1
Ministry of Health
TABLE OF SURGICAL
PROCEDURES
(Updated as of 1 Jan 2024)
2
TABLE OF CONTENTS
Guiding Principles………………………………………………………...2
Guidance on Specific Procedures………………………………………3
SA - Integumentary ......................................................................... 4
SB - Musculoskeletal ..................................................................... 13
SC - Respiratory ............................................................................ 34
SD - Cardiovascular ...................................................................... 37
SE - Hemic & Lymphatic ................................................................ 45
SF - Digestive ................................................................................ 47
SG - Urinary .................................................................................. 60
SH - Male Genital .......................................................................... 65
SI - Female Genital ....................................................................... 68
SJ - Endocrine ............................................................................... 76
SK - Nervous ................................................................................. 77
SL - Eye ........................................................................................ 84
SM - ENT ...................................................................................... 91
Annex…………………………………………………………………….97
GUIDING PRINCIPLES
The Table of Surgical Procedures (TOSP) is an exhaustive list of procedures with table ranking 1A to
7C, for which MediSave / MediShield Life can be claimed. TOSP codes focus on the intent and
outcome of the surgical procedure, regardless of the surgical access route and/or technology used.
Any procedures not listed or without a table ranking 1A to 7C are not claimable.
Specifically, Minor Surgical Procedures (procedures with table ranking “MSP”) are procedures which
the TOSP review committee decided to be non-claimable. The list of MSPs is non-exhaustive, i.e.
procedures not in the TOSP and not a MSP are still not claimable.
For a single episode of surgery/procedure, if a single TOSP code adequately describes the
surgery/procedure performed, only one TOSP code should be utilised
1
. This is regardless of the
number of primary surgeons involved in the surgery/procedure. For example, a revision total knee
replacement should only be coded for by SB717K. Additional codes for the removal of screws or
prostheses should not be included. The example stated is by no means exhaustive and serves as an
illustration of the general principle which will be applied to all procedures. If the complexity of a
procedure is not stipulated in the TOSP code description, the code should be interpreted as
encompassing a range of complexities and not just the basic standard procedure.
For guidelines on MediSave claims for surgical procedures, please refer to Annex. Appeals will be
assessed based on the prevailing guidelines at time of appeal.
1
A single surgical/procedural episode refers to the entire suite of services provided during the time the patient
arrives to the operating theatre complex until the patient leaves. If the patient requires anesthesia, the
continuous period under General Anesthesia/Sedation is also defined under the same surgical episode.
3
GUIDANCE ON SPECIFIC PROCEDURES
Pain Procedures
A therapeutic pain procedure performed in the same setting as a surgical procedure should not be
charged separately from the surgical code. This would apply for all forms of anaesthesia: general,
regional or local. Diagnostic anaesthetic blocks, unlike therapeutic anaesthetic blocks, can be coded
as a standalone procedure.
A maximum of 1 pain procedure code, excluding those which are already done in the operating theatre
complex (e.g. pre-emptive anaesthesia administered outside of the operating theatre complex),
should be claimed throughout the entire admission for the same indication.
For multiple pain procedures performed at the same spinal level on the same side, only one code (of
the highest table) should be claimed.
Spine – Revision Surgery
Revision surgery codes apply to revision performed at the same level as primary operation. If
procedure is performed for adjacent segment disease, the applicable code for non-revision surgery
should be used (not to be combined with other codes). If procedure is performed to address a
complication of the initial surgery, the revision surgery code can be used.
Cosmetic Procedures
MediSave use is not allowed for cosmetic surgeries, except those defined as cosmetic surgery to
reconstruct a body part, particularly face and neck, where that part (physical appearance or function)
has been affected by trauma, cancer, congential anomalies, nerve palsies and other disfiguring
diseases (to be ascertained by pre-surgical photographs). Medical practitioners are expected to
exercise good clinical judgement in determining if a procedure is cosmetic in nature. If audited,
medical practitioners must be prepared to justify their decision. For consistency, the use of MediSave
for complications arising from cosmetic surgery will follow the above principles i.e. MediSave claims
will be disallowed for treatment of complications where the treatment itself is cosmetic in nature.
Frequency-Limited TOSP codes
For TOSP codes with restrictions on the frequency at which these procedures can be claimed (i.e.
only one claim allowed within a specified timeframe), medical practitioners and institutions should
ensure that the frequency of claims adhere to the period specified in the respective code descriptions.
MOH will be monitoring the use of the following three frequency-limited TOSP codes from 1 Feb 2021:
TOSP code
Description
SM839E / 2A
(Existing)
Ear, Tympanic Membrane, Unilateral, transtympanic perfusion of
drugs, with injections/myringotomy including repeat procedures
during a 90-day period in the same ear
SM700N / 1A
(Revised)
Nose, Nasoendoscopy/Nasopharyngolaryngoscopy (single or
repeat examinations, during a 90 day global period)
Footnote: The frequency restriction of code applies irrespective of
the specialist performing the procedure or medical institution at
which the procedure is performed.
SM726N / MSP
(New)
Nose, Nasoendoscopy/Nasopharyngolaryngoscopy (repeat
examinations, during a 90-day period)
Footnote: This code is to be utilised for repeat examinations within
90 days of using SM700N
SA - INTEGUMENTARY
4
S/N
Code
Description
Table
Classification
1 SA700B
BOTULINUM TOXIN THERAPY FOR MOVEMENT
DISORDERS
MSP Existing
2 SA701B
BREAST, DUCTAL LESIONS, MICRODOCHECTOMY
(BILATERAL)
3A Existing
3 SA702B
BREAST, DUCTAL LESIONS, MICRODOCHECTOMY
(UNILATERAL)
2C Existing
4 SA704B
BREAST, LUMPS, IMAGING GUIDED VACUUM ASSISTED
BIOPSY, SINGLE LESION
2B Existing
5 SA705B
BREAST, LUMP (REMOVAL) WITH PARENCHYMAL FLAP
CLOSURE (UNILATERAL)
4A
Descriptor
Change
6 SA706B
BREAST, LUMPS, IMAGING GUIDED VACUUM ASSISTED
BIOPSY, > 1 LESIONS
2C Existing
7 SA707B
BREAST, TUMOR (MALIGNANT), WIDE EXCISION/
LUMPECTOMY/SEGMENTAL MASTECTOMY/ PARTIAL
MASTECTOMY, WITH SENTINEL NODE BIOPSY/ AXILIARY
NODE SAMPLING
4A Existing
8 SA708B
BREAST, VARIOUS LESIONS, PERCUTANEOUS
ASPIRATION UNDER ULTRASOUND
MSP Existing
9 SA709B
BREAST, VARIOUS LESIONS, TRUCUT BIOPSY,
ULTRASOUND GUIDED OR STEREOTACTIC (MULTIPLE)
1C Existing
10 SA710B
BREAST, VARIOUS LESIONS, TRUCUT BIOPSY,
ULTRASOUND GUIDED OR STEREOTACTIC (SINGLE)
1B Existing
11 SA711B
BREAST, VARIOUS LESIONS, WIRE LOCALISATION,
EXCISION (MULTIPLE)
3B Existing
12 SA712B
BREAST, VARIOUS LESIONS, WIRE LOCALISATION,
EXCISION (SINGLE)
3A Existing
13 SA713B
BREAST, POST MASTECTOMY, RECONSTRUCTION USING
PEDICLED TRANSVERSE RECTUS ABDOMINIS
MUSCULOCUTANEOUS FLAP (UNILATERAL)
6A Existing
14 SA800B
BREAST (NIPPLE), VARIOUS LESIONS, GRAFT AND/OR
FLAP RECONSTRUCTION (BILATERAL)
4B Existing
15 SA801B
BREAST (NIPPLE), VARIOUS LESIONS, GRAFT AND/OR
FLAP RECONSTRUCTION (UNILATERAL)
4A Existing
16 SA802B
BREAST, DIFFUSE HYPERTROPHY, REDUCTION
MAMMOPLASTY >500G (BILATERAL)
6A Existing
17 SA803B
BREAST, DIFFUSE HYPERTROPHY, REDUCTION >250G
(UNILATERAL)
4B Existing
18 SA804B
BREAST, DROOPING, MASTOPEXY/REDUCTION
(BILATERAL)
5B Existing
19 SA805B
BREAST, DROOPING, MASTOPEXY/REDUCTION
(UNILATERAL)
4A Existing
20 SA806B BREAST, GYNECOMASTIA, REDUCTION (BILATERAL) 4A Existing
21 SA807B BREAST, GYNECOMASTIA, REDUCTION (UNILATERAL) 3A Existing
22 SA808B
BREAST, HYPOPLASIA, AUGMENTATION MAMMOPLASTY
(PROSTHETIC AND BILATERAL)
4A Existing
23 SA809B
BREAST, HYPOPLASIA, AUGMENTATION MAMMOPLASTY
(PROSTHETIC AND UNILATERAL)
3A Existing
24 SA810B
BREAST, INVERTED NIPPLES, SURGICAL EVERSION
(BILATERAL)
3A Existing
25 SA811B
BREAST, INVERTED NIPPLE, SURGICAL EVERSION
(UNILATERAL)
2C Existing
26 SA812B BREAST, LUMP (SINGLE), EXCISION BIOPSY 2C Existing
27 SA813B
BREAST, LUMPS (MULTIPLE/BILATERAL), EXCISION
BIOPSY
3A Existing
SA - INTEGUMENTARY
5
28 SA814B
BREAST, POST MASTECTOMY, IMPLANT/EXPANDER
RECONSTRUCTION/REMOVAL OF IMPLANT,
CAPSULECTOMY AND REPLACEMENT (BILATERAL)
5A
Descriptor
change
29 SA815B
BREAST, POST MASTECTOMY, IMPLANT/EXPANDER
RECONSTRUCTION/REMOVAL OF IMPLANT,
CAPSULECTOMY AND REPLACEMENT (UNILATERAL)
4A
Descriptor
change
30 SA816B
BREAST, POST MASTECTOMY, LATISSMUS DORSI
PEDICLED FLAP WITH OR WITHOUT IMPLANT
RECONSTRUCTION (BILATERAL)
6C Existing
31 SA817B
BREAST, POST MASTECTOMY, LATISSMUS DORSI
PEDICLED FLAP WITH OR WITHOUT IMPLANT
RECONSTRUCTION (UNILATERAL)
6A Uptable
32 SA818B
BREAST, POST MASTECTOMY, RECONSTRUCTION USING
PEDICLED TRANSVERSE RECTUS ABDOMINIS
MUSCULOCUTANEOUS FLAP (BILATERAL)
7A Existing
33 SA819B
BREAST, POST MASTECTOMY, RECONSTRUCTION USING
FREE FLAP (UNILATERAL)
7C Existing
34 SA820B
BREAST, POST PROSTHETIC CONTRACTION,
CAPSULOTOMY (BILATERAL)
3A Existing
35 SA821B
BREAST, POST PROSTHETIC CONTRACTION,
CAPSULOTOMY (UNILATERAL)
2C Existing
36 SA822B
BREAST, TUMOR (MALIGNANT), WIDE EXCISION/
LUMPECTOMY/SEGMENTAL MASTECTOMY/ PARTIAL
MASTECTOMY
3C Existing
37 SA823B
BREAST, TUMOR (MALIGNANT), WIDE EXCISION/
LUMPECTOMY/SEGMENTAL MASTECTOMY/ PARTIAL
MASTECTOMY, WITH AXILIARY CLEARANCE,
WITH/WITHOUT SENTINEL NODE BIOPSY
4C Existing
38 SA824B
BREAST TUMOUR (MALIGNANT, VARIOUS LESIONS),
SIMPLE MASTECTOMY WITH AXILLARY CLEARANCE,
WITH/WITHOUT SENTINEL NODE BIOPSY
5A
Descriptor
change
39 SA825B
BREAST, TUMOR (MALIGNANT), RADICAL MASTECTOMY
WITH/WITHOUT AXILIARY CLEARANCE
5C Existing
40 SA826B
BREAST, TUMOR (MALIGNANT, VARIOUS LESIONS),
SIMPLE MASTECTOMY, THERAPEUTIC/PROPHYLACTIC
4A
Descriptor
change
41 SA827B
BREAST, TUMOR (MALIGNANT, VARIOUS LESIONS),
SIMPLE MASTECTOMY WITH SENTINEL NODE BIOPSY/
AXILLARY NODE SAMPLING
4C
Descriptor
change
42 SA829B BREAST, VARIOUS LESIONS, TRUCUT BIOPSY 1A Existing
43 SA831B
CONTRALATERAL MASTOPEXY/REDUCTION FOLLOWING
BREAST, TUMOUR (MALIGNANT) WIDE
EXCISION/LUMPECTOMY/SEGMENTAL OR PARTIAL
MASTECTOMY, WITH OR WITHOUT SENTINEL NODE
BIOPSY AND/OR AXILLARY CLEARANCE
4A Existing
44 SA832B
IPSILATERAL MASTOPEXY/REDUCTION FOLLOWING
BREAST, TUMOUR (MALIGNANT) WIDE
EXCISION/LUMPECTOMY/SEGMENTAL OR PARTIAL
MASTECTOMY, WITH OR WITHOUT SENTINEL NODE
BIOPSY AND/OR AXILLARY CLEARANCE
4A Existing
45 SA833B
BREAST, VARIOUS LESIONS, NIPPLE/SKIN
SPARING/SUBCUTANOUS MASTECTOMY,
THERAPEUTIC/PROPHYLACTIC, EXCLUDING
GYNAECOMASTIA, UNILATERAL/BILATERAL
4C
Descriptor
change
46 SA834B
BREAST, TUMOR (MALIGNANT), NIPPLE/SKIN SPARING
MASTECTOMY WITH SENTINEL NODE BIOPSY/AXILIARY
NODE SAMPLING
5A Existing
SA - INTEGUMENTARY
6
47 SA835B
BREAST, TUMOR (MALIGNANT), NIPPLE/SKIN SPARING
MASTECTOMY WITH AXILIARY CLEARANCE,
WITH/WITHOUT SENTINEL NODE BIOPSY
5C Existing
48 SA800F
FASCIA (DEEP), RUPTURE WITH HERNIATED MUSCLE,
REPAIR
1B Existing
49 SA812F
FAT TRANSFER, CORRECTION OF
CONTOURS/CONGENITAL DEFORMITIES,
RECONSTRUCTION POST ABLATIVE SURGERY/TRAUMA,
<=50CC
2A Existing
50 SA813F
FAT TRANSFER, CORRECTION OF
CONTOURS/CONGENITAL DEFORMITIES,
RECONSTRUCTION POST ABLATIVE SURGERY/TRAUMA,
50 - 100CC
3A Existing
51 SA814F
FAT TRANSFER, CORRECTION OF
CONTOURS/CONGENITAL DEFORMITIES,
RECONSTRUCTION POST ABLATIVE SURGERY/TRAUMA,
>= 100CC
3B Existing
52 SA800H HAND, BURNS (MAJOR), EXCISION AND SPLIT SKIN GRAFT 4A Existing
53 SA800M
MUCOUS MEMBRANE (EAR/NOSE/EYELID)
AVULSION/COMPLEX LACERATION, FULL THICKNESS
REPAIR
3A Existing
54 SA801M
MUCOUS MEMBRANE, DEEP LACERATION/MULTIPLE
LACERATIONS, REPAIR
3A Existing
55 SA802M
MUCOUS MEMBRANE, SUPERFICIAL LACERATION
EQUAL/LESS THAN 7CM, REPAIR
1B Existing
56 SA803M
MUCOUS MEMBRANE, SUPERFICIAL LACERATION(S)
MORE THAN 7 CM, REPAIR
2B Existing
57 SA804M
MUCOUS MEMBRANE, TUMOR/CYST/ULCER/SCAR,
EXCISION
2B Existing
58 SA805M
MUSCLE AND DEEP TISSUE, FOREIGN BODY, REMOVAL 2C Existing
59 SA700R
RADIOTHERAPY, ENDOLUMINAL BRACHYTHERAPY:
OESOPHAGUS, NASOPHARYNGEAL CARCINOMA (NPC),
HEPATOBILIARY, CARDIAC, LUNG, OTHERS
2B Existing
60 SA701R
RADIOTHERAPY, INTERSTITIAL BRACHYTHERAPY
(WITH/WITHOUT OPEN SURGERY)
4B Existing
61 SA702R
RADIOTHERAPY, INTERSTITIAL BRACHYTHERAPY
(WITHOUT OPEN SURGERY): PROSTATE
5A Existing
62 SA703R
RADIOTHERAPY, INTRACAVITARY BRACHYTHERAPY
(MULTI-CHANNEL): CERVIX, OTHERS
2C Existing
63 SA704R
RADIOTHERAPY, INTRACAVITARY BRACHYTHERAPY
(SINGLE CHANNEL): ENDOMETRIUM, OTHERS
2A Existing
64 SA705R
RADIOTHERAPY, INTRA-OPERATIVE RADIOTHERAPY
(ELECTRONS OR KILOVOLTAGE): BREAST, SARCOMA,
UPPER GI, LOWER GI, OTHER SITES
3A Existing
65 SA700S
SKIN (UPPER LIMB), OPEN WOUND, MAJOR
DESLOUGHING
2A Existing
66 SA701S
SKIN AND SUBCUTANEOUS TISSUE,
TUMOR/CYST/ULCER/SCAR, EXCISION BIOPSY, REMOVAL
OF 2 OR MORE OR RECURRENT OR COMPLICATED
(ADHERENT), EXCISION
2A Existing
67 SA702S
SKIN AND SUBCUTANEOUS TISSUE,
TUMOR/CYST/ULCER/SCAR, EXCISION BIOPSY, LESION
SIZE MORE THAN 15MM IN DIAMETER
1B Existing
68 SA704S
SKIN CANCER, MOHS MICROGRAPHIC SURGERY
WITHOUT RECONSTRUCTION
2B Existing
69 SA705S SKIN, DEFECT, DISTANT SKIN FLAPS 4B Existing
70 SA706S SKIN, DEFECT, NEUROVASCULAR ISLAND FLAP 5A Existing
SA - INTEGUMENTARY
7
71 SA707S
SKIN, NEUROMAS/HEMANGIOMAS,
EXCISION/VAPORISATION BY LASER AND OTHER
ABLATIVE MODALITIES, THERAPEUTIC
1C Existing
72 SA708S
SKIN, SURGICAL TREATMENT FOR VITILIGO (INVOLVING
NON-CULTURED CELLULAR GRAFTING) (<20 SQ CM)
3C Existing
73 SA709S
SKIN, SURGICAL TREATMENT FOR VITILIGO (INVOLVING
NON-CULTURED CELLULAR GRAFTING) (>40 SQ CM)
4B Existing
74 SA710S
SKIN, SURGICAL TREATMENT FOR VITILIGO (INVOLVING
NON-CULTURED CELLULAR GRAFTING) (20-40 SQ CM)
4A Existing
75 SA711S
SOFT TISSUE (LOWER LIMB), CONTRACTURE, MAJOR
RELEASE
4A Existing
76 SA712S
SOFT TISSUE (LOWER LIMB), CONTRACTURE, MINOR
RELEASE
2C Existing
77 SA713S
SOFT TISSUE (LOWER LIMB), OPEN WOUND/INFECTION,
MAJOR DESLOUGHING
2A Existing
78 SA714S
SOFT TISSUE (LOWER LIMB), SMALL TUMORS (BENIGN),
EXCISION BIOPSY UNDER GENERAL ANESTHESIA
1B Existing
79 SA715S
SOFT TISSUE (LOWER LIMB), TUMOR/TUMOR-LIKE
LESIONS, MARGINAL EXCISION
2C Existing
80 SA716S
SOFT TISSUE (LOWER LIMB), TUMORS (BENIGN), WIDE
EXCISION BIOPSY
4A Existing
81 SA717S
SOFT TISSUE (LOWER LIMB), TUMORS (MALIGNANT),
RADICAL EXCISION BIOPSY
5C Existing
82 SA718S
SOFT TISSUE (LOWER LIMB), VARIOUS LESIONS, MAJOR
RELEASE
4B Existing
83 SA719S
SOFT TISSUE (LOWER LIMB), VARIOUS LESIONS, MINOR
RELEASE
3A Existing
84 SA720S SOFT TISSUE (PALMAR SPACE), ABSCESS, DRAINAGE 2B Existing
85 SA721S
SOFT TISSUE (UPPER LIMB), TUMORS (BENIGN), MAJOR
EXCISION BIOPSY
4A Existing
86 SA722S
SOFT TISSUE (UPPER LIMB), TUMORS (MALIGNANT),
RADICAL EXCISION BIOPSY
6B Existing
87 SA723S
SOFT TISSUE (UPPER LIMB), TUMORS (MALIGNANT), WIDE
EXCISION BIOPSY
5A Existing
88 SA724S
SOFT TISSUE, TUMOR (MALIGNANT), MAJOR RESECTION
AND RECONSTRUCTION (MICROSURGICAL)
7C Existing
89 SA725S
SWEAT GLAND, AXILLARY HYPERHIDROSIS, WEDGE
EXCISION (BILATERAL)
3A Existing
90 SA726S
SKIN CANCER, MOHS MICROGRAPHIC SURGERY WITH
RECONSTRUCTION/GRAFT/FLAP (</= 5 TISSUE BLOCKS)
2C Existing
91 SA727S
SKIN CANCER, MOHS MICROGRAPHIC SURGERY WITH
RECONSTRUCTION/GRAFT/FLAP (> 5 TISSUE BLOCKS)
3A Existing
92 SA728S
SKIN AND SUBCUTANEOUS TISSUE,
TUMOR/CYST/ULCER/SCAR, EXCISION/PUNCH/SHAVE
BIOPSY, LESION SIZE UP TO AND INCLUDING 10MM IN
DIAMETER
1A New
93 SA729S
SKIN AND SUBCUTANEOUS TISSUE,
TUMOR/CYST/ULCER/SCAR, EXCISION/PUNCH/SHAVE
BIOPSY, LESION SIZE MORE THAN 10MM AND INCLUDING
20MM
1B New
94 SA730S
SKIN AND SUBCUTANEOUS TISSUE,
TUMOR/CYST/ULCER/SCAR, EXCISION/PUNCH/SHAVE
BIOPSY, LESION SIZE MORE THAN 20MM IN DIAMETER
1C New
95 SA731S
SKIN AND SUBCUTANEOUS TISSUE,
TUMOR/CYST/ULCER/SCAR, REMOVAL OF 3 OR MORE
RECURRENT OR COMPLICATED (ADHERENT), TOTAL
TISSUE SIZE UP TO 20MM IN DIAMETER, EXCISION
2C New
SA - INTEGUMENTARY
8
96 SA800S
SKIN AND MUCOUS MEMBRANE, VARIOUS LESIONS,
EXCISION BIOPSY
1A Existing
97 SA801S
SKIN AND SUBCUTANEOUS TISSUE, TUMOUR
(MALIGNANT), WIDE EXCISION AND RECONSTRUCTION
AND LOCAL FLAP/SKIN GRAFT
3A Existing
98 SA802S
SKIN AND SUBCUTANEOUS TISSUE, TUMOUR
(MALIGNANT), WIDE EXCISION WITH IMMEDIATE BLOCK
DISSECTION
5A Existing
99 SA803S
SKIN AND SUBCUTANEOUS TISSUE
(EAR/NOSE/EYELID/FACE), COMPLEX LACERATIONS,
REPAIR
3B Existing
100
SA804S
SKIN & SUBCUTANEOUS, SCAR REVISION, FACE & NECK
(< 3CM)
1C Existing
101
SA805S
SKIN AND SUBCUTANEOUS TISSUE (FACE AND NECK),
SCAR OF MORE THAN 3CM, REVISION
2B Existing
102
SA806S
SKIN AND SUBCUTANEOUS TISSUE, BURNS,
ESCHAROTOMY (EXTENSIVE)
2A Existing
103
SA807S
SKIN AND SUBCUTANEOUS TISSUE, BURNS,
ESCHAROTOMY (LIMITED)
1A Existing
104
SA808S
SKIN AND SUBCUTANEOUS TISSUE, BURNS, EXCISION
AND MAJOR FLAP REPAIR
5A Existing
105
SA809S
SKIN AND SUBCUTANEOUS TISSUE, BURNS, EXCISION
AND MAJOR FULL THICKNESS GRAFT
4A Existing
106
SA810S
SKIN AND SUBCUTANEOUS TISSUE, BURNS, EXCISION
AND SMALL FULL THICKNESS GRAFT
3A Existing
107
SA811S
SKIN AND SUBCUTANEOUS TISSUE, DEBRIDEMENT
WHICH ALSO INCLUDES MUSCLE, TENDON OR BONE
(INCLUDES SUTURING OF WOUND WHEN PERFORMED)
2
2C
Descriptor
change
108
SA812S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT (DEEP),
DERMOFAT/FASCIA GRAFT (INCLUDING
TRANSPLANT/MUSCLE FLAP)
3A Existing
109
SA813S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT (DEEP),
DIRECT FLAP (CROSS ARM/RADIAL FORE
ARM/ABDOMINAL/SIMILAR)
5A Existing
110
SA814S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT (DEEP),
DIRECT FLAP REPAIR (CROSS LEG)
5C Existing
111
SA815S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT (DEEP),
FREE FLAPS
7C Existing
112
SA816S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT (DEEP),
FREE GRAFT (SPLIT SKIN GRAFT - EXTENSIVE/INLAY
GRAFT USING A MOULD)
3B Existing
113
SA817S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT (DEEP),
STAGED DISTANT FLAP (DIVISION)
2A Existing
114
SA818S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT (MULTIPLE
DIGITS), FREE FULL THICKNESS GRAFT
3B Existing
115
SA819S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT (MULTIPLE
DIGITS), STAGED LOCAL FLAP (DIVISION)
2A Existing
116
SA820S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT (SINGLE
DIGIT), FREE FULL THICKNESS GRAFT
2C Existing
117
SA821S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT, DIRECT
FLAP (CROSS FINGER/SIMILAR FLAPS)
4A Existing
2
This procedure cannot be claimed separately if performed as part of an operation for the treatment of fractures or removal
of foreign bodies.
