NHRPL FEES 2015 General Medical Practice

Transcription

1 WITH PREFERRED PROVIDER PRICE FOR DISCOVERY x 147% NHRPL FEES 2015 General Medical Practice Sales Client Services: Tel: , Cell: , Software support: , Description Code Discovery Gems Bonitas Polmed Medihelp Bankmed Medshield Fedhealth Liberty Momentum 0007 R R R R R R R R R R a) Use of own monitoring equipment in the rooms: Remuneration for the use of any type of own monitoring equipment in the rooms for 0017 R R R R R R R R R R Injections administered by practitioners: When desensitisation; intravenous; intramuscular or subcutaneous injections are administered b 0048 R R R R R R R R R R Where in the treatment of a fracture or dislocation; an initial closed reduction is followed within one month by further closed reductions 0049 R R R R R R R R R R Except where otherwise specified; in cases of compound fractures; 77;00 clinical procedure units (specialists) and 77;00 clinical procedure 0050 R R R R R R R R R R In cases of a compound fracture where a debridement is followed by internal fixation (excluding fixation with Kirschner wires; as well as f 0051 R R R R R R R R R R Fractures requiring open reduction; internal fixation; external skeletal fixation and/or bone grafting: Specialists add 77;00 clinical procedu 0053 R R R R R R R R R R Fracture requiring percutaneous internal fixation [insertion and removal of fixatives (wires) in respect of fingers and toes included]: Specia 0055 R R R R R R R R R R Dislocation requiring open reduction: Units for the specific joint plus 77;00 clinical procedure units for specialists. General practitioners ad 0070 R R R R R R R R R R Add 45;00 clinical procedure units to procedure(s) performed through a thorascope 0075 R R R R R R R R R R Endoscopic procedures performed in own procedure room: The fee plus 21;00 clinical procedure units will apply where endoscopic proce 0107 R R R R R R R R R R New born attendance: Exclusive attendance to baby at Caesarean section; normal delivery or visit in the ward (once per patient) (items 0 08 January 2015 Page 1 of 134

2 0109 R R R R R R R R R R Hospital follow-up visit to patient in ward or nursing facility - Refer to general rule G(a) for post-operative care) (may only be charged onc 0113 R R R R R R R R R R New born attendance: Emergency attendance to newborn at all hours (once per patient) (items 0107; 0109; 0111; 0145; 0146 and/or R R R R R R R R R R Prolonged face-to-face attendance to a patient: ADD to either item 0192; item 0175; item 0164 or item 0169 as appropriate; for each R R R R R R R R R R Telephone consultation (all hours) 0132 R R R R R R R R R R Consulting service e.g. writing of repeat scripts or requesting routine pre-authorisation without the physical presence of the patient (need 0133 R R R R R R R R R R Writing of special motivations for procedures and treatment without the physical presence of a patient (includes report on the clinical con 0145 R R R R R R R R R R For consultation/visit away from the doctor's home or rooms (non-emergency): ADD only to the consultation/visit items ; item 0146 R R R R R R R R R R For an unscheduled emergency consultation/visit at the doctors' home or rooms; all hours: ADD only to the consultation/visit items R R R R R R R R R R For an emergency consultation/visit away from the doctor's home or rooms; all hours: ADD only to the consultation/visit items R R R R R R R R R R Pre-anaesthetic assessment: Pre-anaesthetic assessment of patient (all hours). Problem focused history and clinical examination and strai 0152 R R R R R R R R R R Pre-anaesthetic assessment: Pre-anaesthetic assessment of patient (all hours). Detailed history and clinical examination and straightforwa 0153 R R R R R R R R R R Pre-anaesthetic assessment: Pre-anaesthetic assessment of patient or other consultative service. Consultation with detailed history; com 0165 R R R R R R R R R R Use of contrast during ultrasound study: add 6.00 ultrasound units 0173 R R R R R R R R R R First hospital consultation/visit of an average duration and/or complexity. Includes counselling with the patient and/or family and co-ordi 08 January 2015 Page 2 of 134

