NHRPL FEES 2015 General Medical Practice

WITH PREFERRED PROVIDER PRICE FOR DISCOVERY x 147% NHRPL FEES 2015 General Medical Practice www.psybase.co.za Sales Client Services: Tel: 042 292 0734, 011 083 6881 Cell: 0825834695, 082 967 5325 Software support: 042 292 0734, 072 317 8719 Description Code Discovery Gems Bonitas Polmed Medihelp Bankmed Medshield Fedhealth Liberty Momentum 0007 R 165.10 R 169.50 R 165.00 R 173.00 R 171.30 R 169.70 R 166.20 R 167.00 R 169.70 R 162.40 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 133.30 R 153.50 R 149.40 R 139.70 R 155.10 R 153.80 R 150.40 R 151.30 R 153.80 R 147.00 Injections administered by practitioners: When desensitisation; intravenous; intramuscular or subcutaneous injections are administered b 0048 R 297.30 R 305.20 R 297.10 R 311.50 R 308.20 R 305.80 R 299.00 R 300.70 R 305.60 R 292.40 Where in the treatment of a fracture or dislocation; an initial closed reduction is followed within one month by further closed reductions 0049 R 848.00 R 870.50 R 847.40 R 888.10 R 879.00 R 871.80 R 852.90 R 857.90 R 871.70 R 833.70 Except where otherwise specified; in cases of compound fractures; 77;00 clinical procedure units (specialists) and 77;00 clinical procedure 0050 R 1 271.00 R 1 305.70 R 1 270.90 R 1 332.20 R 1 318.50 R 1 307.80 R 1 279.20 R 1 286.60 R 1 307.50 R 1 250.70 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 848.00 R 870.50 R 847.40 R 888.10 R 879.00 R 871.80 R 852.90 R 857.90 R 871.70 R 833.70 Fractures requiring open reduction; internal fixation; external skeletal fixation and/or bone grafting: Specialists add 77;00 clinical procedu 0053 R 352.30 R 361.70 R 352.10 R 369.10 R 365.20 R 362.30 R 354.40 R 356.50 R 362.10 R 346.50 Fracture requiring percutaneous internal fixation [insertion and removal of fixatives (wires) in respect of fingers and toes included]: Specia 0055 R 848.00 R 870.50 R 847.40 R 888.10 R 879.00 R 871.80 R 852.90 R 857.90 R 871.70 R 833.70 Dislocation requiring open reduction: Units for the specific joint plus 77;00 clinical procedure units for specialists. General practitioners ad 0070 R 495.00 R 508.80 R 495.30 R 519.00 R 513.70 R 509.50 R 498.40 R 501.30 R 509.40 R 487.30 Add 45;00 clinical procedure units to procedure(s) performed through a thorascope 0075 R 231.30 R 237.40 R 231.10 R 242.20 R 239.80 R 237.70 R 232.60 R 233.90 R 237.70 R 227.30 Endoscopic procedures performed in own procedure room: The fee plus 21;00 clinical procedure units will apply where endoscopic proce 0107 R 586.00 R 675.30 R 657.30 R 614.60 R 682.00 R 676.40 R 661.70 R 665.50 R 676.20 R 646.90 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

0109 R 191.20 R 307.00 R 298.90 R 279.30 R 310.00 R 307.50 R 300.80 R 302.50 R 307.40 R 294.20 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 800.20 R 921.00 R 896.50 R 838.10 R 930.00 R 922.40 R 902.30 R 907.60 R 922.30 R 882.30 New born attendance: Emergency attendance to newborn at all hours (once per patient) (items 0107; 0109; 0111; 0145; 0146 and/or 014 0129 R 266.00 R 307.00 R 298.90 R 279.30 R 310.00 R 307.50 R 300.80 R 302.50 R 307.40 R 294.20 Prolonged face-to-face attendance to a patient: ADD to either item 0192; item 0175; item 0164 or item 0169 as appropriate; for each 15-0130 R 213.00 R 245.70 R 239.10 R 223.60 R 248.00 R 246.10 R 240.50 R 242.10 R 246.00 R 235.40 Telephone consultation (all hours) 0132 R 88.00 R 102.30 R 99.70 R 93.10 R 103.40 R 102.50 R 100.30 R 100.90 R 102.50 R 98.10 Consulting service e.g. writing of repeat scripts or requesting routine pre-authorisation without the physical presence of the patient (need 0133 R 159.00 R 184.20 R 179.40 R 167.70 R 186.00 R 184.50 R 180.50 R 181.60 R 184.40 R 176.40 Writing of special motivations for procedures and treatment without the physical presence of a patient (includes report on the clinical con 0145 R 106.00 R 122.80 R 119.50 R 111.80 R 124.00 R 123.00 R 120.40 R 121.10 R 123.10 R 117.70 For consultation/visit away from the doctor's home or rooms (non-emergency): ADD only to the consultation/visit items 0190-0192; item 0146 R 142.30 R 163.80 R 159.40 R 149.00 R 165.40 R 164.00 R 160.40 R 161.40 R 164.00 R 156.80 For an unscheduled emergency consultation/visit at the doctors' home or rooms; all hours: ADD only to the consultation/visit items 0190-0147 R 249.10 R 286.50 R 279.00 R 260.80 R 289.40 R 287.00 R 280.90 R 282.50 R 286.90 R 274.50 For an emergency consultation/visit away from the doctor's home or rooms; all hours: ADD only to the consultation/visit items 0190-019 0151 R 300.40 R 327.20 R 318.70 R 298.00 R 330.50 R 327.80 R 320.70 R 322.70 R 327.70 R 313.60 Pre-anaesthetic assessment: Pre-anaesthetic assessment of patient (all hours). Problem focused history and clinical examination and strai 0152 R 300.40 R 327.20 R 318.70 R 298.00 R 330.50 R 327.80 R 320.70 R 322.70 R 327.70 R 313.60 Pre-anaesthetic assessment: Pre-anaesthetic assessment of patient (all hours). Detailed history and clinical examination and straightforwa 0153 R 300.40 R 327.20 R 318.70 R 298.00 R 330.50 R 327.80 R 320.70 R 322.70 R 327.70 R 313.60 Pre-anaesthetic assessment: Pre-anaesthetic assessment of patient or other consultative service. Consultation with detailed history; com 0165 R 63.00 R 64.60 R 63.00 R 65.90 R 65.20 R 64.80 R 63.30 R 63.80 R 64.70 R 62.00 Use of contrast during ultrasound study: add 6.00 ultrasound units 0173 R 299.20 R 307.00 R 298.90 R 313.30 R 310.00 R 307.50 R 300.80 R 302.50 R 307.40 R 294.20 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

0174 R 299.20 R 307.00 R 298.90 R 313.30 R 310.00 R 307.50 R 300.80 R 302.50 R 307.40 R 294.20 First hospital consultation/visit of a moderately above average duration and/or complexity. Includes counselling with the patient and/or f 0175 R 299.20 R 307.00 R 298.90 R 313.30 R 310.00 R 307.50 R 300.80 R 302.50 R 307.40 R 294.20 First hospital consultation/visit of long duration and/or high complexity. Includes counselling with the patient and/or family and co-ordina 0181 R 263.00 R 270.60 R 263.60 R 293.60 R 273.40 R 271.00 R 265.10 R 266.80 R 271.00 R 259.20 Prime Cure Health 0181 A;C;P Level 4 - Dispensing 0181 R 263.00 R 270.60 R 263.60 R 293.60 R 273.40 R 271.00 R 265.10 R 266.80 R 271.00 R 259.20 Prime Cure Health 0181 A;C;P Level 1 - Dispensing 0181 R 263.00 R 270.60 R 263.60 R 293.60 R 273.40 R 271.00 R 265.10 R 266.80 R 271.00 R 259.20 Prime Cure Health 0181 A;C;P Level 2 - Dispensing 0181 R 263.00 R 270.60 R 263.60 R 293.60 R 273.40 R 271.00 R 265.10 R 266.80 R 271.00 R 259.20 Prime Cure Health 0181 A;C;P Level 3 - Dispensing 0190 R 328.00 R 307.00 R 298.90 R 304.20 R 310.00 R 307.50 R 300.80 R 302.50 R 307.40 R 294.20 New and established patient: Consultation/visit of new or established patient of an average duration and/or complexity. Includes counsel 0191 R 328.00 R 307.00 R 298.90 R 304.20 R 310.00 R 307.50 R 300.80 R 302.50 R 307.40 R 294.20 New and established patient: Consultation/visit of new or established patient of a moderately above average duration and/or complexity. 0192 R 328.00 R 307.00 R 298.90 R 304.20 R 310.00 R 307.50 R 300.80 R 302.50 R 307.40 R 294.20 New and established patient: Consultation/visit of new or established patient of long duration and/or high complexity. Includes counselli 0199 R 381.20 R 438.40 R 426.80 R 399.10 R 442.80 R 439.30 R 429.50 R 432.10 R 439.10 R 420.00 Completion of chronic medication forms by medical practitioners with or without the physical presence of the patient requested by or on 0202 R 110.10 R 113.00 R 110.00 R 115.30 R 114.20 R 113.10 R 110.70 R 111.40 R 113.10 R 108.20 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 66.00 R 67.90 R 66.20 R 69.20 R 68.50 R 67.90 R 66.50 R 66.90 R 67.90 R 65.00 Inhalation sedation: Use of analgesic nitrous oxide for alcohol and other withdrawal states: First quarter-hour or part thereof 0204 R 33.10 R 33.80 R 32.90 R 34.60 R 34.20 R 33.80 R 33.10 R 33.30 R 33.80 R 32.30 Inhalation sedation: Per additional quarter-hour or part thereof 0205 R 132.20 R 135.70 R 132.10 R 138.40 R 137.10 R 135.90 R 133.00 R 133.70 R 136.00 R 130.00 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