SA - INTEGUMENTARY
9
118
SA822S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT, FREE
GRAFT (SPLIT SKIN GRAFT/PINCH GRAFTS/CULTURED
EPITHELIAL AUTOGRAFTS UNDER 1/2%)
1B
Descriptor
change
119
SA823S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT, FREE
GRAFTS (SPLIT SKIN GRAFT /CULTURED EPITHELIAL
AUTOGRAFTS 1/2 TO LESS THAN 2%)
2B
Descriptor
change
120
SA824S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT, FREE
GRAFTS (SPLIT SKIN GRAFT/CULTURED EPITHELIAL
AUTOGRAFTS 2 TO LESS THAN 5%)
3A
Descriptor
change
121
SA825S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT, FREE
GRAFTS (SPLIT SKIN GRAFT/CULTURED EPITHELIAL
AUTOGRAFTS 5 TO 10%)
4A
Descriptor
change
122
SA826S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT, FREE
GRAFTS (SPLIT SKIN GRAFT/CULTURED EPITHELIAL
AUTOGRAFTS MORE THAN 10%)
5B
Descriptor
change
123
SA827S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT, LOCAL FLAP
TO MULTIPLE DIGITS (CROSS
FINGER/THENAR/FLAG/ROTATION FLAP)
5A Existing
124
SA828S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT, SINGLE
STAGE LOCAL FLAP (COMPLICATED/LARGE)
5B Existing
125
SA829S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT, SINGLE
STAGE LOCAL FLAP (SIMPLE/SMALL)
3A Existing
126
SA830S
SKIN AND SUBCUTANEOUS TISSUE, DEFECT, STAGED
LOCAL FLAP(DIVISION)
1B Existing
127
SA831S
SKIN AND SUBCUTANEOUS TISSUE, FOREIGN BODY
(SUBCUTANEOUS), REMOVAL
1C Existing
128
SA832S
SKIN AND SUBCUTANEOUS TISSUE, FOREIGN BODY
(SUPERFICIAL), REMOVAL
MSP Existing
129
SA833S
SKIN AND SUBCUTANEOUS TISSUE, HEMATOMA
(SMALL)/FURUNCLE/ABSCESS/SIMILAR LESION, INCISION
WITH DRAINAGE
MSP Existing
130
SA834S
SKIN AND SUBCUTANEOUS TISSUE, HEMATOMA,
ASPIRATION
MSP Existing
131
SA835S
SKIN AND SUBCUTANEOUS TISSUE, ARTERIOVENOUS
MALFORMATION/HEMANGIOMA/LYMPHANGIOMA
(EXTENSIVE AND COMPLEX), EXCISION
7B Existing
132
SA836S
SKIN AND SUBCUTANEOUS TISSUE, ARTEIOVENOUS
MALFORMATION/HEMANGIOMA/LYMPHANGIOMA (LARGE
AND DEEP-SEATED), EXCISION
5C Existing
133
SA837S
SKIN AND SUBCUTANEOUS TISSUE, ARTERIOVENOUS
MALFORMATION/HEMANGIOMA/LYMPHANGIOMA ON
FACE, HANDS, GENITALIA, EXCISION
4A Existing
134
SA838S
SKIN AND SUBCUTANEOUS TISSUE, ARTERIOVENOUS
MALFORMATION/HEMANGIOMA/LYMPHANGIOMA >3CM
EXCLUDING FACE, HANDS, GENITALIA, EXCISION
3A Existing
135
SA839S
SKIN AND SUBCUTANEOUS TISSUE, ARTERIOVENOUS
MALFORMATION/HEMANGIOMA/LYMPHANGIOMA <3CM
EXCLUDING FACE, HANDS, GENITALIA, EXCISION
2A Existing
136
SA840S
SKIN AND SUBCUTANEOUS TISSUE, HEMATOMA,
ABSCESS/CELLULITIS/SIMILAR LESION<3CM,
SAUCERISATION/INCISION & DRAINAGE
1A Existing
137
SA841S
SKIN AND SUBCUTANEOUS TISSUE, HEMATOMA
/CARBUNCLE CELLULITIS/SIMILAR LESION>3CM,
SAUCERISATION/INCISION WITH DRAINAGE
1B Existing
138
SA842S
SKIN AND SUBCUTANEOUS TISSUE, LACERATIONS
(DEEP >3CM/MULTIPLE) LACERATIONS, REPAIR/TOILET &
SUTURE, WITH/WITHOUT DEBRIDEMENT
3B Existing
SA - INTEGUMENTARY
10
139
SA843S
SKIN AND SUBCUTANEOUS TISSUE, LACERATION
(SUPERFICIAL) OF LESS THAN 7CM, REPAIR
1B Existing
140
SA844S
SKIN AND SUBCUTANEOUS TISSUE, LACERATION
(SUPERFICIAL) OF MORE THAN 7CM, REPAIR
2C Existing
141
SA845S
SKIN AND SUBCUTANEOUS TISSUE,
NEUROFIBROMATOSIS OF FACE AND NECK, EXCISION
(LARGE >3CM AND COMPLICATED/MULTIPLE)
5C Existing
142
SA846S
SKIN AND SUBCUTANEOUS TISSUE,
NEUROFIBROMATOSIS OF FACE AND NECK, EXCISION
(LARGE)
4A Existing
143
SA847S
SKIN AND SUBCUTANEOUS TISSUE,
NEUROFIBROMATOSIS OF FACE AND NECK, EXCISION
(MODERATE)
3A Existing
144
SA848S
SKIN AND SUBCUTANEOUS TISSUE,
NEUROFIBROMATOSIS OF FACE AND NECK, EXCISION
(SMALL<3CM)
2A Existing
145
SA849S
SKIN & SUBCUTANEOUS, PRE-SEPTAL/PERI-ORBITAL
DERMOID/LESION, EXCISION
2A Existing
146
SA850S
SKIN AND SUBCUTANEOUS TISSUE, SINUS (DEEP>3CM),
EXCISION WITH/WITHOUT BIOPSY
2B Existing
147
SA851S
SKIN AND SUBCUTANEOUS TISSUE, SINUS
(SHALLOW<3CM), EXCISION WITH/WITHOUT BIOPSY
1B Existing
148
SA853S
SKIN AND SUBCUTANEOUS TISSUE, DEBRIDEMENT
CONFINED TO SKIN, SUBCUTANEOUS FAT OR FASCIA
ONLY (INCLUDES SUTURING OF WOUND WHEN
PERFORMED).
1C
Uptable,
Descriptor
change
149
SA854S
SKIN AND SUBCUTANEOUS TISSUE, WOUND
(LARGE>3CM), SECONDARY SUTURE
1B Existing
150
SA855S
SKIN AND SUBCUTANEOUS TISSUE, WOUND
(SMALL<3CM), SECONDARY SUTURE
MSP Existing
151
SA856S SKIN, ANGIOMA, CAUTERISATION/INJECTION 1A Existing
152
SA857S SKIN, BURNS (2% TO 5%), EXCISION 2B Existing
153
SA858S SKIN, BURNS (LESS THAN 10%), DRESSING MSP Existing
154
SA859S SKIN, BURNS (LESS THAN 2%), EXCISION 1B Existing
155
SA860S SKIN, BURNS (MORE THAN 10%), DRESSING 1B Existing
156
SA861S SKIN, BURNS (MORE THAN 10%), EXCISION 3B Existing
157
SA862S SKIN, BURNS (MORE THAN 5% TO 10%) EXCISION 2C Existing
158
SA863S
SKIN, KERATOSES/WARTS/TAGS/SIMILAR LESIONS,
EXCISION (6 - 10 LESIONS)
2B Existing
159
SA864S
SKIN, KERATOSES/WARTS/TAGS/SIMILAR LESIONS,
EXCISION (MORE THAN10 LESIONS)
2C Existing
160
SA865S
SKIN, KERATOSES/WARTS/TAGS/SIMILAR LESIONS,
EXCISION (NOT MORE THAN 5 LESIONS)
3
1A
Descriptor
change
161
SA866S
SKIN, PLANTAR WART, EXCISION OR VAPORISATION BY
LASER
1A Existing
162
SA867S SKIN, PLANTAR WARTS (MULTIPLE), EXCISION 1B Existing
163
SA868S SKIN, SCAR (EXTENSIVE), REVISION 3B Existing
164
SA869S
SKIN, SCAR/VARIOUS LESION (SINGLE/UNILATERAL),
REMOVAL OF TISSUE EXPANDER/PROSTHESIS
(INCLUDING BREAST IMPLANTS WITH OR WITHOUT
CAPSULOTOMY) AND REVISION OF SCAR
3A
Descriptor
change
165
SA870S SKIN, SCAR, REVISION WITH Z-PLASTY 2C Existing
166
SA871S
SKIN, SCARS/LESIONS (MULTIPLE/BILATERAL), REMOVAL
OF TISSUE EXPANDER/PROSTHESIS (INCLUDING BREAST
3C
Descriptor
change
3
For procedures done in the same setting, only a single code may be filed even if the excisions involve different sites.
SA - INTEGUMENTARY
11
IMPLANTS) AND REVISION/ EXCISION OF SCARS,
UNILATERAL CAPSULECTOMY (AT LEAST 50%)
4
167
SA872S SKIN, SUPERFICIAL NASAL DERMOID, EXCISION 3A Existing
168
SA873S
SKIN, BURNS SCAR/TATTOO (1% TO 2%), LASER
EXCISION
2B
Descriptor
change
169
SA874S
SKIN, BURNS SCAR/TATTOO (LESS THAN 1%), LASER
EXCISION
1C
Descriptor
change
170
SA875S
SKIN, BURNS SCAR/TATTOO (MULTIPLE/MORE THAN 2%),
LASER EXCISION
3A
Descriptor
change
171
SA876S SKIN, BURNS SCAR/TATTOO, REPEAT LASER EXCISION 1A
Descriptor
change
172
SA877S
SKIN, VARIOUS LESIONS OF FACE (2 TO 3), EXCISION
BIOPSY
1B Existing
173
SA878S
SKIN, VARIOUS LESIONS, ABRASIVE THERAPY
(EXTENSIVE)
3A Existing
174
SA879S SKIN, VARIOUS LESIONS, ABRASIVE THERAPY (LIMITED) 2A Existing
175
SA880S
SKIN, VARIOUS LESIONS, INSERTION OF TISSUE
EXPANDER (MULTIPLE)
3A Existing
176
SA881S
SKIN, VARIOUS LESIONS, INSERTION OF TISSUE
EXPANDER (SINGLE)
2B Existing
177
SA882S SKIN, VARIOUS LESIONS, TRIAL DERMABRASION 1A Existing
178
SA883S
SKIN, VARIOUS LESIONS, WOUND
INSPECTION/DRESSING/REMOVAL OF SUTURES
MSP Existing
179
SA884S
SKIN, VARIOUS LESIONS OF FACE (SINGLE),
EXCISION/PUNCH/ SHAVE BIOPSY
1A Existing
180
SA885S
SKIN, VARIOUS LESIONS OF FACE (4 AND ABOVE),
EXCISION BIOPSY
2B Existing
181
SA886S SKIN, WRINKLES, PARTIAL RHYTIDECTOMY
5
5C
Descriptor
change
182
SA887S SKIN, WRINKLES, TOTAL RHYTIDECTOMY
5
6B
Descriptor
change
183
SA888S
SOFT TISSUE, TUMOR (MALIGNANT), WIDE EXCISION
BIOPSY <7CM OTHER THAN UPPER/LOWER LIMBS
3C Existing
184
SA889S
SOFT TISSUE, TUMOR (MALIGNANT), RADICAL EXCISION
BIOPSY >7CM OTHER THAN UPPER/LOWER LIMBS
5C Existing
185
SA890S
SUBCUTANEOUS TISSUE (ABDOMEN), OBESITY,
LIPOSUCTION
3B Existing
186
SA891S
SUBCUTANEOUS TISSUE (BUTTOCKS), OBESITY,
LIPOSUCTION
3B Existing
187
SA892S SUBCUTANEOUS TISSUE (FACE), OBESITY, LIPOSUCTION 2C Existing
188
SA893S
SUBCUTANEOUS TISSUE (THIGH), OBESITY,
LIPOSUCTION
3C Existing
189
SA894S
SUBCUTANEOUS TISSUE (UPPER LIMBS), OBESITY,
LIPOSUCTION
3A Existing
190
SA895S
SUBCUTANEOUS TISSUE, OBESITY, LIPECTOMY,
TRANSVERSE WEDGE EXCISION OF ABDOMINAL
APRON/LIPECTOMY WITH EXCISION OF SKIN, FOLLOWING
WEIGHT LOSS SURGERY
(SF702S/SF703S/SF713S/SF803S/SF804S)
4A Existing
191
SA896S
SUBCUTANEOUS TISSUE, OBESITY, LIPECTOMY,
EXCISION WITH UNDERMINING OF SKIN EDGES AND
STRENGTHENING OF ABDOMINAL WALL/RADICAL
5C Existing
4
Supported by histology
5
No Medisave/Medishield can be used for surgical operations performed for cosmetic purposes unless medically
indicated. Medical indications include facial palsy.
SA - INTEGUMENTARY
12
ABDOMINOPLASTY WITH REPAIR OF ABDOMINAL WALL
AND TRANSPOSITION OF UMBILICUS FOLLOWING
WEIGHT LOSS SURGERY
(SF702S/SF703S/SF713S/SF803S/SF804S)
192
SA898S
SWEAT GLAND, AXILLARY HYPERHIDROSIS, WEDGE
EXCISION (UNILATERAL)
2C Existing
193
SA899S SKIN, INTRALESIONAL STEROID INJECTION MSP Existing
194
SA900S
SUBCUTANEOUS TISSUE, OBESITY,
EXCISION/LIPECTOMY, LIMBS (UNILATERAL/BILATERAL)
FOLLOWING WEIGHT LOSS SURGERY
(SF702S/SF703S/SF713S/SF803S/SF804S)
4A Existing
195
SA901S
SUBCUTANEOUS TISSUE, OBESITY,
EXCISION/LIPECTOMY, THORAX/BACK/BUTTOCKS,
FOLLOWING WEIGHT LOSS SURGERY
(SF702S/SF703S/SF713S/SF803S/SF804S)
4B Existing
196
SA903S
SKIN, PRE-MALIGNANT LESIONS,
EXCISION/VAPORISATION BY LASER AND OTHER
ABLATIVE MODALITIES, THERAPEUTIC, LESS THAN 10
LESIONS, NOT REQUIRING GENERAL ANAESTHESIA
MSP New
197
SA904S
SKIN, PRE-MALIGNANT LESIONS,
EXCISION/VAPORISATION BY LASER AND OTHER
ABLATIVE MODALITIES, THERAPEUTIC, 10 OR MORE
LESIONS, NOT REQUIRING GENERAL ANAESTHESIA
1A New
198
SA905S
SKIN, PRE-MALIGNANT LESIONS,
EXCISION/VAPORISATION BY LASER AND OTHER
ABLATIVE MODALITIES, THERAPEUTIC, SINGLE/MULTIPLE,
WHERE UNDERTAKEN IN THE OPERATING THEATRE
REQUIRING GENERAL ANAESTHESIA
1B New
199
SA700T
TENDON SHEATH AND SUBCUTANEOUS TISSUE,
GANGLION/LARGE BURSA, (>3CM) EXCISION BIOPSY
2B Existing
200
SA800T
TENDON SHEATH AND SUBCUTANEOUS TISSUE,
GANGLION/SMALL BURSA, (<3CM) EXCISION BIOPSY
1C Existing
SB – MUSCULOSKELETAL
13
S/N
Code
Description
Table
Classification
1 SB700A ANKLE, ANKLE FRACTURE, BIMALLEOLAR, ORIF 4A Existing
2 SB701A ANKLE, COMMINUTED PLAFOND FRACTURE ORIF 5A Existing
3 SB702A
ANKLE, LIGAMENTOUS INSTABILITY, RECONSTRUCTION
OF LIGAMENTS
5A
Descriptor
change
4 SB703A
ANKLE, VARIOUS LESIONS, PRIMARY TOTAL JOINT
REPLACEMENT WITH AUGMENTATION, REQUIRING
EXTRA IMPLANTS OR BONE GRAFTS
6B
Descriptor
Change
5 SB704A
ANKLE, VARIOUS LESIONS, REVISION TOTAL JOINT
REPLACEMENT
6C
Descriptor
change
6 SB705A ANKLE, THERAPEUTIC ARTHROSCOPY 4A Existing
7 SB746A
ASPIRATION, DEEP MUSCULOSKELETAL TISSUES,
UNDER RADIOLOGICAL GUIDANCE
1A Existing
8 SB800A ANKLE, DISLOCATION, OPEN REDUCTION 3B Existing
9 SB801A ANKLE, ANKLE FRACTURE, UNIMALLEOLAR, ORIF 3B Existing
10 SB802A
ANKLE, VARIOUS LESIONS, ARTHRODESIS (SURGICAL
FUSION)
5A Existing
11 SB803A
ANKLE, VARIOUS LESIONS, OPEN
EXCISION/INTERPOSITION ARTHROPLASTY, WITH OR
WITHOUT RESURFACING
4C Existing
12 SB804A ANKLE, VARIOUS LESIONS, REPAIR OF LIGAMENTS 3A Existing
13 SB805A ANKLE, VARIOUS LESIONS, SYNOVECTOMIES 3B Existing
14 SB806A
ANKLE, VARIOUS LESIONS, PRIMARY TOTAL JOINT
REPLACEMENT
6A
Descriptor
change
15 SB700B
BONE (LOWER LIMB), TUMOR (BENIGN), >3 CM WITH
BONE GRAFTING +/- RECONSTRUCTION/INTERNAL
FIXATION
5A Existing
16 SB701B
BONE (LOWER LIMB), TUMOR (MALIGNANT), RADICAL
EXCISION >6CM WITH RECONSTRUCTION AND BONE
GRAFT
6A Existing
17 SB702B
BONE (SKULL), TUMOR (LARGE>3CM), EXCISION AND
EXTENSIVE RECONSTRUCTION (DURA, SKULL, SKIN)
7B Existing
18 SB703B
BONE (UPPER/LOWER LIMB), EXOSTOSIS, EXCISION
BIOPSY (MORE THAN1/ BILATERAL)
3A Existing
19 SB704B
BONE (UPPER LIMB), TUMOR (BENIGN), MAJOR EXCISION
>3 CM WITH BONE GRAFTING +/-
RECONSTRUCTION/INTERNAL FIXATION
5A Existing
20 SB705B
BONE, TUMOUR, IMAGING GUIDED PERCUTANEOUS
LOCAL ABLATION, SIMPLE, > 1 LESION
(RADIOFREQUENCY, CRYOTHERAPY, MICROWAVE,
LASER, ALCOHOL, ETC)
4A Existing
21 SB706B
BONE, TUMOUR, IMAGING GUIDED PERCUTANEOUS
LOCAL ABLATION (RADIOFREQUENCY, CRYOTHERAPY,
MICROWAVE, LASER, ALCOHOL,ETC) , SINGLE LESION
3C Existing
22 SB707B
BONE, TUMOR (MALIGNANT), AROUND JOINTS WITH LIMB
RECONSTRUCTION AND JOINT REPLACEMENT
7A Existing
23 SB708B
BONE, TUMOUR (MALIGNANT), WIDE/MAJOR RESECTION
AND RECONSTRUCTION (VASCULARISED BONE GRAFT)
7B Existing
24 SB709B
BONE, VARIOUS LESIONS, OPEN BIOPSY,
CEMENTING/PLATE FIXATION
1B Existing
25 SB710B BONE/SOFT TISSUE, VARIOUS LESIONS, TRUCUT BIOPSY 1B Existing
26 SB711B
BONE/ SOFT TISSUE, VARIOUS LESIONS, IMAGING
GUIDED PERCUTANEOUS BIOPSY
2B Existing
27 SB712B
BURSA, BURSITIS, EXCISION BIOPSY (MORE THAN
1/BILATERAL)
2C Existing
SB – MUSCULOSKELETAL
14
28 SB713B
BONE, TUMOUR, IMAGING GUIDED PERCUTANEOUS
LOCAL ABLATION, COMPLEX, > 1 LESION
(RADIOFREQUENCY, CRYOTHERAPY, MICROWAVE,
LASER, ALCOHOL, ETC)
4B Existing
29 SB800B
BONE, CYST/TUMOUR BENIGN/BENIGN AGGRESSIVE,
CURRETTAGE/BURRING/BONE GRAFTING/CEMENTING
4A Existing
30 SB801B
BONE (LOWER LIMB), DEFORMITIES, CORRECTIVE
SURGERY WITH INTERNAL FIXATION WITH OR WITHOUT
FLUOROSCOPY
5C Existing
31 SB802B
BONE (LOWER LIMB), DEFORMITIES, CORRECTIVE
SURGERY WITH OSTEOTOMY ALONE
4A Existing
32 SB803B
BONE (LOWER LIMB), DEFECT/NON UNION,
IMPLANTATION OF BONE STIMULATOR
3B Existing
33 SB804B
BONE (LOWER LIMB), FRACTURE/DISLOCATION,
MANIPULATION AND KIRSCHNER WIRE FIXATION
3B Existing
34 SB805B
BONE (LOWER LIMB), GRADE 1 AND 2 OPEN
FRACTURES/OPEN DISLOCATION OR OPEN FRACTURE-
DISLOCATION WOUND DEBRIDEMENT
2B Existing
35 SB806B
BONE (LOWER LIMB), OSTEOMYELITIS, DRAINAGE WITH
CURETTAGE AND IRRIGATION
4A Existing
36 SB807B
BONE (LOWER LIMB), OSTEOMYELITIS, SIMPLE
DRAINAGE
2B Existing
37 SB808B
BONE AND JOINTS (LOWER LIMB), PLATES AND
SCREWS/NAILS, REMOVAL
2B Existing
38 SB809B
BONE AND JOINTS (LOWER LIMB), REMOVAL OF SIMPLE
IMPLANTS (E.G. RUSH RODS/WIRES/K-
WIRES/PINS/SCREWS)
1C Existing
39 SB810B
BONE (LOWER LIMB), TUMOR (BENIGN), <3 CM WITH
BONE GRAFTING +/- RECONSTRUCTION/INTERNAL
FIXATION
4A Existing
40 SB811B
BONE (LOWER LIMB), TUMOR (MALIGNANT), RADICAL
EXCISION (<6CM) WITH RECONSTRUCTION AND BONE
GRAFTING
5C Existing
41 SB812B
BONE (LOWER LIMB), VARIOUS LESIONS,
EPIPHYSIOLYSIS WITH/WITHOUT MICROSURGERY
5C Existing
42 SB813B
BONE (SKULL), TUMOR (SMALL<3CM) EXCISION WITH
CRANIOPLASTY
5B Existing
43 SB814B
BONE (SKULL), TUMOR (LARGE>3CM) EXCISION WITH
CRANIOPLASTY
6B Existing
44 SB815B BONE (SKULL), TUMOR (MALIGNANT), WIDE EXCISION 5C Existing
45 SB817B
BONE (UPPER/LOWER LIMB), BONE LOSS/NONUNION,
BONE GRAFTING
3C Existing
46 SB818B
BONE (UPPER LIMB), DEFORMITIES, CORRECTIVE
SURGERY
4B Existing
47 SB819B
BONE AND JOINTS (UPPER LIMB), DEFORMITIES,
OSTEOTOMIES AND FIXATION WITH OR WITHOUT
FLUOROSCOPY/BONE GRAFT
5C Existing
48 SB820B
BONE (UPPER/LOWER LIMB), EXOSTOSIS, EXCISION
BIOPSY (SINGLE)
2C Existing
49 SB821B
BONE (UPPER LIMB), FRACTURE/DISLOCATION/SPRAIN,
FULL CAST
MSP Existing
50 SB822B
BONE (UPPER LIMB), GRADE 1 AND 2 OPEN
FRACTURES/OPEN DISLOCATION OR OPEN FRACTURE-
DISLOCATION, WOUND DEBRIDEMENT
2B Existing
SB – MUSCULOSKELETAL
15
51 SB823B
BONE (UPPER LIMB), OSTEOMYELITIS, EXTENSIVE
CURETTAGE/DEBRIDEMENT AND IRRIGATION
4A Existing
52 SB824B BONE (UPPER LIMB), OSTEOMYELITIS SIMPLE DRAINAGE 2B Existing
53 SB825B
