process involving nuclear physician

76490 and/or allied professional personnel; simple manipulations and interpretation. Nuclear Medicine- 57,000.00 66,000.00 60.00
Exceeding 30minutes
76491 complex manipulations and interpretation, exceeding 30 minutes. Nuclear Medicine- 114,950.00 133,100.00 121.00
100% UP TO 100% UP TO 100% UP TO
76494 Provision for radio-pharmacetical (s) Nuclear Medicine-
BENEFIT LIMIT BENEFIT LIMIT BENEFIT LIMIT
100% UP TO 100% UP TO 100% UP TO

76495 Provision for diagonstic radionuclide (s) Nuclear Medicine-
BENEFIT LIMIT BENEFIT LIMIT BENEFIT LIMIT
76496 Handling charge, add Nuclear Medicine- 10% 10% 10%
76499 Unlisted miscellaneous procedure, diagnostic nuclear medicine Nuclear Medicine- BR BR BR
76501 Hyperinflation practice expense surcharge, per attendance Nuclear Medicine- - - -
76502 Ultrasound Co-payment per attendance Nuclear Medicine- - - -
Thyroid examination (high resolution B-mode) including assessment for neck

76535 Diagnostic Ultrasound 33,250.00 38,500.00 35.00
nodes, with or without color Doppler
76540 Two dimensional ultrasonography of the paediatric brain. Diagnostic Ultrasound 23,750.00 27,500.00 25.00
Two-dimensional high resolution ultrasonography of one or both breasts including

axillae, with or withour color Doppler assessment
76660 Eye and orbit, unilateral or bilateral assessment Diagnostic Ultrasound 23,750.00 27,500.00 25.00
76662 Cutaneous lesions such as lumps, ganglia, etc Diagnostic Ultrasound 23,750.00 27,500.00 25.00
76665 Musculoskeletal - tendons, muscles, rotator cuff, etc Diagnostic Ultrasound 23,750.00 27,500.00 25.00
76710 Liver sonogram (B-scan) Diagnostic Ultrasound 23,750.00 27,500.00 25.00
76720 Gallbladder sonogram (B-scan) Diagnostic Ultrasound 23,750.00 27,500.00 25.00
76730 Kidney sonogram, one or both kidnesy (B-scan) Diagnostic Ultrasound 23,750.00 27,500.00 25.00
76740 Pancreas sonogram (B-scan) Diagnostic Ultrasound 23,750.00 27,500.00 25.00
76750 Spleen sonogram (B-scan) Diagnostic Ultrasound 23,750.00 27,500.00 25.00
76765 Aorta sonogram (B-scan) Diagnostic Ultrasound 23,750.00 27,500.00 25.00
76770 Retroperitoneal space sonogram (B-scan) Diagnostic Ultrasound 23,750.00 27,500.00 25.00
76780 Urinary bladder (B-scan) Diagnostic Ultrasound 23,750.00 27,500.00 25.00
76790 Parts not covered by an of the above. By Report (B.R.) Diagnostic Ultrasound 23,750.00 27,500.00 25.00
Pregnancy and foetal age determination, placental localisation, foetal well being),
initial
76815 subsequent/repeat Diagnostic Ultrasound 28,500.00 33,000.00 30.00
76816 Where two or more scans are performed for follicle maturation, an all-inclusive fee Diagnostic Ultrasound 28,500.00 33,000.00 30.00
76830 Uterus and adnexae, trans-vaginal assessment Diagnostic Ultrasound 38,000.00 44,000.00 40.00
Uterus and adnexae, trans-abdominal assessment including the bladder and female
pelvic mass examination
Testes/Scrotum, search for undescended testes (high resolution B-mode), with or

without color doppler assessment
Prostate assessment , trans-abdominal assessment including pre and post

micturition assessment of bladder, with or without color Doppler assessment
76872 Prostate and seminal vesicles, transrectal assessment Diagnostic Ultrasound 33,250.00 38,500.00 35.00
Doppler echocardiography, pulsed wave and/or continuous wave with spectral

display;
Echocardiography, including real-time with image documentation

(2D)………………………
Echocardiography, during rest and cardiovascular stress treadmill or bicycle

exercise,
Duplex scan of extra cranial arteries; complete bilateral study including 2D

imaging…..
76941 follow up or limited study Diagnostic Ultrasound 14,250.00 16,500.00 15.00
76945 Transcranial doppler study of the intracranial arteries; complete study including 2D Diagnostic Ultrasound 14,250.00 16,500.00 15.00
76946 follow up or limited study Diagnostic Ultrasound 9,500.00 11,000.00 10.00
Duplex scan of lower extremity arteies or arterial bypass grafts; complete bilateral
study
76951 Follow-up or limited study including 2D imaging Diagnostic Ultrasound 33,250.00 38,500.00 35.00
76955 Duplex scan of b-pass grafts; complete bilateral study inc 2D imaging. Diagnostic Ultrasound 38,000.00 44,000.00 40.00
Duplex scan of extremity veins inc responses to compression and other

manoeuveres; complete bilateral study including 2D imaging
Duplex scanof arterial inflow and venous outflow of abdominal, pelvic and/or
retroperitoneal organs; complete study including 2D imaging
Duplex scanning of aorta, inferior vena cava, liac vasculatre, or by-pass grafts,
complete study including 2D imaging
76970 Duplex scan of arterial inflow and venous outflow of penile vessels;complete study Diagnostic Ultrasound 23,750.00 27,500.00 25.00
Radiological guidence for pertaneous drainage of abscess or specimen collection,

76980 with or without placement of indwelling catheter, radiological supervision and Diagnostic Ultrasound 76,000.00 88,000.00 80.00
interpretation
76990 Colour Flow mapping add Diagnostic Ultrasound 38,000.00 44,000.00 40.00
76996 Mileage Radiologist per km Diagnostic Ultrasound - - -
76997 Mileage Radiologist per km Diagnostic Ultrasound - - -
RADIOLOGY-CT
77001 CT Brain Computed Tomography 142,500.00 165,000.00 150.00
77002 - without contrast, followed by contrast and further sections Computed Tomography 166,250.00 192,500.00 175.00
77005 CT Brain with add computer reconstructions (sagg, coro,oblique) Computed Tomography 142,500.00 165,000.00 150.00
77007 CT Angiography Brain Computed Tomography 152,000.00 176,000.00 160.00
77009 Orbit/Sella/Post Fossa/outer or inner or mid ear Computed Tomography 171,000.00 198,000.00 180.00
77012 CT Neck larynx soft tissue Computed Tomography 199,500.00 231,000.00 210.00
77015 CT Angiography Neck Computed Tomography 152,000.00 176,000.00 160.00
77016 Thorax/mediastinum from apex of lungs to below diapragm Computed Tomography 128,250.00 148,500.00 135.00
77019 CT Angiography - Thorax Computed Tomography 152,000.00 176,000.00 160.00
Abdomen including base of lungs down to bifurcation of the aorta, with or without
77022 Computed Tomography 152,000.00 176,000.00 160.00
oral contrast.
77025 CT angiography - abdomen Computed Tomography 152,000.00 176,000.00 160.00
77028 Pelvis with or without rectal contrast Computed Tomography 152,000.00 176,000.00 160.00
Spine, one region (eg Cervical, upper or lower thoracic, lumber) wth or without
additional
77036 Spine with additonal computer reconstructon(sagg,obl,coron) Computed Tomography 304,000.00 352,000.00 320.00
77044 Limbs and other limited exams Computed Tomography 152,000.00 176,000.00 160.00
77045 Hip,shoulder etc Computed Tomography 133,000.00 154,000.00 140.00
77047 CT Angiography Legs Computed Tomography 152,000.00 176,000.00 160.00
77070 CT Cash copayment Computed Tomography - - -
77071 CT cash copayment Computed Tomography - - -
Head or body limited for known tumour or other lesin for radiotherapy planning or
biopsy
Radiological guidence for pertaneous drainage of abscess or specimen collection,

with or
77085 Repeat examination within 6 weeks of 1st Computed Tomography BR BR BR
UP TO BENEFIT UP TO BENEFIT UP TO BENEFIT

77090 IV Contrast materials Computed Tomography
LIMIT LIMIT LIMIT
77091 Cardiac Calcium Scoring Computed Tomography 228,000.00 264,000.00 240.00
77092 Cardiac and Coronary CT Angiography Computed Tomography 661,200.00 765,600.00 696.00
77093 Cardiac Functional Analysis Computed Tomography 171,000.00 198,000.00 180.00
77294 Typical -2D Dimensional Course of care Computed Tomography 4,214,200.00 4,879,600.00 4,436.00
77295 Typical- 3D Typical Course Dimension Course of care Radiation Oncology 9,975,000.00 11,550,000.00 10,500.00
77371 Stereotactic radio surgery (SRS) -1 Fraction Radiation Oncology 4,047,000.00 4,686,000.00 4,260.00
77387 IMRT with CT scan for therapy guide (IGRT)-29 Fractions (Package/Benefit based) Radiation Oncology 22,752,500.00 26,345,000.00 23,950.00
RADIOLOGY - MRI
77450 MRI hyperinflation Magnetic Resonance - - -
77451 MRI copayment Magnetic Resonance - - -
77500 Temperomandibular joints Magnetic Resonance 334,400.00 387,200.00 352.00
77510 Orbit, face, neck Magnetic Resonance 399,000.00 462,000.00 420.00
77511 Brain including brain stem Magnetic Resonance 399,000.00 462,000.00 420.00
77512 Brain including brain stem with contrast material Magnetic Resonance 399,000.00 462,000.00 420.00
Brain including brain stem without contrast material, followed by contrast material
77513 Magnetic Resonance 807,500.00 935,000.00 850.00
and further sequences
77514 Chest ( eg for evaluation of hilr and mediastinum lymphadenoplasty) Magnetic Resonance 384,750.00 445,500.00 405.00
77515 Cervical spine canal and contents, without contrast material. Magnetic Resonance 375,250.00 434,500.00 395.00
77516 Cervical spine canal and contents, with contrast material. Magnetic Resonance 413,250.00 478,500.00 435.00
77517 Thoracic spine canal and contents, without contrast material. Magnetic Resonance 375,250.00 434,500.00 395.00
77518 Thoracic spine canal and contents, with contrast material. Magnetic Resonance 413,250.00 478,500.00 435.00
77519 Lumbar spine canal and contents, without contrast material. Magnetic Resonance 375,250.00 434,500.00 395.00
77520 Lumbar spine canal and contents, with contrast material. Magnetic Resonance 413,250.00 478,500.00 435.00
Cervical spine canal and contents, without contrast material followed by contrast
material
Thoracic spine canal and contents, without contrast material followed by contrast
material
Lumbar spine canal and contents, without contrast material followed by contrast
material
77524 Pelvis Magnetic Resonance 337,250.00 390,500.00 355.00
77525 Upper extremity not joint Magnetic Resonance 337,250.00 390,500.00 355.00
77526 Any joint of upper extremity eg shoulder, elbow Magnetic Resonance 413,250.00 478,500.00 435.00
77527 Lower extremity not joint Magnetic Resonance 337,250.00 390,500.00 355.00
77528 an joint of lower extremities, ankle etc Magnetic Resonance 432,250.00 500,500.00 455.00
77529 Abdomen Magnetic Resonance 375,250.00 434,500.00 395.00
77530 Myocardium Magnetic Resonance 375,250.00 434,500.00 395.00
77531 Bone marrow supply Magnetic Resonance 375,250.00 434,500.00 395.00
77532 Brain Magnetic Resonance 418,000.00 484,000.00 440.00
77533 Large vessels neck Magnetic Resonance 413,250.00 478,500.00 435.00
77534 Large vessels chest Magnetic Resonance 413,250.00 478,500.00 435.00
77535 Large vessels abdomen Magnetic Resonance 413,250.00 478,500.00 435.00
77536 Large vessels legs Magnetic Resonance 413,250.00 478,500.00 435.00
77537 Heart Magnetic Resonance 413,250.00 478,500.00 435.00
Contrast Medium (not applicable to codes