0206 R 66.00 R 67.90 R 66.20 R 69.20 R 68.50 R 67.90 R 66.50 R 66.90 R 67.90 R 65.00 Intravenous treatment: Intravenous infusions (push-in) (patients over three years): Insertion of cannula - chargeable once per 24 hours 0207 R 88.10 R 90.40 R 87.90 R 92.20 R 91.30 R 90.40 R 88.60 R 89.00 R 90.40 R 86.50 Intravenous treatment: Intravenous infusions (cut-down) (patients over three years): Cut-down and insertion of cannula - chargeable onc 0208 R 66.00 R 67.90 R 66.20 R 69.20 R 68.50 R 67.90 R 66.50 R 66.90 R 67.90 R 65.00 Venesection: Therapeutic venesection (Not to be used when blood is drawn for the purpose of laboratory investigations) 0209 R 198.20 R 203.50 R 198.10 R 207.60 R 205.50 R 203.70 R 199.40 R 200.60 R 203.80 R 194.90 Umbilical artery cannulation at birth 0210 R 35.00 R 36.80 R 35.80 R 37.50 R 37.20 R 36.80 R 36.00 R 36.20 R 36.70 R 35.30 Collection of blood specimen(s) by medical practitioner for pathology examination; per venesection (not to be used by pathologists) 0211 R 881.00 R 904.40 R 880.50 R 922.70 R 913.20 R 905.80 R 886.00 R 891.30 R 905.70 R 866.30 Exchange transfusion: First and subsequent (including after-care) 0213 R 55.00 R 56.50 R 55.10 R 57.70 R 57.10 R 56.60 R 55.50 R 55.70 R 56.60 R 54.10 Treatment with cytostatic agents: Administering of Chemotherapy: Intramuscular or subcutaneous: Per injection. For use by providers wh 0214 R 99.10 R 101.80 R 98.90 R 103.80 R 102.60 R 101.80 R 99.50 R 100.10 R 101.70 R 97.30 Intravenous treatment with cytostatic agents: Administering of Chemotherapy: Intravenous bolus technique: Per injection. For use by pro 0215 R 154.10 R 158.30 R 154.00 R 161.50 R 159.80 R 158.40 R 155.00 R 155.90 R 158.40 R 151.70 Intravenous treatment with cytostatic agents: Administering of Chemotherapy: Intravenous infusion technique: Per injection. For use by p 0217 R 44.10 R 45.30 R 44.10 R 46.10 R 45.70 R 45.30 R 44.40 R 44.70 R 45.30 R 43.30 Allergy: Patch tests: First patch 0218 R 30.00 R 31.60 R 30.80 R 32.30 R 31.90 R 31.70 R 31.00 R 31.10 R 31.60 R 30.30 Allergy: Skin-prick tests: Skin-prick testing: Insect venom; latex and drugs 0219 R 22.00 R 22.60 R 21.90 R 23.10 R 22.90 R 22.60 R 22.20 R 22.30 R 22.60 R 21.60 Allergy: Patch tests: Each additional patch 0220 R 20.00 R 21.60 R 21.00 R 21.90 R 21.70 R 21.70 R 21.10 R 21.20 R 21.70 R 20.70 Allergy: Skin-prick tests: Immediate hypersensitivity testing (Type I reaction): Per antigen: Inhalant and food allergens 0221 R 30.00 R 31.60 R 30.80 R 32.30 R 31.90 R 31.70 R 31.00 R 31.10 R 31.60 R 30.30 Allergy: Skin-prick tests: Delayed hypersensitivity testing (Type IV reaction): Per antigen 08 January 2015 Page 4 of 134

0222 R 44.10 R 45.30 R 44.10 R 46.10 R 45.70 R 45.30 R 44.40 R 44.70 R 45.30 R 43.30 Intralesional injection into areas of pathology e.g. Keloid: Single 0223 R 88.10 R 90.40 R 87.90 R 92.20 R 91.30 R 90.40 R 88.60 R 89.00 R 90.40 R 86.50 Intralesional injection into areas of pathology e.g. Keloids: Multiple 0225 R 88.10 R 90.40 R 87.90 R 92.20 R 91.30 R 90.40 R 88.60 R 89.00 R 90.40 R 86.50 Epilation: Per session 0227 R 88.10 R 90.40 R 87.90 R 92.20 R 91.30 R 90.40 R 88.60 R 89.00 R 90.40 R 86.50 Special treatment of severe acne cases; including draining of cysts; expressing of cleaning of Comedones and/or steaming; abrasive cleani 0228 R 220.30 R 226.10 R 220.10 R 230.70 R 228.30 R 226.40 R 221.50 R 222.80 R 226.40 R 216.60 PUVA Treatment: Maximum of 21 treatments 0229 R 220.30 R 226.10 R 220.10 R 230.70 R 228.30 R 226.40 R 221.50 R 222.80 R 226.40 R 216.60 PUVA: Follow-up or maintenance therapy once a week 0230 R 220.30 R 226.10 R 220.10 R 230.70 R 228.30 R 226.40 R 221.50 R 222.80 R 226.40 R 216.60 UVR-Treatment 0231 R 60.00 R 62.20 R 60.60 R 63.50 R 62.80 R 62.30 R 61.00 R 61.30 R 62.40 R 59.60 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 66.00 R 67.90 R 66.20 R 69.20 R 68.50 R 67.90 R 66.50 R 66.90 R 67.90 R 65.00 Biopsy without suturing: First lesion 0234 R 33.10 R 33.80 R 32.90 R 34.60 R 34.20 R 33.80 R 33.10 R 33.30 R 33.80 R 32.30 Biopsy without suturing: Subsequent lesions (each) 0235 R 198.20 R 203.50 R 198.10 R 207.60 R 205.50 R 203.70 R 199.40 R 200.60 R 203.80 R 194.90 Biopsy without suturing: Maximum for multiple additional lesions 0237 R 132.20 R 135.70 R 132.10 R 138.40 R 137.10 R 135.90 R 133.00 R 133.70 R 136.00 R 130.00 Deep skin biopsy by surgical incision with local anaesthetic and suturing 0241 R 66.00 R 67.90 R 66.20 R 69.20 R 68.50 R 67.90 R 66.50 R 66.90 R 67.90 R 65.00 Treatment of benign skin lesion by chemo-cryotherapy: First Lesion 0242 R 33.10 R 33.80 R 32.90 R 34.60 R 34.20 R 33.80 R 33.10 R 33.30 R 33.80 R 32.30 Treatment of benign skin lesion by chemo-cryotherapy: Subsequent lesions (each) 08 January 2015 Page 5 of 134