BONE AND JOINTS (UPPER LIMB), PLATES AND SCREWS,
REMOVAL
2B Existing
54 SB826B
BONE AND JOINTS (UPPER LIMB), REMOVAL OF SIMPLE
IMPLANTS (E.G. RUSH RODS/WIRES/K-
WIRES/PINS/SCREWS)
1C Existing
55 SB827B
BONE (UPPER LIMB), TUMOR (BENIGN), MAJOR EXCISION
<3 CM WITH BONE GRAFTING +/-
RECONSTRUCTION/INTERNAL FIXATION
4A Existing
56 SB828B
BONE (UPPER LIMB), TUMOR (MALIGNANT), RADICAL
EXCISION WITH RECONSTRUCTION/INTERNAL FIXATION
6B Existing
57 SB829B
BONE (UPPER LIMB), TUMOUR (MALIGNANT), WIDE
EXCISION WITH RECONSTRUCTION/INTERNAL FIXATION
5A Existing
58 SB830B
BONE (UPPER/LOWER LIMB), VARIOUS LESIONS, BONE
LOSS, BONE TRANSFER
6A Existing
59 SB831B
BONE, TUMOR (MALIGNANT), WIDE/MAJOR RESECTION
AND RECONSTRUCTION (NON VASCULARISED BONE
GRAFT)
6B Existing
60 SB832B BONE, VARIOUS LESIONS, BIOPSY 1B Existing
61 SB833B
BONE (UPPER LIMB/LOWER LIMB), VARIOUS LESIONS,
VASCULARISED BONE TRANSFER
7C Existing
62 SB834B BURSA, BURSITIS, EXCISION BIOPSY (SINGLE) 2A Existing
63 SB700C
CALCANEUM FRACTURE EXTRA-ARTICULAR OPEN
REDUCTION INTERNAL FIXATION
3C Existing
64 SB701C
CLAVICLE, CLAVICLE FRACTURE, COMMINUTED PLATING
WITH OR WITHOUT BONE GRAFTING
4A Existing
65 SB702C
CLAVICLE, CLAVICLE FRACTURE, DELAYED
UNION/REVISION AND ORIF WITH/WITHOUT BONE
GRAFTING
4B Existing
66 SB800C CARPUS, DELAYED/NON UNION, RECONSTRUCTION 5C Existing
67 SB801C
CARPUS, FRACTURE/DISLOCATION, OPEN REDUCTION
AND INTERNAL FIXATION
4B Existing
68 SB802C
CERVICAL SPINE, VARIOUS LESIONS - ANTERIOR
DECOMPRESSION AND FUSION AND/OR DISC
REPLACEMENT (2 SEGMENTS)
6B
Descriptor
change
69 SB803C
CERVICAL SPINE, VARIOUS LESIONS - ANTERIOR
DECOMPRESSION AND FUSION OR DISC REPLACEMENT
(1 SEGMENT)
6A Existing
70 SB804C
CERVICAL SPINE - APPLICATION OF SKULL CALIPERS
WITHOUT OTHER PROCEDURES
MSP Existing
71 SB805C CLAVICLE, CLAVICLE FRACTURE, SIMPLE 3B Existing
72 SB806C COCCYX, VARIOUS LESIONS, EXCISION 2C Existing
73 SB700D DIGIT(S), NAILBED LACERATION, NAILBED GRAFTING 4A Existing
74 SB701D
DIGIT(S), SOFT TISSUE DEFECT, COMPLEX SMALL SKIN
FLAPS, MULTIPLE FLAPS
5A Existing
75 SB702D
DIGIT(S), SOFT TISSUE DEFECT, LARGE COMPLEX
PEDICLED FLAPS
5C Existing
76 SB703D DIGIT(S), SOFT TISSUE DEFECT, SIMPLE SKIN FLAP 3A Existing
77 SB700E ELBOW,THERAPEUTIC ARTHROSCOPY 4A Existing
78 SB701E
ELBOW, CONDYLE/RADIAL HEAD FRACTURE, RADIAL
HEAD EXCISION/CONDYLE/ARTHROPLASTY
4B Existing
79 SB702E ELBOW, CORONOID FRACTURE, ORIF 4B Existing
SB – MUSCULOSKELETAL
16
80 SB703E
ELBOW, DISLOCATION , LIGAMENT REPAIR (COMPLEX,
WITH/WITHOUT IMPLANT)
4A Existing
81 SB704E ELBOW, DISLOCATION , LIGAMENT REPAIR (SINGLE) 3A Existing
82 SB705E
ELBOW, FRACTURE/DISLOCATION, OPEN REDUCTION
AND INTERNAL FIXATION (ORIF)
3C Existing
83 SB706E
ELBOW, SUPRACONDYLAR FRACTURE, M&R,
PERCUTANEOUS PINNING
3C Existing
84 SB707E
ELBOW, VARIOUS LESIONS, PRIMARY TOTAL JOINT
ARTHROPLASTY WITH AUGMENTATION, REQUIRING
EXTRA IMPLANTS OR BONE GRAFTS
6B
Descriptor
change
85 SB708E
ELBOW, VARIOUS LESIONS, PRIMARY TOTAL JOINT
ARTHROPLASTY
6A
Descriptor
change
86 SB709E
ELBOW, VARIOUS LESIONS, REVISION TOTAL JOINT
ARTHROPLASTY
6C
Descriptor
change
87 SB800E
ELBOW (MEDIAL EPICONDYLE), FRACTURE, EXCISION
BONY FRAGMENT
2B Existing
88 SB801E
ELBOW, FRACTURE/ DISLOCATION, REPAIR OF
LIGAMENTS/ ORIF
4B Existing
89 SB802E ELBOW, TENNIS ELBOW, RELEASE 2B Existing
90 SB803E
ELBOW, VARIOUS LESIONS, RECONSTRUCTION WITH OR
WITHOUT SYNOVECTOMY
5A Existing
91 SB700F
FACE, FRACTURE, ENDOSCOPIC REDUCTION AND
FIXATION
5C Existing
92 SB701F
FACE, FRACTURES (PANFACIAL), OPEN REDUCTION AND
INTERNAL FIXATION
7C Existing
93 SB702F
FEMUR, DELAYED/NON UNION, WITH RE-INTERNAL
FIXATION AND BONE GRAFTING
5A Existing
94 SB703F
FEMUR, FRACTURE (COMPLEX INTRA-ARTICULAR), OPEN
REDUCTION AND INTERNAL FIXATION (ORIF) WITH PLATE
AND SCREWS
5C Existing
95 SB733F
FEMUR, LENGTH DISCREPANCIES, GRADUAL
LENGTHENING PROCEDURES WITH OSTEOTOMY AND
INTRAMEDULLARY NAIL
5C New
96 SB705F
FEMUR, FRACTURE (MULTIFRAGMENTARY),
INTRAMEDULLARY NAILING (WITH OR WITHOUT
LOCKING)
5A Existing
97 SB706F
FEMUR, FRACTURE (INTERCONDYLAR), OPEN
REDUCTION AND INTERNAL FIXATION (ORIF)
5A Existing
98 SB707F
FEMUR, NECK OF FEMUR FRACTURE (PAEDIATRIC), PIN
FIXATION
4B Existing
99 SB708F
FEMUR, FRACTURE (PAEDIATRIC SHAFT),
INTRAMEDULLARY FLEXIBLE NAILING
4A Existing
100 SB709F
FEMUR, FRACTURE (SINGLE CONDYLAR), OPEN
REDUCTION AND INTERNAL FIXATION (ORIF)
4B Existing
101 SB710F
FEMUR, SLIPPED CAPITAL FEMORAL EPIPHYSIS (SCFE),
SCREW FIXATION
4B Existing
102 SB711F
FINGER, DEFECT/CONTRACTURE (MULTIPLE),
RECONSTRUCTION
4C Existing
103 SB712F
FINGER, VARIOUS LESIONS, RAY AMPUTATION
(MULTIPLE)
3C Existing
104 SB713F
FOREARM, RADIAL HEAD FRACTURE, OPEN REDUCTION
OF RADIAL HEAD FOR MISSED MONTEGGIA
4A Existing
105 SB714F
FOREARM, RADIUS/ULNA SHAFT FRACTURE,
INTRAMEDULLARY ROD
4B Existing
106 SB715F FOOT, ACHILLES TENDON RECONSTRUCTION 4A Existing
SB – MUSCULOSKELETAL
17
107 SB716F
FOOT, CONGENITAL TALIPES EQUINOVARUS (CTEV),
BILATERAL RELEASE
6A Existing
108 SB717F
FOOT, CONGENITAL TALIPES EQUINOVARUS (CTEV),
MEDIAL RELEASE
4A Existing
109 SB718F
FOOT, CONGENITAL TALIPES EQUINOVARUS (CTEV),
POST MEDIAL RELEASE
4C Existing
110 SB719F
FOOT, CONGENITAL TALIPES EQUINOVARUS (CTEV),
POST RELEASE
4A Existing
111 SB720F
FOOT, CONGENITAL TALIPES EQUINOVARUS (CTEV),
POSTERIOR MEDIAL RELEASE WITH REVISION
5C Existing
112 SB721F
FOOT, FRACTURES, COMPLEX, MULTIPLE, INCLUDING
TALUS AND CALCANEUM, OPEN REDUCTION AND
INTERNAL FIXATION
5A Existing
113 SB722F FOOT, FRACTURES, SIMPLE, SINGLE 3A Existing
114 SB724F
FOOT, HAGLUND'S DEFORMITY/ ACHILLES
TENDINOPATHY, OSTEOTOMY/ DEBRIDEMENT AND
REATTACHMENT
3C
Descriptor
change
115 SB725F
FOOT, ONE BONE OSTEOTOMY WITH SOFT TISSUE
RELEASE, CUBOID
5A Existing
116 SB726F
FOOT, ONE BONE OSTEOTOMY WITH SOFT TISSUE
RELEASE, DWYER’S (CALCANEAL)
5A Existing
117 SB727F FOOT, MULTIPLE FOOT OSTEOTOMIES 5C Existing
118
SB732F
FOOT, HALLUX VALGUS/HAMMER TOE, PROXIMAL
OSTEOTOMY, WITH OR WITHOUT SOFT TISSUE
RECONSTRUCTION
3C Existing
119
SB800F
FACE, CONTOUR DEFECT, RECONSTRUCTION /
INSERTION OF IMPLANT(S)
4A Existing
120
SB801F
FACE, DEFECT / DEFORMITY, RECONSTRUCTION /
INSERTION OF IMPLANT
5C Existing
121
SB802F
FACE, FRACTURES (MORE THAN 2), OPEN REDUCTION
AND INTERNAL FIXATION
6B Existing
122
SB803F
FACE, INFECTION / OSTEOMYELITIS, MAJOR
DRAINAGE/SEQUESTRECTOMY
3B Existing
123
SB804F
FACE, INFECTION / OSTEOMYELITIS, SIMPLE DRAINAGE
/SEQUESTRECTOMY
2C Existing
124
SB805F FACE, INTRAOSSEOUS TUMOR (LARGE), EXCISION 5C Existing
125
SB806F FACE, INTRAOSSEOUS TUMOR (SMALL), EXCISION 3A Existing
126
SB807F
FASCIA PALMAR, DUPUYTREN'S CONTRACTURE,
FASCIECTOMY (MULTIPLE)
5C Existing
127
SB808F
FASCIA PALMAR, DUPUYTREN'S CONTRACTURE,
FASCIECTOMY (SINGLE)
4A Existing
128
SB809F FEMUR, DELAYED/NON UNION, WITH BONE GRATING 4A Existing
129
SB810F
FEMUR, FRACTURE (FEMUR SHAFT), INTRAMEDULLARY
NAILING/ROD (WITH OR WITHOUT LOCKING)
5A Existing
130
SB811F
FEMUR, FRACTURE, OPEN REDUCTION AND INTERNAL
FIXATION WITH PLATE AND SCREWS
5A Existing
131
SB812F
FINGER, DEFECT/CONTRACTURE (SINGLE),
RECONSTRUCTION
3C Existing
132
SB813F FINGER, DEFORMITIES, CORRECTION 4A Existing
133
SB814F FINGER, INJURY, DEBRIDEMENT 1B Existing
134
SB816F FINGER, RING CONSTRICTION (SINGLE), CORRECTION 3B Existing
135
SB817F FINGER, RING CONSTRICTION (MULTIPLE), CORRECTION 5C Existing
136
SB818F
FINGER, SWAN NECK/BOUTONNIERE DEFORMITY
(SINGLE), CORRECTION
4A Existing
SB – MUSCULOSKELETAL
18
137
SB819F FINGER, SYNDACTYLY (MULTIPLE), SEPARATION 5C Existing
138
SB820F FINGER, SYNDACTYLY (SINGLE), CORRECTION 4A Existing
139
SB821F FINGER, TRAUMA, REPLANTATION (MULTIPLE) 7B Existing
140
SB822F
FINGER, TRAUMA, REPLANTATION/TRANSPLANTATION
(SINGLE)
6B Existing
141
SB823F FINGER, TRAUMA, TERMINALISATION (MULTIPLE) 3B Existing
142
SB824F FINGER, TRAUMA, TERMINALISATION (SINGLE) 2C Existing
143
SB825F FINGER, VARIOUS LESIONS, AMPUTATION (MULTIPLE) 2C Existing
144
SB826F FINGER, VARIOUS LESIONS, AMPUTATION (SINGLE) 2A Existing
145
SB827F HAND, FREE TOE PULP TRANSFER 7C Existing
146 SB828F FINGER, VARIOUS LESIONS, RAY AMPUTATION (SINGLE) 3A Existing
147 SB829F
FINGER, VARIOUS LESIONS, SYNOVECTOMY WITH SOFT
TISSUE RECONSTRUCTION
5C Existing
148 SB830F
FOOT, CRUSH INJURIES (COMPLEX), WOUND
DEBRIDEMENT
3B Existing
149 SB831F
FOOT, CRUSH INJURIES (SIMPLE), WOUND
DEBRIDEMENT
1B Existing
150 SB832F
FOOT, HALLUX VALGUS/HAMMER TOE, SOFT TISSUE
RECONSTRUCTION
3B Existing
151 SB833F FOOT, POLYDACTYLY, EXCISION 1A Existing
152 SB834F
FOOT, POLYDACTYLY, EXCISION WITH
RECONSTRUCTION
4A Existing
153 SB835F
FOOT, VARIOUS LESIONS, OSTEOTOMY, WITH OR
WITHOUT TENDON RECONSTRUCTION
3A Existing
154 SB836F
FOOT, VARIOUS LESIONS, MORE THAN ONE JOINT,
ARTHRODESIS
5C Existing
155 SB837F
FINGER, MACRODACTYLY, SURGICAL REDUCTION OF
ENLARGED ELEMENTS, SINGLE DIGIT
3A Existing
156 SB838F
FINGER, MACRODACTYLY, SURGICAL REDUCTION OF
ENLARGED ELEMENTS, MULTIPLE DIGITS
4A Existing
157 SB700H
KNEE, THERAPEUTIC ARTHROSCOPY, WITH/WITHOUT
SYNOVECTOMY
4A
Descriptor
change
158 SB701H
HAND AND WRIST, RHEUMATOID HAND
RECONSTRUCTION INCLUDING MULTIPLE JOINT
SYNOVECTOMY, BONE/JOINT PROCEDURES WITH
ARTHROPLASTY (MULTIPLE) AND SOFT TISSUE
PROCEDURES
6C Existing
159 SB702H
HAND AND WRIST, RHEUMATOID HAND
RECONSTRUCTION INCLUDING SYNOVECTOMY,
BONE/JOINT PROCEDURES WITH/WITHOUT
REPLACEMENT ARTHROPLASTY, AND SOFT TISSUE
PROCEDURES
5C Existing
160 SB703H HAND, CLOSED FRACTURE, ORIF (MULTIPLE), NON-JOINT 5A Existing
161 SB704H
HAND, CLOSED FRACTURE, ORIF/PLATE AND SCREWS
(SINGLE), JOINT/NON-JOINT
3C Existing
162 SB705H
HAND, CLOSED FRACTURE, ORIF WITH K-
WIRE/CERCLAGE WIRE FIXATION
2C Existing
163 SB706H
HAND, COMPLEX INJURIES, DEBRIDEMENT WITH
REPAIR/RECONSTRUCTION (MORE THAN 2 TENDONS
INVOLVED OR MORE THAN 2 FRACTURES)
5C Existing
164 SB707H
HAND, COMPLEX INJURIES, MICROSURGICAL
REPAIR/RECONSTRUCTION, >1 DIGIT
6B Existing
165 SB708H
HAND, FLEXOR TENDON, TRIGGER FINGER (MULTIPLE),
RELEASE
3A Existing
SB – MUSCULOSKELETAL
19
166 SB709H
HAND, FLEXOR TENDON, TRIGGER FINGER (SINGLE),
RELEASE
2A Existing
167 SB710H
HAND, FRACTURE OF FINGERS/METACARPALS,
EXTERNAL FIXATION
3B Existing
168 SB711H
HAND, FRACTURE OF FINGERS/METACARPALS, NON-
UNION, BONE-GRAFTING AND FIXATION (MULTIPLE)
4C Existing
169 SB712H
HAND, FRACTURE OF FINGERS/METACARPALS, NON-
UNION, BONE-GRAFTING AND FIXATION (SINGLE)
3C Existing
170 SB713H HAND, CLOSED FRACTURE, ORIF (MULTIPLE), JOINT 5C Existing
171 SB714H
HAND, OPEN FRACTURE, DEBRIDEMENT AND ORIF
(MULTIPLE), JOINT
6A Existing
172 SB715H
HAND, OPEN FRACTURE, DEBRIDEMENT AND ORIF
(MULTIPLE), NON-JOINT
5B Existing
173 SB716H
HAND, OPEN FRACTURE, DEBRIDEMENT AND ORIF
(SINGLE), JOINT
4A Existing
174 SB717H
HAND, OPEN FRACTURE, DEBRIDEMENT AND ORIF
(SINGLE), NON-JOINT
3B Existing
175 SB718H HAND, SOFT TISSUE TUMOR, EXCISION >1.5CM SIZE 2C Existing
176 SB719H
HIP, ACETABULUM, FRACTURE, DOUBLE COLUMN
FIXATION
6B Existing
177 SB720H
HIP, ACETABULUM, FRACTURE, SINGLE COLUMN
FIXATION
5C Existing
178 SB721H
HIP, OPEN REDUCTION WITH ACETABULAR OR FEMORAL
OSTEOTOMIES
5B Existing
179 SB722H
HIP, SOFT TISSUE RELEASE AND OPEN REDUCTION
ONLY
4C Existing
180 SB723H
HIP, VARIOUS LESIONS, PRIMARY TOTAL JOINT
REPLACEMENT WITH AUGMENTATION, REQUIRING
EXTRA IMPLANTS OR BONE GRAFTS
6B
Descriptor
change
181 SB724H
HIP, VARIOUS LESIONS, REVISION TOTAL JOINT
REPLACEMENT
6C
Descriptor
change
182 SB725H
HIP/KNEE, REMOVAL OF PROSTHESES WITH OR
WITHOUT SPACER
5A Existing
183 SB726H
HUMERUS, CUBITUS VARUS, CORRECTIVE OSTEOTOMY
WITH CAST OR PINNING
4B Existing
184 SB727H
HUMERUS, CUBITUS VARUS, CORRECTIVE OSTEOTOMY
WITH PLATING
5A Existing
185 SB728H
HUMERUS, DELAYED/NON-UNION, RECONSTRUCTION
WITH BONE GRAFTING WITHOUT INTERNAL FIXATION
4B Existing
186 SB729H
HUMERUS, HUMERUS SHAFT FRACTURE, CLOSED
INTERLOCKING INTRAMEDULLARY NAIL
4A Existing
187 SB730H
HUMERUS, HUMERUS SHAFT FRACTURE, COMPLEX
MULTI-FRAGMENTARY INTRAMEDULLARY NAIL
4C Existing
188 SB733H HAND, FLEXOR TENDON, PULLEY RECONSTRUCTION 4B Existing
189 SB800H HAND, AMPUTATED DIGIT(S), TOE TO HAND TRANSFER 7B Existing
190 SB801H
HAND, CLOSED FRACTURE/DISLOCATION, OPEN
REDUCTION AND FIXATION (SINGLE)
2C Existing
191 SB802H
HAND, COMPLEX INJURIES, DEBRIDEMENT WITH
REPAIR/RECONSTRUCTION (1-2 TENDONS INVOLVED OR
1-2 FRACTURES)
5A Existing
192 SB803H
HAND, COMPLEX INJURIES, MICROSURGICAL
REPAIR/RECONSTRUCTION, SINGLE DIGIT
5C Existing
193 SB804H
HAND, CRUSH INJURIES (COMPLEX), WOUND
DEBRIDEMENT
3C Existing
SB – MUSCULOSKELETAL
20
194 SB805H
HAND, CRUSH INJURIES (SIMPLE), WOUND
DEBRIDEMENT
1C Existing
195 SB806H HAND, DEEP INFECTION, DRAINAGE 2C Existing
196 SB807H
HAND, DEFORMITIES, MAJOR RECONSTRUCTIVE
PROCEDURES
5C Existing
197 SB808H HAND, DEFORMITIES, OSTEOTOMY 3B Existing
198 SB809H
HAND, DEFORMITY, INTRINSIC MUSCLE
RELEASE/TRANSFER/EXTENSOR RELOCATION
5C Existing
199 SB810H HAND, EXTRA DIGIT, AMPUTATION/STUMP REVISION 1C Existing
200 SB811H
HAND, FLEXOR TENDON INJURIES, INSERTION OF
SILASTIC ROD(S)
5C Existing
201 SB812H
HAND, FOREIGN BODY (DEEP), REMOVAL WITH
MOBILISATION OF NEUROVASCULAR BUNDLE
3A Existing
202 SB813H
HAND, FOREIGN BODY (SUPERFICIAL), REMOVAL WITH
MOBILISATION OF NEUROVASCULAR BUNDLE
2A Existing
203 SB814H
HAND, FRACTURES/DISLOCATION, OPEN REDUCTION
AND INTERNAL FIXATION (MULTIPLE)
5C Existing
204 SB815H
HAND, POLYDACTYLY, AMPUTATION WITH
RECONSTRUCTION
4A Existing
205 SB816H HAND, SCAR, REVISION 2C Existing
206 SB817H HAND, SOFT TISSUE TUMOR, EXCISION <1.5CM 2A Existing
207 SB818H HAND, SUPERFICIAL INFECTION, DRAINAGE 1A Existing
208 SB819H
HAND, TUMORS, EXCISION WITH DISSECTION OF
NEUROVASCULAR BUNDLE
4B Existing
209 SB820H HAND, WART/CORN/NAEVUS, EXCISION 1B Existing
210 SB821H
HEAD, VARIOUS LESIONS, CRANIOFACIAL RESECTION
AND RECONSTRUCTION
7C Existing
211 SB822H HEAD-FACE, SOFT TISSUE TUMORS (SMALL), EXCISION 3A Existing
212 SB823H
HEAD-FACE, TRAUMA, CRANIOFACIAL APPROACH
REDUCTION AND FIXATION
5C Existing
213 SB824H
HEAD-FACE, TRAUMA, CRANIOFACIAL APPROACH
REDUCTION AND FIXATION WITH BONE GRAFT
6C Existing
214 SB825H
HEAD-FACE, VARIOUS LESIONS, MAJOR CORRECTIVE
SURGERY
7C Existing
215 SB826H HIP, AVASCULAR NECROSIS, CORE DECOMPRESSION 4A Existing
216 SB827H
HIP, AVASCULAR NECROSIS, CORE DECOMPRESSION
WITH GRAFTING/BONE SUBSTITUTE/BONE CEMENT
6B Existing
217 SB828H HIP, CONGENITAL DISLOCATION, OPEN REDUCTION 5C Existing
218 SB829H
HIP, CONGENITAL DISLOCATION, OPEN REDUCTION
INCLUDING RECONSTRUCTION
6B Existing
219 SB830H HIP, DISLOCATION, MANIPULATION AND REDUCTION 1B Existing
220 SB831H HIP, DISLOCATION, OPEN REDUCTION 5C Existing
221 SB832H HIP, SNAPPING SYNDROME, RELEASE 1B Existing
222 SB833H HIP, VARIOUS LESIONS, APPLICATION OF HIP SPICAS 1B Existing
223 SB834H HIP, VARIOUS LESIONS, ARTHRODESIS 6B Existing
224 SB835H HIP, VARIOUS LESIONS, ARTHROTOMY 3B Existing
225 SB836H
HIP, VARIOUS LESIONS, ARTHROTOMY AND
SYNOVECTOMY
4A Existing
226 SB837H