77512,77513,77516,77516,77518,77520,77520,77521,77522 and 77523)
RADIOTHERAPY
78001 Stimulator film per procedure Radiotherapy 12,350.00 14,300.00 13.00

78005 Making an outline or contour Radiotherapy 47,500.00 55,000.00 50.00
78007 Simulation of treatment field, per field, simple Radiotherapy 9,500.00 11,000.00 10.00
78008 Complex Radiotherapy 78,850.00 91,300.00 83.00
Contact and superficial theraphy, malignant and benign lesions, per treatment day,
78010 Radiotherapy 19,000.00 22,000.00 20.00
1 or 2 fields
78011 each additional field Radiotherapy 8,550.00 9,900.00 9.00
78015 Deep X - Ray theraphy and 60 cobalt therapy, per treatment day, 1 or 2 fields Radiotherapy 37,050.00 42,900.00 39.00
78020 Linear accelerator, 1 or 2 fields Radiotherapy 47,500.00 55,000.00 50.00
78025 Planning of field treatment, simple Radiotherapy 15,200.00 17,600.00 16.00
78026 complex ( computerised ) Radiotherapy 95,000.00 110,000.00 100.00
78028 Cobalt Radiotherapy 71,250.00 82,500.00 75.00
78030 Radioactive eye application, per application Radiotherapy 19,000.00 22,000.00 20.00
78035 Caesium implant up to 6 needles or grains Radiotherapy 90,250.00 104,500.00 95.00
78036 up to 10 needles or grains Radiotherapy 170,050.00 196,900.00 179.00
78040 Caesium insertion - uterine and/ or vaginal for artificial menopause or menorrhagia Radiotherapy 71,250.00 82,500.00 75.00
Caesium insertion - uterine and/ or vaginal, rectal, oral, etc. for malignant disease,
78041 Radiotherapy 141,550.00 163,900.00 149.00
first insertion
78042 subsequent insertions Radiotherapy 95,000.00 110,000.00 100.00
78045 H. D. R ( High Dose Rate) intra cavity insertion, first insertion Radiotherapy 237,500.00 275,000.00 250.00
78046 each subsequent insertion Radiotherapy 190,000.00 220,000.00 200.00
78050 Simulator film, per film Radiotherapy 12,350.00 14,300.00 13.00
78052 Making an outline or contour Radiotherapy 47,500.00 55,000.00 50.00
78055 Simulation of treatment field, simple Radiotherapy 9,500.00 11,000.00 10.00
78056 Complex Radiotherapy 78,850.00 91,300.00 83.00

Contact and superficial therapy, malignant and benign lesions, per treatment day, 1
78058 Radiotherapy 19,000.00 22,000.00 20.00
or 2 fields
78062 Deep X - ray therapy and 60 cobalt thaerapy, per treatment day , 1 or 2 fields Radiotherapy 37,050.00 42,900.00 39.00
78065 Linear accelerator, 1 or 2 fields Radiotherapy 47,500.00 55,000.00 50.00
78068 Planning of treatment field, field Radiotherapy 15,200.00 17,600.00 16.00
78069 Complex ( computerised ) Radiotherapy 95,000.00 110,000.00 100.00
78070 Cobalt Radiotherapy 141,550.00 163,900.00 149.00
78072 Radioactive eye application, per application Radiotherapy 38,000.00 44,000.00 40.00
78075 Caesium implant - up to 6 needles or grains Radiotherapy 179,550.00 207,900.00 189.00
78080 Caesium insertion - uterine and/ or vaginal for artificial menopause or menorrhagia Radiotherapy 142,500.00 165,000.00 150.00
Caesium insertion - uterine and/ or vaginal, rectal, oral, etc, for malignant disease,
78081 Radiotherapy 285,000.00 330,000.00 300.00
first insertion
78085 H. D. R ( High Dose Rate ) intra cavity insertion, first insertion Radiotherapy 475,000.00 550,000.00 500.00
78090 Admission for chemotherapy administration per day Radiotherapy 126,350.00 146,300.00 133.00
78111 131 Iodine, per 50 mCl Radiotherapy 237,500.00 275,000.00 250.00
PHYSIOTHERAPY
79010 Initial assessment at rooms, hospital, nursing home or patient's residence Physiotherapy 17,100.00 19,800.00 18.00
79012 Subsequent assessment at rooms, hospital, nursing home, up to 15 miutes Physiotherapy 13,300.00 15,400.00 14.00
79014 Pre/Post operative assessment of patient not requiring further therapy Physiotherapy 11,400.00 13,200.00 12.00
79016 Individual therapy at rooms, hospital, nursing home, up to 15 minutes Physiotherapy 11,400.00 13,200.00 12.00
79017 15 to 30 minutes Physiotherapy 19,000.00 22,000.00 20.00
emergency or other essential therapy carried out during a weekend or public

79022 Physiotherapy 33,250.00 38,500.00 35.00
holiday or out of normal working hours
Individual routine therapy at hospital or nursing home when only one patient to be
79024 Physiotherapy 26,600.00 30,800.00 28.00
treated
Individual therapy at patients residence where condition of the patient precludes

79025 Physiotherapy 36,100.00 41,800.00 38.00
treatment at the physiotherapists rooms
79031 Group therapy, at rooms, hospital, or nursing home, per person per session Physiotherapy 4,750.00 5,500.00 5.00
Mileage. Per kilometre travelled. Applicable to all domicilary visits and to

79040 emergency and other essential visits to rooms, hospital or nursing home during Physiotherapy 294.50 341.00 0.31
weekends and public holidays or outside normal working hours.
NURSING
79220 Initaial ante-natal consultation Nursing 13,300.00 15,400.00 14.00
Subsequent ante-natal consultation- per consultation- to a maximum of nine

79221 Nursing 9,500.00 11,000.00 10.00
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 Nursing 80,750.00 93,500.00 85.00
effect)
79223 Breech delivery Nursing 136,800.00 158,400.00 144.00
Twin delivery (uncomplicated): full appropriate fee for the major delivery and 50%
79224 Nursing 136,800.00 158,400.00 144.00
(add modifier 18) of the second appropriate delivery fee.
79225 Post-natal consultation- per consultation- to a maximum of five consultations Nursing 9,500.00 11,000.00 10.00
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 Nursing 19,000.00 22,000.00 20.00
mother and baby
79236 Acute medical and post-surgical care, per visit, to a maximum of ten visits Nursing 19,000.00 22,000.00 20.00
79237 - thereafter, per visit to a maximum of twenty visits Nursing 11,400.00 13,200.00 12.00
79238 Terminal care, per visit, to a maximum of ninety days Nursing 19,000.00 22,000.00 20.00
Routine care for chronic disabling illness, per visit, to a maximum of two visits per
79242 Nursing 11,400.00 13,200.00 12.00
week
Basic chronic care by an auxiliary nurse (eg. Red Cross Nurse) under the
79245 Nursing 9,500.00 11,000.00 10.00
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 Nursing 13,300.00 15,400.00 14.00
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) Nursing 11,400.00 13,200.00 12.00
Consultation and therapy at patient's residence- hospital or nursing home

79282 Nursing 19,000.00 22,000.00 20.00
79283 Individual consultation, counseling, planning and/or assessment at rooms Nursing 36,100.00 41,800.00 38.00
Individual consultation, counseling, planning and/or assessment at home, nursing
79284 Nursing 23,750.00 27,500.00 25.00
home or residence.
79285 Individual consultation, counseling, planning and/or assessment in Hospital. Nursing 19,000.00 22,000.00 20.00
79286 MLD, IncludesManual Lympatic Drainage, soft tissue mobilisation Nursing 30,400.00 35,200.00 32.00
Application of multilayyered compression system of leg (below knee) inc ankle @

79287 Nursing 11,400.00 13,200.00 12.00
leg
Application of Multilayered compression system of thigh and leg inc ankle & foot
79288 Nursing 11,400.00 13,200.00 12.00
entire leg
79289 Application of multi layered compression system of upper arm and forearm Nursing 11,400.00 13,200.00 12.00
Mileage: per km travelled to a maximum of 10 km per visit from practitioner’s base

79290 Nursing 294.50 341.00 0.31
(or maximum of 20km including return journey)
79291 Application of multilayered comp entire arm Nursing 11,400.00 13,200.00 12.00
79292 Treatment of simple burns dressing only Nursing 2,850.00 3,300.00 3.00
79293 Treatment of simple burns requiring dres Nursing 7,600.00 8,800.00 8.00
79294 Simple dressing (Conventional Dressing)-Current fees Nursing 12,350.00 14,300.00 13.00
Advanced Wound Care Dressing -Wound Irrigation -Weekly Dressings -(Not limited
79295 to the following Advance Dressing Groups- Hydro gels/Silicon Nursing 34,200.00 39,600.00 36.00
gels/Foam/Transparent film collagens/Hydro-fibre)
79300 Stoma irrigation 60 minutes. Nursing 3,800.00 4,400.00 4.00
Simple stoma - a well constructed, sited stoma which is easy to pouch. Very little or
79301 Nursing 47,500.00 55,000.00 50.00
no peristomal skin excoriation.
79302 Moderate stoma,-fairly well constructed Nursing 7,600.00 8,800.00 8.00
79303 Complex stoma -a poorly constucted, non Nursing 9,500.00 11,000.00 10.00
Z Initial Consultation Nursing 17,100.00 19,800.00 18.00
79305 Subsequent consultation….............................................................. Nursing 9,500.00 11,000.00 10.00
79306 Observation of up to 8 hours…............................................... Nursing 9,500.00 11,000.00 10.00
Dressing- complex, requiring probing, irrigation, pluggingor debridement.Per day to

79307 Nursing 4,750.00 5,500.00 5.00
a maximum of seven days.
Injection given by Registered General, Enrolled or Certified Nurse ( if not
immediately subsequent to a consultation). Where a consultation was not
79308 Nursing 1,900.00 2,200.00 2.00
performed and the nurse attended to the patient with the sole purpose of
adminstering intramuscular or intraveneous medication to be stated, as well as the
Any urinary tract procedure including catheterisation bladder stimulation and
79309 Nursing 19,000.00 22,000.00 20.00
emptying…............................
Condom catheter aplication, penile dressing,catheter care including bag change or

79310 Nursing 2,850.00 3,300.00 3.00
catheter removal…..................
79311 Suturing and Removal…................... Nursing 4,750.00 5,500.00 5.00
Incision and Drainage of infected or non infected sebaceous cyst, one