0243 R 462.00 R 474.80 R 462.20 R 484.50 R 479.50 R 475.60 R 465.30 R 468.00 R 475.60 R 454.80 Treatment of benign skin lesion by chemo-cryotherapy: Maximum for multiple additional lesions 0244 R 330.40 R 339.10 R 330.10 R 346.00 R 342.40 R 339.70 R 332.10 R 334.20 R 339.60 R 324.80 Repair of nail bed 0245 R 154.10 R 158.30 R 154.00 R 161.50 R 159.80 R 158.40 R 155.00 R 155.90 R 158.40 R 151.70 Removal of benign lesion by curretting under local or general anaesthesia followed by diathermy and curretting or electrocautery: First le 0246 R 77.10 R 79.20 R 77.10 R 80.80 R 80.00 R 79.30 R 77.70 R 78.00 R 79.30 R 75.80 Removal of benign lesion by curretting under local or general anaesthesia followed by diathermy and curretting or electrocautery: Subseq 0251 R 330.40 R 339.10 R 330.10 R 346.00 R 342.40 R 339.70 R 332.10 R 334.20 R 339.60 R 324.80 Removal of malignant lesions by curretting under local or general anaesthesia followed by electrocautery: First lesion 0252 R 165.10 R 169.50 R 165.00 R 173.00 R 171.30 R 169.70 R 166.20 R 167.00 R 169.70 R 162.40 Removal of malignant lesions by curretting under local or general anaesthesia followed by electrocautery: Subsequent lesions (each) 0255 R 220.30 R 226.10 R 220.10 R 230.70 R 228.30 R 226.40 R 221.50 R 222.80 R 226.40 R 216.60 Drainage of subcutaneous abscess onychia; paronychia; pulp space or avulsion of nail 0257 R 958.00 R 983.60 R 957.40 R 1 003.50 R 993.20 R 985.20 R 963.70 R 969.30 R 985.00 R 942.10 Drainage of major hand or foot infection: Drainage of major abscess with necrosis of tissue; involving deep fascia or requiring debridemen 0259 R 220.30 R 226.10 R 220.10 R 230.70 R 228.30 R 226.40 R 221.50 R 222.80 R 226.40 R 216.60 Removal of foreign body superficial to deep fascia (except hands) 0261 R 341.40 R 350.50 R 341.20 R 357.60 R 353.90 R 351.10 R 343.40 R 345.40 R 351.00 R 335.80 Removal of foreign body deep to deep fascia (except hands) 0271 R 1 814.00 R 1 862.80 R 1 813.50 R 1 900.70 R 1 881.30 R 1 865.80 R 1 825.20 R 1 835.80 R 1 865.50 R 1 784.50 Kurtin planing for acne scarring: Whole face 0273 R 770.00 R 791.30 R 770.20 R 807.40 R 799.20 R 792.50 R 775.20 R 779.70 R 792.30 R 757.90 Kurtin planing for acne scarring: Extensive 0275 R 330.40 R 339.10 R 330.10 R 346.00 R 342.40 R 339.70 R 332.10 R 334.20 R 339.60 R 324.80 Kurtin planing for acne scarring: Limited 0277 R 1 134.30 R 1 164.20 R 1 133.40 R 1 187.90 R 1 175.70 R 1 166.20 R 1 140.70 R 1 147.40 R 1 165.80 R 1 115.30 Kurtin planing for acne scarring: Subsequent planing of whole face within 12 months 08 January 2015 Page 6 of 134

0279 R 704.00 R 723.50 R 704.20 R 738.10 R 730.60 R 724.60 R 708.80 R 712.80 R 724.40 R 692.90 Surgical treatment for axillary hyperhidrosis 0280 R 154.10 R 158.30 R 154.00 R 161.50 R 159.80 R 158.40 R 155.00 R 155.90 R 158.40 R 151.70 Laser treatment for small skin lesions: First lesion 0281 R 77.10 R 79.20 R 77.10 R 80.80 R 80.00 R 79.30 R 77.70 R 78.00 R 79.30 R 75.80 Laser treatment for small skin lesions: Subsequent lesions (each) 0282 R 616.00 R 633.00 R 616.20 R 645.90 R 639.30 R 634.00 R 620.30 R 623.80 R 634.00 R 606.30 Laser treatment for small skin lesions: Maximum for multiple additional lesions 0283 R 330.40 R 339.10 R 330.10 R 346.00 R 342.40 R 339.70 R 332.10 R 334.20 R 339.60 R 324.80 Laser treatment for large skin lesions: Limited area 0284 R 770.00 R 791.30 R 770.20 R 807.40 R 799.20 R 792.50 R 775.20 R 779.70 R 792.30 R 757.90 Laser treatment for large skin lesions: Extensive area 0285 R 1 814.00 R 1 862.80 R 1 813.50 R 1 900.70 R 1 881.30 R 1 865.80 R 1 825.20 R 1 835.80 R 1 865.50 R 1 784.50 Laser treatment for large skin lesions: Whole face or other areas of equivalent size or larger 0286 R 623.00 R 640.10 R 623.10 R 653.20 R 646.60 R 641.20 R 627.30 R 630.70 R 641.10 R 613.20 Photo-dynamic therapy for malignant skin lesions: Equipment fee for PDT lamp 0287 R 478.40 R 491.10 R 478.00 R 501.10 R 495.90 R 491.90 R 481.20 R 483.90 R 491.80 R 470.40 Scanning of pigmented skin lesions: Equipment fee for Molemax or similar device 0289 R 2 061.00 R 2 116.20 R 2 060.00 R 2 159.20 R 2 137.10 R 2 119.50 R 2 073.40 R 2 085.50 R 2 119.20 R 2 027.00 Large skin grafts; composite skin grafts; large full thickness free skin grafts 0290 R 3 612.00 R 3 707.80 R 3 609.30 R 3 783.00 R 3 744.40 R 3 713.60 R 3 632.80 R 3 653.80 R 3 712.90 R 3 551.60 Reconstructive procedures (including all stages) and skin graft by myo-cutaneous or fascio-cutaneous flap 0291 R 7 047.00 R 7 234.80 R 7 042.70 R 7 381.70 R 7 306.10 R 7 246.10 R 7 088.40 R 7 129.70 R 7 244.90 R 6 930.10 Reconstructive procedures (including all stages) grafting by micro-vascular re-anastomosis 0292 R 1 814.00 R 1 862.80 R 1 813.50 R 1 900.70 R 1 881.30 R 1 865.80 R 1 825.20 R 1 835.80 R 1 865.50 R 1 784.50 Distant flaps: First stage 0293 R 1 814.00 R 1 862.80 R 1 813.50 R 1 900.70 R 1 881.30 R 1 865.80 R 1 825.20 R 1 835.80 R 1 865.50 R 1 784.50 Contour grafts (excluding cost of material) 08 January 2015 Page 7 of 134

0294 R 10 571.00 R 10 852.20 R 10 564.10 R 11 072.60 R 10 959.10 R 10 869.20 R 10 632.40 R 10 694.30 R 10 867.20 R 10 395.00 Vascularised bone graft with or without soft tissue with one or more sets of micro-vascular anastomoses 0295 R 1 814.00 R 1 862.80 R 1 813.50 R 1 900.70 R 1 881.30 R 1 865.80 R 1 825.20 R 1 835.80 R 1 865.50 R 1 784.50 Local skin flaps (large; complicated) 0296 R 1 814.00 R 1 862.80 R 1 813.50 R 1 900.70 R 1 881.30 R 1 865.80 R 1 825.20 R 1 835.80 R 1 865.50 R 1 784.50 Other procedures of major technical nature 0297 R 1 145.30 R 1 175.70 R 1 144.40 R 1 199.50 R 1 187.30 R 1 177.40 R 1 151.80 R 1 158.50 R 1 177.30 R 1 126.20 Subsequent major procedures for repair of same lesion 0298 R 1 497.00 R 1 537.50 R 1 496.60 R 1 568.60 R 1 552.60 R 1 539.80 R 1 506.30 R 1 515.10 R 1 539.60 R 1 472.70 Lower abdominal dermo-lipectomy 0299 R 2 422.00 R 2 486.80 R 2 421.00 R 2 537.40 R 2 511.50 R 2 491.00 R 2 436.60 R 2 450.80 R 2 490.40 R 2 382.20 Major abdominal lipectomy with repositioning of umbilicus 0300 R 154.10 R 158.30 R 154.00 R 161.50 R 159.80 R 158.40 R 155.00 R 155.90 R 158.40 R 151.70 Stitching of soft-tissue injuries: Stitching of wound (with or without local anaesthesia): Including normal after-care) 0301 R 77.10 R 79.20 R 77.10 R 80.80 R 80.00 R 79.30 R 77.70 R 78.00 R 79.30 R 75.80 Stitching of soft-tissue injuries: Additional wounds stitched at same session (each) 0302 R 704.00 R 723.50 R 704.20 R 738.10 R 730.60 R 724.60 R 708.80 R 712.80 R 724.40 R 692.90 Stitching of soft-tissue injuries: Deep laceration involving limited muscle damage 0303 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Stitching of soft-tissue injuries: Deep laceration involving extensive muscle damage 0304 R 550.00 R 565.10 R 550.10 R 576.70 R 570.80 R 566.00 R 553.80 R 556.80 R 565.90 R 541.30 Major debridement of wound; sloughectomy or secondary suture 0305 R 275.30 R 282.60 R 275.10 R 288.30 R 285.50 R 283.20 R 276.90 R 278.50 R 283.10 R 270.70 Needle biopsy - soft tissue 0307 R 297.30 R 305.20 R 297.10 R 311.50 R 308.20 R 305.80 R 299.00 R 300.70 R 305.60 R 292.40 Excision and repair by direct suture; excision nail fold or other minor procedures of similar magnitude 0308 R 154.10 R 158.30 R 154.00 R 161.50 R 159.80 R 158.40 R 155.00 R 155.90 R 158.40 R 151.70 Each additional small procedure done at the same time 08 January 2015 Page 8 of 134