HIP, VARIOUS LESIONS, EXCISION/INTERPOSITION
ARTHROPLASTY
5A Existing
227 SB838H HIP, VARIOUS LESIONS, HEMI-ARTHROPLASTY 5C Existing
228 SB839H
HIP, VARIOUS LESIONS, PRIMARY TOTAL JOINT
REPLACEMENT
6A
Descriptor
change
229 SB840H
HUMERUS, DELAYED/NON-UNION, RECONSTRUCTION
WITH INTERNAL FIXATION AND BONE GRAFTING
5B Existing
SB – MUSCULOSKELETAL
21
230 SB841H
HUMERUS, PROXIMAL /MID-SHAFT/SUPRACONDYLAR
FRACTURE, PLATE FIXATION
4A
Descriptor
change
231 SB842H
HUMERUS SUPRACONDYLAR AND INTERCONDYLAR
FRACTURE
5A Existing
232 SB843H HIP, LABRAL DEBRIDEMENT 5A New
233 SB844H
HIP, LABRAL DEBRIDEMENT AND REPAIR, WITH/
WITHOUT FAI RESECTION, CAPSULAR, OSTEOPLASTY
AND CARTILAGE PROCEDURES
5C New
234 SB700J
JOINTS (TEMPOROMANDIBULAR), VARIOUS LESIONS,
ARTHROSCOPY (UNILATERAL)
2C Existing
235 SB701J
JOINTS (TEMPOROMANDIBULAR), VARIOUS LESIONS,
ARTHROSCOPY (BILATERAL)
3B Existing
236 SB702J JOINTS, ARTHROSCOPY, DIAGNOSTIC 2C Existing
237 SB703J
JOINTS (LOWER LIMB, HIP), SEPTIC ARTHRITIS,
CURETTAGE/DEBRIDEMENT AND IRRIGATION
4A Existing
238 SB704J
JOINTS (LOWER LIMB, HIP), SEPTIC ARTHRITIS, SIMPLE
DRAINAGE
3A Existing
239 SB705J
JOINTS, VARIOUS LESIONS, PRIMARY TOTAL JOINT
REPLACEMENT WITH AUGMENTATION, REQUIRING
EXTRA IMPLANTS OR BONE GRAFTS
6B
Descriptor
change
240 SB706J
JOINTS, VARIOUS LESIONS, REVISION TOTAL JOINT
REPLACEMENT
6C
Descriptor
change
241 SB707J
JOINTS (SHOULDER), VARIOUS LESIONS, IMPINGEMENT
SYNDROME
5A Existing
242 SB708J
JOINTS (TEMPOROMANDIBULAR), VARIOUS LESIONS,
ARTHROCENTESIS (BILATERAL)
3A Existing
243 SB709J
JOINTS (TEMPOROMANDIBULAR), VARIOUS LESIONS,
ARTHROCENTESIS (UNILATERAL)
2B Existing
244 SB710J
JOINTS (TEMPORO-MANDIBULAR), VARIOUS LESIONS,
CONDYLECTOMY/CORONOIDECTOMY/MENISECTOMY
4B Existing
245 SB711J
JOINTS (TEMPORO-MANDIBULAR), VARIOUS LESIONS,
CONDYLOTOMY
4A Existing
246 SB712J
JOINTS (TEMPORO-MANDIBULAR), VARIOUS LESIONS,
CONDYLECTOMY WITH RECONSTRUCTION (BILATERAL)
7A Existing
247 SB713J
JOINTS (TEMPORO-MANDIBULAR), VARIOUS LESIONS,
RECONSTRUCTION (BILATERAL)
7A Existing
248 SB714J
JOINTS (UPPER LIMB, SHOULDER), SEPTIC
ARTHRITIS/EFFUSION, CURETTAGE/DEBRIDEMENT AND
IRRIGATION
4A Existing
249 SB715J
JOINTS (UPPER LIMB, SHOULDER), SEPTIC
ARTHRITIS/EFFUSION, SIMPLE DRAINAGE
3A Existing
250 SB716J
JOINTS (UPPER LIMB), VASCULAR INJURY, MAJOR
VASCULAR RECONSTRUCTION/ANASTOMOSIS/GRAFT
5A Existing
251 SB717J
JOINTS, MAJOR INTRA-ARTICULAR FRACTURE WITH
DISCONTINUITY OR BONE LOSS, RECONSTRUCTION
(FOR LOWER LIMB)
5C Existing
252 SB718J
JOINTS, MAJOR INTRA-ARTICULAR FRACTURE WITH
DISCONTINUITY OR BONE LOSS, RECONSTRUCTION
(FOR UPPER LIMB)
5A Existing
253 SB745J
JOINT, VARIOUS LESIONS, JOINT
ASPIRATION/ARTHROCENTESIS/INJECTION
1A Existing
254 SB800J
JOINTS (FINGER), CONTRACTURE,
CAPSULECTOMY/CAPSULOTOMY
4A Existing
255 SB801J JOINTS (FINGER), VARIOUS LESIONS, ARTHRODESIS 3C Existing
SB – MUSCULOSKELETAL
22
256 SB802J
JOINTS (FINGER), VARIOUS LESIONS, EXCISION
ARTHROPLASTY
3C Existing
257 SB803J
JOINTS (FINGER), VARIOUS LESIONS, REPLACEMENT
ARTHROPLASTY
4C Existing
258 SB804J
JOINTS (FOOT EXCLUDING ANKLE), SYNOVITIS,
SYNOVECTOMY
2C Existing
259 SB805J
JOINTS (FINGER, INTERPHALANGEAL JOINTS,
METACARPOPHALANGEAL JOINTS), SYNOVITIS,
SYNOVECTOMY
2C Existing
260 SB806J
JOINTS (LOWER LIMB), SMALL, VARIOUS LESIONS,
ARTHROPLASTY
3C Existing
261 SB807J
JOINTS (LOWER LIMB), DEFORMITIES, CORRECTIVE
SURGERY WITH OSTEOTOMY ALONE
4A Existing
262 SB808J
JOINTS (LOWER LIMB), DEFORMITIES, CORRECTIVE
SURGERY WITH PLATE FIXATION AND FLUOROSCOPY
5C Existing
263 SB809J
JOINTS (LOWER LIMB), DISLOCATIONS, MANIPULATION
AND KIRSCHNER WIRE FIXATION
3B Existing
264 SB810J
JOINTS (LOWER LIMB), DISLOCATIONS, WOUND
DEBRIDEMENT
2B Existing
265 SB811J JOINTS (LOWER LIMB), LOOSE BODIES, REMOVAL 3B Existing
266 SB812J
BONE/JOINTS (LOWER LIMB), MAJOR CRUSH INJURIES,
WOUND DEBRIDEMENT
3B Existing
267 SB813J
JOINTS (LOWER LIMB, EXCEPT HIP), SEPTIC ARTHRITIS,
DRAINAGE WITH CURETTAGE AND DEBRIDEMENT
3C Existing
268 SB814J
JOINTS (LOWER LIMB, EXCEPT HIP), SEPTIC ARTHRITIS,
SIMPLE DRAINAGE
2B Existing
269 SB816J
JOINTS (LOWER LIMB), VARIOUS LESIONS,
EPIPHYSIOLYSIS WITH/WITHOUT MICROSURGERY
5C Existing
270 SB817J
JOINTS (OTHER THAN FINGER), VARIOUS LESIONS,
TOTAL JOINT REPLACEMENT
6A Existing
271 SB818J
JOINTS (OTHER THAN HAND AND WRIST), VARIOUS
LESIONS, ARTHRODESIS
5C Existing
272 SB819J
JOINTS (WRIST, DISTAL RADIOULNAR JOINT), SYNOVITIS,
SYNOVECTOMY
4A Existing
273 SB820J
JOINTS (TEMPORO-MANDIBULAR), DISLOCATION,
REDUCTION WITHOUT GENERAL ANAESTHESIA
MSP Existing
274 SB821J
JOINTS (TEMPORO-MANDIBULAR), DISLOCATION,
REDUCTION UNDER GENERAL ANAESTHESIA
1C Existing
275 SB822J
JOINTS (TEMPORO-MANDIBULAR), VARIOUS LESIONS,
CONDYLECTOMY WITH RECONSTRUCTION (UNILATERAL)
6B Existing
276 SB823J
JOINTS (TEMPORO-MANDIBULAR), VARIOUS LESIONS,
RECONSTRUCTION (UNILATERAL)
6B Existing
277 SB824J
JOINTS (TEMPORO-MANDIBULAR), VARIOUS LESIONS,
PLICATION OF DISC
4A Existing
278 SB825J
JOINTS (UPPER LIMB), CONTRACTURE,
CAPSULECTOMY/CAPSULOTOMY (MULTIPLE)
5C Existing
279 SB826J
JOINTS (UPPER LIMB), DEFORMITIES/CONTRACTURE,
CORRECTIVE SURGERY
4B Existing
280 SB828J
JOINTS (UPPER LIMB),
FRACTURES/DISLOCATION/SPRAIN, FULL CAST
MSP Existing
281 SB831J
JOINTS (UPPER LIMB, EXCEPT SHOULDER), SEPTIC
ARTHRITIS, DRAINAGE WITH CURRETAGE AND
DEBRIDEMENT
3C Existing
282 SB832J
JOINTS (UPPER LIMB, EXCEPT SHOULDER), SEPTIC
ARTHRITIS, SIMPLE DRAINAGE
2B Existing
SB – MUSCULOSKELETAL
23
283 SB834J
JOINTS (UPPER LIMB), VARIOUS LESIONS,
VASCULARISED JOINT TRANSFER
7C Existing
284 SB835J JOINTS (WRIST), VARIOUS LESIONS, ARTHRODESIS 4B Existing
285 SB700K
KNEE, ARTHROSCOPY, KNEE LIGAMENT
RECONSTRUCTION (1 OR MORE)
5C Existing
286 SB701K
KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE
COMBINED, MIS ACL OR PCL RECONSTRUCTION
5C Existing
287 SB702K
KNEE, HEMARTHROSIS, ASPIRATION UNDER LOCAL
ANESTHESIA
MSP Existing
288 SB703K
KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE
COMBINED, MIS LIGAMENT RECONSTRUCTION WITH
MENISCAL REPAIR
5C Existing
289 SB704K
KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE
COMBINED, MIS LIGAMENT RECONSTRUCTION WITH
MENISCECTOMY
5C Existing
290 SB705K
KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE
COMBINED, MIS LIGAMENT RECONSTRUCTION WITH
MICROFRACTURE
5C Existing
291 SB706K
KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE
COMBINED, MIS PRIMARY DOUBLE BUNDLE ACL OR PCL
RECONSTRUCTION
6A Existing
292 SB707K
KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE
COMBINED, MIS REVISION ACL RECONSTRUCTION
5C Existing
293 SB708K
KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE
COMBINED, MIS REVISION PCL RECONSTRUCTION
5C Existing
294 SB709K
KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE
COMBINED, AUTOLOGOUS CHONDROCYTE
IMPLANTATION WITH OSTEOTOMY
6A Existing
295 SB710K
KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE
COMBINED, MOSAICPLASTY OR OSTEOARTICULAR
TRANSFER SYSTEM (OATS) WITH OSTEOTOMY
6A Existing
296 SB711K
KNEE, LIGAMENTS/MENISCUS/CARTILAGE/BONE
COMBINED, MULTI-LIGAMENTED KNEE
RECONSTRUCTION (3 OR MORE LIGAMENTS)
6A Existing
297 SB712K
KNEE, MENISCUS/CARTILAGE ( SMALL DEFECTS ),
MOSAICPLASTY OR OATS
5C
Descriptor
change
298 SB713K
KNEE, MENISCUS/CARTILAGE, MIS ASSISTED
ALLOGRAFT MENISCAL TRANSPLANTATION
5C Existing
299 SB714K
KNEE, MENISCUS/CARTILAGE, MIS CARTILAGE
HARVESTING
4A Existing
300 SB715K KNEE, MENISCUS/CARTILAGE, MIS MENISCAL REPAIR 5A Existing
301 SB716K
KNEE, VARIOUS LESIONS, PRIMARY TOTAL JOINT
REPLACEMENT (UNILATERAL) WITH AUGMENTATION,
REQUIRING EXTRA IMPLANTS OR BONE GRAFTS
6B
Descriptor
change
302 SB717K
KNEE, VARIOUS LESIONS, REVISION TOTAL JOINT
REPLACEMENT
6C
Descriptor
change
303 SB800K
KNEE LIGAMENTS, DISRUPTION, RECONSTRUCTION AND
REPAIR
5C Existing
304 SB801K
KNEE, DISLOCATION, OPEN REDUCTION WITH REPAIR OF
LIGAMENTS
5C Existing
305 SB802K
KNEE, HEMARTHROSIS, ASPIRATION UNDER GENERAL
ANESTHESIA
1A Existing
306 SB803K KNEE, VARIOUS LESIONS, ARTHRODESIS 5A Existing
307 SB804K KNEE, VARIOUS LESIONS, ARTHROTOMY 3B Existing
SB – MUSCULOSKELETAL
24
308 SB805K
KNEE, VARIOUS LESIONS, ARTHROTOMY AND
SYNOVECTOMY
4A Existing
309 SB806K
KNEE, VARIOUS LESIONS, EXCISION/INTERPOSITION
ARTHROPLASTY
4A Existing
310 SB808K
KNEE, VARIOUS LESIONS, MENISCECTOMY
WITH/WITHOUT ARTHROSCOPY
4A Existing
311 SB809K
KNEE, VARIOUS LESIONS, TOTAL JOINT REPLACEMENT
(BILATERAL)
7B Existing
312 SB810K
KNEE, VARIOUS LESIONS, PRIMARY TOTAL JOINT
REPLACEMENT (UNILATERAL)
6A
Descriptor
change
313 SB700L
LOWER LIMB, OPEN TENDON RELEASE (INCLUDING
OPEN SOFT TISSUE RELEASES E.G. GASTROCNEMIUS
RECESSION)
4B Existing
314 SB800L
LOWER LIMB, CRUSH INJURIES (EXTENSIVE),
DEBRIDEMENT WITH REPAIR OF BONE AND SOFT
TISSUES
6B Existing
315 SB801L
LOWER LIMB, CRUSH INJURIES (LIMITED), DEBRIDEMENT
WITH REPAIR OF BONE AND SOFT TISSUES
5A Existing
316 SB802L LOWER LIMB, DEFORMITIES, EPIPHYSIODESIS 4A Existing
317 SB803L
LOWER LIMB, FRACTURES, OPEN REDUCTION AND
FIXATION WITH REPAIR OF ARTERIAL INJURIES
6B Existing
318 SB804L
LOWER LIMB, FRACTURES/DISLOCATION, MANIPULATION
AND REDUCTION WITH/WITHOUT APPLICATION OF CAST
1B Existing
319 SB806L
LOWER LIMB, LENGTH DISCREPANCIES, SHORTENING
PROCEDURES
4B Downtable
320 SB807L
UPPER LIMB/LOWER LIMB, OPEN FRACTURES WITH
DEBRIDEMENT AND EXTERNAL FIXATION (RING /
MULTIPLANAR / UNIPLANAR)
4B
Descriptor
change
321 SB808L
LOWER LIMB, TRAUMATIC AMPUTATION, MAJOR
REPLANTATION
7C Existing
322 SB809L LOWER LIMB, VARIOUS LESIONS, AMPUTATION 4A Existing
323 SB810L LOWER LIMB, VARIOUS LESIONS, APPLICATION OF CAST MSP Existing
324 SB811L
LOWER LIMB, VARIOUS LESIONS, HINDQUARTER
AMPUTATION
6B Existing
325 SB812L LOWER LIMB, VARIOUS LESIONS, HIP DISARTICULATION 6B Existing
326 SB813L
UPPER LIMB/LOWER LIMB, CLOSED FRACTURES,
EXTERNAL FIXATION (RING/ MULTIPLANAR / UNIPLANAR)
WITHOUT DEBRIDEMENT OR OTHER PROCEDURES
3B
Descriptor
change
327 SB814L LOWER LIMB, ISCHEMIA, FASCIOTOMY 3A Existing
328 SB700M
MANDIBLE AND MAXILLA, VARIOUS LESIONS,
OSTEOTOMY AND INSERTION OF DEVICE FOR
DISTRACTION OSTEOGENESIS
7C Existing
329 SB701M
MANDIBLE OR MAXILLA, BONY PROTUBERANCE,
EXCISION
1B Existing
330 SB702M
MANDIBLE OR MAXILLA, DENTAL IMPLANT(S),
OSSEOINTEGRATED, TREPHINE REMOVAL (X NUMBER
OF IMPLANTS REMOVED)
1C Existing
331 SB703M
MANDIBLE OR MAXILLA, TUMOR, MARGINAL RESECTION
WITH BONE GRAFT
6B Existing
332 SB704M
MANDIBLE OR MAXILLA, VARIOUS LESIONS, SEGMENTAL
OSTEOTOMY AND INSERTION OF DEVICE FOR
DISTRACTION OSTEOGENESIS AND BONE TRANSPORT
5B Existing
333 SB705M
MANDIBLE OR MAXILLA, VARIOUS LESIONS,
VESTIBULOPLASTY, COMPLEX
3C Existing
SB – MUSCULOSKELETAL
25
334 SB706M
MANDIBLE OR MAXILLA, VARIOUS LESIONS,
VESTIBULOPLASTY, SIMPLE
2B Existing
335 SB707M
MANDIBLE OR MAXILLA, VARIOUS LESIONS,
DENTOALVEOLAR OSTEOTOMY AND INSERTION OF
DEVICE FOR DISTRACTION OSTEOGENESIS
5A Existing
336 SB708M
MANDIBLE, ATROPHY, LATERALISATION OF INFERIOR
DENTAL NERVE WITH IMPLANT FIXTURES PLACEMENT,
BILATERAL.
5A Existing
337 SB709M
MANDIBLE, ATROPHY, LATERALISATION OF INFERIOR
DENTAL NERVE WITH IMPLANT FIXTURES PLACEMENT,
UNILATERAL
4B Existing
338 SB710M
MANDIBLE AND MAXILLA, OLD FRACTURES/OSTEOTOMY,
REMOVAL OF PLATES OR WIRES
3B Existing
339 SB711M
MANDIBLE, VARIOUS LESIONS, BODY OR RAMUS
OSTEOTOMY WITH INSERTION OF DISTRACTION
OSTEOGENESIS DEVICE
5C Existing
340 SB712M
MAXILLA, VARIOUS LESIONS, RESECTION WITH
RECONSTRUCTION
6B Existing
341 SB713M
MAXILLA, DEFORMITY, LE FORT I OSTEOTOMY AND
INSERTION OF DISTRACTION OSTEOGENESIS DEVICE
5C Existing
342 SB800M
MANDIBLE (EXCLUDING ALVEOLAR MARGINS), VARIOUS
LESIONS, COMPLEX OSTEOTOMY/OSTECTOMY
6B Existing
343 SB801M
MANDIBLE AND MAXILLA, VARIOUS LESIONS,
OSTEOTOMY INCLUDING SEGMENTAL OSTEOTOMY
WITH/WITHOUT GRAFTING
7C Existing
344 SB802M
MANDIBLE OR MAXILLA, ALVEOLAR DEFECT/DEFORMITY,
COMPLEX ALVEOLOPLASTY/UNILATERAL (LATERAL
WINDOW) SINUS LIFT/RIDGE AUGMENTATION WITH
GRAFTING
3A Existing
345 SB803M
MANDIBLE OR MAXILLA, ALVEOLAR DEFECT/DEFORMITY,
SIMPLE ALVEOLOPLASTY/BONE REGENERATIVE
PROCEDURE
2C Existing
346 SB804M
MANDIBLE, FRACTURE (COMMINUTED), OPEN
REDUCTION AND FIXATION
5C Existing
347 SB805M
MANDIBLE, FRACTURE, CLOSED REDUCTION AND
FIXATION
3B Existing
348 SB806M MANDIBLE, FRACTURE, OPEN REDUCTION AND FIXATION 5A Existing
349 SB807M
MANDIBLE OR MAXILLA, ODONTOGENIC CYST (11- 20MM),
ENUCLEATION
3A Existing
350 SB808M
MANDIBLE OR MAXILLA, ODONTOGENIC CYST (20MM OR
LARGER OR MULTIPLE CYSTS), ENUCLEATION
4A Existing
351 SB809M
MANDIBLE OR MAXILLA, ODONTOGENIC CYST (10MM OR
SMALLER), ENUCLEATION
2C Existing
352 SB810M
MANDIBLE OR MAXILLA, ODONTOGENIC CYST,
MARSUPIALIZATION
2B Existing
353 SB811M
MANDIBLE OR MAXILLA, OLD FRACTURES / OSTEOTOMY,
REMOVAL OF PLATES OR WIRES
2B Existing
354 SB812M MANDIBLE OR MAXILLA, TUMOR, MARGINAL RESECTION 5C Existing
355 SB813M
MANDIBLE, VARIOUS LESIONS, ALVEOLECTOMY (PER
QUADRANT)
2C Existing
356 SB814M
MANDIBLE OR MAXILLA, VARIOUS LESIONS,
ALVEOLOPLASTY WITH EPITHELIAL GRAFT OR
BILATERAL SINUS-LIFT PROCEDURE OR RIDGE
AUGMENTATION (MULTIPLE QUADRANTS) WITH
GRAFTING
4A Existing
SB – MUSCULOSKELETAL
26
357 SB815M
MANDIBLE, VARIOUS LESIONS, GENIOPLASTY (COMPLEX
- NOT AS A COMBINED PROCEDURE)
5C Existing
358 SB816M
MANDIBLE OR MAXILLA, VARIOUS LESIONS, INSERTION
OF ENDOSSEOUS DENTAL IMPLANT (SINGLE)(FOR
MULTIPLE PLACEMENT OF IMPLANTS, NUMBER OF
CLAIMS = NUMBER OF IMPLANTS PLACED )
2C Existing
359 SB817M
MANDIBLE AND/OR MAXILLA, VARIOUS LESIONS,
INSERTION OF TRANSMANDIBULAR IMPLANT/
SUBPERIOSTEAL IMPLANT/ ZYGOMATICUS IMPLANT
5A Existing
360 SB818M
MANDIBLE, VARIOUS LESIONS, MANDIBULAR
RAMUS/BODY OSTECTOMY/OSTEOTOMY WITH
SEGMENTAL OSTEOTOMY
6B Existing
361 SB819M
MANDIBLE, VARIOUS LESIONS, MANDIBULAR
RAMUS/BODY OSTECTOMY/OSTEOTOMY WITHOUT
SEGMENTAL OSTEOTOMY
5C Existing
362 SB820M
MANDIBLE, VARIOUS LESIONS, RECONSTRUCTION WITH
BONE
5C Existing
363 SB821M
MANDIBLE, VARIOUS LESIONS, SEGMENTAL
OSTECTOMY/OSTEOTOMY (ONE SEGMENT ONLY)
5A Existing
364 SB822M
MANDIBLE, VARIOUS LESIONS, SEGMENTAL RESECTION
WITH BONE GRAFT
6B Existing
365 SB823M
MANDIBLE, VARIOUS LESIONS, GENIOPLASTY (SIMPLE -
NOT AS A COMBINED PROCEDURE)
5A Existing
366 SB824M
MAXILLA (EXCLUDING ALVEOLAR MARGINS) AND/OR
ZYGOMA, VARIOUS LESIONS, COMPLEX
OSTECTOMY/OSTEOTOMY
6B Existing
367 SB825M
MAXILLA, ALVEOLAR CLEFT (BILATERAL COMPLETE),
BONE GRAFT AND CLOSURE OF NASO BUCCAL FISTULA
6B Existing
368 SB826M
MAXILLA, BILATERAL INCOMPLETE ALVEOLAR CLEFT,
BONE GRAFT
6A Existing
369 SB827M MAXILLA, DEFORMITY - LEFORT I, OSTEOTOMY 5C Existing
370 SB828M MAXILLA, DEFORMITY - LEFORT II, OSTEOTOMY 6B Existing
371 SB829M MAXILLA, DEFORMITY - LEFORT III, OSTEOTOMY 7C Existing
372 SB830M
MAXILLA, FRACTURE - LEFORT I, CLOSED REDUCTION
AND FIXATION
4A Existing
373 SB831M
MAXILLA, FRACTURE - LEFORT I, OPEN REDUCTION AND
FIXATION
5C Existing
374 SB832M
MAXILLA, FRACTURE - LEFORT II / III, CLOSED
REDUCTION AND FIXATION.