79312 Nursing 19,000.00 22,000.00 20.00
lesion…..............................................................................................................
79313 Puncture aspiration of abscess or haematoma…................................... Nursing 14,250.00 16,500.00 15.00
79314 Nasogastric tube insertion, feeding and removal…................................. Nursing 4,750.00 5,500.00 5.00
79315 Gastric lavage, therapeutic-detention time plus…....................................... Nursing 4,750.00 5,500.00 5.00
79316 Nebulisation 15-30 minutes…....................... Nursing 4,750.00 5,500.00 5.00
79317 Nebulisation 30-45 minutes…............... Nursing 9,500.00 11,000.00 10.00
79318 Nebulisation 45-60 minutes…................. Nursing 14,250.00 16,500.00 15.00
79319 Nasal and/ or post nasal pack for severe epistaxis…......... Nursing 4,750.00 5,500.00 5.00
79320 Routine care of Chronic patient maximum 2 weeks…....... Nursing 9,500.00 11,000.00 10.00
79321 Venepunture or heel prick for pathological investigation…… Nursing 4,750.00 5,500.00 5.00
79322 Glucometer checks…............... Nursing 2,850.00 3,300.00 3.00
79324 Rapid HIV Testing…....................... Nursing 4,750.00 5,500.00 5.00
79325 Mlaria para check test…................. Nursing 2,850.00 3,300.00 3.00
79326 Urine, pregnancy test…..................... Nursing 950.00 1,100.00 1.00
79327 Prostrate Specific Antigen (PSA) point of care test by nurse Nursing 3,420.00 3,960.00 3.60
79330 Global fees, simple stoma -permanant inc Nursing 95,000.00 110,000.00 100.00
79331 global fee moderate stoma Nursing 104,500.00 121,000.00 110.00
79332 Global fee comlex stoma-permanant Nursing 114,000.00 132,000.00 120.00
All-inclusive global fee for the setting up of an IV line and adminstration of

79334 Nursing 4,750.00 5,500.00 5.00
intraveneous therapy by a registered nurse…
79335 Intraveneous Infusion (paediatric)…................. Nursing 9,500.00 11,000.00 10.00
79336 Intraveneous Infusion (adult)….......................... Nursing 7,600.00 8,800.00 8.00
79401 Family planning Consultation Nursing 6,650.00 7,700.00 7.00
79402 Jadelle/ Implanon insertion…................. Nursing 14,250.00 16,500.00 15.00
79403 Jadelle/ Implanon removal…................. Nursing 14,250.00 16,500.00 15.00
79404 IUD Insertion…....................... Nursing 14,250.00 16,500.00 15.00
79405 IUD Removal….................... Nursing 7,600.00 8,800.00 8.00

79406 Post- Abortal care…............. Nursing 47,500.00 55,000.00 50.00
79407 Vaginal Inspection with Acetic acid…........... Nursing 14,250.00 16,500.00 15.00
IMMUNOLOGY
86003 Allergen specific IgE antibodies against inhaled allergen sources (M). Immunology 9,500.00 11,000.00 10.00
86004 Allergen specific IgE antibodies against food allergen sources (M) …….. Immunology 9,500.00 11,000.00 10.00
Allergen specific IgE antibodies against inhalation and food allergens

86005 Immunology 9,500.00 11,000.00 10.00
sources…(O)……………………
86146 Beta 2 glycoprotein I antibody each IgG class…………………………. Immunology 36,100.00 41,800.00 38.00
86147 Cardiolipin (phospholipid) antibody each IgG class……………………. Immunology 42,750.00 49,500.00 45.00
86153 Physician interpretation and report when required……………………. Immunology - - -
86160 Complement antigen each component … (I)………………………. Immunology 2,850.00 3,300.00 3.00
86162 Total haemolytic complement (CH50)………………………………….. Immunology 42,750.00 49,500.00 45.00
86226 Allergen microarray for molecular diagnosis of allergy ………………. Immunology 2,850.00 3,300.00 3.00
Immunoglobulin subclasses (IgG1, IgG2, IgG3, IgG4 and IgA1 and IgA2
86228 Immunology 2,850.00 3,300.00 3.00
(F)…..............
86234 IgG antibodies against nuclear antigens …..(L) Immunology 9,500.00 11,000.00 10.00
Extractable Nuclear antigen, antibody to any method (eg nrnp, SS-A, SS- B, RNP,
86235 Immunology 25,650.00 29,700.00 27.00
Scl-70, Jo-1, dsdna, PCNA etc.)… (L)………………………..
86237 IgG antibodies against nucleoli in systemic sclerosis… (L)………… Immunology 25,650.00 29,700.00 27.00
86238 IgG antibodies in autoimmune liver diseases (IgG)…. (K)…………… Immunology 25,650.00 29,700.00 27.00
86304 IgG antibodies in Paraneoplastic Neurologic Syndromes… (J)………… Immunology 25,650.00 29,700.00 27.00
86326 Igg antibodies in Autoimmune inflammatory myopathies … (L)…….. Immunology 25,650.00 29,700.00 27.00
86337 Insulin antibodies … (T*1)……………..…………………….. Immunology 950.00 1,100.00 1.00
Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blast

86353 Immunology 25,650.00 29,700.00 27.00
genesis …... (T*1)……………………………………………
86355 B cell, total count (CD19, CD20)…. (T*1)……………………………… Immunology 42,750.00 49,500.00 45.00
86359 T cells total count (CD3)…. (T*1)………………………………… Immunology 42,750.00 49,500.00 45.00
86367 Stem cells (i.e. CD34) total count…. (T*1)……………………. Immunology 42,750.00 49,500.00 45.00
Tuberculosis test, cell mediated immunity antigen response measurement gamma

86480 Immunology 11,400.00 13,200.00 12.00
interferon…. (T*1)………………………………………..
86485 Skin test candida … (T*1)……………………………………………. Immunology 9,500.00 11,000.00 10.00
Tuberculosis, intradermal (for tuberculosis test, cell mediated immunity

86580 Immunology 11,400.00 13,200.00 12.00
measurement of gamma interferon antigen response…. (T*1)……
86612 HLA typing A, B or C….. (F) Immunology 2,850.00 3,300.00 3.00
86677 Helicobacter pylori IgG………………………………………………… Immunology 14,250.00 16,500.00 15.00
86678 Helicobacter pylori IgA ELISA………………………………………… Immunology 19,950.00 23,100.00 21.00
86813 HLA A, B, C multi antigens…………………………………………… Immunology 2,850.00 3,300.00 3.00
86816 HLA DR/DQ single antigens…………………………………………... Immunology 2,850.00 3,300.00 3.00
PATHOLOGY
89003 Transport Pathology 4,750.00 5,500.00 5.00
89011 Venepunture Pathology 7,600.00 8,800.00 8.00
89051 Full Blood Count Pathology 26,600.00 30,800.00 28.00
89052 Blood Group & Rhesus Pathology 14,250.00 16,500.00 15.00
89053 Blood Group & Rhesus Antibodies Pathology 29,450.00 34,100.00 31.00
89056 INR (Prothrombin Index) Pathology 18,050.00 20,900.00 19.00
89057 Bleeding and Clotting Time Pathology 7,600.00 8,800.00 8.00
89058 Partial Thromoplastin Time Pathology 14,250.00 16,500.00 15.00
89099 Coombes Direct Pathology 7,600.00 8,800.00 8.00
89100 Hypercoagulation/Thrombophilia Pathology 33,250.00 38,500.00 35.00
89101 Miscellaneous Microscopy Pathology 9,500.00 11,000.00 10.00
89102 Semen Culture Pathology 14,250.00 16,500.00 15.00
89103 PCR Chlamydia Pathology 42,750.00 49,500.00 45.00
89104 PCR Gonorrhoea Pathology 42,750.00 49,500.00 45.00
89105 PCR AAFB Pathology 37,050.00 42,900.00 39.00
89107 TPHA Pathology 88,350.00 102,300.00 93.00
89151 Glycosylated Hb Pathology 23,750.00 27,500.00 25.00

89152 VDRL/TPHA/FTA Pathology 28,500.00 33,000.00 30.00
89153 BFAT Pathology 23,750.00 27,500.00 25.00
89154 Pregnancy Test-Urine Latex Pathology 6,650.00 7,700.00 7.00
89155 ELISA (ONE ELISA - IgG or IgM) Pathology 19,950.00 23,100.00 21.00
89156 Western Blot Pathology 21,850.00 25,300.00 23.00
89157 HIV 1 RNA Viral Load Pathology 90,250.00 104,500.00 95.00
89158 T-Cell Profile (CD4/CD8) Pathology 57,000.00 66,000.00 60.00
89159 HIV Pathology 58,900.00 68,200.00 62.00
89160 CD4 Only Pathology 57,000.00 66,000.00 60.00
89162 Cryptococcal Antigen Pathology 23,750.00 27,500.00 25.00
89163 Lipoprotein HDL Pathology 20,900.00 24,200.00 22.00
89199 ASOT Screen Only Pathology 2,850.00 3,300.00 3.00
89200 Drugs Therapeutic Assay Pathology 19,950.00 23,100.00 21.00
89201 Cancer Markers & Hormones* Pathology 21,850.00 25,300.00 23.00
89247 Category 1 - Histology Pathology 30,400.00 35,200.00 32.00
89252 Cytology - One Slide Pathology 19,000.00 22,000.00 20.00
89253 Liquid based cytology- cervical cancer screening Pathology 27,550.00 31,900.00 29.00
89301 Liver Function Test* Pathology 47,500.00 55,000.00 50.00
89302 Urea & Electrolytes U's & E's* Pathology 21,850.00 25,300.00 23.00
89303 Amylase Pathology 13,300.00 15,400.00 14.00
89304 Glucose Pathology 13,300.00 15,400.00 14.00
89305 Creatinine Pathology 12,350.00 14,300.00 13.00
89350 Astrup Blood Gases Pathology 12,350.00 14,300.00 13.00

89352 Triglycerides Pathology 13,300.00 15,400.00 14.00
89357 Cholesterol Pathology 13,300.00 15,400.00 14.00
89359 Calcium Pathology 13,300.00 15,400.00 14.00
89401 Reducing Substances Pathology 4,750.00 5,500.00 5.00
89402 Occult Blood Pathology 6,650.00 7,700.00 7.00
89404 CSF Chem Pathology 19,000.00 22,000.00 20.00
89491 Hb Electrophoresis Pathology 14,250.00 16,500.00 15.00
89492 Rapid Antigen Tests Pathology 23,750.00 27,500.00 25.00
89499 ICT - Malaria Pathology 14,250.00 16,500.00 15.00
89529 Kappa free light chains Pathology 47,500.00 55,000.00 50.00
89532 Lambga free light Pathology 47,500.00 55,000.00 50.00
89534 Lipid electropharesis Pathology 6,650.00 7,700.00 7.00
Helicobacter pylori breath test analysis for urease activity, non –radioactive
89555 Pathology 66,500.00 77,000.00 70.00
isotope…………………………………………………….
89592 Gene xpert Pathology 49,400.00 57,200.00 52.00
89621 PCR-RESP Virus (Respiratory Viral Screen) Pathology 28,500.00 33,000.00 30.00
89622 Clostridium dificile Pathology 36,100.00 41,800.00 38.00
89747 Procalcitonin Pathology 41,800.00 48,400.00 44.00
MEDICINE
90000 Initial consultation at rooms Medicine 76,000.00 88,000.00 80.00
90001 Subsequent consultation at rooms for same illness Medicine 42,750.00 49,500.00 45.00
90002 Initial consultation at hospital, nursing home or residence Medicine 104,500.00 121,000.00 110.00
90003 Subsequent consultation at hospital per day Medicine 57,000.00 66,000.00 60.00
90004 Subsequent consultation at hospital or nursing home - maximum per week Medicine 237,500.00 275,000.00 250.00
90011 Initial consultation at rooms (specialist family practitioner) Medicine 29,450.00 34,100.00 31.00
90012 Subsequent consultation at rooms for same illness (specialist family practitioner) Medicine 21,850.00 25,300.00 23.00
Subsequent consultation at hospital or nursing home, per day (specialist family
90013 Medicine 21,850.00 25,300.00 23.00
practitioner)
Subsequent consultation at hospital or nursing home - maximum per week