3 0174 R R R R R R R R R R First hospital consultation/visit of a moderately above average duration and/or complexity. Includes counselling with the patient and/or f 0175 R R R R R R R R R R First hospital consultation/visit of long duration and/or high complexity. Includes counselling with the patient and/or family and co-ordina 0181 R R R R R R R R R R Prime Cure Health 0181 A;C;P Level 4 - Dispensing 0181 R R R R R R R R R R Prime Cure Health 0181 A;C;P Level 1 - Dispensing 0181 R R R R R R R R R R Prime Cure Health 0181 A;C;P Level 2 - Dispensing 0181 R R R R R R R R R R Prime Cure Health 0181 A;C;P Level 3 - Dispensing 0190 R R R R R R R R R R New and established patient: Consultation/visit of new or established patient of an average duration and/or complexity. Includes counsel 0191 R R R R R R R R R R New and established patient: Consultation/visit of new or established patient of a moderately above average duration and/or complexity R R R R R R R R R R New and established patient: Consultation/visit of new or established patient of long duration and/or high complexity. Includes counselli 0199 R R R R R R R R R R Completion of chronic medication forms by medical practitioners with or without the physical presence of the patient requested by or on 0202 R R R R R R R R R R Setting of sterile tray: A fee of 10;00 clinical procedure units may be charged for the setting of a sterile tray where a sterile procedure is p 0203 R R R R R R R R R R Inhalation sedation: Use of analgesic nitrous oxide for alcohol and other withdrawal states: First quarter-hour or part thereof 0204 R R R R R R R R R R Inhalation sedation: Per additional quarter-hour or part thereof 0205 R R R R R R R R R R Intravenous treatment: Intravenous infusions (cut-down or push-in) (patients under three years): Cut-down and/or insertion of cannula - c 08 January 2015 Page 3 of 134

4 0206 R R R R R R R R R R Intravenous treatment: Intravenous infusions (push-in) (patients over three years): Insertion of cannula - chargeable once per 24 hours 0207 R R R R R R R R R R Intravenous treatment: Intravenous infusions (cut-down) (patients over three years): Cut-down and insertion of cannula - chargeable onc 0208 R R R R R R R R R R Venesection: Therapeutic venesection (Not to be used when blood is drawn for the purpose of laboratory investigations) 0209 R R R R R R R R R R Umbilical artery cannulation at birth 0210 R R R R R R R R R R Collection of blood specimen(s) by medical practitioner for pathology examination; per venesection (not to be used by pathologists) 0211 R R R R R R R R R R Exchange transfusion: First and subsequent (including after-care) 0213 R R R R R R R R R R Treatment with cytostatic agents: Administering of Chemotherapy: Intramuscular or subcutaneous: Per injection. For use by providers wh 0214 R R R R R R R R R R Intravenous treatment with cytostatic agents: Administering of Chemotherapy: Intravenous bolus technique: Per injection. For use by pro 0215 R R R R R R R R R R Intravenous treatment with cytostatic agents: Administering of Chemotherapy: Intravenous infusion technique: Per injection. For use by p 0217 R R R R R R R R R R Allergy: Patch tests: First patch 0218 R R R R R R R R R R Allergy: Skin-prick tests: Skin-prick testing: Insect venom; latex and drugs 0219 R R R R R R R R R R Allergy: Patch tests: Each additional patch 0220 R R R R R R R R R R Allergy: Skin-prick tests: Immediate hypersensitivity testing (Type I reaction): Per antigen: Inhalant and food allergens 0221 R R R R R R R R R R Allergy: Skin-prick tests: Delayed hypersensitivity testing (Type IV reaction): Per antigen 08 January 2015 Page 4 of 134

5 0222 R R R R R R R R R R Intralesional injection into areas of pathology e.g. Keloid: Single 0223 R R R R R R R R R R Intralesional injection into areas of pathology e.g. Keloids: Multiple 0225 R R R R R R R R R R Epilation: Per session 0227 R R R R R R R R R R Special treatment of severe acne cases; including draining of cysts; expressing of cleaning of Comedones and/or steaming; abrasive cleani 0228 R R R R R R R R R R PUVA Treatment: Maximum of 21 treatments 0229 R R R R R R R R R R PUVA: Follow-up or maintenance therapy once a week 0230 R R R R R R R R R R UVR-Treatment 0231 R R R R R R R R R R UVR-Follow-up - for use of ultraviolet lamp (applied personally by the dermatologist). No charge to be levied if a nurse or physiotherapist 0233 R R R R R R R R R R Biopsy without suturing: First lesion 0234 R R R R R R R R R R Biopsy without suturing: Subsequent lesions (each) 0235 R R R R R R R R R R Biopsy without suturing: Maximum for multiple additional lesions 0237 R R R R R R R R R R Deep skin biopsy by surgical incision with local anaesthetic and suturing 0241 R R R R R R R R R R Treatment of benign skin lesion by chemo-cryotherapy: First Lesion 0242 R R R R R R R R R R Treatment of benign skin lesion by chemo-cryotherapy: Subsequent lesions (each) 08 January 2015 Page 5 of 134

