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Doctors Gazette 2021

Part lll : Procedures

8. Digestive System

 

 

 

Specialist

General  Practitioner

Anaesthetic

U

R

U

R

U

R          T/M

8.1

Oral cavity

 

 

 

 

 

 

1467

Drainage of intra-oral abscess

31

879.47

31

879.47

4

530.24 +T

1483

Alveolar periosteal or other flaps for arch closure

138

3 915.06

120

3 404.40

4

530.24 +T

 

 

 

 

 

 

 

 

8.2

Lips

 

 

 

 

 

 

1485

Local excision of benign lesion of lip

27

765.99

27

765.99

4

530.24 +T

1499

Lip reconstruction following an injury: Directed repair

105.6

2 995.07

105.6

2 995.07

4

530.24 +T

1501

Lip reconstruction following an injury: Flap repair

206

5 844.22

164.8

4 675.38

4

530.24 +T

1503

Lip reconstruction following an injury only: Total reconstruction (first stage)

206

5 844.22

164.8

4 675.38

4

530.24 +T

1504

Lip reconstruction following an injury only: Subsequent stages (see item 0297)

104

2 950.48

104

2 950.48

4

530.24 +T

 

 

 

 

 

 

 

 

8.3

Tongue

 

 

 

 

 

 

1505

Partial glossectomy

225

6 383.25

180

5106.60

6

795.36 +T

1507

Local excision of lesion of tongue

27

765.99

27

765.99

4

530.24 +T

 

 

 

 

 

 

 

 

8.4

Palate, uvula and salivary gland

 

 

 

 

 

 

1526

Total parotidectomy with preservation of facial nerve

358.5

10 170.65

286.8

8 136.52

5

662.80 +T

1531

Drainage of parotid abscess

25

709.25

25

709.25

4

530.24 +T

 

 

 

 

 

 

 

 

8.5

Oesophagus

 

 

 

 

 

 

1545

Oesophagoscopy with rigid instrument: First and subsequent

47

1 333.39

47

1 333.39

4

530.24 +T

1550

Oesophagoscopy with removal of foreign body

70

1 985.90

70

1 985.90

4

530.24 +T

1563

Hiatus hernia and diaphragmatic hernia repair: With anti-reflux procedure

300

8 511.00

240

6 808.80

11

1 458.16 +T

1565

Hiatus hernia and diaphragmatic hernia repair: with Collins Nissen oesophageal lengthening procedure

350

9 929.50

280

7 943.60

11

1 458.16 +T

 

 

 

 

 

 

 

 

8.6

Stomach

 

 

 

 

 

 

1587

Upper gastro-intestinal endoscopy: Using hospital equipment

48.75

1 383.04

48.75

1 383.04

4

530.24 +T

1589

Endoscopio control of gastrointestinal haemorrhage from upper gastrointestinal tract, intestines or large bowel by injection of vasoconstrictor and/or schlerosis (endoscopic haemostasis) to be added to gastroscopy (item 1587) or colonoscopy (item 1653)

+    34

964.58

34

964.58

6

795.36 +T

1591

Plus removal of foreign bodies (stomach): ADD to gastro-intestinal endoscopy (item 1587)

+    25

709.25

+    25

709.25

4

530.24 +t

1597

Gastrostomy or Gastrotomy

147.5

4 184.58

120

3 404.40

6

795.36 +T

1615

Suture of perforated gastric or duodenal ulcer or wound or injury

200

5 674.00

160

4 539.20

7

927.92 +T

1617

Partial gastrectomy

328.3

9 313.87

262.64

7 451.10

7

927.92 +T

1619

Total gastrectomy

384.43

10 906.28

307.54

8 724.91 j

7

927.92 +T

 

 

 

 

 

 

 

 

8.7

Duodenum

 

 

 

 

 

 

1626

Endoscopic examination of the small bowel beyond the duodenojejunal flexure  with biopsy with or without polypectomy with or without arrest of haemorrhage (enteroscopy)

120

3 404.40

120

3 404.40

6

795.36 +T

1627

Duodenal intubation (under X-ray screening)

8

226.96

 

 

 

 

 

 

 

 

 

 

 

 

8.8

Intestines

 

 

 

 

 

 

1634

Enterotomy or Enterostomy

202.6

5 747.76

162.08

4 598.21

6

795.36 +T

1637

Operation for relief of intestinal obstruction

240

6 808.80

192

5 447.04

7

927.92 +T

1639

Resection of small bowel with enterostomy or ananstomosis

244.9

6 947.81

195.92

5 558.25

6

795.36 +T

1642

Gastrointestinal tract imaging, intraluminal(e.g. video capsule endoscopy): Hire fee (Item 0201 applicable for video capsule - disposable single patient use) - (Please note: All patients should have had a normal gastroscopy and colonoscopy)

150

4 255.50

120

3 404.40

 

 

1643

Gastrointestinal tract imaging, intraluminal (e.g. video capsule endoscopy), oesophagus through ileum: Doctor interpretation and report

90

2 553.30

90

2 553.30

 

 