90014 Medicine 72,200.00 83,600.00 76.00
(specialist family practitioner)
90015 Initial consultations at rooms Medicine 57,000.00 66,000.00 60.00
90016 Subsequent consultations at rooms for same illness Medicine 31,350.00 36,300.00 33.00
90017 Initial consultation at hospital or nursing home Medicine 57,000.00 66,000.00 60.00
90018 Subsequent consultation at hospital per day Medicine 38,950.00 45,100.00 41.00
90020 Consultation by specialist pathologist at rooms, hospital, nursing home or residence Medicine 23,750.00 27,500.00 25.00
90021 Home visit Medicine 31,350.00 36,300.00 33.00
Consultation by specialist pathologist registered in the sub-speciality haematology,

90023 Medicine 76,000.00 88,000.00 80.00
on referral by a specialist physician, rooms, initial
90024 subsequent consultation for same illness Medicine 42,750.00 49,500.00 45.00
Consultation by specialist pathologist registered in the sub-speciality haematology,

90025 Medicine 85,500.00 99,000.00 90.00
on referral by a specialist physician, at hospital, nursing home or residence, initial
90026 subsequent consultation Medicine 52,250.00 60,500.00 55.00
90027 - maximum per week Medicine 237,500.00 275,000.00 250.00
90032 Initial consultation at hospital or nursing home, per day Medicine 57,000.00 66,000.00 60.00
90033 Subsequent consultation at hospital or nursing home, per day Medicine 33,250.00 38,500.00 35.00
90035 subsequent consultation at hospital or nursing home-maximum per week Medicine 164,350.00 190,300.00 173.00
90036 Initial consultation by Audiologist Medicine 14,250.00 16,500.00 15.00
90037 Subsequent Review by Audiologist Medicine 9,500.00 11,000.00 10.00
90042 Initial consultation at hospital or nursing home Medicine 66,500.00 77,000.00 70.00
90054 Routine visit to nursing home for the aged - maximum of 1 per week - first patient Medicine 28,500.00 33,000.00 30.00
90055 - each additional patient Medicine 14,250.00 16,500.00 15.00
Emergency visit to hospital - as per the appropriate home visiting fee for the first
90056 Medicine 17,100.00 19,800.00 18.00
patient, plus appropriate consultation room fee for each additional patient
Where a practitioner has to especially open his rooms outside of his normal
consulting hours to consult with a specific patient on an emergency basis, then
90058 Medicine 38,000.00 44,000.00 40.00
such 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 Medicine 17,100.00 19,800.00 18.00
fees in respect of such other patients are only chargeable in accordance with tariff
90050
90060 Weekday visit (between 7 am and 5 pm) Medicine 38,000.00 44,000.00 40.00
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 Medicine 43,700.00 50,600.00 46.00
received and a visit made between 7 am and 6 pm.
90062 Night visit. Medicine 49,400.00 57,200.00 52.00
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 Medicine 10,450.00 12,100.00 11.00
plus appropriate consultation room fee for each additional patient.
90065 Subsequent visits - maximum per week. Medicine 57,950.00 67,100.00 61.00
90067 Routine visits for chronic disabling illness - first three months - maximum per week. Medicine 199,500.00 231,000.00 210.00
90068 - thereafter, two routine visits per week - maximum per week. Medicine 119,700.00 138,600.00 126.00
90070 Injection (independent procedure) not requiring consultation Medicine 4,750.00 5,500.00 5.00
90071 Injection given during consultation Medicine - -
Injection given by Registered General, Enrolled or Certified Nurse (if not

90072 Medicine 2,850.00 3,300.00 3.00
immediately 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 Medicine 4,750.00 5,500.00 5.00
day to a maximum of seven days. (For materials used see 96932). (For General
Rules see 01073)
90075 Dressing - simple Medicine - -
90076 Mantoux or Heaf test - to be included in consultation fee Medicine - -
Urine chemical - by reagent stick, strip, tablet or similar. For use in ante-natal care
90077 Medicine 2,850.00 3,300.00 3.00
only, to a maximum of 7 tests in any one ante-natal period.
90078 Venepuncture or heel prick for pathological investigations Medicine 2,850.00 3,300.00 3.00
90080 Urine culture, microstix Medicine 2,850.00 3,300.00 3.00
90081 Urine, pregnancy test Medicine 2,850.00 3,300.00 3.00
90082 Glucometer-by glucostix Medicine 4,750.00 5,500.00 5.00
90083 Blood glucose test Medicine 4,750.00 5,500.00 5.00
90084 Venepuncture, barrier conditions Medicine 2,850.00 3,300.00 3.00
90085 GP point of care - Cholera antigen Medicine 9,500.00 11,000.00 10.00
90086 GP point of care - H.Pylori Medicine 6,650.00 7,700.00 7.00
90087 GP point of care - HAV lgGM Medicine 11,400.00 13,200.00 12.00
90088 GP point of care - HCV Medicine 6,650.00 7,700.00 7.00
90089 GP point of care - HIV Medicine 11,400.00 13,200.00 12.00
90090 GP point of care - Syphilis Medicine 6,650.00 7,700.00 7.00
90091 GP point of care - Alpha-Feto protein test Medicine 7,600.00 8,800.00 8.00
90092 GP point of care - Prostate specific Antigen test Medicine 5,700.00 6,600.00 6.00
90093 GP point of care - Latex Cryptococcal Ag Medicine 6,650.00 7,700.00 7.00
90094 GP point of care - Malaria paracheck / test Medicine 6,650.00 7,700.00 7.00
90095 GP point of care - Hb A1c Medicine 14,250.00 16,500.00 15.00
90096 Cholesterol-room procedure Medicine 9,500.00 11,000.00 10.00
90097 HDL- room procedure Medicine 4,750.00 5,500.00 5.00
90098 TRIG- room procedure Medicine 4,750.00 5,500.00 5.00
90099 GP point of care - Urea Breath Test Medicine 52,250.00 60,500.00 55.00
90790 Initial consultation at rooms - Psychiatrist Medicine 61,750.00 71,500.00 65.00
90792 Initial consultation at hospital, nursing home or residence Medicine 71,250.00 82,500.00 75.00
90793 Subsequent consultation at hospital, per day Medicine 36,100.00 41,800.00 38.00
90803 Individual therapy, 25 to a maximum of 50 minutes, office Medicine 42,750.00 49,500.00 45.00
90804 - hospital or other facility Medicine 46,550.00 53,900.00 49.00
90806 Individual therapy, 15 - 25 minutes, office Medicine 29,450.00 34,100.00 31.00
90811 Individual therapy, up to 15 minutes, office Medicine 19,950.00 23,100.00 21.00
90812 Individual therapy, hospital or other facility Medicine 22,800.00 26,400.00 24.00
Group therapy (maximum 8 persons per group), per person per session, 45 - 50
90815 Medicine 12,350.00 14,300.00 13.00
minutes, office
Group therapy (maximum 8 persons per group) per person per session, 90 minutes,
90817 Medicine 19,950.00 23,100.00 21.00
office
90836 Convulsive therapy - up to 35 treatments in one year, in-patient Medicine 42,750.00 49,500.00 45.00
90838 - outpatient - up to 35 treatments in one year Medicine 42,750.00 49,500.00 45.00
Psychologic testing, with written report given by or under supervision of psychiatrist,

90841 Medicine 56,050.00 64,900.00 59.00
per hour; psychometric test [identify test(s) used]
90842 - projective tests [identify test(s) used] Medicine 56,050.00 64,900.00 59.00
90875 Hypnotherapy 25 - 50 minutes Medicine 48,450.00 56,100.00 51.00
90876 - 15 - 25 minutes Medicine 29,450.00 34,100.00 31.00
90877 - up to 15 minutes Medicine 29,450.00 34,100.00 31.00
90955 Cannula insertion for peritoneal dialysis, including removal Medicine 8,550.00 9,900.00 9.00
90958 - with limited omentectomy Medicine 24,700.00 28,600.00 26.00
90961 Tenchkoff shunt Medicine 31,350.00 36,300.00 33.00
90962 Peritoneal dialysis (Removal of cannula or shunt, simple) Medicine 209,000.00 242,000.00 220.00
90963 Renal failure, institution of treatment programme, per dialysis Medicine 68,400.00 79,200.00 72.00
90964 Removal of cannula or shunt in an operating theatre and G.A. Medicine 16,150.00 18,700.00 17.00
90970 Acute renal failure and/or intoxication, initial haemodialysis Medicine 125,400.00 145,200.00 132.00
90971 - second haemodialysis Medicine 76,950.00 89,100.00 81.00

90972 - third haemodialysis Medicine 76,950.00 89,100.00 81.00
90973 - fourth haemodialysis through end of second week, per treatment Medicine 38,000.00 44,000.00 40.00
90974 third week through end of sixth week, per treatmeant Medicine 19,000.00 22,000.00 20.00
90980 Chronic renal failure, initial stabilisation through sixth treatment, per treatment Medicine 76,950.00 89,100.00 81.00
- seventh stabilisation through end of first month of chronic haemodialysis therapy,

90981 Medicine 28,500.00 33,000.00 30.00
per treatment
90982 Haemodialysis in hospital by trained nursing staff under supervision of a physician Medicine 17,100.00 19,800.00 18.00
Gastric intubation by physician, washings, and preparing slides for cytology

91055 (independent procedure). (Naso-gatric intubation during an anaesthetic is Medicine 6,650.00 7,700.00 7.00
considered an incidental procedure and an additional charge is not to be made)
91056 Gastric snip ring biopsy Medicine 1,900.00 2,200.00 2.00
91100 Insertion of Sengstaken tube for intestinal bleeding Medicine 11,400.00 13,200.00 12.00
91110 Rectal biopsy with suction biopsy capsule Medicine 8,550.00 9,900.00 9.00
91112 Anus, snip ring biopsy Medicine 1,900.00 2,200.00 2.00
Determination of refractive state of eyes by general practitioner. Comprehensive

92015 Medicine 19,000.00 22,000.00 20.00
including consultion
Determination of refractive state of eyes by general practitioner. Comprehensive

92015 Medicine 19,000.00 22,000.00 20.00
including consultion
92020 Gonioscopy, in select cases only Medicine 9,500.00 11,000.00 10.00
Peripheral fundus examination with indirect opthalmoscope. Only applicable to