6 0243 R R R R R R R R R R Treatment of benign skin lesion by chemo-cryotherapy: Maximum for multiple additional lesions 0244 R R R R R R R R R R Repair of nail bed 0245 R R R R R R R R R R Removal of benign lesion by curretting under local or general anaesthesia followed by diathermy and curretting or electrocautery: First le 0246 R R R R R R R R R R Removal of benign lesion by curretting under local or general anaesthesia followed by diathermy and curretting or electrocautery: Subseq 0251 R R R R R R R R R R Removal of malignant lesions by curretting under local or general anaesthesia followed by electrocautery: First lesion 0252 R R R R R R R R R R Removal of malignant lesions by curretting under local or general anaesthesia followed by electrocautery: Subsequent lesions (each) 0255 R R R R R R R R R R Drainage of subcutaneous abscess onychia; paronychia; pulp space or avulsion of nail 0257 R R R R R R R R R R Drainage of major hand or foot infection: Drainage of major abscess with necrosis of tissue; involving deep fascia or requiring debridemen 0259 R R R R R R R R R R Removal of foreign body superficial to deep fascia (except hands) 0261 R R R R R R R R R R Removal of foreign body deep to deep fascia (except hands) 0271 R R R R R R R R R R Kurtin planing for acne scarring: Whole face 0273 R R R R R R R R R R Kurtin planing for acne scarring: Extensive 0275 R R R R R R R R R R Kurtin planing for acne scarring: Limited 0277 R R R R R R R R R R Kurtin planing for acne scarring: Subsequent planing of whole face within 12 months 08 January 2015 Page 6 of 134

7 0279 R R R R R R R R R R Surgical treatment for axillary hyperhidrosis 0280 R R R R R R R R R R Laser treatment for small skin lesions: First lesion 0281 R R R R R R R R R R Laser treatment for small skin lesions: Subsequent lesions (each) 0282 R R R R R R R R R R Laser treatment for small skin lesions: Maximum for multiple additional lesions 0283 R R R R R R R R R R Laser treatment for large skin lesions: Limited area 0284 R R R R R R R R R R Laser treatment for large skin lesions: Extensive area 0285 R R R R R R R R R R Laser treatment for large skin lesions: Whole face or other areas of equivalent size or larger 0286 R R R R R R R R R R Photo-dynamic therapy for malignant skin lesions: Equipment fee for PDT lamp 0287 R R R R R R R R R R Scanning of pigmented skin lesions: Equipment fee for Molemax or similar device 0289 R R R R R R R R R R Large skin grafts; composite skin grafts; large full thickness free skin grafts 0290 R R R R R R R R R R Reconstructive procedures (including all stages) and skin graft by myo-cutaneous or fascio-cutaneous flap 0291 R R R R R R R R R R Reconstructive procedures (including all stages) grafting by micro-vascular re-anastomosis 0292 R R R R R R R R R R Distant flaps: First stage 0293 R R R R R R R R R R Contour grafts (excluding cost of material) 08 January 2015 Page 7 of 134

8 0294 R R R R R R R R R R Vascularised bone graft with or without soft tissue with one or more sets of micro-vascular anastomoses 0295 R R R R R R R R R R Local skin flaps (large; complicated) 0296 R R R R R R R R R R Other procedures of major technical nature 0297 R R R R R R R R R R Subsequent major procedures for repair of same lesion 0298 R R R R R R R R R R Lower abdominal dermo-lipectomy 0299 R R R R R R R R R R Major abdominal lipectomy with repositioning of umbilicus 0300 R R R R R R R R R R Stitching of soft-tissue injuries: Stitching of wound (with or without local anaesthesia): Including normal after-care) 0301 R R R R R R R R R R Stitching of soft-tissue injuries: Additional wounds stitched at same session (each) 0302 R R R R R R R R R R Stitching of soft-tissue injuries: Deep laceration involving limited muscle damage 0303 R R R R R R R R R R Stitching of soft-tissue injuries: Deep laceration involving extensive muscle damage 0304 R R R R R R R R R R Major debridement of wound; sloughectomy or secondary suture 0305 R R R R R R R R R R Needle biopsy - soft tissue 0307 R R R R R R R R R R Excision and repair by direct suture; excision nail fold or other minor procedures of similar magnitude 0308 R R R R R R R R R R Each additional small procedure done at the same time 08 January 2015 Page 8 of 134