0310 R 418.00 R 429.60 R 418.10 R 438.20 R 433.70 R 430.20 R 420.90 R 423.30 R 430.20 R 411.40 Radical excision of nailbed 0311 R 605.00 R 621.80 R 605.20 R 634.40 R 627.90 R 622.70 R 609.20 R 612.70 R 622.70 R 595.50 Excision of large benign tumour (more than 5 cm) 0313 R 2 501.00 R 2 567.60 R 2 499.30 R 2 619.60 R 2 592.70 R 2 571.40 R 2 515.50 R 2 530.20 R 2 571.10 R 2 459.30 Extensive resection for malignant soft tissue tumour including muscle 0314 R 1 145.30 R 1 175.70 R 1 144.40 R 1 199.50 R 1 187.30 R 1 177.40 R 1 151.80 R 1 158.50 R 1 177.30 R 1 126.20 Requiring repair by large skin graft or large local flap or other procedures of similar magnitude 0315 R 605.00 R 621.80 R 605.20 R 634.40 R 627.90 R 622.70 R 609.20 R 612.70 R 622.70 R 595.50 Requiring repair by small skin graft or small local flap or other procedures of similar magnitude 0316 R 165.10 R 169.50 R 165.00 R 173.00 R 171.30 R 169.70 R 166.20 R 167.00 R 169.70 R 162.40 Fine needle aspiration for soft tissue (all areas) 0317 R 99.10 R 101.80 R 98.90 R 103.80 R 102.60 R 101.80 R 99.50 R 100.10 R 101.70 R 97.30 Aspiration of cyst or tumour 0319 R 462.00 R 474.80 R 462.20 R 484.50 R 479.50 R 475.60 R 465.30 R 468.00 R 475.60 R 454.80 Mastotomy with exploration; drainage of abscess or removal of mammary implant 0321 R 1 037.30 R 1 064.90 R 1 036.50 R 1 086.60 R 1 075.30 R 1 066.60 R 1 043.30 R 1 049.40 R 1 066.30 R 1 020.10 Biopsy or excision of cyst; benign tumour; aberrant breast tissue; duct papilloma 0323 R 991.10 R 1 017.40 R 990.40 R 1 038.00 R 1 027.40 R 1 019.00 R 996.80 R 1 002.60 R 1 018.80 R 974.50 Subareolar cone excision of ducts of wedge excision of breast 0324 R 1 982.20 R 2 034.80 R 1 980.60 R 2 076.10 R 2 054.80 R 2 037.90 R 1 993.60 R 2 005.20 R 2 037.60 R 1 949.10 Wedge excision of breast and axillary dissection 0325 R 1 365.00 R 1 401.70 R 1 364.40 R 1 430.20 R 1 415.50 R 1 403.90 R 1 373.30 R 1 381.30 R 1 403.70 R 1 342.70 Total mastectomy 0327 R 1 629.00 R 1 673.00 R 1 628.60 R 1 706.90 R 1 689.40 R 1 675.60 R 1 639.10 R 1 648.70 R 1 675.40 R 1 602.60 Total mastectomy with axillary gland biopsy 0329 R 2 422.00 R 2 486.80 R 2 421.00 R 2 537.40 R 2 511.50 R 2 491.00 R 2 436.60 R 2 450.80 R 2 490.40 R 2 382.20 Total mastectomy with axillary gland dissection 08 January 2015 Page 9 of 134

0330 R 1 046.20 R 1 073.90 R 1 045.30 R 1 095.70 R 1 084.50 R 1 075.60 R 1 052.10 R 1 058.20 R 1 075.40 R 1 028.70 Nipple and areola reconstruction 0331 R 2 061.00 R 2 116.20 R 2 060.00 R 2 159.20 R 2 137.10 R 2 119.50 R 2 073.40 R 2 085.50 R 2 119.20 R 2 027.00 Subcutaneous mastectomy for disease of breast; including reconstruction but excluding cost of prosthesis: Unilateral 0333 R 3 612.00 R 3 707.80 R 3 609.30 R 3 783.00 R 3 744.40 R 3 713.60 R 3 632.80 R 3 653.80 R 3 712.90 R 3 551.60 Subcutaneous mastectomy for disease of breast; including reconstruction but excluding cost of prosthesis: Bilateral 0334 R 2 061.00 R 2 116.20 R 2 060.00 R 2 159.20 R 2 137.10 R 2 119.50 R 2 073.40 R 2 085.50 R 2 119.20 R 2 027.00 Removal of breast implant by means of capsulectomy: Per breast 0335 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Implantation of internal subpectoral mammary prosthesis in post mastectomy patients 0337 R 2 061.00 R 2 116.20 R 2 060.00 R 2 159.20 R 2 137.10 R 2 119.50 R 2 073.40 R 2 085.50 R 2 119.20 R 2 027.00 Reduction: Mammoplasty for pathological hypertrophy: Unilateral 0339 R 3 612.00 R 3 707.80 R 3 609.30 R 3 783.00 R 3 744.40 R 3 713.60 R 3 632.80 R 3 653.80 R 3 712.90 R 3 551.60 Reduction: Mammoplasty for pathological hypertrophy: Bilateral 0341 R 1 013.10 R 1 040.00 R 1 012.40 R 1 061.10 R 1 050.30 R 1 041.50 R 1 019.00 R 1 024.90 R 1 041.40 R 996.30 Gynaecomastia: Unilateral 0343 R 1 418.40 R 1 456.00 R 1 417.40 R 1 485.60 R 1 470.50 R 1 458.40 R 1 426.50 R 1 434.90 R 1 458.10 R 1 394.80 Gynaecomastia: Bilateral 0351 R 2 431.00 R 2 495.80 R 2 429.70 R 2 546.60 R 2 520.40 R 2 499.80 R 2 445.40 R 2 459.70 R 2 499.40 R 2 390.80 Major Burns: Resuscitation (including supervision and intravenous therapy - first 48 hours) 0353 R 1 101.20 R 1 130.50 R 1 100.40 R 1 153.40 R 1 141.60 R 1 132.30 R 1 107.60 R 1 114.00 R 1 132.10 R 1 083.00 Tangential excision and grafting: Small 0354 R 1 761.00 R 1 808.70 R 1 760.60 R 1 845.40 R 1 826.50 R 1 811.50 R 1 772.10 R 1 782.30 R 1 811.10 R 1 732.40 Tangential excision and grafting: Large 0355 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 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 495.00 R 508.80 R 495.30 R 519.00 R 513.70 R 509.50 R 498.40 R 501.30 R 509.40 R 487.30 Small skin graft in acute hand injury 08 January 2015 Page 10 of 134