92021 Medicine 9,500.00 11,000.00 10.00
initial consultation
Tonometry, per test to a maximum of two tests in any one year. Only applicable to
92022 Medicine 9,500.00 11,000.00 10.00
initial consultation and glaucoma follow-up.
92023 Keratometry, per test to a maximum of two tests per year Medicine 9,500.00 11,000.00 10.00
Charting of visual field, Bjerum Screen or automatic recording perimeter, per test to
92024 Medicine 9,500.00 11,000.00 10.00
a maximum of two tests per year
92531 Electronystagmorgraph with caloric test Medicine 57,000.00 66,000.00 60.00
92532 Otoscopy Medicine 14,250.00 16,500.00 15.00
92533 Labyrinthine caloric test Medicine 9,500.00 11,000.00 10.00
92535 Brain stem auditory evoked response, single bilateral run Medicine 19,000.00 22,000.00 20.00
92536 each additional run to a maximum of three, add Medicine 9,500.00 11,000.00 10.00
92551 Screening test, pure tone ,air only Medicine 19,000.00 22,000.00 20.00
92552 Pure tone audiometry (threshold), air only Medicine 19,000.00 22,000.00 20.00
92553 air & bone Medicine 24,700.00 28,600.00 26.00
92555 Speech audiometry, threshold only Medicine 14,250.00 16,500.00 15.00
92556 threshold and discrimination Medicine 24,700.00 28,600.00 26.00
Basic comprehensive audiometry (92553 and 92556 combined), (pure tone, air and
92557 Medicine 49,400.00 57,200.00 52.00
bone, and speech, threshold and discrimination)
92560 Bekesey audiometry, screening Medicine 19,000.00 22,000.00 20.00
92561 Electronystamograph with caloric test/diagnostic Medicine 38,000.00 44,000.00 40.00
92562 Loudness balance test,alternate binaural or monoaural Medicine 6,650.00 7,700.00 7.00
92563 Tone decay test Medicine 6,650.00 7,700.00 7.00
92564 Short increment sensitivity index (SISI) Medicine 6,650.00 7,700.00 7.00
92565 Stengers test, pure tone Medicine 10,450.00 12,100.00 11.00
92567 Tympanometry (impedance testing) Medicine 21,850.00 25,300.00 23.00
92568 Acoustic Reflex testing Medicine 15,200.00 17,600.00 16.00
92569 Acoustic Reflex delay test Medicine 15,200.00 17,600.00 16.00
92577 Stengers test ,speech Medicine 21,850.00 25,300.00 23.00
92582 Conditioning play audiometry Medicine 10,450.00 12,100.00 11.00
92584 Electrocochleography Medicine 57,000.00 66,000.00 60.00
92585 Brainstem auditory evoked response (evoked response EEG audiometry ) Medicine 57,000.00 66,000.00 60.00
92588 Comprehensive diagnostic evaluation cochlear mapping Medicine 53,200.00 61,600.00 56.00
92599 Unlisted ENT Service or procedure Medicine BR BR BR
92611 Electronystagmorgraph with caloric test Medicine 36,100.00 41,800.00 38.00
93000 Electrocardiogram with interpretation and report (resting) Medicine 57,000.00 66,000.00 60.00
93005 - tracing only, without interpretation and report Medicine 22,800.00 26,400.00 24.00
93010 - interpretation and report only Medicine 28,500.00 33,000.00 30.00
Electrocardiogram with multi-stage treadmill test, including monitoring, interpretation

93015 Medicine 152,000.00 176,000.00 160.00
and report
93017 - monitoring and tracing only, without interpretation and report Medicine 104,500.00 121,000.00 110.00
- monitoring, tracing, interpretation and report by physician with use of hospital

93019 Medicine 66,500.00 77,000.00 70.00
equipment
93021 Electrocardiogram with resting and limited exercise test, such as step test Medicine 70,300.00 81,400.00 74.00
93022 - tracing only without interpretation and report Medicine 33,250.00 38,500.00 35.00
Electrocardiogram, tracing and interpretation of report by physician with used of

93024 Medicine 39,900.00 46,200.00 42.00
hospital equipment
Provision of electrocardiogram equipment and material by hospital (only) where

93025 Medicine 11,400.00 13,200.00 12.00
tracing is undertaken by physician personally
Phonocardiogram with ECG lead, with supervision during recording with

93201 Medicine 59,850.00 69,300.00 63.00
interpretation and report (when equipment is supplied by the physician)
Electrocardiogram monitoring utilising a sytem such as magnetic tape, for up to 12

93270 Medicine 176,700.00 204,600.00 186.00
hours, includes recording, scanning analysis, interpretation and report
93274 12 through 24 hours recording Medicine 246,050.00 284,900.00 259.00
93278 - 24 through 72 hours recording Medicine 361,000.00 418,000.00 380.00
93501 Right heart catherization only Medicine 48,450.00 56,100.00 51.00
93502 - His bundle recording only Medicine 32,300.00 37,400.00 34.00
- placement of flow directed catheter (with or without balloon tip) only, when placed
93503 Medicine 25,650.00 29,700.00 27.00
for monitoring purposes or angiography
93505 Endocardial biopsy Medicine 44,650.00 51,700.00 47.00
Left heart catheterization, retrograde, from the brachial artery, axillary artery or
93510 Medicine 44,650.00 51,700.00 47.00
femoral artery percutaneous
93511 - by cutdown Medicine 51,300.00 59,400.00 54.00
93514 - by left ventricular puncture Medicine 51,300.00 59,400.00 54.00
93515 - by trans-septal venous catheterization Medicine 51,300.00 59,400.00 54.00
93524 Combined trans-septal and retrograde left heart cathererization Medicine 64,600.00 74,800.00 68.00
93526 Combined right heart catheterization and retrograde left heart catheterization Medicine 90,250.00 104,500.00 95.00
Combined right heart catheterization and trans-septal left heart catheterization (with
93527 Medicine 96,900.00 112,200.00 102.00
or without retrograde left heart catheterization)
Combined right heart catheterization with left ventricular puncture (with or without
93528 Medicine 96,900.00 112,200.00 102.00
retrograde left heart catheterization)
93541 Injection procedure during cardiac catheterization for pulmonary angiography Medicine 19,000.00 22,000.00 20.00
93542 - for selective right ventricular or right atrial angiography Medicine 19,000.00 22,000.00 20.00
93543 - for selective left ventricular or left atrial angiography Medicine 25,650.00 29,700.00 27.00
93544 - for aortography Medicine 32,300.00 37,400.00 34.00
- for selective coronary angiography (injection of radio-opaque material may be by

93545 Medicine 38,000.00 44,000.00 40.00
hand)
93546 Combined left heart catheterization and left ventricular angiography Medicine 57,950.00 67,100.00 61.00
Combined left heart catheterization, selective coronary angiography, and selective

93547 left ventricular angiography (this code number is to be used when procedure 93510 Medicine 90,250.00 104,500.00 95.00
is combined with procedures 93543 and 93545)
Combined left heart catheterization, selective coronary angiography, selective left

93548 Medicine 102,600.00 118,800.00 108.00
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 Medicine 129,200.00 149,600.00 136.00
procedure 93547 is combined with right heart catheterization)
Indicator dilution studies such as dye or thermal dilution, including arterial and
93561 Medicine 38,000.00 44,000.00 40.00
venous catheterization, with cardiac output measurement (independent procedure)
93562 - subsequent measurement of cardiac output Medicine 9,500.00 11,000.00 10.00
First day - for each total 15 minutes actual Intensive Care attendance with the
93570 Medicine 190,000.00 220,000.00 200.00
patient to maximum of one hour.
- for each total 15 minutes actual attendance with the patient to a maximum of two
93571 Medicine 19,000.00 22,000.00 20.00
hours
Second and third days - for each total 15 minutes actual attendance with the patient
93572 Medicine 142,500.00 165,000.00 150.00
to a maximum of three hours per day
Fourth to seventh days - for each total 15 minutes actual attendance with the
93573 Medicine 19,000.00 22,000.00 20.00
patient to a maximum of two hours per day, add (BR)
93574 Over seven days. Medicine BR BR BR
Re-admission to Unit - for each total 15 minutes actual attendance with the patient
93575 Medicine 19,000.00 22,000.00 20.00
to a maximum of two hours per day for five days
93576 - over five days. Medicine BR BR BR
93580 Consultation, initial three days, per visit to a maximum of two visits per day Medicine 19,000.00 22,000.00 20.00
- subsequent, per day to a maximum of one visit per day for seven days where no
93581 Medicine 19,000.00 22,000.00 20.00
surgery is undertaken
93582 - subsequent, pre-operative, per day to a maximum one visit per day for four days Medicine 19,000.00 22,000.00 20.00
- subsequent, post-operative in the absence of irreversible disease, per day to a

93583 Medicine 19,000.00 22,000.00 20.00
maximum of one visit per day for seven days
93590 - for the first forty-eight hours thereafter, per quarter of an hour Medicine 18,050.00 20,900.00 19.00
93591 - fee for service basis thereafter. Medicine FFS FFS FFS
94000 Peak flow - maximum per day Medicine 950.00 1,100.00 1.00
Vital capacity, with expiratory flow determinations and/or flow volume loop with
94001 Medicine 4,750.00 5,500.00 5.00
interpretation and report (Spirogram)
94002 - tracing only, without interpretation and report Medicine 2,850.00 3,300.00 3.00
94010 Pulmonary function test with vitallometer Medicine 26,600.00 30,800.00 28.00
94011 Forced expiratory volumes (F.E.V.O.5.F.E.V.I.O, etc) Medicine 5,700.00 6,600.00 6.00
Gas distribution. Closed circuit method (lung clearance method or single breath
94012 Medicine 12,350.00 14,300.00 13.00
oxygen curve)
94013 Lung volumes. Closed circuit method or body plythyssograph Medicine 26,600.00 30,800.00 28.00
94014 Air-way resistance and conductance using body plythyssograph Medicine 26,600.00 30,800.00 28.00
94015 Compliance and resistance using oesophageal balloon Medicine 26,600.00 30,800.00 28.00
Exercise testing with a combination of the following measurements; pulse, oxygen

94016 Medicine 26,600.00 30,800.00 28.00
uptake, ventilation, respiratory quotient, blood gases, compliance and resistance
94017 For complete pulmonary function battery, including the above Medicine 49,400.00 57,200.00 52.00
94019 Diffusion tests or equivalents Medicine 26,600.00 30,800.00 28.00
When using hospital equipment a 25% reduction will be granted on the above
94020 Medicine - - -
pulmonary function test
95005 Scratch or puncture test, unit charge per test Medicine - - -
95006 - minimum unit charge Medicine 13,300.00 15,400.00 14.00
95019 Intradermal test, unit charge per test Medicine 26,600.00 30,800.00 28.00
95039 Patch test, unit charge per test Medicine 19,000.00 22,000.00 20.00
95045 Prick test, unit charge per test Medicine - - -
95047 Punch biopsy Medicine 27,550.00 31,900.00 29.00
95050 Bilharzia skin test Medicine 950.00 1,100.00 1.00
95819 Electro-encephalogram (EEG), standard or portable same facility Medicine 95,000.00 110,000.00 100.00
95821 - portable, to an alternate facility Medicine 142,500.00 165,000.00 150.00
95822 - sleep Medicine 142,500.00 165,000.00 150.00
95823 - physical or pharmacological, activation Medicine 142,500.00 165,000.00 150.00

95824 - celebral death evaluation recording Medicine 142,500.00 165,000.00 150.00
95826 - intra-cerebral (depth) EEG Medicine - -
95828 - extended monitoring, greater than 1 hour Medicine 269,800.00 312,400.00 284.00
95829 - extended monitoring, 8 hours continous Medicine 416,100.00 481,800.00 438.00
95831 - sphenoidal recording, including insertion of electrode Medicine 142,500.00 165,000.00 150.00
95833 - interpretation of record Medicine 95,000.00 110,000.00 100.00
95836 Polysomnography; overnight sleep staging (digital) including interpretation of record Medicine 454,100.00 525,800.00 478.00
Multiple sleep latency testing, including recording, analysis and interpretation of