9 0310 R R R R R R R R R R Radical excision of nailbed 0311 R R R R R R R R R R Excision of large benign tumour (more than 5 cm) 0313 R R R R R R R R R R Extensive resection for malignant soft tissue tumour including muscle 0314 R R R R R R R R R R Requiring repair by large skin graft or large local flap or other procedures of similar magnitude 0315 R R R R R R R R R R Requiring repair by small skin graft or small local flap or other procedures of similar magnitude 0316 R R R R R R R R R R Fine needle aspiration for soft tissue (all areas) 0317 R R R R R R R R R R Aspiration of cyst or tumour 0319 R R R R R R R R R R Mastotomy with exploration; drainage of abscess or removal of mammary implant 0321 R R R R R R R R R R Biopsy or excision of cyst; benign tumour; aberrant breast tissue; duct papilloma 0323 R R R R R R R R R R Subareolar cone excision of ducts of wedge excision of breast 0324 R R R R R R R R R R Wedge excision of breast and axillary dissection 0325 R R R R R R R R R R Total mastectomy 0327 R R R R R R R R R R Total mastectomy with axillary gland biopsy 0329 R R R R R R R R R R Total mastectomy with axillary gland dissection 08 January 2015 Page 9 of 134

10 0330 R R R R R R R R R R Nipple and areola reconstruction 0331 R R R R R R R R R R Subcutaneous mastectomy for disease of breast; including reconstruction but excluding cost of prosthesis: Unilateral 0333 R R R R R R R R R R Subcutaneous mastectomy for disease of breast; including reconstruction but excluding cost of prosthesis: Bilateral 0334 R R R R R R R R R R Removal of breast implant by means of capsulectomy: Per breast 0335 R R R R R R R R R R Implantation of internal subpectoral mammary prosthesis in post mastectomy patients 0337 R R R R R R R R R R Reduction: Mammoplasty for pathological hypertrophy: Unilateral 0339 R R R R R R R R R R Reduction: Mammoplasty for pathological hypertrophy: Bilateral 0341 R R R R R R R R R R Gynaecomastia: Unilateral 0343 R R R R R R R R R R Gynaecomastia: Bilateral 0351 R R R R R R R R R R Major Burns: Resuscitation (including supervision and intravenous therapy - first 48 hours) 0353 R R R R R R R R R R Tangential excision and grafting: Small 0354 R R R R R R R R R R Tangential excision and grafting: Large 0355 R R R R R R R R R R Skin flap in acute hand injuries where a flap is taken from a site remote from the injured finger or in cases of advancement flag e.g. Cutler 0357 R R R R R R R R R R Small skin graft in acute hand injury 08 January 2015 Page 10 of 134

11 0359 R R R R R R R R R R Release of extensive skin contracture and/or excision of scar tissue with major skin graft resurfacing 0361 R R R R R R R R R R Z-plasty 0363 R R R R R R R R R R Local flap and skin graft 0365 R R R R R R R R R R Cross finger flap (all stages) 0367 R R R R R R R R R R Palmar flap (all stages) 0369 R R R R R R R R R R Distant flap: First stage 0371 R R R R R R R R R R Distant flap: Subsequent stage (not subject to general modifier 0007) 0373 R R R R R R R R R R Transfer neurovascular island flap 0374 R R R R R R R R R R Syndactyly: Separation of; including skin graft for one web (with skin flap and graft) 0375 R R R R R R R R R R Dupuytren's contracture: Fasciotomy 0376 R R R R R R R R R R Dupuytren's contracture: Fasciectomy 0377 R R R R R R R R R R Standard acupuncture 0378 R R R R R R R R R R Laser acupuncture using more than 6 points 0379 R R R R R R R R R R Electro-acupuncture 08 January 2015 Page 11 of 134