0359 R 1 691.00 R 1 736.40 R 1 690.10 R 1 771.60 R 1 753.30 R 1 739.00 R 1 701.10 R 1 711.10 R 1 738.70 R 1 663.20 Release of extensive skin contracture and/or excision of scar tissue with major skin graft resurfacing 0361 R 1 939.00 R 1 990.40 R 1 937.60 R 2 030.90 R 2 010.10 R 1 993.50 R 1 950.10 R 1 961.60 R 1 993.30 R 1 906.70 Z-plasty 0363 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Local flap and skin graft 0365 R 1 691.00 R 1 736.40 R 1 690.10 R 1 771.60 R 1 753.30 R 1 739.00 R 1 701.10 R 1 711.10 R 1 738.70 R 1 663.20 Cross finger flap (all stages) 0367 R 1 691.00 R 1 736.40 R 1 690.10 R 1 771.60 R 1 753.30 R 1 739.00 R 1 701.10 R 1 711.10 R 1 738.70 R 1 663.20 Palmar flap (all stages) 0369 R 1 392.00 R 1 428.80 R 1 390.90 R 1 457.90 R 1 443.00 R 1 431.20 R 1 399.90 R 1 408.10 R 1 431.00 R 1 368.60 Distant flap: First stage 0371 R 848.00 R 870.50 R 847.40 R 888.10 R 879.00 R 871.80 R 852.90 R 857.90 R 871.70 R 833.70 Distant flap: Subsequent stage (not subject to general modifier 0007) 0373 R 2 030.00 R 2 084.40 R 2 029.00 R 2 126.80 R 2 104.90 R 2 087.60 R 2 042.30 R 2 054.00 R 2 087.30 R 1 996.60 Transfer neurovascular island flap 0374 R 2 135.40 R 2 192.20 R 2 133.90 R 2 236.70 R 2 213.80 R 2 195.60 R 2 147.80 R 2 160.20 R 2 195.30 R 2 099.80 Syndactyly: Separation of; including skin graft for one web (with skin flap and graft) 0375 R 561.00 R 576.40 R 561.10 R 588.20 R 582.20 R 577.40 R 564.80 R 568.00 R 577.30 R 552.20 Dupuytren's contracture: Fasciotomy 0376 R 1 920.00 R 1 971.40 R 1 919.10 R 2 011.50 R 1 990.90 R 1 974.60 R 1 931.50 R 1 942.80 R 1 974.20 R 1 888.30 Dupuytren's contracture: Fasciectomy 0377 R 110.10 R 113.00 R 110.00 R 115.30 R 114.20 R 113.10 R 110.70 R 111.40 R 113.10 R 108.20 Standard acupuncture 0378 R 154.10 R 158.30 R 154.00 R 161.50 R 159.80 R 158.40 R 155.00 R 155.90 R 158.40 R 151.70 Laser acupuncture using more than 6 points 0379 R 154.10 R 158.30 R 154.00 R 161.50 R 159.80 R 158.40 R 155.00 R 155.90 R 158.40 R 151.70 Electro-acupuncture 08 January 2015 Page 11 of 134

0380 R 110.10 R 113.00 R 110.00 R 115.30 R 114.20 R 113.10 R 110.70 R 111.40 R 113.10 R 108.20 Scalp acupuncture 0381 R 110.10 R 113.00 R 110.00 R 115.30 R 114.20 R 113.10 R 110.70 R 111.40 R 113.10 R 108.20 Micro-acupuncture (ear; hand) 0387 R 848.00 R 870.50 R 847.40 R 888.10 R 879.00 R 871.80 R 852.90 R 857.90 R 871.70 R 833.70 Fracture (reduction under general anaesthetic): Clavicle 0388 R 1 547.00 R 1 589.00 R 1 546.80 R 1 621.30 R 1 604.70 R 1 591.50 R 1 556.80 R 1 565.90 R 1 591.20 R 1 522.10 Percutaneous pinning of supracondylar fracture: Elbow - stand alone procedure 0389 R 1 228.00 R 1 261.50 R 1 228.00 R 1 287.20 R 1 273.90 R 1 263.60 R 1 236.00 R 1 243.10 R 1 263.30 R 1 208.40 Fracture (reduction under general anaesthetic): Humerus 0391 R 848.00 R 870.50 R 847.40 R 888.10 R 879.00 R 871.80 R 852.90 R 857.90 R 871.70 R 833.70 Fracture (reduction under general anaesthetic): Radius and/or Ulna 0392 R 1 850.10 R 1 899.10 R 1 848.60 R 1 937.60 R 1 917.90 R 1 902.10 R 1 860.70 R 1 871.40 R 1 901.80 R 1 819.20 Fracture (reduction under general anaesthetic): Open reduction of both radius and ulna (modifier 0051 not applicable) 0402 R 704.00 R 723.50 R 704.20 R 738.10 R 730.60 R 724.60 R 708.80 R 712.80 R 724.40 R 692.90 Fracture (reduction under general anaesthetic): Carpal bone 0403 R 561.00 R 576.40 R 561.10 R 588.20 R 582.20 R 577.40 R 564.80 R 568.00 R 577.30 R 552.20 Fracture (reduction under general anaesthetic): Bennett fracture-dislocation 0405 R 1 302.00 R 1 337.30 R 1 301.90 R 1 364.50 R 1 350.60 R 1 339.50 R 1 310.20 R 1 317.90 R 1 339.20 R 1 281.00 Fracture (reduction under general anaesthetic): Open treatment of metacarpal: Simple 0411 R 572.00 R 587.90 R 572.30 R 599.80 R 593.70 R 588.90 R 575.90 R 579.50 R 588.70 R 563.10 Fracture (reduction under general anaesthetic): Finger phalanx: Distal: Compound 0413 R 528.00 R 542.50 R 528.20 R 553.60 R 547.90 R 543.40 R 531.50 R 534.70 R 543.30 R 519.60 Fracture (reduction under general anaesthetic): Proximal or middle: Simple 0415 R 1 123.30 R 1 153.10 R 1 122.50 R 1 176.50 R 1 164.50 R 1 155.00 R 1 129.70 R 1 136.40 R 1 154.70 R 1 104.60 Fracture (reduction under general anaesthetic): Proximal or middle: Compound 0419 R 2 819.10 R 2 894.00 R 2 817.10 R 2 952.80 R 2 922.30 R 2 898.40 R 2 835.30 R 2 851.80 R 2 897.90 R 2 772.00 Fracture (reduction under general anaesthetic): Pelvis: Operative reduction and fixation 08 January 2015 Page 12 of 134

0421 R 2 088.00 R 2 143.30 R 2 086.40 R 2 186.90 R 2 164.40 R 2 146.60 R 2 099.90 R 2 112.10 R 2 146.40 R 2 053.10 Fracture (reduction under general anaesthetic): Femur: Neck or Shaft 0425 R 561.00 R 576.40 R 561.10 R 588.20 R 582.20 R 577.40 R 564.80 R 568.00 R 577.30 R 552.20 Fracture (reduction under general anaesthetic): Patella 0429 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Fracture (reduction under general anaesthetic): Tibia with or without fibula 0435 R 638.00 R 655.50 R 638.10 R 668.90 R 661.90 R 656.50 R 642.40 R 645.90 R 656.40 R 628.00 Fracture (reduction under general anaesthetic): Malleolus of ankle 0437 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Fracture (reduction under general anaesthetic): Fracture-dislocation of ankle 0438 R 1 750.00 R 1 796.90 R 1 749.30 R 1 833.40 R 1 814.60 R 1 799.80 R 1 760.60 R 1 770.90 R 1 799.40 R 1 721.30 Fracture (reduction under general anaesthetic): Open reduction Talus fracture (modifier 0051 not applicable) 0439 R 704.00 R 723.50 R 704.20 R 738.10 R 730.60 R 724.60 R 708.80 R 712.80 R 724.40 R 692.90 Fracture (reduction under general anaesthetic): Tarsal bones (excluding talus and calcaneus) 0440 R 3 551.00 R 3 645.70 R 3 548.90 R 3 719.70 R 3 681.60 R 3 651.50 R 3 571.90 R 3 592.70 R 3 650.90 R 3 492.10 Fracture (reduction under general anaesthetic): Open reduction Calcaneus fracture (modifier 0051 not applicable) 0441 R 460.40 R 472.60 R 460.00 R 482.10 R 477.30 R 473.30 R 462.90 R 465.60 R 473.10 R 452.70 Fracture (reduction under general anaesthetic): Metatarsal 0445 R 352.30 R 361.80 R 352.20 R 369.10 R 365.40 R 362.40 R 354.50 R 356.60 R 362.30 R 346.70 Fracture (reduction under general anaesthetic): Toe phalanx: Compound 0447 R 286.30 R 293.90 R 286.10 R 299.90 R 296.90 R 294.40 R 288.10 R 289.70 R 294.30 R 281.60 Fracture (reduction under general anaesthetic): Other: Simple 0449 R 572.00 R 587.90 R 572.30 R 599.80 R 593.70 R 588.90 R 575.90 R 579.50 R 588.70 R 563.10 Fracture (reduction under general anaesthetic): Other: Compound 0452 R 2 026.30 R 2 080.00 R 2 024.70 R 2 122.20 R 2 100.50 R 2 083.30 R 2 037.90 R 2 049.70 R 2 082.80 R 1 992.30 Fracture (reduction under general anaesthetic): Sternum and/or ribs: Open reduction and fixation of multiple fractured ribs for flail chest 0465 R 2 537.20 R 2 604.50 R 2 535.40 R 2 657.40 R 2 630.20 R 2 608.60 R 2 551.80 R 2 566.60 R 2 608.10 R 2 494.80 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

