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Doctors Gazette 2021

Part lll : Procedures

17. Ear

 



Specialist

General Practitioner

Anaesthetic

U

R

U

R

U

R          T/M

17.1

External Ear (Pinna)

 

 

 

 

 

 

3267

Partial or total reconstruction for traumatic absence of external ear: Unilateral

138

3 915.06

120

3 404.40

5

662.80 +T

3269

Partial or total reconstruction for traumatic absence of external ear: Bilateral

242

6 865.54

193.60

5 492.43

5

662.80 +T

3271

Partial or total reconstruction for traumatic absence or following tumour excision of external ear (fee according to arrangement) [Discontinued 2020] refer to items 3267 and 3269

 

 

 

 

 

 



 

 

 

 

 

 

17.2

External ear canal

 

 

 

 

 

 

3204

Removal of foreign body at rooms with the use of a microscope (excludes loupe) - not to be used combined with item 3206

21.58

612.22

 

 

 

 

3205

External ear canal: Removal of foreign body: Under general anaesthetic

21

595.77

21

595.77

4

530.24 +T

3215

Meatus atresia: Repair of stenosis of cartilaginous portion

164

4 652.68

131.2

3 722.14

4

530.24 +T

3219

Meatus atresia: Removal of osteoma from meatus: Solitary

77

2 184.49

77

2 184.49

4

530.2476 +T

3220

Debridement mastoidectomy cavity with the use of a microscope (excludes loupe) - not to be used combined with item 3206

23.14

656.48

23.14

656.48

 

 

3221

Removal of osteoma from meatus: Multiple

215

6 099.55

172

4 879.64

4

530.24 +T



 

 

 

 

 

 

17.3

Middle ear

 

 

 

 

 

 

3209

Bilateral myringotomy

46

1 305.02

46

1 305.02

4

530.24 +T

3211

Unilateral myringotomy with insertion ventilation tube

38

1 078.06

38

1 078.06

4

530.24 +T

3212

Bilateral myringotomy with insertion ventilation tube

57

1 617.09

57

1 617.09

4

530.24 +T

3214

Reconstruction of middle ear ossicles (ossiculoplasty)

255

7 234.35

204

5 787.48

5

662.80 +T

3237

Explanatory tympanotomy

158.9

4 507.99

127.12

3 606.39

5

662.80 +T

3243

Myringoplasty

138

3 915.06

120

3 404.40

5

662.80 +T

3245

Functional reconstruction of tympanic membrane

277

7 858.49

221.6

6 286.79

5

662.80 +T

3264

Tympanomastoidectomy

375

10 638.75

300

8 511.00

5

662.80 +T

3265

Reconstruction of posterior canal wall, following radical mastoidectomy

320

9 078.40

256

7 262.72

5

662.80 +T



 

 

 

 

5

 

17.4

Facial nerve

 

 

 

 

 

 

17.4.1

Facial nerve tests

 

 

 

 

 

 

3223

Percutaneous stimulation of the facial nerve

9

255.33

9

255.33

4

530.24 +T

3224

Electroneurography (ENOG)

75

2 127.75

75

2 127.75

4

530.24 +T

17.4.2

Facial nerve surgery

 

 

 

 

 

 

3227

Exploration of facial nerve: Exploration of tympano mastoid segment

297

8 425.89

237.6

6 740.71

5

662.80 +T

3228

Exploration of facial nerve: Grafting of the tympano mastoid segment (including item 3227)

436

12 369.32

348.8

9 895.46

5

662.80 +T

3230

Exploration of facial nerve: Extratemporal grafting of the facial nerve

436

12 369.32

348.8

9 895.46

5

662.80+T

3232

Exploration of facial nerve: Facio-assessory or facio-hypoglossal anastomosis

124

3 517.88

120

3 404.40

6

795.36 +T



 

 

 

 

 

 

17.5

Inner ear

 

 

 

 

 

 

17.5.1

Audiometry

 

 

 

 

 

 

3273

Pure tone audiometry (air conduction)

6.5

184.41

6.5

184.41

 

 

3274

Pure tone audiometry (bone conduction with masking)

6.5

184.41

6.5

184.41

 

 

3275

Impedance audiometry (tympanometry)

6.5

184.41

6.5

184.41

 

 

3277

Speech audiometry: Fee includes speech audiogram, speech reception threshold, discrimination score

10

283.70

10

283.70

 

 

17.5.2

Balance tests

 

 

 

 

 

 

3260

Computerized static posturography consists of standing a patient on a Piezo-electric platform which tests the vestibular and proprioceptive systems

71.48

2 027.89

71.48

2 027.89

 

 

3251

Minimal caloric test (excluding consultation fee)

10

283.70

10

283.70

 

 

3253

Electro-nystagmography for spontaneous and positional nystagmus [Discontinued 2020]

 

 

 

 

 

 

3255

Caloric test done with electro-nystagmography [Discontinued 2020]

 

 

 

 

 

 

3256

Video nystagmoscopy (binocular)

50

1 418.50

50

1 418.50

 

 

3258

Otolith repositioning manoeuvre

14

397.18

14

397.18

4

530.24 +T



 

 

 

 

 

 

17.6

Microsurgery of the skull base

 

 

 

 

 

 


Note: Skull base surgery, used for the management of lesions, often requires the skills of medical doctors of different disciplines working together during the operation.

The procedures are categorised in three parts:

1. The approach in order to expose the area in which the lesion is situated.
2. The definitive procedure which involves the repair, biopsy, resection or excision of the lesion. It also involves the primary closure of the dura, mucous membranes and skin.
3. Repair/reconstruction procedure: Is coded separately if extensive dural grafting cranioplasty, local or regional myocutaneous pedical flaps, or extensive skin grafts are performed.

Note codes for repair and closure with local, pedicled or free flaps and grafts can be found in the relevant sections of the coding structure

 

 

 

 

 

 

17.6.1

Middle fossa approach (i.e. transtemporal or supralabyrinthine)

 

 

 

 

 

 

3229

Facial nerve: Exploration of the labyrinthine segment

420

11 915.45

336

9 532.32

5

662.80 +T

5221

Facial nerve: Grafting of labyrinthine segment (graft removal and exploration of labyrinthine segment are included)

510

14 468.70

408

11 574.96

11

1458.16 +T

5222

Facial nerve surgery inside the internal auditory canal (if grafting is required, the grafting and harvesting of graft are included)

620

17 589.40

496

14 071.52

11

1458.16 +T

17.6.2

Translabyrinthine approach

 

 

 

 

 

 

5229

Facial nerve surgery in the internal auditory canal, translabyrinthine (if grafting is required, the grafting and harvesting are included)

660

18 724.20

528

14 979.36

11

1458.16 +T

17.6.7

Subtotal petrosectomy

 

 

 

 

 

 

5247

Subtotal petrosectomy for CSF leak and/or total obliteration of the mestoid cavity

480

13 617.60

384

10 894.08

11

1458.16 +T