12 0380 R R R R R R R R R R Scalp acupuncture 0381 R R R R R R R R R R Micro-acupuncture (ear; hand) 0387 R R R R R R R R R R Fracture (reduction under general anaesthetic): Clavicle 0388 R R R R R R R R R R Percutaneous pinning of supracondylar fracture: Elbow - stand alone procedure 0389 R R R R R R R R R R Fracture (reduction under general anaesthetic): Humerus 0391 R R R R R R R R R R Fracture (reduction under general anaesthetic): Radius and/or Ulna 0392 R R R R R R R R R R Fracture (reduction under general anaesthetic): Open reduction of both radius and ulna (modifier 0051 not applicable) 0402 R R R R R R R R R R Fracture (reduction under general anaesthetic): Carpal bone 0403 R R R R R R R R R R Fracture (reduction under general anaesthetic): Bennett fracture-dislocation 0405 R R R R R R R R R R Fracture (reduction under general anaesthetic): Open treatment of metacarpal: Simple 0411 R R R R R R R R R R Fracture (reduction under general anaesthetic): Finger phalanx: Distal: Compound 0413 R R R R R R R R R R Fracture (reduction under general anaesthetic): Proximal or middle: Simple 0415 R R R R R R R R R R Fracture (reduction under general anaesthetic): Proximal or middle: Compound 0419 R R R R R R R R R R Fracture (reduction under general anaesthetic): Pelvis: Operative reduction and fixation 08 January 2015 Page 12 of 134

13 0421 R R R R R R R R R R Fracture (reduction under general anaesthetic): Femur: Neck or Shaft 0425 R R R R R R R R R R Fracture (reduction under general anaesthetic): Patella 0429 R R R R R R R R R R Fracture (reduction under general anaesthetic): Tibia with or without fibula 0435 R R R R R R R R R R Fracture (reduction under general anaesthetic): Malleolus of ankle 0437 R R R R R R R R R R Fracture (reduction under general anaesthetic): Fracture-dislocation of ankle 0438 R R R R R R R R R R Fracture (reduction under general anaesthetic): Open reduction Talus fracture (modifier 0051 not applicable) 0439 R R R R R R R R R R Fracture (reduction under general anaesthetic): Tarsal bones (excluding talus and calcaneus) 0440 R R R R R R R R R R Fracture (reduction under general anaesthetic): Open reduction Calcaneus fracture (modifier 0051 not applicable) 0441 R R R R R R R R R R Fracture (reduction under general anaesthetic): Metatarsal 0445 R R R R R R R R R R Fracture (reduction under general anaesthetic): Toe phalanx: Compound 0447 R R R R R R R R R R Fracture (reduction under general anaesthetic): Other: Simple 0449 R R R R R R R R R R Fracture (reduction under general anaesthetic): Other: Compound 0452 R R R R R R R R R R Fracture (reduction under general anaesthetic): Sternum and/or ribs: Open reduction and fixation of multiple fractured ribs for flail chest 0465 R R R R R R R R R R Fractures involving large joints (includes the item for the relative bone) (this item may not be used as a modifier) 08 January 2015 Page 13 of 134

14 0473 R R R R R R R R R R Percutaneous insertion plus subsequent removal of Kirschner wires or Steinmann pins (no after-care) (modifier 0005 not applicable) 0475 R R R R R R R R R R Bonegrafting or internal fixation for malunion or non-union: Femur; Tibia; Humerus; Radius and Ulna 0479 R R R R R R R R R R Bonegrafting or internal fixation for malunion or non-union: Other bones 0497 R R R R R R R R R R Resection of bone or tumour with or without grafting (benign) 0498 R R R R R R R R R R Resection of bone or tumour with or without grafting (malignant) - does not include digits 0499 R R R R R R R R R R Grafts to cysts: Large bones 0501 R R R R R R R R R R Grafts to cysts: Small bones 0503 R R R R R R R R R R Grafts to cysts: Cartilage graft 0505 R R R R R R R R R R Grafts to cysts: Inter-metacarpal bone graft 0507 R R R R R R R R R R Removal of autogenous bone for grafting (not subject to general modifier 0005) 0512 R R R R R R R R R R Acute or chronic osteomyelitis: Sternum sequestrectomy and drainage: Including six weeks after-care 0514 R R R R R R R R R R Osteotomy: Sternum: Repair of pectus excavatum 0515 R R R R R R R R R R Osteotomy: Sternum: Repair of pectus carinatum 0516 R R R R R R R R R R Osteotomy: Pelvic 08 January 2015 Page 14 of 134