0473 R 473.00 R 486.00 R 473.10 R 495.90 R 490.80 R 486.70 R 476.10 R 478.90 R 486.70 R 465.60 Percutaneous insertion plus subsequent removal of Kirschner wires or Steinmann pins (no after-care) (modifier 0005 not applicable) 0475 R 2 484.40 R 2 550.30 R 2 482.60 R 2 602.10 R 2 575.60 R 2 554.30 R 2 498.70 R 2 513.20 R 2 553.90 R 2 443.00 Bonegrafting or internal fixation for malunion or non-union: Femur; Tibia; Humerus; Radius and Ulna 0479 R 1 356.00 R 1 392.80 R 1 355.70 R 1 420.90 R 1 406.40 R 1 394.90 R 1 364.50 R 1 372.30 R 1 394.70 R 1 334.00 Bonegrafting or internal fixation for malunion or non-union: Other bones 0497 R 2 484.40 R 2 550.30 R 2 482.60 R 2 602.10 R 2 575.60 R 2 554.30 R 2 498.70 R 2 513.20 R 2 553.90 R 2 443.00 Resection of bone or tumour with or without grafting (benign) 0498 R 2 995.30 R 3 074.90 R 2 993.10 R 3 137.30 R 3 105.10 R 3 079.70 R 3 012.70 R 3 030.10 R 3 079.20 R 2 945.30 Resection of bone or tumour with or without grafting (malignant) - does not include digits 0499 R 1 691.00 R 1 736.40 R 1 690.10 R 1 771.60 R 1 753.30 R 1 739.00 R 1 701.10 R 1 711.10 R 1 738.70 R 1 663.20 Grafts to cysts: Large bones 0501 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Grafts to cysts: Small bones 0503 R 1 814.00 R 1 862.80 R 1 813.50 R 1 900.70 R 1 881.30 R 1 865.80 R 1 825.20 R 1 835.80 R 1 865.50 R 1 784.50 Grafts to cysts: Cartilage graft 0505 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Grafts to cysts: Inter-metacarpal bone graft 0507 R 550.00 R 565.10 R 550.10 R 576.70 R 570.80 R 566.00 R 553.80 R 556.80 R 565.90 R 541.30 Removal of autogenous bone for grafting (not subject to general modifier 0005) 0512 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Acute or chronic osteomyelitis: Sternum sequestrectomy and drainage: Including six weeks after-care 0514 R 2 907.20 R 2 984.30 R 2 905.20 R 3 044.90 R 3 013.70 R 2 989.10 R 2 924.00 R 2 941.00 R 2 988.50 R 2 858.60 Osteotomy: Sternum: Repair of pectus excavatum 0515 R 2 907.20 R 2 984.30 R 2 905.20 R 3 044.90 R 3 013.70 R 2 989.10 R 2 924.00 R 2 941.00 R 2 988.50 R 2 858.60 Osteotomy: Sternum: Repair of pectus carinatum 0516 R 2 819.10 R 2 894.00 R 2 817.10 R 2 952.80 R 2 922.30 R 2 898.40 R 2 835.30 R 2 851.80 R 2 897.90 R 2 772.00 Osteotomy: Pelvic 08 January 2015 Page 14 of 134

0521 R 2 819.10 R 2 894.00 R 2 817.10 R 2 952.80 R 2 922.30 R 2 898.40 R 2 835.30 R 2 851.80 R 2 897.90 R 2 772.00 Osteotomy: Femoral: Proximal 0527 R 2 819.10 R 2 894.00 R 2 817.10 R 2 952.80 R 2 922.30 R 2 898.40 R 2 835.30 R 2 851.80 R 2 897.90 R 2 772.00 Osteotomy: Knee region 0528 R 1 266.40 R 1 300.00 R 1 265.60 R 1 326.40 R 1 312.90 R 1 302.00 R 1 273.60 R 1 281.10 R 1 301.70 R 1 245.20 Osteotomy: Os Calcis (Dwyer operation) 0530 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Osteotomy: Metacarpal and phalanx: Corrective for malunion or rotation 0531 R 2 457.00 R 2 522.20 R 2 455.30 R 2 573.50 R 2 547.20 R 2 526.10 R 2 471.20 R 2 485.60 R 2 525.70 R 2 416.00 Rotational osteotomy of tibia and fibula - stand alone procedure 0532 R 1 409.00 R 1 446.90 R 1 408.50 R 1 476.30 R 1 461.20 R 1 449.20 R 1 417.80 R 1 425.90 R 1 448.90 R 1 386.00 Osteotomy: Rotation osteotomy of the Radius; Ulna or Humerus 0533 R 660.00 R 678.30 R 660.30 R 692.00 R 685.00 R 679.30 R 664.60 R 668.40 R 679.30 R 649.70 Osteotomy: Single metatarsal 0534 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Osteotomy: Multiple metatarsal osteotomies 0535 R 660.00 R 678.30 R 660.30 R 692.00 R 685.00 R 679.30 R 664.60 R 668.40 R 679.30 R 649.70 Exostosis: Excision: Readily accessible sites 0537 R 1 057.10 R 1 085.10 R 1 056.40 R 1 107.30 R 1 095.80 R 1 086.90 R 1 063.30 R 1 069.50 R 1 086.70 R 1 039.50 Exostosis: Excision: Less accessible sites 0539 R 550.00 R 565.10 R 550.10 R 576.70 R 570.80 R 566.00 R 553.80 R 556.80 R 565.90 R 541.30 Needle Biopsy: Spine (no after-care) (modifier 0005 not applicable) 0541 R 352.30 R 361.80 R 352.20 R 369.10 R 365.40 R 362.40 R 354.50 R 356.60 R 362.30 R 346.70 Needle Biopsy: Other sites (no after-care) (modifier 0005 not applicable) 0543 R 704.00 R 723.50 R 704.20 R 738.10 R 730.60 R 724.60 R 708.80 R 712.80 R 724.40 R 692.90 Biopsy: Open (modifier 0005 not applicable): Readily accessible site 0545 R 1 057.10 R 1 085.10 R 1 056.40 R 1 107.30 R 1 095.80 R 1 086.90 R 1 063.30 R 1 069.50 R 1 086.70 R 1 039.50 Biopsy: Open (modifier 0005 not applicable): Less accessible site 08 January 2015 Page 15 of 134

0547 R 418.00 R 429.60 R 418.10 R 438.20 R 433.70 R 430.20 R 420.90 R 423.30 R 430.20 R 411.40 Joint: Dislocation: Clavicle either end 0549 R 561.00 R 576.40 R 561.10 R 588.20 R 582.20 R 577.40 R 564.80 R 568.00 R 577.30 R 552.20 Joint: Dislocation: Shoulder 0551 R 561.00 R 576.40 R 561.10 R 588.20 R 582.20 R 577.40 R 564.80 R 568.00 R 577.30 R 552.20 Joint: Dislocation: Elbow 0552 R 848.00 R 870.50 R 847.40 R 888.10 R 879.00 R 871.80 R 852.90 R 857.90 R 871.70 R 833.70 Joint: Dislocation: Wrist 0553 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Joint: Dislocation: Perilunar trans-scaphoid fracture dislocation 0555 R 848.00 R 870.50 R 847.40 R 888.10 R 879.00 R 871.80 R 852.90 R 857.90 R 871.70 R 833.70 Joint: Dislocation: Lunate 0556 R 561.00 R 576.40 R 561.10 R 588.20 R 582.20 R 577.40 R 564.80 R 568.00 R 577.30 R 552.20 Joint: Dislocation: Carpo-metacarpo dislocation 0557 R 286.30 R 293.90 R 286.10 R 299.90 R 296.90 R 294.40 R 288.10 R 289.70 R 294.30 R 281.60 Joint: Dislocation: Metacarpo-phalangeal or interphalangeal (hand) 0559 R 1 200.30 R 1 232.30 R 1 199.40 R 1 257.20 R 1 244.30 R 1 234.10 R 1 207.30 R 1 214.20 R 1 233.80 R 1 180.20 Joint: Dislocation: Hip 0561 R 1 057.10 R 1 085.10 R 1 056.40 R 1 107.30 R 1 095.80 R 1 086.90 R 1 063.30 R 1 069.50 R 1 086.70 R 1 039.50 Joint: Dislocation: Knee 0563 R 352.30 R 361.80 R 352.20 R 369.10 R 365.40 R 362.40 R 354.50 R 356.60 R 362.30 R 346.70 Joint: Dislocation: Patella 0565 R 991.10 R 1 017.40 R 990.40 R 1 038.00 R 1 027.40 R 1 019.00 R 996.80 R 1 002.60 R 1 018.80 R 974.50 Joint: Dislocation: Ankle 0567 R 991.10 R 1 017.40 R 990.40 R 1 038.00 R 1 027.40 R 1 019.00 R 996.80 R 1 002.60 R 1 018.80 R 974.50 Joint: Dislocation: Sub-Talar dislocation 0569 R 848.00 R 870.50 R 847.40 R 888.10 R 879.00 R 871.80 R 852.90 R 857.90 R 871.70 R 833.70 Joint: Dislocation: Intertarsal or Tarsometatarsal or Mid-tarsal 08 January 2015 Page 16 of 134