5A Existing
375 SB833M
MAXILLA DEFORMITY, LE FORT II OSTEOTOMY AND
INSERTION OF DISTRACTION OSTEOGENESIS DEVICE
6B Existing
376 SB834M
MAXILLA, FRACTURE - LEFORT II (COMPLEX), OPEN
REDUCTION AND FIXATION.
6B Existing
377 SB835M
MAXILLA DEFORMITY, LE FORT III OSTEOTOMY AND
INSERTION OF DISTRACTION OSTEOGENESIS DEVICE
7B Existing
378 SB836M
MAXILLA, FRACTURE - LEFORT III, OPEN REDUCTION AND
FIXATION
6B Existing
379 SB837M
MAXILLA, FRACTURE - LEFORT III, OPEN REDUCTION AND
FIXATION USING CRANIOFACIAL APPROACH
7C Existing
380 SB838M
MAXILLA, ALVEOLAR CLEFT (UNILATERAL COMPLETE),
BONE GRAFT AND CLOSURE OF NASO BUCCAL FISTULA
5B Existing
381 SB839M
MAXILLA, ALVEOLAR CLEFT (UNILATERAL INCOMPLETE),
BONE GRAFT
4B Existing
382 SB840M
MAXILLA, VARIOUS LESIONS, OSTECTOMY/OSTEOTOMY
(MORE THAN 1 SEGMENT)
6B Existing
SB – MUSCULOSKELETAL
27
383 SB841M
MAXILLA, VARIOUS LESIONS,
RESECTION/HEMIMAXILLECTOMY
5C
Descriptor
change
384 SB842M
MAXILLA, VARIOUS LESIONS, OSTECTOMY/OSTEOTOMY
(ONE SEGMENT ONLY)
5A Existing
385 SB843M MUSCLE (LOWER LIMB), DEEP ABSCESS, DRAINAGE 2A Existing
386 SB844M MUSCLE (LOWER LIMB), RUPTURE, REPAIR 2C Existing
387 SB845M
MUSCLE (LOWER LIMB), VARIOUS LESIONS, MARGINAL
EXCISION
2A Existing
388 SB846M
MUSCLE (LOWER LIMB), VARIOUS LESIONS, WIDE
EXCISION
3A Existing
389 SB847M
LOWER LIMB, MUSCLE (QUADRICEPS)/TENDON
(INCLUDING PATELLAR TENDON), DISRUPTION, REPAIR
OR RECONSTRUCTION
3A Existing
390 SB848M
MUSCLE (UPPER LIMB), DEEP ABSCESS, INCISION AND
DRAINAGE
2A Existing
391 SB849M MUSCLE (UPPER LIMB), RUPTURE, REPAIR 2C Existing
392 SB850M
MUSCLE (UPPER LIMB), VARIOUS LESIONS, MARGINAL
EXCISION
2C Existing
393 SB851M
MUSCLE (UPPER LIMB), VARIOUS LESIONS, WIDE
EXCISION
3C Existing
394 SB852M
MUSCULOSKELETAL SYSTEM, VARIOUS LESIONS, FREE
COMPOSITE TISSUE GRAFT
7B Existing
395 SB853M
MUSCULOSKELETAL SYSTEM, VARIOUS LESIONS,
STEINMAN PINS INSERTION
MSP Existing
396 SB800N
DIGIT(S), NAIL BED, DEFORMITY/DEFECT,
RECONSTRUCTION
4B Existing
397 SB801N NAIL BED, LACERATION, REPAIR (MULTIPLE) 2C Existing
398 SB802N NAIL BED, LACERATION, REPAIR (SINGLE) 1C Existing
399 SB803N NAIL, INFECTION/INJURY, AVULSION 1A Existing
400 SB804N NECK, TORTICOLLIS, CORRECTION 3B Existing
401 SB700O OTHERS, AUTOLOGOUS CHONDROCYTE IMPLANTATION 5A Existing
402 SB700P
PATELLA, HABITUAL DISLOCATION- LATERAL RELEASE,
MEDIAL PLICATION
4B Existing
403 SB703P PELVIS, FRACTURE, ANTERIOR FIXATION 5B New
404 SB704P PELVIS, FRACTURE, POSTERIOR FIXATION 6A New
405 SB705P
PELVIS, FRACTURE, COMBINED ANTERIOR AND
POSTERIOR FIXATION OR BILATERAL FIXATION
6B New
406 SB706P
PELVIS, FRACTURE, REVISION FIXATION WITH/WITHOUT
BONE GRAFTING
6B New
407 SB800P
PATELLA, FRACTURE, OPEN REDUCTION AND INTERNAL
FIXATION
3B Existing
408 SB801P
PATELLA, RECURRENT
DISLOCATION/CHONDROMALACIA, RECONSTRUCTION
4B Existing
409 SB802P PATELLA, VARIOUS LESIONS, PATELLECTOMY 3A Existing
410 SB700R
RADIUS AND ULNA, FRACTURE/DISLOCATION, NON
UNION/DELAYED UNION BONE GRAFTING AND RE-
FIXATION
5A Existing
411 SB701R
RADIUS AND ULNA, FRACTURE/DISLOCATION, NON
UNION/DELAYED UNION BONE GRAFTING ONLY
3C Existing
412 SB800R RADIUS (HEAD), VARIOUS LESIONS, EXCISION 3B Existing
413 SB801R
RADIUS AND ULNA, FRACTURE/DISLOCATION, OPEN
REDUCTION AND INTERNAL FIXATION WITH OR WITHOUT
BONE GRAFTING
4B Existing
414 SB700S SHOULDER, THERAPEUTIC ARTHROSCOPY 4A Existing
SB – MUSCULOSKELETAL
28
415 SB701S
SHOULDER FRACTURE/DISLOCATION, OPEN REDUCTION
AND INTERNAL FIXATION (2 PART FRACTURE)
4A Existing
416 SB702S
SHOULDER FRACTURE/DISLOCATION, OPEN REDUCTION
AND INTERNAL FIXATION (3 OR MORE PART FRACTURE)
5A Existing
417 SB704S
SACRUM, FRACTURE, OPEN REDUCTION AND INTERNAL
FIXATION
5C Existing
418 SB705S
SCAPULA, SCAPULAR FRACTURE, OPEN REDUCTION
AND INTERNAL FIXATION (ORIF) WITH PLATING
5A Existing
419 SB707S
SHOULDER, SHOULDER SOFT TISSUE INJURY, BANKART
OR SUPERIOR LABRUM FROM ANTERIOR TO POSTERIOR
(SLAP) REPAIR
5A
Descriptor
change
420 SB708S
SHOULDER, SHOULDER SOFT TISSUE INJURY, BANKART
REPAIR WITH SUPERIOR LABRUM FROM ANTERIOR TO
POSTERIOR (SLAP) REPAIR/ROTATOR CUFF REPAIR
5B
Descriptor
change
421 SB709S
SHOULDER, SHOULDER SOFT TISSUE INJURY,
DECOMPRESSION ALONE
5A
Descriptor
change
422 SB710S
SHOULDER, SHOULDER SOFT TISSUE INJURY,
DECOMPRESSION WITH CUFF REPAIR
5B
Descriptor
change
423 SB711S
SHOULDER, SHOULDER SOFT TISSUE INJURY,
DECOMPRESSION WITH CUFF REPAIR & EXCISION OF
DISTAL CLAVICLE
5C
Descriptor
change
424 SB712S
SHOULDER, SHOULDER SOFT TISSUE INJURY,
DECOMPRESSION WITH EXCISION OF DISTAL CLAVICLE
5A
Descriptor
change
425 SB713S
SHOULDER, SHOULDER SOFT TISSUE INJURY,
SHOULDER RECONSTRUCTION (EG, BRISTOW/LATARJET
PROCEDURE)
5B Existing
426 SB714S
SHOULDER, VARIOUS LESIONS, PRIMARY TOTAL JOINT
REPLACEMENT WITH AUGMENTATION, REQUIRING
EXTRA IMPLANTS OR BONE GRAFTS
6B
Descriptor
change
427 SB715S
SHOULDER, VARIOUS LESIONS, PRIMARY TOTAL JOINT
REPLACEMENT
6A
Descriptor
change
428 SB716S
SHOULDER, VARIOUS LESIONS, REVISION TOTAL JOINT
REPLACEMENT
6C
Descriptor
change
429 SB722S
SPINE (EXCLUDING CERVICAL SPINE), VARIOUS
LESIONS, POSTERIOR DECOMPRESSION AND/OR
DISCECTOMY WITHOUT INSERTION OF INTERSPINOUS
DEVICE (2 OR MORE SEGMENTS) WITHOUT
INSTRUMENTED FUSION
6B Existing
430 SB723S
SPINE (EXCLUDING CERVICAL SPINE), VARIOUS
LESIONS, POSTERIOR DECOMPRESSION AND/OR
DISCECTOMY WITHOUT INSERTION OF INTERSPINOUS
DEVICE (1 SEGMENT) WITHOUT INSTRUMENTED FUSION
6A Existing
431 SB724S
SPINE, REMOVAL OF SPINE IMPLANTS WITHOUT OTHER
PROCEDURES (POSTERIOR APPROACH)
3B Existing
432 SB725S
SPINE, REMOVAL OR REVISION OF PORT E.G. PORT-A-
CATH
MSP Existing
433 SB726S
SPINE, VARIOUS LESIONS, REVISION SURGERY,
DECOMPRESSION AND/OR DISCECTOMY, WITHOUT
INSTRUMENTATION
6A Existing
434 SB728S
SPINE, VARIOUS LESIONS, ANTERIOR DECOMPRESSION,
CORPECTOMY, DEBRIDEMENT, BIOPSY STABILISATION
WITHOUT INSTRUMENTATION
6B Existing
435 SB730S
SPINE (EXCLUDING CERVICAL SPINE), VARIOUS
LESIONS, INTERBODY FUSION (SINGLE SEGMENT) WITH
ANTERIOR/POSTERIOR INSTRUMENTATION
7A Existing
SB – MUSCULOSKELETAL
29
436 SB731S
SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS
- INTERBODY FUSION (SINGLE SEGMENT) WITHOUT
ANTERIOR/POSTERIOR INSTRUMENTATION
6B
Uptable,
Descriptor
change,
437 SB733S
CERVICAL SPINE, VARIOUS LESIONS, ANTERIOR
DECOMPRESSION AND FUSION AND/OR DISC
REPLACEMENT (3 OR MORE SEGMENTS)
7A
Descriptor
change
438 SB735S SPINE, DISCOGRAM (MORE THAN 2 LEVELS) 3A Existing
439 SB736S SPINE, DISCOGRAM (1 TO 2 LEVELS) 2B Existing
440 SB737S
SPINE, PERCUTANEOUS DISC ABLATION, 2 OR MORE
LEVELS (EG. IDET - INTRADISCAL ELECTROTHERMAL
ANNULOPLASTY)
4C Existing
441 SB738S
SPINE, PERCUTANEOUS DISC ABLATION, SINGLE LEVEL
(EG IDET - INTRADISCAL ELECTROTHERMAL
ANNULOPLASTY)
4A Existing
442 SB739S
SPINE, VERTEBROPLASTY OR KYPHOPLASTY (MULTIPLE
LEVELS)
4C Existing
443 SB740S
SPINE, VERTEBROPLASTY OR KYPHOPLASTY (SINGLE
LEVEL)
4A Existing
444 SB741S
SPINE, VARIOUS LESIONS - POSTERIOR
INSTRUMENTATION (5 OR MORE SEGMENTS)
WITH/WITHOUT DECOMPRESSION AND WITHOUT
INTERBODY FUSION
7C
Uptable,
Descriptor
change,
445 SB742S
SCAPULA, COMPLEX SCAPULAR FRACTURE
(WITH/WITHOUT GLENOHUMERAL JOINT INVOLVEMENT),
OPEN REDUCTION AND INTERNAL FIXATION (ORIF)
5B Existing
446 SB745S
CERVICAL SPINE, CLOSED REDUCTION WITHOUT
APPLICATION OF SKULL DEVICES OR OTHER
PROCEDURES
MSP Existing
447 SB746S
CERVICAL SPINE, APPLICATION OF HALO DEVICE
WITHOUT OTHER PROCEDURES
1A Existing
448 SB747S
SPINE, REMOVAL OF SPINE IMPLANTS WITHOUT OTHER
PROCEDURES (ANTERIOR APPROACH)
4B Existing
449 SB748S
SPINE, INFECTION, POSTERIOR DRAINAGE AND
DEBRIDEMENT WITHOUT FUSION OR OTHER
PROCEDURES
3C Existing
450 SB749S
SPINE, INFECTION, POSTERIOR DRAINAGE,
DEBRIDEMENT AND REMOVAL OF IMPLANTS, WITHOUT
FUSION OR OTHER PROCEDURES
4B Existing
451 SB750S
SPINE, INFECTION, ANTERIOR DRAINAGE AND
DEBRIDEMENT WITHOUT FUSION OR OTHER
PROCEDURES
4A Existing
452 SB751S
SPINE, INFECTION, ANTERIOR DRAINAGE, DEBRIDEMENT
AND REMOVAL OF IMPLANTS WITHOUT FUSION OR
OTHER PROCEDURES
4C Existing
453 SB752S
SPINE, VARIOUS LESIONS - POSTERIOR
INSTRUMENTATION (1 OR 2 SEGMENTS) WITH/WITHOUT
DECOMPRESSION AND WITHOUT INTERBODY FUSION
7A
Uptable,
Descriptor
change,
454 SB753S
SPINE, VARIOUS LESIONS - POSTERIOR
INSTRUMENTATION (3 OR 4 SEGMENTS) WITH/WITHOUT
DECOMPRESSION AND WITHOUT INTERBODY FUSION
7B
Uptable,
Descriptor
change,
455 SB754S
SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS
- INTERBODY FUSION (TWO SEGMENTS) WITH
ANTERIOR/POSTERIOR INSTRUMENTATION
7B
Descriptor
change
456 SB755S
SPINE (EXCLUDING CERVICAL SPINE), VARIOUS
LESIONS, ANTERIOR CORPECTOMY AND FUSION
7A Existing
SB – MUSCULOSKELETAL
30
WITH/WITHOUT INSTRUMENTATION (SINGLE
VERTEBRAE)
457 SB756S
SPINE (EXCLUDING CERVICAL SPINE), VARIOUS
LESIONS, ANTERIOR CORPECTOMY AND FUSION
WITH/WITHOUT INSTRUMENTATION (TWO OR MORE
VERTEBRA)
7B Existing
458 SB757S
SPINE, VARIOUS LESIONS, REVISION SURGERY,
DECOMPRESSION AND/OR DISCECTOMY, WITH REVISION
OF INSTRUMENTATION
6B Existing
459 SB758S
SPINE (EXCLUDING CERVICAL SPINE), VARIOUS
LESIONS, POSTERIOR DECOMPRESSION AND/OR
DISCECTOMY WITH INSERTION OF INTERSPINOUS
DEVICE (2 OR MORE SEGMENTS) WITHOUT
INSTRUMENTED FUSION
6C Existing
460 SB759S
SPINE (EXCLUDING CERVICAL SPINE), VARIOUS
LESIONS, POSTERIOR DECOMPRESSION AND/OR
DISCECTOMY WITH INSERTION OF INTERSPINOUS
DEVICE (1 SEGMENT) WITHOUT INSTRUMENTED FUSION
6B Existing
461 SB760S
SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS
- INTERBODY FUSION (THREE OR MORE SEGMENTS)
WITH ANTERIOR/POSTERIOR INSTRUMENTATION
7C New
462 SB800S
SHOULDER, DEFORMITIES, CORRECTIVE SURGERY,
OSTEOTOMY
5C Existing
463 SB801S
SHOULDER, ACROMIOCLAVICULAR JOINT
STABILISATION/RECONSTRUCTION
5B Existing
464 SB802S SHOULDER, VARIOUS LESIONS, HEMIARTHROPLASTY 5C Existing
465 SB803S
SOFT TISSUE (LOWER LIMB), SMALL TUMORS (BENIGN),
EXCISION UNDER LOCAL ANESTHESIA
MSP Existing
466 SB805S
CERVICAL SPINE, VARIOUS LESIONS, LAMINOPLASTY
(WITHOUT INSTRUMENTATION)
6B Existing
467 SB806S CERVICAL SPINE, EXCISION OF CERVICAL RIB 4C Existing
468 SB807S
CERVICAL SPINE, CLOSED REDUCTION WITH
APPLICATION OF SKULL DEVICES BUT WITHOUT OTHER
PROCEDURES
1A Existing
469 SB808S
SPINE, DEFORMITIES, THREE-COLUMN OSTEOTOMY
(SUCH AS PSO, VCR, TOTAL SPONDYLECTOMY OR THEIR
EQUIVALENT)
7C Existing
470 SB810S
SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS
- INTERBODY FUSION (TWO SEGMENTS) WITHOUT
ANTERIOR/POSTERIOR INSTRUMENTATION
6C
Uptable,
Descriptor
change,
471 SB811S SPINE, PROLAPSED DISC, NUCLEOPLASTY 3C Existing
472 SB819S
SPINE (EXCLUDING CERVICAL SPINE), VARIOUS LESIONS
- INTERBODY FUSION (THREE OR MORE SEGMENTS)
WITHOUT ANTERIOR/POSTERIOR INSTRUMENTATION
7A New
473 SB814S SPINE, SYRINGOMYELIA, LAMINECTOMY AND DRAINAGE 6B Existing
474 SB818S
SPINE, VARIOUS LESIONS, SPINAL RHIZOLYSIS
INVOLVING EXPOSURE OF SPINAL NERVE ROOTS
6B Existing
475 SB700T
TENDON (UPPER LIMB/ LOWER LIMB), VARIOUS
LESIONS, TENDON TRANSFER (MULTIPLE)
5C
Descriptor
change
476 SB701T
TIBIA, FRACTURE, OPEN REDUCTION AND INTERNAL
FIXATION WITH PLATES AND SCREWS, COMMINUTED
5C Existing
477 SB702T TIBIA, TIBIAL PLATEAU, COMMINUTED BICONDYLAR, ORIF 5B Existing
478 SB703T
TIBIA, TIBIAL PLATEAU, UNICONDYLAR
COMMINUTED/SIMPLE BICONDYLAR, ORIF
5A Existing
479 SB704T TIBIA, TIBIAL PLATEAU, UNICONDYLAR, ORIF 4B Existing
SB – MUSCULOSKELETAL
31
480 SB705T
TIBIA, TIBIAL SHAFT FRACTURE, INTRAMEDULLARY
NAILING (LOCKED/UNLOCKED)
4B Existing
481 SB711T
TIBIA, LENGTH DISCREPANCIES, GRADUAL
LENGTHENING PROCEDURES WITH OSTEOTOMY AND
INTRAMEDULLARY NAIL
5A New
482 SB707T
TOES, VARIOUS LESIONS, RAY AMPUTATION (TWO TO
FOUR RAYS)
2C Existing
483 SB708T TOES, VARIOUS LESIONS, RAY AMPUTATION (SINGLE) 1C Existing
484 SB709T TOES, TOE DEFORMITY 1C Existing
485 SB710T TOES, TOE DEFORMITY, MULTIPLE/COMPLEX 3B Existing
486 SB800T
TENDON (PERONEAL), SUBLUXATION,
RECONSTRUCTION
4A Existing
487 SB801T
TENDON (UPPER LIMB), BOWSTRINGING/ENTRAPMENT,
PULLEY RECONSTRUCTION
3B Existing
488 SB802T TENDON (UPPER LIMB), CONTRACTURE, TENOTOMY 2C Existing
489 SB803T
TENDON (UPPER LIMB), VARIOUS LESIONS, TENDON
TRANSFER (SINGLE)
4A Existing
490 SB804T
TENDON SHEATH (UPPER LIMB), DE QUERVAIN'S
(BILATERAL), RELEASE
3C Existing
491 SB805T
TENDON SHEATH (UPPER LIMB), DE QUERVAIN'S
(UNILATERAL), RELEASE
3A Existing
492 SB806T
TENDON SHEATH (UPPER LIMB), GANGLION/VILLO-
NODULAR SYNOVITIS, EXCISION
2B Existing
493 SB807T
TENDON SHEATH (UPPER LIMB), TENOSYNOVITIS
(MULTIPLE), DRAINAGE
3B Existing
494 SB808T
TENDON SHEATH (UPPER LIMB), TENOSYNOVITIS
(SINGLE), DRAINAGE
2B Existing
495 SB809T TENDON-ACHILLES (LOWER LIMB), DISRUPTION, REPAIR 3A Existing
496 SB810T
TENDON-EXTENSOR (UPPER LIMB), ADHESION,
TENOLYSIS (MULTIPLE)
5A Existing
497 SB811T
TENDON-EXTENSOR (UPPER LIMB), ADHESION,
TENOLYSIS (SINGLE)
4A Existing
498 SB812T
TENDON-EXTENSOR (UPPER LIMB), INJURY, REPAIR
(MULTIPLE)
3A Existing
499 SB813T
TENDON-EXTENSOR (UPPER LIMB), INJURY, REPAIR
(SINGLE)
2C Existing
500 SB814T
TENDON-FLEXOR (LOWER LIMB), DISRUPTION, REPAIR
(SINGLE)
2C Existing
501 SB815T
TENDON-FLEXOR (UPPER LIMB), ADHESION, TENOLYSIS
(MULTIPLE)
5C Existing
502 SB816T
TENDON-FLEXOR (UPPER LIMB), ADHESION, TENOLYSIS
(SINGLE)
4A Existing
503 SB817T
TENDON-FLEXOR (UPPER LIMB), DEFECT, GRAFTING
(MULTIPLE)
6B Existing
504 SB818T
TENDON-FLEXOR (UPPER LIMB), DEFECT, GRAFTING
(SINGLE)
5C Existing
505 SB819T
TENDON-FLEXOR (UPPER LIMB), INJURY, REPAIR
(MULTIPLE)
4B Existing
506 SB820T
TENDON-FLEXOR (UPPER LIMB), INJURY, REPAIR
(SINGLE)
3B Existing
507 SB821T TENDON-FLEXOR (UPPER LIMB), INJURY, TENDON GRAFT 4C Existing
508 SB822T
TENDONS-FLEXOR (LOWER LIMB), DISRUPTION, REPAIR
(MULTIPLE)
3B Existing
509 SB823T THUMB, DEFORMITIES, CORRECTION 4A Existing
510 SB824T THUMB, PARALYSIS, OPPONENS PLASTY 4B Existing
SB – MUSCULOSKELETAL
32
511 SB825T
THUMB, VARIOUS LESIONS, POLLICISATION OR
MICROSURGICAL RECONSTRUCTION
6B Existing
512 SB826T TIBIA, DELAYED/NON-UNION, RECONSTRUCTION 5C Existing