15 0521 R R R R R R R R R R Osteotomy: Femoral: Proximal 0527 R R R R R R R R R R Osteotomy: Knee region 0528 R R R R R R R R R R Osteotomy: Os Calcis (Dwyer operation) 0530 R R R R R R R R R R Osteotomy: Metacarpal and phalanx: Corrective for malunion or rotation 0531 R R R R R R R R R R Rotational osteotomy of tibia and fibula - stand alone procedure 0532 R R R R R R R R R R Osteotomy: Rotation osteotomy of the Radius; Ulna or Humerus 0533 R R R R R R R R R R Osteotomy: Single metatarsal 0534 R R R R R R R R R R Osteotomy: Multiple metatarsal osteotomies 0535 R R R R R R R R R R Exostosis: Excision: Readily accessible sites 0537 R R R R R R R R R R Exostosis: Excision: Less accessible sites 0539 R R R R R R R R R R Needle Biopsy: Spine (no after-care) (modifier 0005 not applicable) 0541 R R R R R R R R R R Needle Biopsy: Other sites (no after-care) (modifier 0005 not applicable) 0543 R R R R R R R R R R Biopsy: Open (modifier 0005 not applicable): Readily accessible site 0545 R R R R R R R R R R Biopsy: Open (modifier 0005 not applicable): Less accessible site 08 January 2015 Page 15 of 134

16 0547 R R R R R R R R R R Joint: Dislocation: Clavicle either end 0549 R R R R R R R R R R Joint: Dislocation: Shoulder 0551 R R R R R R R R R R Joint: Dislocation: Elbow 0552 R R R R R R R R R R Joint: Dislocation: Wrist 0553 R R R R R R R R R R Joint: Dislocation: Perilunar trans-scaphoid fracture dislocation 0555 R R R R R R R R R R Joint: Dislocation: Lunate 0556 R R R R R R R R R R Joint: Dislocation: Carpo-metacarpo dislocation 0557 R R R R R R R R R R Joint: Dislocation: Metacarpo-phalangeal or interphalangeal (hand) 0559 R R R R R R R R R R Joint: Dislocation: Hip 0561 R R R R R R R R R R Joint: Dislocation: Knee 0563 R R R R R R R R R R Joint: Dislocation: Patella 0565 R R R R R R R R R R Joint: Dislocation: Ankle 0567 R R R R R R R R R R Joint: Dislocation: Sub-Talar dislocation 0569 R R R R R R R R R R Joint: Dislocation: Intertarsal or Tarsometatarsal or Mid-tarsal 08 January 2015 Page 16 of 134

17 0571 R R R R R R R R R R Joint: Dislocation: Meta-tarsophalangeal or interphalangeal joints (foot) 0578 R R R R R R R R R R Operations for dislocations: Recurrent dislocation of shoulder 0579 R R R R R R R R R R Operations for dislocations: Recurrent dislocation of all other joints 0582 R R R R R R R R R R Capsulotomy or arthrotomy or biopsy or drainage of joint: Small joint (including three weeks after-care) 0583 R R R R R R R R R R Capsulotomy or arthrotomy or biopsy or drainage of joint: Large joint (including three weeks after-care) 0585 R R R R R R R R R R Capsulectomy digital joint 0586 R R R R R R R R R R Multiple percutaneous capsulotomies of metacarpophalangeal joints 0587 R R R R R R R R R R Release of digital joint contracture 0589 R R R R R R R R R R Synovectomy: Digital joint 0592 R R R R R R R R R R Synovectomy: Large joint 0593 R R R R R R R R R R Tendon synovectomy 0597 R R R R R R R R R R Arthrodesis: Shoulder 0598 R R R R R R R R R R Arthrodesis: Elbow 0599 R R R R R R R R R R Arthrodesis: Wrist 08 January 2015 Page 17 of 134