95837 Medicine 380,000.00 440,000.00 400.00
record
95842 Nerve conduction studies Medicine 79,800.00 92,400.00 84.00
95845 Somatosensory evoked potentials Medicine 147,250.00 170,500.00 155.00
95848 Visual evoked potentials; unilateral Medicine 155,800.00 180,400.00 164.00
95849 - bilateral Medicine 269,800.00 312,400.00 284.00
95851 Auditory evoked potentials and/or testing of the central nervous system Medicine 122,550.00 141,900.00 129.00
95860 Electromyography, one extremity and related paraspinal areas Medicine 95,000.00 110,000.00 100.00
95861 - two extremities and related paraspinal areas Medicine 171,000.00 198,000.00 180.00
95863 - three extremities and related paraspinal areas Medicine 209,000.00 242,000.00 220.00
95864 - four extrimites and related paraspinal areas Medicine 247,000.00 286,000.00 260.00
95867 Cranial nerve supplied muscles, unilateral. Medicine BR BR BR
95868 - bilateral. Medicine BR BR BR
- limited study of specific muscles, eg. external anal sphincter, thoracic spinal
95869 Medicine BR BR BR
muscles, etc.
95870 - interpretation of record Medicine 95,000.00 110,000.00 100.00
95880 Tensilon test for Myasthenia Gravis Medicine 23,750.00 27,500.00 25.00
96000 Cardio-pulmonary resuscitation, e.g. cardiac arrest Medicine 190,000.00 220,000.00 200.00
96010 Nebulisation 15-30 minutes Medicine 4,750.00 5,500.00 5.00

Electrical conversion of arrhythmia, external (independent, elective or semi-elective

96020 Medicine 19,000.00 22,000.00 20.00
procedure)
Chemical conversion of arrhythmia requiring intravenous bolus of anti-arrhythmia

96021 Medicine 3,800.00 4,400.00 4.00
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 Medicine 2,850.00 3,300.00 3.00
applicable to an intensive care situation. Appropriate consultation fee plus
96055 Injection of intrathecal chemotherapeutic agent, administered by physician Medicine 6,650.00 7,700.00 7.00
96090 Gastric lavage, therapeutic - detention time plus Medicine FFS FFS FFS
96100 Desensitisation injection Medicine 2,850.00 3,300.00 3.00
96250 Hypothermia, regional Medicine 22,800.00 26,400.00 24.00
96450 Phlebotomy, therapeutic (independent procedure) Medicine 2,850.00 3,300.00 3.00
96451 Bone marrow - aspiration Medicine 5,700.00 6,600.00 6.00
96452 Radioscopy of chest Medicine 3,800.00 4,400.00 4.00
Morphine saturation test - morphine injection (plus intravenous infusion as per item
96460 Medicine 2,850.00 3,300.00 3.00
36410)
96461 For each 15 minutes in attendance up to a maximum of 45 minutes Medicine 2,850.00 3,300.00 3.00
Pentothal saturation test - pentothal injection (plus intravenous infusion as per item
96462 Medicine 2,850.00 3,300.00 3.00
36410)
96463 For each 15 minutes in attendance up to a maximum of 30 minutes Medicine 2,850.00 3,300.00 3.00
Cost of material, excluding local anaesthetic (see 96470), for minor procedure
96465 Medicine At cost At cost At cost
under local anaesthetic undertaken in rooms. Invoices to be attached.
96470 Local anaesthetic, including anaesthetic agent Medicine 2,850.00 3,300.00 3.00
96475 Venesection pack for therapeutic phlebotomy Medicine At cost At cost At cost
Abstract from clinical records or report supplied at the request of a medical aid
96480 Medicine 4,750.00 5,500.00 5.00
society and with the patient's prior agreement. Not applicable to BR items.
96900 Actinotherapy (Ultraviolet light), local Medicine 1,900.00 2,200.00 2.00
96905 - general Medicine 4,750.00 5,500.00 5.00
96906 - to part or whole of body, administrated by trained nurse Medicine 1,900.00 2,200.00 2.00
Dressing materials used, or a combination thereof, including therapeutic bandages,

etc
Dressing materials used, or a combination thereof, including therapeutic bandages,

etc to a maximum of seven dressings per lesion
Superficial or orthovoltage (under 600 KVP) dermatoses, 3 fields or less, per

96940 Medicine 4,750.00 5,500.00 5.00
treatment
96941 - more than 3 fields, per treatment Medicine 5,700.00 6,600.00 6.00
96942 - other benign lesions, 3 fields or less, per treatment Medicine 5,700.00 6,600.00 6.00
96944 - super voltage (600 KVP - 2MeV) malignant lesion per course of treatment Medicine 30,400.00 35,200.00 32.00
General Practitioners. Per km travelled. Applicable to all domiciliary visits and

96991 emergency visits to hospitals and nursing homes. Emergency visits to consulting Medicine 294.50 341.00 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 Medicine 294.50 341.00 0.31
7am, public holidays 7am - 5pm). Time to be specified. If second patient seen, no
additional
97600 Initial Consultation. Medicine 23,750.00 27,500.00 25.00
Initial Consultation: Simple wound -This assessment code to be used only with first
97601 Medicine 4,750.00 5,500.00 5.00
consultation in healthy patients with minimal factors which may influence healing
97602 Subsequent Consultation Medicine 17,100.00 19,800.00 18.00
Wound Treatment for complicated wound or potentially complicated wounds in

patient with metabolic conditions. -Patients requiring compression bandaging,
97603 Medicine 14,250.00 16,500.00 15.00
debridement , off loading .Ongoing wound re-assessment and education with every
visit
Per specimen. This included correct collection of material, swab or tissue,
97604 Medicine 2,850.00 3,300.00 3.00
completion of documentation
97605 Simple dressing (Conventional Dressing) Medicine 4,750.00 5,500.00 5.00
97606 Advanced Wound Care Dressing Medicine 14,250.00 16,500.00 15.00
97607 Short Compression (2-3 bandages layers) Medicine 14,250.00 16,500.00 15.00
97608 Full Compression (4-6 bandages layers) Medicine 17,100.00 19,800.00 18.00
97609 Compression with drainage Medicine 20,900.00 24,200.00 22.00
Negative pressure wound therapy (e.g., vacuum assisted drainage collection),

utilizing durable medical equipment (DME), including topical application(s), wound
97610 Medicine 14,250.00 16,500.00 15.00
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 Medicine 21,850.00 25,300.00 23.00
Negative pressure wound therapy, (e.g., vacuum assisted drainage collection),

utilizing disposable, non-durable medical equipment including provision of exudates
97612 Medicine 21,850.00 25,300.00 23.00
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 Medicine 21,850.00 25,300.00 23.00
ANAESTHETICS - COMPOSITE TARIFF
97009 Initial consultation in HDU 142,500.00 165,000.00 150.00
97010 Consultation - Subsequent in HDU 95,000.00 110,000.00 100.00
99501 Amputation, digits Orthopaedics 300,200.00 347,600.00 316.00
99502 Depo medrol injection Orthopaedics 300,200.00 347,600.00 316.00
99503 Excision ganglion Orthopaedics 300,200.00 347,600.00 316.00

99504 Foreign body removal Orthopaedics 300,200.00 347,600.00 316.00
99505 Incision and drainage, digits Orthopaedics 300,200.00 347,600.00 316.00
99506 In-growing toe nails Orthopaedics 300,200.00 347,600.00 316.00
99507 K-wire removal Orthopaedics 300,200.00 347,600.00 316.00
99508 Manipulation under anaesthetic and plaster of Paris Orthopaedics 300,200.00 347,600.00 316.00
99509 Planter warts Orthopaedics 300,200.00 347,600.00 316.00
99515 Carpal tunnel release Orthopaedics 455,050.00 526,900.00 479.00
99516 Excision of bursae Orthopaedics 455,050.00 526,900.00 479.00
99517 Excision of lipoma Orthopaedics 455,050.00 526,900.00 479.00
99518 Arthroscopy Orthopaedics 599,450.00 694,100.00 631.00
99519 Arthrotomy Orthopaedics 580,450.00 672,100.00 611.00
99520 Incision and drainage myositic abscess Orthopaedics 580,450.00 672,100.00 611.00
99521 K-nail removal Orthopaedics 580,450.00 672,100.00 611.00
99522 Removal of plate and screws Orthopaedics 580,450.00 672,100.00 611.00
99523 Sequestrectomy Orthopaedics 580,450.00 672,100.00 611.00
99524 Split-skin graft/debridement Orthopaedics 580,450.00 672,100.00 611.00
99525 Tendon repairs Orthopaedics 580,450.00 672,100.00 611.00
99531 Amputation of limbs Orthopaedics 871,150.00 1,008,700.00 917.00
99532 Dynamic condylar screw removal Orthopaedics 871,150.00 1,008,700.00 917.00
99533 Dynamic hip screw removal Orthopaedics 871,150.00 1,008,700.00 917.00
99534 K-nail insertion Orthopaedics 871,150.00 1,008,700.00 917.00
99535 Medical soft tissue release Orthopaedics 871,150.00 1,008,700.00 917.00
99536 Open reduction and internal fixation, arm/leg Orthopaedics 871,150.00 1,008,700.00 917.00
99537 Open rediction and internal fixation clavicle Orthopaedics 871,150.00 1,008,700.00 917.00
99538 Open reduction and internal fixation, femur Orthopaedics 871,150.00 1,008,700.00 917.00
99545 G-K nail insertion Orthopaedics 1,354,700.00 1,568,600.00 1,426.00
99546 Dynamic condylar screw insertion Orthopaedics 1,354,700.00 1,568,600.00 1,426.00
99547 Dynamic hip screw insertion Orthopaedics 1,354,700.00 1,568,600.00 1,426.00
99548 Hemiarthroplasty Orthopaedics 1,354,700.00 1,568,600.00 1,426.00
99549 Multiple trauma Orthopaedics 1,354,700.00 1,568,600.00 1,426.00
99550 Total hip replacement Orthopaedics 1,548,500.00 1,793,000.00 1,630.00
99551 Total knee replacement Orthopaedics 1,548,500.00 1,793,000.00 1,630.00
99561 Chalazion Ophthamology 345,800.00 400,400.00 364.00
99562 Conjunctival mass excision Ophthamology 345,800.00 400,400.00 364.00
99563 Examination under anaesthetic/fundoscopy Ophthamology 345,800.00 400,400.00 364.00
99564 Pterygectomy Ophthamology 345,800.00 400,400.00 364.00
99565 Syringing and probing Ophthamology 147,250.00 170,500.00 155.00
99571 Foreign body removal Ophthamology 218,500.00 253,000.00 230.00
99572 Gundason flap Ophthamology 218,500.00 253,000.00 230.00
99573 Keratectomy Ophthamology 218,500.00 253,000.00 230.00
99574 Anterior vitrectomy Ophthamology 294,500.00 341,000.00 310.00
99575 Cataract Ophthamology 294,500.00 341,000.00 310.00
99576 Corneal repair Ophthamology 294,500.00 341,000.00 310.00
99577 Cryotherapy Ophthamology 285,000.00 330,000.00 300.00
99578 Ectropion/entropion Ophthamology 285,000.00 330,000.00 300.00
99579 Enucleation Ophthamology 294,500.00 341,000.00 310.00
99580 Ptosis Ophthamology 294,500.00 341,000.00 310.00
99581 Squint Ophthamology 294,500.00 341,000.00 310.00
99582 Tarsorrhaphy Ophthamology 285,000.00 330,000.00 300.00
99583 Trabeculectomy Ophthamology 285,000.00 330,000.00 300.00