513 SB827T
TIBIA, FRACTURE(S), OPEN REDUCTION AND INTERNAL
FIXATION WITH INTRAMEDULLARY ROD
4B Existing
514 SB828T
TIBIA, FRACTURE, OPEN REDUCTION AND INTERNAL
FIXATION WITH PLATES AND SCREWS, SIMPLE
5A Existing
515 SB829T
TOES, VARIOUS LESIONS, TOE AMPUTATION (TWO TO
FOUR TOES)
2C Existing
516 SB830T TOES, VARIOUS LESIONS, TOE AMPUTATION (SINGLE) 1C Existing
517 SB831T TOES, VARIOUS LESIONS, ARTHRODESIS 2C Existing
518 SB832T
TENDON, EXTENSOR (UPPER LIMB), DEFECT, GRAFTING
(MULTIPLE)
5A Existing
519 SB833T
TENDON, EXTENSOR (UPPER LIMB), DEFECT, GRAFTING
(SINGLE)
4A Existing
520 SB834T
WEDGE RESECTION OF TOE NAIL (SINGLE TOE), MEDIAL
AND/OR LATERAL, SIMPLE OR COMPLEX
1C Existing
521 SB835T
WEDGE RESECTION OF TOE NAIL (MULTIPLE TOES),
MEDIAL AND/OR LATERAL, SIMPLE OR COMPLEX
2B Existing
522 SB836T
TENDON (LOWER LIMB), VARIOUS LESIONS, TENDON
TRANSFER (SINGLE
4A New
523 SB837T
TENDON (LOWER LIMB), CONTRACTURE TENOTOMY,
WITH/WITHOUT CAST APPLICATION
3A New
524 SB701U
UPPER LIMB/LOWER LIMB, MAJOR SOFT TISSUE
DEFECTS, FREE FLAP
7C Existing
525 SB702U
UPPER LIMB/LOWER LIMB, MAJOR SOFT TISSUE
DEFECTS, PEDICLED FLAP
5C Existing
526 SB703U
UPPER LIMB/LOWER LIMB, MALIGNANT TUMOUR, SOFT
TISSUE, RADICAL EXCISION
5C Existing
527 SB704U
UPPER LIMB/LOWER LIMB, UPPER LIMB FRACTURES,
MINIMALLY INVASIVE FIXATION
4B Existing
528 SB800U
UPPER LIMB, CONGENITAL DEFORMITY, MAJOR
RECONSTRUCTION
6B Existing
529 SB801U
UPPER LIMB, DEFORMITY, BONY AND SOFT TISSUE
RECONSTRUCTION
5C Existing
530 SB802U
UPPER LIMB, FRACTURE/DISLOCATION, MANIPULATION
AND REDUCTION
1B Existing
531 SB803U UPPER LIMB, ISCHEMIA, FASCIOTOMY 2B Existing
532 SB804U UPPER LIMB, TRAUMA, MAJOR REPLANTATION 7B Existing
533 SB805U UPPER LIMB, VARIOUS LESIONS, AMPUTATION 5C Existing
534 SB806U
UPPER LIMB, VARIOUS LESIONS, FOREQUARTER
AMPUTATION
6B Existing
535 SB807U
UPPER LIMB, VARIOUS LESIONS, VASCULARISED FREE
MUSCLE TRANSFER
7A Existing
536 SB808U
UPPER LIMB/LOWER LIMB, OPEN/CLOSED REDUCTION
AND DEFINITIVE FIXATION WITH RING EXTERNAL
FIXATION WITH/WITHOUT WOUND DEBRIDEMENT
5A New
537 SB809U
UPPER LIMB / LOWER LIMB RING EXTERNAL FIXATOR
WITH GRADUAL DEFORMITY CORRECTION /
LENGTHENING / SHORTENING / BONE TRANSPORT
6A New
538 SB810U
UPPER LIMB/LOWER LIMB DEFORMITY AND LIMB LENGTH
DEFORMITY, OSTEOTOMY/OSTEOTOMIES FOR ACUTE
DEFORMITY CORRECTION AND USE OF
INTRAMEDULLARY LENGTHENING NAIL DEVICE FOR
GRADUAL LIMB LENGTHENING
6A New
SB – MUSCULOSKELETAL
33
539 SB700W
WRIST, THERAPEUTIC ARTHROSCOPY 4A Existing
540 SB701W
WRIST, AVASCULAR NECROSIS, RADIAL
RECESSION/ULNAR LENGTHENING,
4C Existing
541 SB702W
WRIST, DISTAL OR RADIAL ULNAR JOINT (DRUJ)
INSTABILITY, COMPLEX LIGAMENT RECONSTRUCTION
4B Existing
542 SB703W
WRIST, DISTAL OR RADIAL ULNAR JOINT (DRUJ)
INSTABILITY, DARRACH OR SIMILAR PROCEDURE
3A Existing
543 SB704W
WRIST, DISTAL RADIUS FRACTURE, M&R,
PERCUTANEOUS PINNING
3B Existing
544 SB705W
WRIST, DISTAL RADIUS FRACTURE, OPEN REDUCTION
AND INTERNAL FIXATION (ORIF) (SIMPLE OPEN
REDUCTION AND PINNING)
3C Existing
545 SB706W
WRIST, DISTAL RADIUS FRACTURE, OPEN REDUCTION
AND INTERNAL FIXATION (ORIF) (COMPLEX, WITH
AUTOLOGOUS BONE GRAFT)
4C Existing
546 SB707W
WRIST, DISTAL RADIUS FRACTURE, OPEN REDUCTION
AND INTERNAL FIXATION (ORIF) (WITH ULNAR
HEAD/STYLOID FIXATION/TFCC REPAIR)
4C Existing
547 SB708W
WRIST, JOINT, VARIOUS LESIONS, PROXIMAL ROW
CARPECTOMY OR 4 CORNER FUSION
5C Existing
548 SB709W
WRIST, LUNATE DISLOCATION/PERILUNATE
DISLOCATION/COMPLEX LIGAMENT INJURY,
RECONSTRUCTION
6B Existing
549 SB710W
WRIST, SCAPHOID FRACTURE, OPEN REDUCTION AND
INTERNAL FIXATION (ORIF) WITH BONE GRAFTING
4B Existing
550 SB711W
WRIST, SCAPHOID OR CARPUS, VASCULARISED BONE
GRAFT
4C Existing
551 SB712W
WRIST, ULNAR HEAD/STYLOID FRACTURE,
PERCUTANEOUS PINNING/FIXATION
2B Existing
552 SB713W
WRIST, VARIOUS LESIONS, PRIMARY TOTAL JOINT
ARTHROPLASTY WITH AUGMENTATION, REQUIRING
EXTRA IMPLANTS OR BONE GRAFTS
6B
Descriptor
change
553 SB714W
WRIST, VARIOUS LESIONS, PRIMARY TOTAL JOINT
ARTHROPLASTY
6A
Descriptor
change
554 SB715W
WRIST, VARIOUS LESIONS, REVISION TOTAL JOINT
ARTHROPLASTY
6C
Descriptor
change
555 SB800Z
ZYGOMA, DOWN FRACTURE, OSTECTOMY/ARTICULAR
EMINECTOMY/AUGMENTATION
5C Existing
556 SB801Z ZYGOMA, FRACTURE, ELEVATION 5A Existing
SC – RESPIRATORY
34
S/N
Code
Description
Table
Classification
1 SC700A
AUTOFLUORESCENCE/ NARROW BAND IMAGING (NBI)
BRONCHOSCOPY
3A Existing
2 SC700B LUNG, BRONCHOSCOPY, INSERTION OF PROSTHESIS
6
3B
Descriptor
change
3 SC702B
BRONCHUS/LUNG, TRANSBRONCHIAL NEEDLE
ASPIRATION OF MEDIASTINAL LYMPH NODES, WITH OR
WITHOUT ENDOBRONCHIAL ULTRASOUND (EBUS)
3A Existing
4 SC703B
BRONCHUS/LUNG, BRONCHOSCOPY WITH/WITHOUT
BIOPSY
1B Existing
5 SC704B
BRONCHUS/LUNG, BRONCHOSCOPY WITH BIOPSY,
BRONCHOALVEOLAR LAVAGE
2A Existing
6 SC705B
BRONCHUS/LUNG, BRONCHOSCOPY, BLIND
TRANSBRONCHIAL LUNG BIOPSY FOR DIFFUSE DISEASE
2A Existing
7 SC706B
BRONCHUS/LUNG, BRONCHOSCOPY, TARGETED
TRANSBRONCHIAL LUNG BIOPSY FOR FOCAL LESIONS
(IMAGING-GUIDED)
2C Existing
8 SC707B
BRONCHUS/LUNG, BRONCHOSCOPY, WITH DILATATION
OF TRACHEAL AND BRONCHIAL STRICTURE
3A Existing
9 SC800B
BRONCHUS, FOREIGN BODY, REMOVAL VIA
BRONCHOTOMY
4A Existing
10 SC801B
BRONCHUS, VARIOUS LESIONS, BRONCHOPLASTIC
PROCEDURE
5C Existing
11 SC802B
BRONCHUS/TRACHEA, VARIOUS LESIONS, LASER
APPLICATION
4A Existing
12 SC818B
BRONCHUS, VARIOUS LESIONS, BRONCHIAL
THERMOPLASTY/BRONCHUS RADIOFREQUENCY
ABLATION
3A Existing
13 SC800D DIAPHRAGM, TUMOR, EXCISION 5A Existing
14 SC801D
DIAPHRAGM, TUMOR, EXCISION WITH WEDGE
RESECTION OF LUNG
6B Existing
15 SC802D DIAPHRAGM, VARIOUS LESIONS, PLICATION 3C New
16 SC700L LARYNX, LARYNGEAL MASK AIRWAY MSP Existing
17 SC701L
LUNG, VARIOUS LESIONS,
PNEUMONECTOMY/LOBECTOMY/SEGMENTAL
RESECTION
5B Existing
18 SC702L
LUNG, MASSIVE HEMOPTYSIS, BRONCHIAL ARTERY
EMBOLISATION
4B Existing
19 SC703L
LUNG, TUMOUR, IMAGING GUIDED PERCUTANEOUS
LOCAL ABLATION, SIMPLE (RADIOFREQUENCY,
CRYOTHERAPY, MICROWAVE, LASER, ALCOHOL, ETC)
3C Existing
20 SC704L
LUNG, TUMOUR, IMAGING GUIDED PERCUTANEOUS
LOCAL ABLATION, COMPLEX (RADIOFREQUENCY,
CRYOTHERAPY, MICROWAVE, LASER, ALCOHOL, ETC)
4A Existing
21 SC726L
LUNG, VARIOUS LESIONS, LUNG RESECTION WITH
MEDIASTINAL RESECTION, ANY APPROACH
6C Existing
22 SC801L
LUNG, VARIOUS LESIONS, REPEAT/MULTIPLE/COMPLEX
RESECTIONS
5A Existing
23 SC802L LUNG, VARIOUS LESIONS, WEDGE RESECTION 3C Existing
24 SC800M
MOUTH, VARIOUS LESIONS, LASER APPLICATION 2B Existing
25 SC702P
LUNG, PULMONARY ENDARTERECTOMY WITH
CARDIOPULMONARY BYPASS
7C Existing
6
Does not include tracheostomy
SC – RESPIRATORY
35
26 SC700T
THORAX, CATHETER BLOCKAGE, IMAGING GUIDED
CATHETER CHANGE/CATHETER ADJUSTMENT/CHECK
TUBE
1A Existing
27 SC701T
THORAX, COASTAL CARTILAGE, HARVEST AND
CREATION OF EAR CARTILAGE FRAMEWORK
5A Existing
28 SC702T THORAX, EVACUATION OF RETAINED HAEMOTHORAX 4A
Descriptor
change
29 SC703T
THORAX, MEDIASTINUM, MEDIASTINOSCOPY
WITH/WITHOUT BIOPSY
3B Existing
30 SC704T THORAX, PLEURAL EFFUSION, BIOPSY 1C Existing
31 SC705T
THORAX, RESUSCITATIVE TRAUMA THORACOTOMY
(HAEMOSTASIS, DAMAGE CONTROL, ORGAN REPAIR)
5A Existing
32 SC706T
THORAX, RIBS, OPEN FIXATION OF RIB FRACTURES (>3
RIBS)
5A Existing
33 SC707T
THORAX, RIBS, OPEN FIXATION OF RIB FRACTURES (1 - 3
RIBS)
4A Existing
34 SC708T THORAX, PERICARDIAL WINDOW CREATION 3C Existing
35 SC709T THORAX, MIS DECORTICATION 5B Existing
36 SC710T THORAX, MIS PLEURODESIS BILATERAL 4B Existing
37 SC711T THORAX, MIS THYMECTOMY 6B Existing
38 SC712T THORAX, THORACOSCOPY FOR PLEURODESIS 3C Existing
39 SC713T
THORAX, TRAUMA RELOOK THORACOTOMY (INCLUDES
HAEMOSTASIS, REMOVAL OF PACKS)
4A Existing
40 SC714T
THORAX, THORACOSCOPY, WITH/WITHOUT DIVISION OF
PLEURAL ADHESIONS
2A Existing
41 SC715T
THORAX, EFFUSION/FLUID/ABSCESS COLLECTION,
IMAGING GUIDED PERCUTANEOUS DRAINAGE CATHETER
INSERTION
1C Existing
42 SC716T THORAX, PLEURAL EFFUSION, ASPIRATION 1A Existing
43 SC717T THORAX, TUMOR (MEDIASTINAL), COMPLEX RESECTION 6A Existing
44 SC718T
THORAX, VARIOUS LESIONS, IMAGING GUIDED
PERCUTANEOUS BIOPSY
2A Existing
45 SC719T TRACHEA, ENDOTRACHEAL INTUBATION MSP Existing
46 SC720T
TRACHEA, ENDOTRACHEAL INTUBATION RAPID
SEQUENCE INDUCTION
MSP Existing
47 SC721T TRACHEA, TRACHEOSTOMY, REPLACEMENT MSP Existing
48 SC722T
TRACHEA, TRACHEOSTOMY, REVISION AND
REINSERTION
3C Existing
49 SC723T
TRACHEA/BRONCHUS, STRICTURE, IMAGING GUIDED
BALLOON DILATATION
2C Existing
50 SC724T
TRACHEA/BRONCHUS, STRICTURE, IMAGING GUIDED
STENT PLACEMENT
3A Existing
51 SC800T
THORAX, EMPYEMA, RESECTION OF RIB AND OPEN
DRAINAGE
2C Existing
52 SC801T
THORAX, MEDIASTINAL LESIONS, CERVICAL
EXPLORATION WITH/WITHOUT BIOPSY
1A Existing
53 SC802T
THORAX, PECTUS EXCAVATUM/PECTUS CARINATUM,
RADICAL CORRECTION
4B Existing
54 SC803T
THORAX, EFFUSION/FLUID/ABSCESS COLLECTION,
IMAGING GUIDED PERCUTANEOUS
ASPIRATION/DIAGNOSTIC TAP
1A Existing
55 SC804T THORAX, TUMOR (MEDIASTINAL), RESECTION 5A Existing
56 SC805T
THORAX, VARIOUS LESIONS, CHEST WALL RESECTION
AND MAJOR RECONSTRUCTION
5B Existing
SC – RESPIRATORY
36
57 SC806T
THORAX, VARIOUS LESIONS, CHEST WALL RESECTION
AND MINOR RECONSTRUCTION
4A Existing
58 SC807T
THORAX, VARIOUS LESIONS, INTERCOSTAL DRAIN
(INSERTION WITHOUT RESECTION OF RIB)
1C Existing
59 SC808T
THORAX, VARIOUS LESIONS, INTRATHORACIC
OPERATION ON LUNGS/BRONCHIAL TREE/MEDIASTINUM
4A Existing
60 SC809T
THORAX, VARIOUS LESIONS, THORACOPLASTY
(COMPLETE)
4A Existing
61 SC810T
THORAX, VARIOUS LESIONS, THORACOPLASTY (IN
STAGES) - EACH STAGE
4A Existing
62 SC811T
THORAX, VARIOUS LESIONS, THORACOTOMY
(EXPLORATION) WITH/WITHOUT BIOPSY
3B Existing
63 SC812T
THORAX, VARIOUS LESIONS, THORACOTOMY FOR
PLEURECTOMY/PLEURODESIS/ ENUCLEATION HYDATID
CYSTS
3C Existing
64 SC813T
THORAX, VARIOUS LESIONS, THORACOTOMY WITH
PULMONARY DECORTICATION, WITH OR WITHOUT
THORACOPLASTY AND/OR MYOPLASTY
5A Existing
65 SC814T TRACHEA, FOREIGN BODY, REMOVAL 1C Existing
66 SC815T
TRACHEA, TRACHEO-ESOPHAGEAL FISTULA, LIGATION
AND DIVISION
5C Existing
67 SC816T
TRACHEA, VARIOUS LESIONS, TRACHEA
RECONSTRUCTION
5C Existing
68 SC817T
TRACHEA, VARIOUS LESIONS, WITH/WITHOUT IMAGE
GUIDED (E.G. BRONCHOSCOPY), CREATION OF
TRACHEOSTOMY
2C
Descriptor
change
69 SC818T
TRACHEA, VARIOUS LESIONS, TRACHEA
RECONSTRUCTION WITH CARDIOPULMONARY BYPASS
7A New
70 SC819T
TRACHEA, VARIOUS LESIONS, TRACHEA AND BRONCHUS
RECONSTRUCTION WITH CARDIOPULMONARY BYPASS
7B New
71 SC820T
THORAX, VARIOUS LESIONS, CHEST TOILET/ IRRIGATION/
DELAYED CLOSURE
1C New
SD – CARDIOVASCULAR
37
S/N
Code
Description
Table
Classification
1 SD700A AORTA, ANEURYSM, JUXTARENAL TYPE 6B Existing
2 SD701A
AORTA, RUPTURED AORTIC ANEURYSM (THORACIC OR
ABDOMINAL), ENDO-VASCULAR AORTIC REPAIR (EVAR)
6C Existing
3 SD702A AORTIC DISSECTION, ENDOVASCULAR FENESTRATION 3B Existing
4 SD703A
AORTIC DISSECTION, ENDOVASCULAR STENT GRAFT
REPAIR
5C Existing
5 SD704A
ARRHYTHMIA SURGERY MAZE (INCLUDES THE MINI-
MAZE PROCEDURE WITH RADIOFREQUENCY CLAM)
6B Existing
6 SD705A ARTERIOVENOUS FISTULA GRAFT, THROMBECTOMY 3A Existing
7 SD706A ARTERIOVENOUS FISTULA, ANGIOGRAM 2A Existing
8 SD707A
ARTERIOVENOUS FISTULA, ANGIOPLASTY
WITH/WITHOUT STENTING
3A Existing
9 SD708A ARTERIOVENOUS FISTULA, LIGATION OF SIDE BRANCH 2A Existing
10 SD709A ARTERIOVENOUS FISTULA, SYNTHETIC GRAFT 5A Existing
11 SD710A ARTERY,LARGE, INJURY, REPAIR WITH GRAFTING 5A Existing
12 SD711A ARTERY,SMALL, INJURY, REPAIR (MULTIPLE) 5C Existing
13 SD712A ARTERY, SMALL, INJURY, REPAIR (SINGLE) 4A Existing
14 SD713A ARTERY, BYPASS, ABOVE/BELOW-KNEE WITH VEIN 5C Existing
15 SD714A ARTERY, BYPASS, DISTAL LEG/PEDAL WITH VEIN 6B Existing
16 SD715A ARTERY, BYPASS, VISCERAL, MULTIPLE 7A Existing
17 SD716A ARTERY, BYPASS, VISCERAL, SINGLE 6B Existing
18 SD742A
ARTERY, PERIPHERAL ARTERIAL, DIAGNOSTIC
INTRAVASCULAR ULTRASOUND (IVUS)
1A New
19 SD718A ARTERY, PLACEMENT ARTERIAL (PA) LINE INSERTION MSP Existing
20 SD719A
ARTERY, STENOSIS/OCCLUSION, PERCUTANEOUS
ATHERECTOMY (MECHANICAL OR LASER)
3B Existing
21 SD720A
ARTERY, STENOSIS/OCCLUSION (E.G. PULMONARY,
COARCTATION, SUBINTIMAL, BELOW KNEE),
PERCUTANEOUS ANGIOPLASTY (PTA), DIFFICULT
4A Existing
22 SD721A
ARTERY, STENOSIS/OCCLUSION, PERCUTANEOUS
TRANSLUMINAL ANGIOPLASTY (PTA), SIMPLE
3A Existing
23 SD722A
ARTERY, THROMBOSIS, PERCUTANEOUS CATHETER
DIRECTED THROMBOLYSIS, WITH OR WITHOUT
ANGIOPLASTY/STENTING
4A Existing
24 SD723A
ARTERY, TUMOUR, TRANS-ARTERIAL CHEMO-
EMBOLIZATION (TACE)
4A Existing
25 SD724A
ARTERY, TUMOUR, TRANS-ARTERIAL RADIO NUCLIDE
INFUSION
4B Existing
26 SD725A
ARTERY, VARIOUS LESIONS, DIAGNOSTIC ANGIOGRAM
OF MULTIPLE VESSELS
3A Existing
27 SD726A
ARTERY, VARIOUS LESIONS, DIAGNOSTIC ANGIOGRAM
USING MICROCATHETER, WITH OR WITHOUT
INTRAVASCULAR IMAGING
3B Existing
28 SD727A
ARTERY, VARIOUS LESIONS, ENDOVASCULAR STENT
GRAFT / COVERED STENT PLACEMENT
3B Existing
29 SD728A
ARTERY, VARIOUS LESIONS, ENDOVASCULAR STENT
PLACEMENT
3B Existing
30 SD729A
ARTERY, VARIOUS LESIONS, FLUSH AORTOGRAM OR
SINGLE VESSEL DIAGNOSTIC ANGIOGRAM
2C Existing
31 SD730A
ARTERY, VARIOUS LESIONS, PERCUTANEOUS
TRANSCATHETER EMBOLISATION OF 1 TO 2 VESSELS
4A Existing
32 SD731A
ARTERY, VARIOUS LESIONS, PERCUTANEOUS
TRANSCATHETER EMBOLISATION OF MORE THAN 2
VESSELS
4B Existing
SD – CARDIOVASCULAR
38
33 SD732A ARTERY-PSEUDOANEURYSM, EXCISION AND LIGATION 4A Existing
34 SD733A
ARTERY-PSEUDOANEURYSM, EXCISION AND PATCH
REPAIR
5A Existing
35 SD734A ARTERY-PSEUDOANEURYSM, THROMBIN INJECTION 2A Existing
36 SD735A
ARTERY-VISCERAL, STENOSIS, ANGIOPLASTY OF
VISCERAL ARTERY
3A Existing
37 SD736A ARTERY-VISCERAL, STENOSIS, STENTING 3B Existing
38 SD737A
TRANSCATHETER VALVE OR CLIP IMPLANTATION
WITH/WITHOUT TEE GUIDANCE (ENDOVASCULAR
APPROACH)
6A Existing
39 SD738A
AORTA, THORACIC AORTIC ANEURYSM, THORACIC
ENDOVASCULAR ANEURYSM REPAIR (TEVAR)
6C Existing
40 SD739A
AORTA, THORACOABDOMINAL AORTIC ANEURYSM,
ENDOVASCULAR ANEURYSM REPAIR (EVAR)
7A Existing
41 SD741A AORTA, TOTAL ARCH REPLACEMENT 7C Existing