0571 R 154.10 R 158.30 R 154.00 R 161.50 R 159.80 R 158.40 R 155.00 R 155.90 R 158.40 R 151.70 Joint: Dislocation: Meta-tarsophalangeal or interphalangeal joints (foot) 0578 R 1 761.00 R 1 808.70 R 1 760.60 R 1 845.40 R 1 826.50 R 1 811.50 R 1 772.10 R 1 782.30 R 1 811.10 R 1 732.40 Operations for dislocations: Recurrent dislocation of shoulder 0579 R 1 418.40 R 1 456.00 R 1 417.40 R 1 485.60 R 1 470.50 R 1 458.40 R 1 426.50 R 1 434.90 R 1 458.10 R 1 394.80 Operations for dislocations: Recurrent dislocation of all other joints 0582 R 561.00 R 576.40 R 561.10 R 588.20 R 582.20 R 577.40 R 564.80 R 568.00 R 577.30 R 552.20 Capsulotomy or arthrotomy or biopsy or drainage of joint: Small joint (including three weeks after-care) 0583 R 1 057.10 R 1 085.10 R 1 056.40 R 1 107.30 R 1 095.80 R 1 086.90 R 1 063.30 R 1 069.50 R 1 086.70 R 1 039.50 Capsulotomy or arthrotomy or biopsy or drainage of joint: Large joint (including three weeks after-care) 0585 R 704.00 R 723.50 R 704.20 R 738.10 R 730.60 R 724.60 R 708.80 R 712.80 R 724.40 R 692.90 Capsulectomy digital joint 0586 R 991.10 R 1 017.40 R 990.40 R 1 038.00 R 1 027.40 R 1 019.00 R 996.80 R 1 002.60 R 1 018.80 R 974.50 Multiple percutaneous capsulotomies of metacarpophalangeal joints 0587 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Release of digital joint contracture 0589 R 848.00 R 870.50 R 847.40 R 888.10 R 879.00 R 871.80 R 852.90 R 857.90 R 871.70 R 833.70 Synovectomy: Digital joint 0592 R 1 409.00 R 1 446.90 R 1 408.50 R 1 476.30 R 1 461.20 R 1 449.20 R 1 417.80 R 1 425.90 R 1 448.90 R 1 386.00 Synovectomy: Large joint 0593 R 1 794.00 R 1 842.20 R 1 793.20 R 1 879.50 R 1 860.40 R 1 845.10 R 1 805.00 R 1 815.30 R 1 844.70 R 1 764.50 Tendon synovectomy 0597 R 1 973.40 R 2 025.80 R 1 971.90 R 2 067.00 R 2 045.80 R 2 028.90 R 1 984.70 R 1 996.30 R 2 028.50 R 1 940.50 Arthrodesis: Shoulder 0598 R 1 585.00 R 1 627.80 R 1 584.50 R 1 660.80 R 1 643.90 R 1 630.40 R 1 594.90 R 1 604.00 R 1 630.10 R 1 559.10 Arthrodesis: Elbow 0599 R 1 585.00 R 1 627.80 R 1 584.50 R 1 660.80 R 1 643.90 R 1 630.40 R 1 594.90 R 1 604.00 R 1 630.10 R 1 559.10 Arthrodesis: Wrist 08 January 2015 Page 17 of 134

0600 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Arthrodesis: Digital joint 0601 R 2 819.10 R 2 894.00 R 2 817.10 R 2 952.80 R 2 922.30 R 2 898.40 R 2 835.30 R 2 851.80 R 2 897.90 R 2 772.00 Arthrodesis: Hip 0602 R 1 585.00 R 1 627.80 R 1 584.50 R 1 660.80 R 1 643.90 R 1 630.40 R 1 594.90 R 1 604.00 R 1 630.10 R 1 559.10 Arthrodesis: Knee 0603 R 1 585.00 R 1 627.80 R 1 584.50 R 1 660.80 R 1 643.90 R 1 630.40 R 1 594.90 R 1 604.00 R 1 630.10 R 1 559.10 Arthrodesis: Ankle 0604 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Arthrodesis: Sub-talar 0605 R 1 585.00 R 1 627.80 R 1 584.50 R 1 660.80 R 1 643.90 R 1 630.40 R 1 594.90 R 1 604.00 R 1 630.10 R 1 559.10 Arthrodesis: Stabilisation of foot (triple-arthrodesis) 0607 R 1 585.00 R 1 627.80 R 1 584.50 R 1 660.80 R 1 643.90 R 1 630.40 R 1 594.90 R 1 604.00 R 1 630.10 R 1 559.10 Arthrodesis: Mid-tarsal wedge resection 0614 R 1 409.00 R 1 446.90 R 1 408.50 R 1 476.30 R 1 461.20 R 1 449.20 R 1 417.80 R 1 425.90 R 1 448.90 R 1 386.00 Arthroplasty: Debridement large joints 0615 R 1 277.40 R 1 311.30 R 1 276.50 R 1 337.90 R 1 324.30 R 1 313.40 R 1 284.70 R 1 292.30 R 1 313.10 R 1 256.00 Arthroplasty: Excision medial or lateral end of clavicle 0617 R 1 691.00 R 1 736.40 R 1 690.10 R 1 771.60 R 1 753.30 R 1 739.00 R 1 701.10 R 1 711.10 R 1 738.70 R 1 663.20 Shoulder: Acromioplasty 0619 R 2 440.30 R 2 505.00 R 2 438.50 R 2 555.90 R 2 529.60 R 2 508.90 R 2 454.30 R 2 468.60 R 2 508.50 R 2 399.40 Shoulder: Partial replacement 0620 R 3 664.00 R 3 761.90 R 3 662.10 R 3 838.60 R 3 799.10 R 3 767.90 R 3 685.80 R 3 707.40 R 3 767.30 R 3 603.60 Shoulder: Total replacement 0621 R 1 057.10 R 1 085.10 R 1 056.40 R 1 107.30 R 1 095.80 R 1 086.90 R 1 063.30 R 1 069.50 R 1 086.70 R 1 039.50 Elbow: Excision head of radius 0622 R 1 691.00 R 1 736.40 R 1 690.10 R 1 771.60 R 1 753.30 R 1 739.00 R 1 701.10 R 1 711.10 R 1 738.70 R 1 663.20 Elbow: Excision 08 January 2015 Page 18 of 134