18 0600 R R R R R R R R R R Arthrodesis: Digital joint 0601 R R R R R R R R R R Arthrodesis: Hip 0602 R R R R R R R R R R Arthrodesis: Knee 0603 R R R R R R R R R R Arthrodesis: Ankle 0604 R R R R R R R R R R Arthrodesis: Sub-talar 0605 R R R R R R R R R R Arthrodesis: Stabilisation of foot (triple-arthrodesis) 0607 R R R R R R R R R R Arthrodesis: Mid-tarsal wedge resection 0614 R R R R R R R R R R Arthroplasty: Debridement large joints 0615 R R R R R R R R R R Arthroplasty: Excision medial or lateral end of clavicle 0617 R R R R R R R R R R Shoulder: Acromioplasty 0619 R R R R R R R R R R Shoulder: Partial replacement 0620 R R R R R R R R R R Shoulder: Total replacement 0621 R R R R R R R R R R Elbow: Excision head of radius 0622 R R R R R R R R R R Elbow: Excision 08 January 2015 Page 18 of 134

19 0623 R R R R R R R R R R Elbow: Partial replacement 0624 R R R R R R R R R R Elbow: Total replacement 0625 R R R R R R R R R R Wrist: Excision distal end of ulna 0626 R R R R R R R R R R Wrist: Excision single bone 0627 R R R R R R R R R R Wrist: Excision proximal row 0631 R R R R R R R R R R Wrist: Total replacement 0635 R R R R R R R R R R Digital Joint: Total replacement 0637 R R R R R R R R R R Hip: Total replacement 0641 R R R R R R R R R R Hip: Prosthetic replacement of femoral head 0643 R R R R R R R R R R Hip: Girdlestone 0645 R R R R R R R R R R Knee: Partial replacement 0646 R R R R R R R R R R Knee: Total replacement 0649 R R R R R R R R R R Ankle: Total replacement 0650 R R R R R R R R R R Ankle: Astragalectomy 08 January 2015 Page 19 of 134

20 0661 R R R R R R R R R R Aspiration of joint or intra-articular injection (not including after-care) (modifier 0005 not applicable) 0663 R R R R R R R R R R Multiple intra-articular injections for rheumatoid arthritis (excluding after-care) (modifier 0005 not applicable): First joint 0665 R R R R R R R R R R Multiple intra-articular injections for rheumatoid arthritis (excluding after-care) (modifier 0005 not applicable): Additional (each) 0667 R R R R R R R R R R Arthroscopy (excluding after-care) (modifiers 0005 and 0013 not applicable) 0669 R R R R R R R R R R Manipulation knee or shoulder joint under general anaesthetic (not including after-care) (modifier 0005 not applicable) 0673 R R R R R R R R R R Meniscectomy or operation for other internal derangement of knee 0675 R R R R R R R R R R Joint ligament reconstruction or suture: Ankle: Collateral 0677 R R R R R R R R R R Joint ligament reconstruction or suture: Knee: Collateral 0678 R R R R R R R R R R Joint ligament reconstruction or suture: Knee: Cruciate 0679 R R R R R R R R R R Joint ligament reconstruction or suture: Ligament augmentation procedure of knee 0680 R R R R R R R R R R Joint ligament reconstruction or suture: Digital joint ligament 0682 R R R R R R R R R R Amputation: Fore-quarter amputation 0683 R R R R R R R R R R Amputation: Through shoulder 0685 R R R R R R R R R R Amputation: Upper arm or fore-arm 08 January 2015 Page 20 of 134

21 0687 R R R R R R R R R R Partial amputation of the hand: One ray 0691 R R R R R R R R R R Amputation: Whole or part of finger 0693 R R R R R R R R R R Hindquarter amputation 0695 R R R R R R R R R R Amputation: Through hip joint region 0697 R R R R R R R R R R Amputation: Through thigh 0699 R R R R R R R R R R Amputation: Below knee; through knee or Syme 0701 R R R R R R R R R R Amputation: Trans-metatarsal or trans-tarsal 0703 R R R R R R R R R R Amputation: Foot: One ray 0705 R R R R R R R R R R Amputation: Toe 0706 R R R R R R R R R R Post-amputation reconstruction: Skin flap taken from a site remote from the injured finger or in cases of an advanced flap e.g. Cutler 0707 R R R R R R R R R R Post-amputation reconstruction: Krukenberg reconstruction 0709 R R R R R R R R R R Post-amputation reconstruction: Metacarpal transfer 0711 R R R R R R R R R R Post-amputation reconstruction: Pollicisation of the finger (to include all stages) 0712 R R R R R R R R R R Post-amputation reconstruction: Toe to thumb transfer 08 January 2015 Page 21 of 134