42 SD800A
AORTA, ABDOMINAL AORTIC ANEURYSM, EXCISION AND
INSERTION OF GRAFT
6B Existing
43 SD801A
AORTA, DESCENDING AORTIC ANEURYSM, EXCISION
AND INSERTION OF GRAFT
7A Existing
44 SD802A
AORTA, RUPTURED ABDOMINAL AORTIC ANEURYSM,
EXCISION AND INSERTION OF GRAFT
6B Existing
45 SD803A
AORTA, THORACO-ABDOMINAL ANEURYSM, EXCISION
AND INSERTION OF GRAFT
7C Existing
46 SD804A
AORTA, VARIOUS LESIONS, INSERTION/REMOVAL OF
INTRA AORTIC BALLOON
3A Existing
47 SD805A
ARTERY (DISTAL EXTREMITY/DIGIT), VARIOUS LESIONS,
MICROVASCULAR REPAIR
6B Existing
48 SD806A
ARTERY (EXTREMITY), THROMBOSIS,
ENDARTERECTOMY
4C Existing
49 SD807A
ARTERY (FEMORAL/ILIAC), THROMBOSIS,
ENDARTERECTOMY
4C Existing
50 SD808A ARTERY (LARGE), VARIOUS LESIONS, LIGATION 3A Existing
51 SD809A
ARTERY (MAJOR), ANEURYSM, EXCISION AND
INSERTION OF GRAFT
5C Existing
52 SD810A ARTERY (MAJOR), TRAUMA, REPAIR 5C Existing
53 SD811A
ARTERY (NECK AND EXTREMITIES), EMBOLISM,
EMBOLECTOMY
3A Existing
54 SD812A ARTERY (OTHERS), THROMBOSIS, ENDARTERECTOMY 4C Existing
55 SD813A ARTERY (TEMPORAL), VARIOUS LESIONS, BIOPSY 2A Existing
56 SD814A ARTERY (TRUNK), EMBOLISM, EMBOLECTOMY 4A Existing
57 SD815A ARTERY, ARTERIO-VENOUS FISTULA (LARGE), EXCISION 6B Existing
58 SD816A ARTERY, ARTERIO-VENOUS FISTULA (SMALL), EXCISION 4A Existing
59 SD817A
ARTERY, ARTERIO-VENOUS FISTULA, DISSECTION AND
REPAIR WITH RESTORATION OF CONTINUITY
5A Existing
60 SD818A ARTERY, DEFECT, ARTERIAL PATCH GRAFT 4A Existing
61 SD819A ARTERY, TRAUMA/RESECTION, ARTERIAL ANASTOMOSIS 5A Existing
62 SD820A
ARTERY, TRAUMA/RESECTION, MICRO-VASCULAR
GRAFT
6B Existing
63 SD821A
ARTERY, VARIOUS LESIONS, ARTERIO-VENUOUS
FISTULA CREATION
3C Existing
64 SD822A
ARTERY, VARIOUS LESIONS, AXILLARY-
FEMORAL/SUBCLAVIAN-FEMORAL BY-PASS
5C Existing
65 SD823A ARTERY, VARIOUS LESIONS, BY-PASS/GRAFT 5C Existing
66 SD824A ARTERY, VARIOUS LESIONS, INTRA-ARTERIAL INFUSION 3A Existing
SD – CARDIOVASCULAR
39
67 SD825A
ARTERY, VARIOUS LESIONS, INVASIVE BLOOD
PRESSURE MEASUREMENT
MSP Existing
68 SD826A
ARTERY, VARIOUS LESIONS, LIGATION (INCLUDE REPAIR
OF ARTIFICIAL ARTERIO-VENOUS FISTULA)
2A Existing
69 SD827A
ARTERY, VARIOUS LESIONS, TRANSLUMINAL
ARTERIOPLASTY
3A Existing
70 SD828A ARTERY-CAROTID, THROMBOSIS, ENDARTERECTOMY 5C Existing
71 SD829A
ARTERY-PROFUNDA FEMORIS, STENOSIS,
PROFUNDOPLASTY
4A Existing
72 SD830A
ARTERY-PULMONARY, PULMONARY EMBOLISM,
PULMONARY EMBOLECTOMY USING
CARDIOPULMONARY BYPASS
6C Existing
73 SD831A
ARTERY, OCCLUSION, REVASCULARIZATION WITH
ADVANCED TECHNIQUES (SAFARI
TECHNIQUE/RETROGRADE ACCESS/ LONG SEGMENT
CHRONIC TOTAL OCCLUSION > 20 CM/ COMPLETE FOOT
ARCH REVASCULARISATION/ DEEP VENOUS
ARTERIALISATION)
5A New
74 SD837A
AORTA, ABDOMINAL AORTIC ANEURYSM,
ENDOVASCULAR ANEURYSM REPAIR (EVAR)
5C Existing
75 SD838A
ARTERY, PULMONARY, ENDOVASCULAR STENT
PLACEMENT
5A Existing
76 SD839A
AORTA, COARCTATION, ENDOVASCULAR STENT
PLACEMENT
4C Existing
77 SD840A
ARTERY, VARIOUS LESIONS, ARTERIO-VENUOUS
FISTULA, CORRECTION AT ORIGINAL SITE
4A Existing
78 SD700B BLOOD VESSELS, DEFECT, MAJOR GRAFTS (MULTIPLE) 6B Existing
79 SD701B
BLOOD VESSELS (LARGE), DISRUPTION/OBSTRUCTION,
REPAIR WITH AUTOGENOUS VEIN GRAFTING
5C Existing
80 SD702B
BLOOD VESSELS, UMBILICAL, VARIOUS LESIONS,
CATHETERISATION/CANNULATION
MSP Existing
81 SD703B BLOOD VESSELS, HICKMAN LINE INSERTION 2A Existing
82 SD706B
BLOOD VESSELS, SUBCUTANEOUS IMPLANTED
VASCULAR PORT, INSERTION
2C Existing
83 SD707B
BLOOD VESSELS, SUBCUTANEOUS IMPLANTED
VASCULAR PORT, REMOVAL
1B Existing
84 SD708B BLOOD VESSELS, PULMONARY EMBOLECTOMY 6B Existing
85 SD709B BLOOD VESSELS, RENAL ANGIOGRAPHY 2C Existing
86 SD711B
BLOOD VESSELS, SAPHENOUS VEIN, HARVEST,
MINIMALLY INVASIVE ENDOSCOPIC
4A Existing
87 SD741B
BLOOD VESSELS, VASCULAR INTERVENTION,
RADIOLOGY, INTRAVASCULAR FOREIGN BODY
RETRIEVAL
3A Existing
88 SD800B
BLOOD VESSELS, REACTIONARY/SECONDARY
HEMORRHAGE AFTER MINOR OPERATION, HEMOSTASIS
MSP Existing
89 SD702H
HEART, AUTOMATIC IMPLANTABLE CARDIOVERTER
DEFIBRILLATOR (AICD)/PACEMAKER LEAD EXTRACTION
4A Existing
90 SD703H
HEART, AUTOMATIC IMPLANTABLE CARDIOVERTER
DEFRIBRILLATOR DUAL CHAMBER (INCLUSIVE OF
DEFIBRILLATION THRESHOLD TESTING (DFT))
4C Existing
91 SD705H
HEART, AUTOMATIC IMPLANTABLE CARDIOVERTER
DEFRIBRILLATOR SINGLE CHAMBER (INCLUSIVE OF DFT)
4B Existing
92 SD706H
HEART, BIVENT AUTOMATIC IMPLANTABLE
CARDIOVERTER DEFRIBRILLATOR (INCLUSIVE OF DFT)
5A Existing
SD – CARDIOVASCULAR
40
93 SD709H
HEART, CAROTID ANGIOPLASTY AND STENTING (WITH
EMBOLIC PROTECTION)
5A Existing
94 SD710H
HEART, DEFIBRILLATION MSP Existing
95 SD711H
HEART, EXTERNAL CARDIAC PACING MSP Existing
96 SD712H
HEART, COMPLEX (E.G. LEFT MAIN, CTO INTERVENTION,
COMPLEX BIFURCATION/TRIFURCATION, IABP) SINGLE
VESSEL PERCUTANEOUS CORONARY INTERVENTION
(PCI), WITH/WITHOUT CORONARY ANGIOGRAPHY,
WITH/WITHOUT PHYSIOLOGICAL AND/OR IMAGING
STUDIES
4B
Descriptor
change
97 SD713H
HEART, MULTIVESSEL PERCUTANEOUS CORONARY
INTERVENTION (PCI), WITH/WITHOUT CORONARY
ANGIOGRAPHY, WITH/WITHOUT PHYSIOLOGICAL AND/OR
IMAGING STUDIES
4B
Descriptor
change
98 SD714H
HEART, PRIMARY PERCUTANEOUS CORONARY
INTERVENTION (PCI) FOR ST-ELEVATION MYOCARDIAL
INFARCTION
4B
Descriptor
change
99 SD716H
HEART, HEART BLOCK/ARRHYTHMIA, INSERTION OF
DUAL CHAMBER PACEMAKER (PERMANENT)
3C Existing
100
SD717H
HEART, REPLACEMENT OF PACEMAKER 2B Existing
101
SD718H
HEART, IMPLANT OF EPICARDIAL LEADS FOR
PERMANENT PACEMAKERS
4A Existing
102
SD719H
HEART, OPEN HEART SURGERY, IMPLANTATION OF
MECHANICAL HEART DEVICE (LEFT AND/OR RIGHT
VENTRICULAR ASSIST DEVICE IMPLANT)
7C
Descriptor
change
103
SD720H
HEART, INSERTABLE LOOP RECORDER 1B Existing
104
SD721H
HEART, LUNG, EXTRA CORPOREAL MEMBRANE
OXYGENATION
6B Existing
105
SD723H
HEART, PERCUTANEOUS CLOSURE OF CONGENITAL
HEART DEFECT
4A Existing
106
SD724H
HEART, PERCUTANEOUS CORONARY INTERVENTION
(PCI) + ARTERECTOMY (E.G ROTABLATION)
5A
Descriptor
change
107
SD725H
HEART, PLACEMENT OF EPICARDIAL PACING WIRES 5A
Descriptor
change
108
SD743H
HEART, CORONARY ANGIOGRAPHY AND
INTRACORONARY PHYSIOLOGICAL ASSESSMENT
(INCLUSIVE OF PRESSURE WIRE) AND/OR
IMAGING/VISUALIZATION (INCLUSIVE OF IV U/S AND
OCT), WITHOUT PCI
3C New
109
SD727H
HEART, SYNCHRONISED CARDIOVERSION 1A Existing
110
SD728H
HEART, TRANS-CATHETAR PERCUTANEOUS PATENT
DUCTUS ARTERIOSUS (PDA) OCCLUSION
5A Existing
111
SD729H
HEART, TRANS-MYOCARDIAL REVASCULARISATION
(TMR) AS A SOLE PROCEDURE
6B Existing
112
SD730H
HEART, TRANS-MYOCARDIAL REVASCULARISATION
(TMR) AS AN ADJUNCT PROCEDURE
2C Existing
113
SD731H
HEART, VALVE (REPAIR / REPLACEMENT), 1 VALVE 6C Existing
114
SD732H
HEART, VALVE (REPAIR / REPLACEMENT), MORE THAN 1
VALVE
7B Existing
115
SD733H
HEART, SEPTAL DEFECTS
(ATRIAL/VENTRICULAR)/PATENT FORAMEN OVALE (PFO)
DEFECT CLOSURE
5A Existing
116
SD735H
HEART, RIGHT AND *LEFT HEART CATHERISATION (*THIS
CAN ALSO REFER TO CORONARY ANGIOGRAPHY ONLY)
3B New
SD – CARDIOVASCULAR
41
117
SD739H
HEART, ELECTROPHYSIOLOGY STUDY WITHOUT
ABLATION
3B Existing
118
SD740H
HEART, LEFT ATRIAL APPENDAGE CLOSURE
WITH/WITHOUT WATCHMAN DEVICE IMPLANTATION
5A Existing
119
SD742H
HEART, CORONARY DISEASE, CORONARY ARTERY
BYPASS GRAFT
7A
Uptable,
Descriptor
change,
120
SD800H
HEART (GREAT VESSELS), VARIOUS LESIONS,
INTRATHORACIC OPERATION
4A Existing
121
SD801H
HEART, AORTIC/MITRAL VALVE LESIONS, BALLOON
VALVULOPLASTY
5A Existing
122
SD802H
HEART, PERCUTANEOUS ABLATION OF ARRTHYMIA
CIRCUIT OR FOCUS OR ISOLATION PROCEDURE
INVOLVING 1 ATRIAL CHAMBER ONLY, WITH/WITHOUT
THE USE OF 3D MAPPING, NOT REQUIRING COMPLEX
ELECTROPHYSIOLOGICAL TECHNIQUES
4A
Descriptor
change
123
SD803H
HEART, ARRHYTHMIA, IMPLANTABLE CARDIOVERTER
DEFIBRILLATOR (ICD) IMPLANTATION
4C Existing
124
SD804H
HEART, BIVENTRICULAR PACING 4A Existing
125
SD805H
HEART, CONGENITAL HEART DISEASE (COMPLEX), OPEN
HEART SURGERY
7A Existing
126
SD806H
HEART, CONGENITAL HEART DISEASE, OPEN HEART
SURGERY
6C Existing
127
SD807H
HEART, CONGENITAL HEART DISEASE, BLALOCK-
TAUSSIG OPERATION
4A Existing
128
SD808H
HEART, SIMPLE CONGENITAL OPEN-HEART SURGERY
(ATRIAL SEPTAL DEFECT & VENTRICULAR SEPTAL
DEFECT)
6B Existing
129
SD809H
HEART, CORONARY GRAFT ANGIOGRAPHY
WITH/WITHOUT ANGIOGRAPHY OF NATIVE CORONARY
ARTERIES, WITH RIGHT HEART CATHETERISATION
3C
Descriptor
change
130
SD810H
HEART, SIMPLE SINGLE-VESSEL PERCUTANEOUS
CORONARY INTERVENTION (PCI), WITH/WITHOUT
CORONARY ANGIOGRAPHY, WITH/WITHOUT
PHYSIOLOGICAL AND/OR IMAGING STUDIES
4A
Descriptor
change
131
SD811H
HEART, CORONARY ANGIOGRAPHY (NON-GRAFT)
WITHOUT RIGHT HEART CATHETERISATION
3A
Descriptor
change
132
SD813H
HEART, CORONARY ARTERY BYPASS GRAFT AND VALVE
SURGERY
7C Existing
133
SD814H
HEART, HEART BLOCK, REPLACEMENT OF
TRANSVENOUS ELECTRODE
2C Existing
134
SD815H
HEART, HEART BLOCK/ARRHYTHMIA, INSERTION OF
SINGLE CHAMBER PACEMAKER (PERMANENT)
3B Existing
135
SD816H
HEART, LEFT VENTRICULAR ANEURYSM, RESECTION
WITHOUT CORONARY ARTERY BYPASS
6C Existing
136
SD817H
HEART, PATENT DUCTUS ARTERIOSUS, LIGATION 4A Existing
137
SD818H
HEART, PERICARDIAL DISEASE, PERICARDIECTOMY 4B Existing
138
SD819H
HEART, PERICARDIAL EFFUSION, PARACENTESIS 1A Existing
139
SD820H
HEART, PERICARDIAL EFFUSION, TRANSTHORACIC
DRAINAGE
3B Existing
140
SD821H
HEART, PROXIMAL AORTIC ANEURYSM, AORTIC ROOT
REPLACEMENT WITH CORONARY ARTERY
REIMPLANTATION
7C Existing
141
SD822H
HEART, PULMONARY INCOMPETENCE, PULMONARY
ARTERY BANDING
4A Existing
SD – CARDIOVASCULAR
42
142
SD823H
HEART, PULMONARY VALVE LESIONS, BALLOON
VALVULOPLASTY
4A Existing
143
SD824H
HEART, VARIOUS LESIONS, OPEN HEART SURGERY
(ONE PROCEDURE)
6C Existing
144
SD825H
HEART, VARIOUS LESIONS, OPEN HEART SURGERY ON
COMBINED SURGERY, TWO PROCEDURES AT ONE
SITTING
7B Existing
145
SD826H
HEART, VARIOUS LESIONS, ANEURYSMECTOMY AND/OR
COMBINED VALVE REPLACEMENT AND/OR REPAIR AND
CORONARY BYPASS GRAFTING
7B Existing
146
SD827H
HEART, VARIOUS LESIONS, BALLOON ATRIAL
SEPTOSTOMY
4A Existing
147
SD828H
HEART, VARIOUS LESIONS, CARDIAC BIOPSY 2B Existing
148
SD829H
HEART, VARIOUS LESIONS, HEART TRANSPLANTATION 7C Existing
149
SD830H
HEART, RIGHT OR LEFT HEART CATHETERISATION
WITHOUT CORONARY ANGIOGRAPHY (NON-GRAFT)
2C
Descriptor
change
150
SD833H
HEART/LUNG, VARIOUS LESIONS, CARDIOPULMONARY
PERFUSION
3B Existing
151
SD834H
HEART/LUNG, VARIOUS LESIONS, HEART AND LUNG
TRANSPLANTATION
7C Existing
152
SD835H
HEART-ATRIUM, ARRHYTHMIA, ARRHYTHMIA SURGERY 6B Existing
153
SD836H
HEART-VENTRICLE, ARRHYTHMIA, ARRHYTHMIA
SURGERY
7B Existing
154
SD838H
HEART, PERCUTANEOUS ABLATION OF ARRTHYMIA
CIRCUITS OR FOCI OR ISOLATION PROCEDURE
INVOLVING 1 OR MORE ATRIAL CHAMBERS AND
REQUIRING COMPLEX ELECTROPHYSIOLOGICAL
TECHNIQUES, WITH/WITHOUT 3D MAPPING PERFORMED
ON THE SAME DAY
4C
Descriptor
change
155
SD839H
HEART, MAPPING AND PERCUTANEOUS ABLATION OF
VENTRICULAR ARRHYTHMIA CIRCUITS OR FOCI,
INCLUDING ALL ASSOCIATED ELECTROPHYSIOLOGICAL
STUDIES PERFORMED ON THE SAME DAY
5A Existing
156
SD840H
HEART, CORONARY GRAFT ANGIOGRAPHY
WITH/WITHOUT ANGIOGRAPHY OF NATIVE CORONARY
ARTERIES
3B Existing
157
SD700S SURFACE LESIONS, ANGIOSARCOMA, WITH BIOPSY 1B Existing
158
SD700V VEIN (SMALL), INJURY, REPAIR (SINGLE) 4A Existing
159
SD701V VEIN, PSEUDOANEURYSM, THROMBIN INJECTION MSP Existing
160
SD702V
VEIN, VARICOSITY, HIGH LIGATION AND COMPLETE
STRIPPING/EXCISION OF LONG/LONG & SHORT
SAPHENOUS VEIN (ENDOSCOPIC)
4A Existing
161
SD703V
VEIN, VARICOSITY, SUB-FASCIAL LIGATION OF SINGLE
DEEP PERFORATOR (ENDOSCOPIC)
2B Existing
162
SD704V
VEIN, CENTRAL VEINS (SUPERIOR VENA CAVA,
BRACHIOCEPHALIC VEINS, INFERIOR VENA CAVA, ILIAC
VEINS) VARIOUS LESIONS, DIAGNOSTIC VENOGRAPHY
2A Existing
163
SD705V
VEIN, HEPATIC, PORTAL HYPERTENSION, DIAGNOSTIC
HEPATIC VENOGRAPHY WITH OR WITHOUT PRESSURE
MEASUREMENTS
2B Existing
164
SD706V
VEIN, PERIPHERAL VEINS (UPPER/LOWER
LIMBS/DIALYSIS ARTERIOVENUS
FISTULA/ARTERIOVENUS GRAFT FISTULA), VARIOUS
LESIONS, DIAGNOSTIC VENOGRAPHY
2A Existing
165
SD707V VEIN, (SPIDER VEINS), INJECTION <3 HAND-SIZE AREA MSP Existing
SD – CARDIOVASCULAR
43
166
SD708V
VEIN, CATHETER BLOCKAGE, FIBRINSHEATH STRIPPING
OR DISRUPTION
2A Existing
167
SD709V
VEIN, CATHETER BLOCKAGE, IMAGING GUIDED
CATHETER CHANGE/CATHETER ADJUSTMENT
1A Existing
168
SD710V
VEIN, STENOSIS/OCCLUSION, PERCUTANEOUS
TRANSLUMINAL ANGIOPLASTY (PTA), DIFFICULT
4A Existing
169
SD711V
VEIN, STENOSIS/OCCLUSION, PERCUTANEOUS
TRANSLUMINAL ANGIOPLASTY (PTA), SIMPLE
3A Existing
170
SD712V
VEIN, THROMBOSIS, PERCUTANEOUS CATHETER
DIRECTED THROMBOLYSIS, WITH OR WITHOUT
ANGIOPLASTY/STENTING
4A Existing
171
SD713V
VEIN, VARICOSE VEINS, IMAGING GUIDED ENDOVENOUS
LASER TREATMENT, 1 LEG
3B Existing
172
SD714V
VEIN, VARICOSE VEINS, IMAGING GUIDED ENDOVENOUS
LASER TREATMENT, 2 LEGS
4A Existing
173
SD715V VEIN, VARICOSITIES (RECURRENT) SURGERY 4A Existing
174
SD716V
VEIN, VARICOSITIES, ENDOVASCULAR LASER
TREATMENT (1 LEG)
3B Existing
175
SD717V
VEIN, BLEEDING VARICOSITIES/VASCULAR
MALFORMATION, IMAGE GUIDED SCLEROTHERAPY
INJECTION
3B Existing
176
SD718V
VEIN, VARIOUS LESIONS, ENDOVASCULAR STENT
GRAFT/STENT PLACEMENT
3B Existing
177
SD720V
VEIN, VARIOUS LESIONS, IMAGING GUIDED INSERTION
OF NON TUNNELLED CENTRAL VENOUS CATHETER
1C Existing
178
SD721V
VEIN, VARIOUS LESIONS, IMAGING GUIDED INSERTION
OF TUNNELLED CENTRAL VENOUS CATHETER
2A Existing
179
SD722V
VEIN, VARIOUS LESIONS, IMAGING GUIDED PERIPHERAL
INSERTION OF CENTRAL CATHETER (PICC)
1C Existing
180
SD723V
VEIN, VARIOUS LESIONS, IMAGING GUIDED VENOUS
PORT INSERTION
2C Existing
181
SD724V
VEIN, VARIOUS LESIONS, INSERTION OF INFERIOR VENA
CAVAL FILTER
2C Existing
182
SD725V
VEIN, VARIOUS LESIONS, PERCUTANEOUS
TRANSCATHETER EMBOLISATION OF MORE THAN 2
VESSELS
4B Existing
183
SD726V
VEIN, VARIOUS LESIONS, PERCUTANEOUS
TRANSCATHETER EMBOLIZATION OF 1 TO 2 VESSELS
4A Existing
184
SD727V
VEIN, VARIOUS LESIONS, RETRIEVAL OF INFERIOR VENA
CAVAL FILTER
3A Existing
185
SD728V
VEIN,(SPIDER VEINS), INJECTION 3 OR MORE HAND-SIZE
AREA