0623 R 1 656.20 R 1 700.10 R 1 655.10 R 1 734.70 R 1 716.80 R 1 702.70 R 1 665.70 R 1 675.50 R 1 702.40 R 1 628.50 Elbow: Partial replacement 0624 R 2 484.40 R 2 550.30 R 2 482.60 R 2 602.10 R 2 575.60 R 2 554.30 R 2 498.70 R 2 513.20 R 2 553.90 R 2 443.00 Elbow: Total replacement 0625 R 1 057.10 R 1 085.10 R 1 056.40 R 1 107.30 R 1 095.80 R 1 086.90 R 1 063.30 R 1 069.50 R 1 086.70 R 1 039.50 Wrist: Excision distal end of ulna 0626 R 1 211.40 R 1 243.50 R 1 210.40 R 1 268.70 R 1 255.70 R 1 245.40 R 1 218.40 R 1 225.40 R 1 245.20 R 1 191.20 Wrist: Excision single bone 0627 R 1 462.00 R 1 501.20 R 1 461.40 R 1 531.70 R 1 516.00 R 1 503.50 R 1 470.80 R 1 479.50 R 1 503.30 R 1 438.00 Wrist: Excision proximal row 0631 R 2 193.00 R 2 251.90 R 2 191.90 R 2 297.60 R 2 274.00 R 2 255.30 R 2 206.20 R 2 219.00 R 2 254.90 R 2 157.00 Wrist: Total replacement 0635 R 1 691.00 R 1 736.40 R 1 690.10 R 1 771.60 R 1 753.30 R 1 739.00 R 1 701.10 R 1 711.10 R 1 738.70 R 1 663.20 Digital Joint: Total replacement 0637 R 3 664.00 R 3 761.90 R 3 662.10 R 3 838.60 R 3 799.10 R 3 767.90 R 3 685.80 R 3 707.40 R 3 767.30 R 3 603.60 Hip: Total replacement 0641 R 2 537.20 R 2 604.50 R 2 535.40 R 2 657.40 R 2 630.20 R 2 608.60 R 2 551.80 R 2 566.60 R 2 608.10 R 2 494.80 Hip: Prosthetic replacement of femoral head 0643 R 2 819.10 R 2 894.00 R 2 817.10 R 2 952.80 R 2 922.30 R 2 898.40 R 2 835.30 R 2 851.80 R 2 897.90 R 2 772.00 Hip: Girdlestone 0645 R 2 440.30 R 2 505.00 R 2 438.50 R 2 555.90 R 2 529.60 R 2 508.90 R 2 454.30 R 2 468.60 R 2 508.50 R 2 399.40 Knee: Partial replacement 0646 R 3 664.00 R 3 761.90 R 3 662.10 R 3 838.60 R 3 799.10 R 3 767.90 R 3 685.80 R 3 707.40 R 3 767.30 R 3 603.60 Knee: Total replacement 0649 R 2 558.40 R 2 626.20 R 2 556.30 R 2 679.50 R 2 652.00 R 2 630.40 R 2 573.00 R 2 587.90 R 2 629.80 R 2 515.50 Ankle: Total replacement 0650 R 1 356.00 R 1 392.80 R 1 355.70 R 1 420.90 R 1 406.40 R 1 394.90 R 1 364.50 R 1 372.30 R 1 394.70 R 1 334.00 Ankle: Astragalectomy 08 January 2015 Page 19 of 134

0661 R 99.10 R 101.80 R 98.90 R 103.80 R 102.60 R 101.80 R 99.50 R 100.10 R 101.70 R 97.30 Aspiration of joint or intra-articular injection (not including after-care) (modifier 0005 not applicable) 0663 R 82.00 R 84.90 R 82.50 R 86.60 R 85.70 R 85.00 R 83.10 R 83.70 R 84.90 R 81.30 Multiple intra-articular injections for rheumatoid arthritis (excluding after-care) (modifier 0005 not applicable): First joint 0665 R 44.10 R 45.30 R 44.10 R 46.10 R 45.70 R 45.30 R 44.40 R 44.70 R 45.30 R 43.30 Multiple intra-articular injections for rheumatoid arthritis (excluding after-care) (modifier 0005 not applicable): Additional (each) 0667 R 660.00 R 678.30 R 660.30 R 692.00 R 685.00 R 679.30 R 664.60 R 668.40 R 679.30 R 649.70 Arthroscopy (excluding after-care) (modifiers 0005 and 0013 not applicable) 0669 R 154.10 R 158.30 R 154.00 R 161.50 R 159.80 R 158.40 R 155.00 R 155.90 R 158.40 R 151.70 Manipulation knee or shoulder joint under general anaesthetic (not including after-care) (modifier 0005 not applicable) 0673 R 1 200.30 R 1 232.30 R 1 199.40 R 1 257.20 R 1 244.30 R 1 234.10 R 1 207.30 R 1 214.20 R 1 233.80 R 1 180.20 Meniscectomy or operation for other internal derangement of knee 0675 R 1 409.00 R 1 446.90 R 1 408.50 R 1 476.30 R 1 461.20 R 1 449.20 R 1 417.80 R 1 425.90 R 1 448.90 R 1 386.00 Joint ligament reconstruction or suture: Ankle: Collateral 0677 R 1 409.00 R 1 446.90 R 1 408.50 R 1 476.30 R 1 461.20 R 1 449.20 R 1 417.80 R 1 425.90 R 1 448.90 R 1 386.00 Joint ligament reconstruction or suture: Knee: Collateral 0678 R 1 409.00 R 1 446.90 R 1 408.50 R 1 476.30 R 1 461.20 R 1 449.20 R 1 417.80 R 1 425.90 R 1 448.90 R 1 386.00 Joint ligament reconstruction or suture: Knee: Cruciate 0679 R 2 466.00 R 2 532.20 R 2 465.00 R 2 583.50 R 2 557.20 R 2 536.20 R 2 480.90 R 2 495.40 R 2 535.70 R 2 425.60 Joint ligament reconstruction or suture: Ligament augmentation procedure of knee 0680 R 1 453.00 R 1 492.20 R 1 452.60 R 1 522.50 R 1 506.90 R 1 494.50 R 1 461.90 R 1 470.60 R 1 494.20 R 1 429.30 Joint ligament reconstruction or suture: Digital joint ligament 0682 R 2 590.10 R 2 659.00 R 2 588.20 R 2 712.90 R 2 685.20 R 2 663.00 R 2 605.10 R 2 620.20 R 2 662.60 R 2 546.80 Amputation: Fore-quarter amputation 0683 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Amputation: Through shoulder 0685 R 1 277.40 R 1 311.30 R 1 276.50 R 1 337.90 R 1 324.30 R 1 313.40 R 1 284.70 R 1 292.30 R 1 313.10 R 1 256.00 Amputation: Upper arm or fore-arm 08 January 2015 Page 20 of 134

0687 R 1 123.30 R 1 153.10 R 1 122.50 R 1 176.50 R 1 164.50 R 1 155.00 R 1 129.70 R 1 136.40 R 1 154.70 R 1 104.60 Partial amputation of the hand: One ray 0691 R 1 286.20 R 1 320.40 R 1 285.30 R 1 347.20 R 1 333.40 R 1 322.50 R 1 293.70 R 1 301.20 R 1 322.10 R 1 264.70 Amputation: Whole or part of finger 0693 R 3 700.10 R 3 798.30 R 3 697.40 R 3 875.50 R 3 835.70 R 3 804.40 R 3 721.50 R 3 743.00 R 3 803.70 R 3 638.20 Hindquarter amputation 0695 R 1 691.00 R 1 736.40 R 1 690.10 R 1 771.60 R 1 753.30 R 1 739.00 R 1 701.10 R 1 711.10 R 1 738.70 R 1 663.20 Amputation: Through hip joint region 0697 R 1 806.00 R 1 853.80 R 1 804.70 R 1 891.50 R 1 872.20 R 1 856.90 R 1 816.20 R 1 827.00 R 1 856.50 R 1 775.80 Amputation: Through thigh 0699 R 1 709.10 R 1 754.50 R 1 707.90 R 1 790.20 R 1 771.80 R 1 757.10 R 1 719.00 R 1 728.90 R 1 756.90 R 1 680.60 Amputation: Below knee; through knee or Syme 0701 R 1 321.00 R 1 356.60 R 1 320.60 R 1 384.00 R 1 370.00 R 1 358.70 R 1 329.10 R 1 336.90 R 1 358.50 R 1 299.40 Amputation: Trans-metatarsal or trans-tarsal 0703 R 1 068.10 R 1 096.60 R 1 067.40 R 1 118.80 R 1 107.40 R 1 098.40 R 1 074.20 R 1 080.50 R 1 098.20 R 1 050.30 Amputation: Foot: One ray 0705 R 726.00 R 746.10 R 726.40 R 761.20 R 753.50 R 747.30 R 731.00 R 735.40 R 747.20 R 714.80 Amputation: Toe 0706 R 825.00 R 847.90 R 825.30 R 865.00 R 856.10 R 849.20 R 830.70 R 835.50 R 849.00 R 812.10 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 1 814.00 R 1 862.80 R 1 813.50 R 1 900.70 R 1 881.30 R 1 865.80 R 1 825.20 R 1 835.80 R 1 865.50 R 1 784.50 Post-amputation reconstruction: Krukenberg reconstruction 0709 R 1 691.00 R 1 736.40 R 1 690.10 R 1 771.60 R 1 753.30 R 1 739.00 R 1 701.10 R 1 711.10 R 1 738.70 R 1 663.20 Post-amputation reconstruction: Metacarpal transfer 0711 R 2 484.40 R 2 550.30 R 2 482.60 R 2 602.10 R 2 575.60 R 2 554.30 R 2 498.70 R 2 513.20 R 2 553.90 R 2 443.00 Post-amputation reconstruction: Pollicisation of the finger (to include all stages) 0712 R 7 047.00 R 7 234.80 R 7 042.70 R 7 381.70 R 7 306.10 R 7 246.10 R 7 088.40 R 7 129.70 R 7 244.90 R 6 930.10 Post-amputation reconstruction: Toe to thumb transfer 08 January 2015 Page 21 of 134