99591 Cornael grafting Ophthamology 427,500.00 495,000.00 450.00
99592 Exenteration Ophthamology 427,500.00 495,000.00 450.00
99593 Dacryocystorhinostomy Ophthamology 380,000.00 440,000.00 400.00
99594 Pars plana vitrectomy Ophthamology 380,000.00 440,000.00 400.00
99595 Retinal detachment Ophthamology 380,000.00 440,000.00 400.00
99596 Silicon oil removal Ophthamology 380,000.00 440,000.00 400.00
99601 Dental wire removal Dental/Maxiollofacial 277,400.00 321,200.00 292.00
99602 Biopsy lesion in mouth Dental/Maxiollofacial 407,550.00 471,900.00 429.00
99603 Cyst enucleation Dental/Maxiollofacial 407,550.00 471,900.00 429.00
99605 Fillings extraction Dental/Maxiollofacial 555,750.00 643,500.00 585.00
99606 Orbit Dental/Maxiollofacial 741,000.00 858,000.00 780.00
99607 Parotid tumour Dental/Maxiollofacial 741,000.00 858,000.00 780.00
99608 Cleft lip/palate Dental/Maxiollofacial 741,000.00 858,000.00 780.00
99609 Palatal tumour Dental/Maxiollofacial 741,000.00 858,000.00 780.00
99615 Excision of maxillary/mandibular tumuors Dental/Maxiollofacial 1,110,550.00 1,285,900.00 1,169.00
99616 Fractures, facial bones Dental/Maxiollofacial 1,110,550.00 1,285,900.00 1,169.00
99621 Anal dilatation General Surgery 318,250.00 368,500.00 335.00
99622 Cautery of warts General Surgery 318,250.00 368,500.00 335.00
99623 Circumcision General Surgery 329,650.00 381,700.00 347.00
99624 Colonoscopy General Surgery 318,250.00 368,500.00 335.00
99625 Fissure-in-ano General Surgery 318,250.00 368,500.00 335.00
99626 Ganglion excision General Surgery 318,250.00 368,500.00 335.00
99627 Haemorroids General Surgery 318,250.00 368,500.00 335.00
99628 Proctoscopy General Surgery 318,250.00 368,500.00 335.00
99629 Sigmoidoscopy General Surgery 318,250.00 368,500.00 335.00

99630 Breast biopsy General Surgery 329,650.00 381,700.00 347.00
99631 Bursae General Surgery 329,650.00 381,700.00 347.00
99632 Incision and drainage of abscess General Surgery 318,250.00 368,500.00 335.00
99633 Lipoma General Surgery 329,650.00 381,700.00 347.00
99641 Appendicectomy General Surgery 488,300.00 565,400.00 514.00
99642 Incisional hernia General Surgery 488,300.00 565,400.00 514.00
99643 Inguinal hernia General Surgery 488,300.00 565,400.00 514.00
99644 Split-skin graft/debridement General Surgery 488,300.00 565,400.00 514.00
99645 Umbilical hernia General Surgery 488,300.00 565,400.00 514.00
99651 Colostomy General Surgery 658,350.00 762,300.00 693.00
99652 Exploratory laparotomy General Surgery 658,350.00 762,300.00 693.00
99653 Mastectomy (radical) General Surgery 658,350.00 762,300.00 693.00
99654 Mastectomy (simple) General Surgery 658,350.00 762,300.00 693.00
99655 Parotidectomy and nerve dissection General Surgery 658,350.00 762,300.00 693.00
99656 Parotidectomy (superficial) General Surgery 658,350.00 762,300.00 693.00
99657 Thyroid surgery General Surgery 955,700.00 1,106,600.00 1,006.00
99658 Bowel obstruction General Surgery 955,700.00 1,106,600.00 1,006.00
99659 Cholecystectomy General Surgery 955,700.00 1,106,600.00 1,006.00
99660 Gastrectomy General Surgery 955,700.00 1,106,600.00 1,006.00
99661 Hemicolectomy General Surgery 955,700.00 1,106,600.00 1,006.00
99665 Liver surgery General Surgery 2,018,750.00 2,337,500.00 2,125.00
99666 Abdominoperineal resection General Surgery 2,018,750.00 2,337,500.00 2,125.00
99667 Oesophagectomy General Surgery 2,337,000.00 2,706,000.00 2,460.00
99668 Phaeochromocytoma General Surgery 2,549,800.00 2,952,400.00 2,684.00
99681 Cautery of warts Urology 147,250.00 170,500.00 155.00

99682 Circumcision Urology 147,250.00 170,500.00 155.00
99683 Cystoscopy Urology 147,250.00 170,500.00 155.00
99684 Examination under anaethetic Urology 147,250.00 170,500.00 155.00
99685 J J stent insertion Urology 147,250.00 170,500.00 155.00
99686 J J stent removal Urology 147,250.00 170,500.00 155.00
99687 Optical internal urethrotomy Urology 147,250.00 170,500.00 155.00
99688 Testicular biopsy Urology 147,250.00 170,500.00 155.00
99695 Orchidectomy Urology 223,250.00 258,500.00 235.00
99696 Orchidopexy Urology 223,250.00 258,500.00 235.00
99697 Retrograde urogram Urology 223,250.00 258,500.00 235.00
99698 Vasectomy Urology 223,250.00 258,500.00 235.00
99705 Bladder neck dissection/resection Urology 223,250.00 258,500.00 235.00
99706 Hypospadias repair Urology 223,250.00 258,500.00 235.00
99707 Transuretheral resection of prostate Urology 622,250.00 720,500.00 655.00
99708 Transvesical prostatectomy Urology 223,250.00 258,500.00 235.00
99715 Nephrectomy Urology 475,000.00 550,000.00 500.00
99716 Pyeloplasty Urology 475,000.00 550,000.00 500.00
99717 Reimplantation of ureters Urology 475,000.00 550,000.00 500.00
99718 Cystectomy Urology 950,000.00 1,100,000.00 1,000.00
99719 Urinary diversion Urology 950,000.00 1,100,000.00 1,000.00
99720 Radical prostatectomy Urology 950,000.00 1,100,000.00 1,000.00
99731 Circumcision, under 6 months Paediatric Surgery 170,050.00 196,900.00 179.00
99732 Circumcision, over 6 months Paediatric Surgery 170,050.00 196,900.00 179.00
99733 Examination under anaesthetic Paediatric Surgery 170,050.00 196,900.00 179.00
99734 Incision and drainage of abscess Paediatric Surgery 170,050.00 196,900.00 179.00
99735 Lumps and bumps Paediatric Surgery 170,050.00 196,900.00 179.00
99736 Rectal biopsy Paediatric Surgery 170,050.00 196,900.00 179.00
99737 Tongue tie Paediatric Surgery 170,050.00 196,900.00 179.00
99741 Hernia repair, under 6 months Paediatric Surgery 290,700.00 336,600.00 306.00
99742 Hernia repair, over 6 months Paediatric Surgery 290,700.00 336,600.00 306.00
99743 Orchidopexy Paediatric Surgery 290,700.00 336,600.00 306.00
99751 Bowel obstruction Paediatric Surgery 450,300.00 521,400.00 474.00
99752 Colostomy Paediatric Surgery 450,300.00 521,400.00 474.00
99753 Intussusception Paediatric Surgery 450,300.00 521,400.00 474.00
99754 Pyloroplasty Paediatric Surgery 450,300.00 521,400.00 474.00
99761 Bowel atresia Paediatric Surgery 1,001,300.00 1,159,400.00 1,054.00
99762 Gastroschisis Paediatric Surgery 1,001,300.00 1,159,400.00 1,054.00
99763 Anal pull through (PENA pull through) Paediatric Surgery 1,001,300.00 1,159,400.00 1,054.00
99764 Tracheoesophageal fistula Paediatric Surgery 1,451,600.00 1,680,800.00 1,528.00
99765 Repair of cloaca Paediatric Surgery 1,451,600.00 1,680,800.00 1,528.00
99771 Peripheral nerves Neurosurgery 266,000.00 308,000.00 280.00
99775 Burr holes, epidural, subdural. Biopsy Neurosurgery 578,550.00 669,900.00 609.00
99776 Elevation of depressed fracture Neurosurgery 578,550.00 669,900.00 609.00
99777 Ventriculo-peritoneal shunt, adult Neurosurgery 578,550.00 669,900.00 609.00
99778 Ventriculo-peritoneal shunt, infant under 6 months Neurosurgery 578,550.00 669,900.00 609.00
99779 Ventriculo-peritoneal shunt, infant over 6 months Neurosurgery 578,550.00 669,900.00 609.00
99785 Laminectomy Neurosurgery 810,350.00 938,300.00 853.00
99786 Cervical fusion Neurosurgery 902,500.00 1,045,000.00 950.00
99791 Craniotomy for tumour Neurosurgery 1,273,000.00 1,474,000.00 1,340.00
99792 Posterior fossa surgery Neurosurgery 1,273,000.00 1,474,000.00 1,340.00

99793 Transphenoidal procedures Neurosurgery 1,273,000.00 1,474,000.00 1,340.00
99801 A-port insertion Cardiothoracic/Vascular 220,400.00 255,200.00 232.00
99802 Bronchoscopy and biopsy Cardiothoracic/Vascular 337,250.00 390,500.00 355.00
99803 Bronchoscopy and lavage Cardiothoracic/Vascular 337,250.00 390,500.00 355.00
99804 Oesophagoscopy Cardiothoracic/Vascular 337,250.00 390,500.00 355.00
99805 Thoracoscopy Cardiothoracic/Vascular 337,250.00 390,500.00 355.00
99811 Lobectomy Cardiothoracic/Vascular 734,350.00 850,300.00 773.00
99812 Pulmonary segmentectomy Cardiothoracic/Vascular 734,350.00 850,300.00 773.00
99815 Pneumonectomy Cardiothoracic/Vascular 1,615,000.00 1,870,000.00 1,700.00
99816 Mediastinal surgery, other Cardiothoracic/Vascular 1,394,600.00 1,614,800.00 1,468.00
99817 Valvotomy Cardiothoracic/Vascular 1,615,000.00 1,870,000.00 1,700.00
99818 Pericardectomy Cardiothoracic/Vascular 1,027,900.00 1,190,200.00 1,082.00
99819 Pericardial window Cardiothoracic/Vascular 1,027,900.00 1,190,200.00 1,082.00
99820 Oesophagectomy Cardiothoracic/Vascular 1,615,000.00 1,870,000.00 1,700.00
99825 Peripheral endarterectomy Cardiothoracic/Vascular 851,200.00 985,600.00 896.00
99826 Aortofemoral graft Cardiothoracic/Vascular 1,144,750.00 1,325,500.00 1,205.00
99827 Aortoiliac graft Cardiothoracic/Vascular 1,144,750.00 1,325,500.00 1,205.00
99828 Carotid endarterectomy Cardiothoracic/Vascular 1,144,750.00 1,325,500.00 1,205.00
99829 Coarctation of aorta Cardiothoracic/Vascular 1,144,750.00 1,325,500.00 1,205.00
99830 Femorofemoral Cardiothoracic/Vascular 1,144,750.00 1,325,500.00 1,205.00
99831 Femoropopliteal Cardiothoracic/Vascular 1,144,750.00 1,325,500.00 1,205.00
99832 Iliofemoral Cardiothoracic/Vascular 1,144,750.00 1,325,500.00 1,205.00
99833 Patent ductus arteriosus ligation Cardiothoracic/Vascular 1,424,050.00 1,648,900.00 1,499.00
99834 Aortic aneurysm Cardiothoracic/Vascular 1,615,000.00 1,870,000.00 1,700.00
99841 Open heart surgery Cardiothoracic/Vascular 2,568,800.00 2,974,400.00 2,704.00