1645

Suture of intestine (small or large): Wound or injury

185.2

5 254.12

148.16

4 203.30

6

795.36 +T

1647

Closure of Intestinal fistula

258

7 319.46

206.4

5 855.57

6

795.36 +T

1657

Right or left hemicolectomy or segmental colectomy

325

9 220.25

260

7 376.20

6

795.36 +T

1661

Colotomy: Including removal of foreign body

205.7

5 835.71

164.56

4 668.57

6

795.36 +T

1663

Total colectomy

390

11 064.30

312

8 851.44

6

795.36 +T

1665

Colostomy or ileostomy isolated procedure

233.8

6 632.91

187.04

5 306.32

6

795.36 +T

1667

Colostomy: Closure

179.1

5 081.07

143.28

4 064.85

5

662.80 +T

1668

Revision of ileostomy pouch

375

10 638.75

300

8 511.00

6

795.36 +T

 

 

 

 

 

 

 

 

8.10

Rectum and anus

 

 

 

 

 

 

1677

Sigmoidoscopy: First and subsequent, with or without biopsy

13

368.61

13

368.61

3

397.68 +T

1688

Total mesorectal excision with colo-anal anastomosis and defunctioning enterostomy or colostomy

445

12 624.65

356

10 099.72

8

1 060.48 +T

1705

Incision and drainage of submucous abscess

40

1 134.60

40

1 134.60

3

397.68 +T

1707

Drainage of submucous abscess

40

1 134.60

40

1 134.60

3

397.68 +T

1737

Dilation of ano-rectal structure

12.5

354.63

12.5

354.63

3

397.68 +T

1742

Bio-feedback training for faecal incontinence during anorectal manometry performed by doctor

27

765.99

 

 

 

 

 

 

 

 

 

 

 

 

8.11

Liver

 

 

 

 

 

 

1743

Needle biopsy of liver

30.3

859.61

30.3

859.61

3

397.68 +T

1745

Biopsy of liver by laparotomy

125

3 546.25

120

3 404.40

4

530.24 +T

1747

Drainage of liver abscess

179.1

5 081.67

143.28

4 064.85

7

927.92 +T

1748

Body composition measured by bio-electrical impedance

3

85.11

3

85.11

 

 

1749

Hemi-hepatectomy: Right

564

16 000.68

451.2

12 800.54

9

1 193.04 +T

1751

Hemi-hepatectomy: Left

521.1

14 783.61

416.88

11 826.89

9

1 193.04 +T

1752

Extended right or left hepatectomy

570.9

16 196.43

456.72

12 957.15

9

1 193.04 +T

1753

Partial or semental hepatectomy

378

10 723.86

302.4

8 579.09

9

1 193.04 +T

1757

Suture of liver wound or injury

214.2

6 076.85

171.36

4 861.48

9

1 193.04 +T

 

 

 

 

 

 

 

 

8.12

Biliary tract

 

 

 

 

 

 

1763

With exploration of common bile duct

264.5

7 503.87

211.6

6 003.09

6

795.36 +T

1765

Exploration of common bile duct: Secondary operation

327.7

9 296.85

262.16

7 437.48

6

795.36 +T

1767

Reconstruction of common bile duct

371.7

16 545.13

297.36

8 436.10

6

795.36 +T

 

 

 

 

 

 

 

 

8.13

Pancreas

 

 

 

 

 

 

1778

Endoscopic Retrograde Cholangiopancreatograph (ERCP): Endoscopy + Catheterisation of pancreas duct or choledochus

105.9

3 004.38

105.9

3 004.38

4

530.24 +T

1779

Endoscopic retrograde removal of stone(s) as for biliary and/or pancreatic duct. ADD to ERCP (item 1778)

+  15.82

448.81

15.82

448.81

4

530.24 +T

1791

Local, partial or subtotal pancreatectomy

351.3

9 966.38

281.04

7 973.10

8

1 060.48 +T

1793

Distal pancreatectomy with internal drainage

377.4

10 706.84

301.92

8 565.47

8

1 060.48 +T

 

 

 

 

 

 

 

 

8.14

Peritoneal cavity

 

 

 

 

 

 

1797

Pneumo-peritoneum: First

13

368.81

13

368.81

4

530.24 +T

1799

Pneumo-Peritoneum: Repeat

6

170.22

6

170.22

4

530.24 +T

1800

Peritoneal lavage

20

567.40

20

567.40

 

 

1801

Diagnostic paracentesis: Abdomen

8

226.96

8

226.96

 

 

1803

Therapeutic paracentesis: Abdomen

13

368.81

13

368.81

 

 

1807

Add to open procedure where procedure was performed through a laparoscope (for anaesthetic refer to modifier 0027)

+     45

1 276.65

45

1 276.65

5

662.80 +T

1809

Laparotomy

196

5 560.52

156.8

4 448.42

4

530.24 +T

1811

Suture of burst abdomen

188.3

5 342.07

150.64

4 273.66

7

927.92 +T

1812

Laparatomy for control of surgical haemorrhage

105

2 978.85

105

2 978.85

9

1 193.04 +T

1813

Drainage sub-phrenic abscess

180

5 106.60

144

4 085.28

7

927.92 +T

1815

Drainage of other intraperitoneal abscess (excluding appendix abscess): Transabdominal

248.4

7 047.11

198.72

5 637.69

5

662.80 +T

1817

Transrectal drainage of pelvic abscess

75

2 127.75

75

2 127.75

4

530.24 +T