99851 Bartholins abscess Obstetrics and Gynaecology 272,650.00 315,700.00 287.00
99852 Cautery of warts Obstetrics and Gynaecology 272,650.00 315,700.00 287.00
99853 Cervical surgery Obstetrics and Gynaecology 272,650.00 315,700.00 287.00
99854 Dilatation and curettage Obstetrics and Gynaecology 272,650.00 315,700.00 287.00
99855 Evacuation of uterus Obstetrics and Gynaecology 272,650.00 315,700.00 287.00
99856 Intra-uterine contraceptive device, insertion Obstetrics and Gynaecology 272,650.00 315,700.00 287.00
99857 Intra-uterine contraceptive device, removal Obstetrics and Gynaecology 272,650.00 315,700.00 287.00
99861 Laparoscopy and dye studies Obstetrics and Gynaecology 418,000.00 484,000.00 440.00
99862 Laparoscopy Obstetrics and Gynaecology 418,000.00 484,000.00 440.00
99863 Mini-laparotomy Obstetrics and Gynaecology 418,000.00 484,000.00 440.00
99864 Perineal repair Obstetrics and Gynaecology 418,000.00 484,000.00 440.00
99865 Tubal ligation Obstetrics and Gynaecology 418,000.00 484,000.00 440.00
99871 Caesarian section Obstetrics and Gynaecology 563,350.00 652,300.00 593.00
99872 Ectopic (not ruptured) Obstetrics and Gynaecology 563,350.00 652,300.00 593.00
99873 Laparotomy Obstetrics and Gynaecology 563,350.00 652,300.00 593.00
99874 Myomectomy Obstetrics and Gynaecology 563,350.00 652,300.00 593.00
99875 Ovarian cystectomy Obstetrics and Gynaecology 563,350.00 652,300.00 593.00
99881 Ectopic (ruptured) Obstetrics and Gynaecology 817,950.00 947,100.00 861.00
99882 Eclampsia Obstetrics and Gynaecology 817,950.00 947,100.00 861.00
99883 Ruptured uterus Obstetrics and Gynaecology 817,950.00 947,100.00 861.00
99884 Total abdominal hysterectomy Obstetrics and Gynaecology 817,950.00 947,100.00 861.00
Reconstructive and Cosmetic

99891 Excision polydactaly/syndactaly 142,500.00 165,000.00 150.00
surgery

99892 Excision of benign/malignant skin lesions 142,500.00 165,000.00 150.00
surgery

99893 Excision small keloid scar 142,500.00 165,000.00 150.00
surgery

99894 Repair small wound 142,500.00 165,000.00 150.00
surgery
99895 Excision extensive keloid scar 218,500.00 253,000.00 230.00
surgery

99901 Release ectropion 285,000.00 330,000.00 300.00
surgery

99902 Release of contracture/split-skin graft 294,500.00 341,000.00 310.00
surgery

99903 Rotation flaps (minor) 294,500.00 341,000.00 310.00
surgery

99904 Complex skin repairs 294,500.00 341,000.00 310.00
surgery

99911 Cleft lip and/palate 522,500.00 605,000.00 550.00
surgery

99912 Rotation flaps (major) 522,500.00 605,000.00 550.00
surgery

99915 Chin/neck lift only 522,500.00 605,000.00 550.00
surgery

99916 Eye lids only 522,500.00 605,000.00 550.00
surgery

99917 Mastectomy for gynaecomastia 522,500.00 605,000.00 550.00
surgery

99918 Face lift 760,000.00 880,000.00 800.00
surgery

99919 Liposuction 760,000.00 880,000.00 800.00
surgery

99920 Abdominoplasty 855,000.00 990,000.00 900.00
surgery

99921 Reduction mammoplasty 855,000.00 990,000.00 900.00
surgery
99931 Antrum washout Ear-Nose and Throat 393,300.00 455,400.00 414.00
99932 Excision of nasal polyps Ear-Nose and Throat 393,300.00 455,400.00 414.00
99933 Foreign body removal in nose/ear Ear-Nose and Throat 393,300.00 455,400.00 414.00
99934 Grommets/tympanotomy Ear-Nose and Throat 393,300.00 455,400.00 414.00
99935 Lymph node biopsy Ear-Nose and Throat 393,300.00 455,400.00 414.00
99936 Myringotomy Ear-Nose and Throat 393,300.00 455,400.00 414.00
99937 Otoscopy Ear-Nose and Throat 393,300.00 455,400.00 414.00
99941 Adenoidectomy Ear-Nose and Throat 628,900.00 728,200.00 662.00
99942 Laryngoscopy Ear-Nose and Throat 785,650.00 909,700.00 827.00
99943 Parotidectomy Ear-Nose and Throat 785,650.00 909,700.00 827.00
99944 Sinusotomy Ear-Nose and Throat 785,650.00 909,700.00 827.00

99945 Tonsillectomy Ear-Nose and Throat 785,650.00 909,700.00 827.00
99946 Turbinectomy Ear-Nose and Throat 785,650.00 909,700.00 827.00
99947 Tympanoplasty Ear-Nose and Throat 785,650.00 909,700.00 827.00
99948 Cochlear implant surgery Ear-Nose and Throat 5,502,400.00 6,371,200.00 5,792.00
99951 Epistaxis control Ear-Nose and Throat 628,900.00 728,200.00 662.00
99952 Ethmoidectomy Ear-Nose and Throat 628,900.00 728,200.00 662.00
99953 Functional endoscopic sinus surgery Ear-Nose and Throat 1,047,850.00 1,213,300.00 1,103.00
99954 Mastoidectomy Ear-Nose and Throat 628,900.00 728,200.00 662.00
99955 Maxillectomy Ear-Nose and Throat 628,900.00 728,200.00 662.00
99956 Rhinoplasty Ear-Nose and Throat 628,900.00 728,200.00 662.00
99957 Tracheostomy Ear-Nose and Throat 628,900.00 728,200.00 662.00
99961 Excision of laryngeal papillomata Ear-Nose and Throat 1,310,050.00 1,516,900.00 1,379.00
99962 Laryngectomy Ear-Nose and Throat 1,310,050.00 1,516,900.00 1,379.00
99963 Neck dissection Ear-Nose and Throat 1,310,050.00 1,516,900.00 1,379.00
99964 Pharyngoplasty Ear-Nose and Throat 628,900.00 728,200.00 662.00

Cimas Tariffs For Zimbabwe Relative Value Schedule - Effective 1 March 2023

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CIMAS TARIFFS FOR ZIMBABWE RELATIVE VALUE SCHEDULE - EFFECTIVE 1 MARCH 2023

ZWL ZWL USD

10001 second lesion Intergumentary system 12,350.00 14,300.00 13.00

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

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

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

10061 - under general anaesthetic Intergumentary system 276,450.00 320,100.00 291.00

10101 - multiple or complicated Intergumentary system 12,350.00 14,300.00 13.00

10121 - complicated Intergumentary system 345,800.00 400,400.00 364.00

10140 Drainage of haematoma: simple Intergumentary system 190,000.00 220,000.00 200.00

10141 - under general anaesthetic Intergumentary system 45,600.00 52,800.00 48.00

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

11101 - each additional lesion Intergumentary system 57,950.00 67,100.00 61.00

11102 Biopsy, punch Intergumentary system 12,350.00 14,300.00 13.00

11400 - lesion diameter up to 0.5 cm Intergumentary system 139,650.00 161,700.00 147.00

11420 - lesion diameter up to 0.5 cm Intergumentary system 148,200.00 171,600.00 156.00

11431 Lesions up to 0.5 cm in diameter Intergumentary system 122,550.00 141,900.00 129.00

11440 - lesion diameter up to 0.5 cm Intergumentary system 170,050.00 196,900.00 179.00

11451 - with complex repair Intergumentary system 627,950.00 727,100.00 661.00

11463 - with coplex repair Intergumentary system 575,700.00 666,600.00 606.00

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

11471 - with complex repair Intergumentary system 643,150.00 744,700.00 677.00

11600 - lesion diameter up to 0.15 cm Intergumentary system 234,650.00 271,700.00 247.00

11620 - lesion diameter up to 0.5 cm Intergumentary system 243,200.00 281,600.00 256.00

11640 - lesion diameter up to 0.5 cm Intergumentary system 278,350.00 322,300.00 293.00

11731 - second nail plate Intergumentary system 15,200.00 17,600.00 16.00

11900 Injection, intralesional Intergumentary system 72,200.00 83,600.00 76.00

11901 - more than 7 lesions Intergumentary system 104,500.00 121,000.00 110.00

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

11921 - 6 to 20 sq cm Intergumentary system 312,550.00 361,900.00 329.00

11922 - over 20 sq cm Intergumentary system 72,200.00 83,600.00 76.00

11951 1 to 5 ml Intergumentary system 191,900.00 222,200.00 202.00

11952 - 6 to 10 ml Intergumentary system 243,200.00 281,600.00 256.00

11953 - over 10 ml Intergumentary system 53,200.00 61,600.00 56.00

12001 Up to 2.5 cm Intergumentary system 188,100.00 217,800.00 198.00

12004 7.5 to 12.5 cm Intergumentary system 265,050.00 306,900.00 279.00

12005 12.5 to 20 cm Intergumentary system 337,250.00 390,500.00 355.00

12006 20 to 30 cm Intergumentary system 424,650.00 491,700.00 447.00

12011 Up to 2.5 cm Intergumentary system 205,200.00 237,600.00 216.00

12013 2.5 to 5.0 cm Intergumentary system 240,350.00 278,300.00 253.00

12014 5.0 to 7.5 cm Intergumentary system 287,850.00 333,300.00 303.00

12015 7.5 to 12.5 cm Intergumentary system 375,250.00 434,500.00 395.00

12016 12.5 to 20 cm Intergumentary system 471,200.00 545,600.00 496.00

12061 - first hour Intergumentary system 107,350.00 124,300.00 113.00

13003 - first hour Intergumentary system 152,950.00 177,100.00 161.00

13008 - first hour Intergumentary system 367,650.00 425,700.00 387.00

13101 -2.5 to 7.5 cm Intergumentary system 542,450.00 628,100.00 571.00

13121 -2.5 to 7.5 cm Intergumentary system 621,300.00 719,400.00 654.00

13122 - each additional 7.5 cm Intergumentary system 187,150.00 216,700.00 197.00

13141 -2.5 to 7.5 cm Intergumentary system 152,950.00 177,100.00 161.00

13142 - each additional 7.5 cm Intergumentary system 53,200.00 61,600.00 56.00

13161 -2.5 to 7.5 cm Intergumentary system 198,550.00 229,900.00 209.00

13162 - each additional 7.5 cm Intergumentary system 76,950.00 89,100.00 81.00

14020 For defects up to 10 sq cm Intergumentary system 1,001,300.00 1,159,400.00 1,054.00

14021 - 10 sq cm to 30 sq cm Intergumentary system 1,393,650.00 1,613,700.00 1,467.00

14040 For defects up to 10 sq cm Intergumentary system 1,199,850.00 1,389,300.00 1,263.00

14041 - 10 sq cm to 30 sq cm Intergumentary system 1,618,800.00 1,874,400.00 1,704.00

14060 For defects up to 10 sq cm Intergumentary system 1,328,100.00 1,537,800.00 1,398.00

14061 - 10 sq cm to 30 sq cm Intergumentary system 1,861,050.00 2,154,900.00 1,959.00