MSP Existing
186
SD800V
VEIN (DISTAL EXTREMITY/DIGIT), VARIOUS LESIONS,
MICROVASCULAR REPAIR
5C Existing
187
SD801V VEIN (LARGE), VARIOUS LESIONS, LIGATION 3A Existing
188
SD802V VEIN (MAJOR), TRAUMA, REPAIR 5C Existing
189
SD803V
VEIN, ARTERIO-VENOUS FISTULA, DISSECTION AND
LIGATION
2A Existing
190
SD804V
VEIN, VARICOSITY, BILATERAL
STRIPPING/EXCISION/MULTIPLE LIGATIONS
4A Existing
191
SD805V
VEIN, VARICOSITY, HIGH LIGATION AND COMPLETE
STRIPPING/EXCISION OF LONG/LONG AND SHORT
SAPHENOUS VEIN
3B Existing
192
SD806V
VEIN, VARICOSITY, HIGH LIGATION AND COMPLETE
STRIPPING/EXCISION OF SHORT SAPHENOUS VEIN
3B Existing
SD – CARDIOVASCULAR
44
193
SD807V
VEIN, VARICOSITY, HIGH LIGATION OF SHORT
SAPHENOUS VEIN AT SAPHENO-POPLITEAL JUNCTION
3B Existing
194
SD808V
VEIN, VARICOSITY, MULTIPLE LIGATIONS WITH/WITHOUT
LOCAL STRIPPING/EXCISION
3B Existing
195
SD809V
VEIN, VARICOSITY, SUB-FASCIAL LIGATION OF SINGLE
DEEP PERFORATOR
1C Existing
196
SD810V VEIN, VARIOUS LESIONS, BYPASS/GRAFT 5C Existing
197
SD811V
VEIN, VARIOUS LESIONS, INSERTION OF CENTRAL
VENOUS LINE
1A Existing
198
SD812V
VEIN, VARIOUS LESIONS, INTRA-ARTERIAL INFUSION OF
ARTERIES OF NECK/THORAX/ABDOMEN
3A Existing
199
SD813V
VEIN, VARIOUS LESIONS, LIGATION (INCLUDE REPAIR OF
ARTIFICIAL ARTERIO-VENOUS FISTULA)
2A Existing
200
SD814V
VEIN, VARIOUS LESIONS, SAPHENOL FEMORAL/ACCELO
FEMORAL BYPASS GRAFT
5C Existing
201
SD815V VEIN-PORTAL, PORTAL HYPERTENSION, BYPASS 5C Existing
202
SD816V
VEIN, VARICOSITY, SUB-FASCIAL LIGATION OF MULTIPLE
PERFORATOR (ENDOSCOPIC)
4C Existing
203
SD817V
VENA CAVA INFERIOR, VARIOUS LESIONS,
PLICATION/LIGATION
4C Existing
204
SD818V
VEIN, CENTRAL VEIN, DIAGNOSTIC INTRAVASCULAR
ULTRASOUND (IVUS)
1A New
205
SD800Z ORGAN PROCUREMENT COSTS: HEART 4B Existing
206
SD801Z ORGAN PROCUREMENT COSTS: LUNG 4B Existing
SE – HEMIC & LYMPHATIC
45
S/N
Code
Description
Table
Classification
1 SE700L
LYMPH NODE (AXILLARY), VARIOUS LESIONS, RADICAL
EXCISION/CLEARANCE WITH OR WITHOUT SENTINEL
LYMPH NODE BIOPSY
4A Existing
2 SE701L
LYMPH NODE (AXILLARY), VARIOUS LESIONS, SENTINEL
LN BIOPSY ONLY
3A Existing
3 SE702L
LYMPH NODE (CERVICAL), DEEP, VARIOUS LESIONS,
BIOPSY
2C Existing
4 SE703L
LYMPH NODE (CERVICAL), SUPERFICIAL, VARIOUS
LESIONS, BIOPSY
1B Existing
5 SE704L
LYMPH NODE (CERVICAL), VARIOUS LESIONS, NECK
DISSECTION BILATERAL 3 OR LESS LEVELS
5A Existing
6 SE705L
LYMPH NODE (CERVICAL), VARIOUS LESIONS, NECK
DISSECTION BILATERAL AT LEAST WITH ONE SIDE 4 TO 5
LEVELS
6A Existing
7 SE706L
LYMPH NODE (CERVICAL), VARIOUS LESIONS, NECK
DISSECTION UNILATERAL 4-5 LEVELS
5C Existing
8 SE707L
LYMPH NODE (PELVIC) DISSECTION,
UNILATERAL/BILATERAL
5A
Descriptor
change
9 SE708L
LYMPH NODE (SINGLE), VARIOUS LESIONS, EXCISION
BIOPSY (MIS)
1C Existing
10 SE709L LYMPHATICS (UPPER LIMB), LYMPHANGIOMA, EXCISION 6B Existing
11 SE710L
LYMPH NODE EXCISION FOR MYCOBACTERIUM AVIARE
INTRACELLULARE SCROPHYLLORIUM
2C Existing
12 SE711L
LYMPH NODE, VARIOUS LESIONS, IMAGING GUIDED
PERCUTANEOUS BIOPSY, DEEP
(INTRATHORACIC/ABDOMINAL/PELVIC,
RETROPERITONEAL)
2A Existing
13 SE712L
LYMPH NODE, VARIOUS LESIONS, IMAGING GUIDED
PERCUTANEOUS BIOPSY, SUPERFICIAL
1B Existing
14 SE713L LYMPH NODE, VARIOUS LESIONS, BIOPSY 1B Existing
15 SE714L
LYMPHATICS AND SUBCUTANEOUS TISSUE,
LYMPHEDEMA, MAJOR EXCISION AND GRAFTING
6B Existing
16 SE715L
LYMPH NODE (CERVICAL), RADICAL WITH FLAP
RECONSTRUCTION
6B Existing
17 SE716L LYMPH NODE (RETROPHARYNGEAL), NECK DISSECTION 5A
Descriptor
change
18 SE800L
LYMPH NODE (AXILLARY), VARIOUS LESIONS, LIMITED
EXCISION/BIOPSY
3A Existing
19 SE803L
LYMPH NODE (CERVICAL), VARIOUS LESIONS, NECK
DISSECTION UNILATERAL 1-3 LEVELS
4A Existing
20 SE804L
LYMPH NODE (CERVICAL), VARIOUS LESIONS, RADICAL
NECK DISSECTION
5C Existing
21 SE805L
LYMPH NODE (INGUINAL), VARIOUS LESIONS, LIMITED
EXCISION
3B Existing
22 SE806L
LYMPH NODE (INGUINAL), VARIOUS LESIONS, RADICAL
EXCISION
4B Existing
23 SE807L
LYMPH NODE (RETROPERITONEAL), VARIOUS LESIONS,
LIMITED EXCISION
4B Existing
24 SE808L
LYMPH NODE (SINGLE), VARIOUS LESIONS,
ASPIRATION/BIOPSY
MSP Existing
25 SE809L
LYMPH NODE (SINGLE), VARIOUS LESIONS, EXCISION
BIOPSY
1A Existing
26 SE810L
LYMPHATICS (FACE & NECK), CYSTIC HYGROMA,
EXCISION (LARGE)
5C Existing
SE – HEMIC & LYMPHATIC
46
27 SE811L
LYMPHATICS (FACE & NECK), CYSTIC HYGROMA,
EXCISION (MODERATE)
4A Existing
28 SE812L
LYMPHATICS (FACE & NECK), CYSTIC HYGROMA,
EXCISION (SMALL)
3A Existing
29 SE813L
LYMPHATICS, CYSTIC HYGROMA, EXCISION (EXTENSIVE)
WITH/WITHOUT THORACOTOMY
5C Existing
30 SE814L LYMPHATICS, LYMPHANGIECTASIS, LIMITED EXCISION 2C Existing
31 SE815L LYMPHATICS, LYMPHANGIECTASIS, RADICAL EXCISION 4A Existing
32 SE816L
LYMPHATICS, LYMPHEDEMA, EXCISION (EXTENSIVE AND
COMPLEX)
7C Existing
33 SE817L
LYMPHATICS, LYMPHEDEMA, EXCISION (LARGE & DEEP
SEATED)
5C Existing
34 SE818L LYMPHATICS, LYMPHEDEMA, EXCISION (LARGE) 4A Existing
35 SE819L LYMPHATICS, LYMPHEDEMA, EXCISION (MODERATE) 3A Existing
36 SE820L LYMPHATICS, LYMPHEDEMA, EXCISION (SMALL) 2A Existing
37 SE821L
LYMPHATICS, LYMPHEDEMA, LYMPHO-
VENOUS/LYMPHATICO-VENULAR ANASTOMOSES,
UNILATERAL(MICROSURGERY)
7C Existing
38 SE822L
LYMPHATICS, LYMPHEDEMA, MAJOR EXCISION &
GRAFTING
6B Existing
39 SE823L LYMPHATICS, LYMPHEDEMA, THOMSON'S PROCEDURE 5C Existing
40 SE800M
MARROW, FOR VARIOUS LESIONS, HARVESTING &
GRAFTING
5A Existing
41 SE801M
MARROW, VARIOUS LESIONS, DIAGNOSTIC ASPIRATION 1A Existing
42 SE800S
SPLEEN, HYPERSPLENISM/MASSIVE ENLARGEMENT,
SPLENECTOMY
5C
Descriptor
change
43 SE801S SPLEEN, TRAUMA, CONSERVATION 4A Existing
44 SE802S SPLEEN, TRAUMA, SPLENECTOMY 4A Existing
45 SE803S
SPLEEN, VARIOUS NON-TRAUMATIC LESIONS,
SPLENECTOMY
4A
Descriptor
change
SF – DIGESTIVE
47
S/N
Code
Description
Table
Classification
1 SF701A
ABDOMEN/PELVIS, CATHETER BLOCKAGE, IMAGING
GUIDED CATHETER CHANGE/CATHETER
ADJUSTMENT/CHECK TUBE
1A Existing
2 SF702A
ABDOMEN/PELVIS, VARIOUS LESIONS, IMAGING GUIDED
PERCUTANEOUS BIOPSY
2A Existing
3 SF704A ABDOMEN, LAPAROTOMY, TRAUMA REOPERATION 5A Existing
4 SF705A
ABDOMEN, LAPAROTOMY, TRAUMA, DAMAGE CONTROL,
HAEMOSTASIS, PACKING
5A Existing
5 SF706A
ABDOMEN, PERITONEAL CAVITY,
ASCITES/FLUID/ABSCESS COLLECTION, IMAGING GUIDED
PERCUTANEOUS ASPIRATION/DIAGNOSTIC
TAP/CATHETER
1B Existing
6 SF707A
ABDOMEN, RETROPERITONEUM, ABSCESS, DRAINAGE
WITH/WITHOUT LAPAROTOMY
3A Existing
7 SF708A ABDOMEN, RETROPERITONEUM, TUMOR, REMOVAL 5C Existing
8 SF709A
ABDOMINAL CAVITY, RECURRENT ABDOMINAL TUMOR,
RESECTION WITH COMPLETE ABDOMINOPELVIC
PERITONECTOMY AND HYPERTHERMIC INTRAOPERATIVE
CHEMOTHERAPY
7A Existing
9 SF710A ABDOMEN, MAJOR/MULTIPLE ORGAN REPAIR (TRAUMA) 6B Existing
10 SF711A
ANAL INCONTINENCE, ARTIFICIAL BOWEL SPHINCTER
INSERTION
5A Existing
11 SF712A
ANAL INCONTINENCE, COMPLEX PROCEDURES
INCLUDING MUSCLE TRANSPOSITION
5C Existing
12 SF713A
ANAL SPHINCTER BULKING INJECTION WITH OR WITHOUT
RECTAL ULTRASOUND GUIDANCE
2C Existing
13 SF714A ANGIOEMBOLISATION FOR TRAUMA 4B Existing
14 SF715A ANUS, ANO-RECTAL MALFORMATION, ANOPLASTY 2C Existing
15 SF716A
ANUS, ANO-RECTAL MALFORMATION
(CLOACA/ABDOMINOPERINEAL)
6C Existing
16 SF717A
ANUS, ANO-RECTAL MALFORMATION, LIMITED
POSTERIOR SAGITTAL ANORECTOPLASTY (PSARP)
4A Existing
17 SF718A
ANUS, ANO-RECTAL MALFORMATION, POSTERIOR
SAGITTAL ANORECTOPLASTY (PSARP)
5C Existing
18 SF719A
ANUS, ANO-RECTAL MALFORMATION, ANORECTOPLASTY
(MIS)
5C Existing
19 SF720A ANUS, FISTULA-IN-ANO, INSERTION OF SETON 1C Existing
20 SF721A
ANUS, HEMORRHOIDS, TRANSANAL HAEMORRHOIDAL
DEARTERIALIZATION (THD)
2C Existing
21 SF722A ANUS, SPHINCTEROPLASTY FOR ANAL INCONTINENCE 4B Existing
22 SF723A
APPENDIX, VARIOUS LESIONS/ABSCESS,
APPENDICECTOMY WITH DRAINAGE
4A
Descriptor
change
23 SF800A
ABDOMINAL CAVITY, ADHESIONS (EXTENSIVE), LYSIS AS
PRIMARY PROCEDURE, EXTENSIVE WITH OR WITHOUT
BOWEL RESECTION WHERE TIME TAKEN IS MORE THAN
2HOURS
4A
Descriptor
change
24 SF801A
ABDOMINAL CAVITY, ADHESIONS (LIMITED), LYSIS AS
PRIMARY PROCEDURE WHERE TIME TAKEN IS LESS THAN
2HOURS
3B
Descriptor
change
25 SF802A
ABDOMINAL CAVITY, LYMPHOMA,FOR GRADING
LYMPHOMA WITH SPLENECTOMY/LIVER/LYMPH NODE
BIOPSY
4B
Descriptor
change
26 SF803A
ABDOMINAL CAVITY, MULTIPLE RUPTURES, MAJOR
REPAIR/REMOVAL
6B Existing
SF – DIGESTIVE
48
27 SF804A
ABDOMINAL CAVITY, NEONATAL ALIMENTARY
OBSTRUCTION, LAPAROTOMY
5C Existing
28 SF805A
ABDOMINAL/RETROPERITONEAL TUMOUR, RECURRENT
RESECTION WITH OR WITHOUT VASCULAR INVOLVEMENT
AND VASCULAR REPAIR
6B Existing
29 SF806A ABDOMINAL CAVITY, RUPTURED VISCUS, SIMPLE REPAIR 3B Existing
30 SF807A ABDOMINAL CAVITY, SUBPHRENIC ABSCESS, DRAINAGE 3B Existing
31 SF808A
ABDOMINAL CAVITY, VARIOUS LESIONS, EXPLORATORY
LAPAROTOMY
3A
Descriptor
change
32 SF809A
ABDOMINAL CAVITY, VARIOUS LESIONS, INCLUDING
COLOSTOMY/ENTEROSTOMY/GASTROSTOMY
4A
Descriptor
change
33 SF810A
ABDOMINAL CAVITY, VARIOUS LESIONS, NOT CLASSIFIED
ELSEWHERE
4A
Descriptor
change
34 SF811A ABDOMINAL CAVITY, VARIOUS LESIONS, PARACENTESIS MSP Existing
35 SF854A
ABDOMINAL CAVITY, REMOVAL/REPLACEMENT/REVISION
OF GASTRIC BAND
4A New
36 SF813A ABDOMINAL WALL, BURST ABDOMEN, REPAIR 3A Existing
37 SF814A
ABDOMINAL WALL, EPIGASTRIC/UMBILICAL HERNIA,
REPAIR
3A
Descriptor
change
38 SF815A
ABDOMINAL WALL, EXOMPHALOS/GASTROSCHISIS,
OPERATING BY PLASTIC FLAP
5B Existing
39 SF816A
ABDOMINAL WALL, EXOMPHALOS/GASTROSCHISIS,
REPAIR
4A Existing
40 SF817A
ABDOMINAL WALL, INGUINAL HERNIA (INFANTS &
CHILDREN), HERNIOTOMY (BILATERAL)
4A Existing
41 SF818A
ABDOMINAL WALL, INGUINAL HERNIA (INFANTS &
CHILDREN), HERNIOTOMY (UNILATERAL)
3A Existing
42 SF819A
ABDOMINAL WALL, INGUINAL/FEMORAL HERNIA,
UNILATERAL HERNIORRHAPHY
3B
Descriptor
change
43 SF820A
ABDOMINAL WALL, INGUINAL/FEMORAL HERNIA,
BILATERAL HERNIORRHAPHY
4C
Descriptor
change
44 SF821A
ABDOMINAL WALL, STRANGULATED/OBSTRUCTED
HERNIA, REPAIR WITH BOWEL RESECTION
4C Existing
45 SF822A
ABDOMINAL WALL, STRANGULATED/OBSTRUCTED
HERNIA, REPAIR WITHOUT BOWEL RESECTION
3C Existing
46 SF823A
ABDOMINAL WALL, VENTRAL/INCISIONAL/RECURRENT
HERNIA, REPAIR
4A
Descriptor
change
47 SF826A ANUS, ANO-RECTAL PROLAPSE, CIRCUMANAL SUTURE 1A Existing
48 SF827A ANUS, ANO-RECTAL PROLAPSE, INJECTION 1A Existing
49 SF828A
ANUS, ANO-RECTAL PROLAPSE, RADICAL OPERATION
WITHOUT RESECTION
5C Existing
50 SF829A
ANUS, ANO-RECTAL PROLAPSE, RADICAL OPERATION
WITH RESECTION
4A Existing
51 SF831A ANUS, FISSURE, EXCISION/LATERAL SPHINCTEROTOMY 2B Existing
52 SF832A
ANUS, FISTULA-IN-ANO (HIGH), COMPLEX AND
RECURRENT FISTULECTOMY
3C Existing
53 SF833A ANUS, FISTULA-IN-ANO, EXCISION/ FISTULECTOMY 2B Existing
54 SF834A ANUS, HEMORRHOIDS, INJECTION/LIGATION/BANDING MSP Existing
55 SF835A ANUS, HEMORRHOIDS, CRYOSURGERY 1A Existing
56 SF836A
ANUS, HEMORRHOIDS, HEMORRHOIDECTOMY WITH OR
WITHOUT SIGMOIDOSCOPY
2C Existing
57 SF837A ANUS, HEMORRHOIDS,STAPLED HAEMORRHOIDECTOMY 3A Existing
58 SF838A
ANUS, HEMORRHOIDS, REMOVAL OF EXTERNAL ANAL
TAGS
1B Existing
59 SF839A ANUS, INCONTINENCE, OPERATION 4A Existing
SF – DIGESTIVE
49
60 SF840A ANUS, ISCHIORECTAL ABSCESS, SAUCERISATION 1B Existing
61 SF841A ANUS, PERINEAL ABSCESS, SAUCERISATION/DRAINAGE 1B Existing
62 SF842A ANUS, STRICTURE, DILATATION 1B Existing
63 SF843A ANUS, STRICTURE, REPAIR 3B Existing
64 SF844A
ANUS, THROMBOSED EXTERNAL HEMORRHOID, INCISION
AND DRAINAGE
MSP Existing
65 SF845A ANUS, TUMOR, ABDOMINO-PERINEAL RESECTION 6B
Descriptor
change
66 SF846A ANUS, VARIOUS LESIONS, BIOPSY OF MUSCLE/MUCOSA 1B Existing
67 SF847A APPENDIX, ABSCESS, DRAINAGE ONLY 2C Existing
68 SF848A
APPENDIX, TUMOR, RIGHT HEMICOLECTOMY
WITH/WITHOUT ADHESIOLYSIS
5C
Descriptor
change
69 SF849A
APPENDIX, VARIOUS LESIONS, APPENDICECTOMY
WITHOUT DRAINAGE
3B
Descriptor
change
70 SF850A
ABDOMINAL WALL, INGUINAL HERNIA (NEONATES),
HERNIOTOMY (BILATERAL)
4C Existing
71 SF851A
ABDOMINAL WALL, INGUINAL HERNIA (NEONATES),
HERNIOTOMY (UNILATERAL)
3C Existing
72 SF852A
ABDOMEN/PELVIS, VARIOUS LESIONS, INSERTION OF
PERITONEAL DIALYSIS CATHETER
2A Existing
73 SF853A
ABDOMEN/PELVIS, VARIOUS LESIONS, REMOVAL OF
PERITONEAL DIALYSIS CATHETER
2A Existing
74 SF700B
BILE DUCT, VARIOUS LESIONS. EXCISION OF LOWER 1/3
OF COMMON BILE DUCT BUT WITH PRESERVATION OF
PANCREATIC HEAD
6A Existing
75 SF701B
BILE DUCTS, CATHETER BLOCKAGE, IMAGING GUIDED
CATHETER CHANGE / CATHETER ADJUSTMENT / CHECK
CHOLANGIOGRAM
1A Existing
76 SF702B
BILE DUCTS, STRICTURE, PERCUTANEOUS
TRANSHEPATIC BALLOON DILATATION
3B Existing
77 SF703B
BILE DUCTS, STRICTURE, PERCUTANEOUS
TRANSHEPATIC BILIARY STENT PLACEMENT
3B Existing
78 SF704B
BILE DUCTS, VARIOUS LESIONS, CHECK
CHOLANGIOGRAM
1A Existing
79 SF705B
BILE DUCTS, VARIOUS LESIONS, PERCUTANEOUS
TRANSHEPATIC CHOLANGIOGRAPHY (PTC)
2C Existing
80 SF706B
BILE DUCTS, VARIOUS LESIONS, PERCUTANEOUS
TRANSHEPATIC CHOLANGIOGRAPHY AND DRAINAGE
CATHETER INSERTION (PTC AND DRAINAGE)
3A Existing
81 SF707B
BILE DUCT/GALL BLADDER, ENDOSCOPIC DILATION OF
BILIARY STRICTURE
3C Existing
82 SF709B
BILE DUCT/GALL BLADDER, ENDOSCOPIC RETROGRADE
CHOLANGIOPANCREATOGRAPHY (ERCP) WITH
INSERTION OF NASOBILIARY DRAIN
3C Existing
83 SF710B
ENDOSCOPIC RETROGRADE
CHOLANGIOPANCREATOGRAPHY (ERCP) WITH
SPHINCTEROTOMY/REMOVAL OF STONE/INSERTION OF
BILIARY STENT
3C Existing
84 SF711B
BILE DUCT, ENDOSCOPIC RETROGRADE
CHOLANGIOPANCREATOGRAPHY (ERCP)
3A Existing
85 SF712B
BILE DUCT/GALL BLADDER, ENDOSCOPY, ENDOSCOPIC
SPHINCTEROTOMY +/- EXTRACTION OF STONE
3C Existing
86 SF713B
BILE DUCTS, STONES, PERCUTANEOUS TRANSHEPATIC
BILIARY STONES REMOVAL
3B Existing
SF – DIGESTIVE
50
87 SF714B
BOWEL (ESOPHAGUS, STOMACH, DUODENUM, COLON,
RECTUM), STRICTURE, IMAGING GUIDED BALLOON
DILATATION
2C Existing
88 SF715B
BOWEL (ESOPHAGUS, STOMACH, DUODENUM, COLON,
RECTUM), STRICTURE, IMAGING GUIDED STENT
PLACEMENT
2C Existing
89 SF716B
BOWELS, ENDOSCOPIC ULTRASOUND WITH COELIAC
AXIS NEUROLYSIS
3A Existing
90 SF717B
BOWELS, ENDOSCOPIC ULTRASOUND WITH FINE NEEDLE
ASPIRATION
3A Existing
91 SF718B
BOWELS, ENDOSCOPIC ULTRASOUND WITHOUT FINE
NEEDLE ASPIRATION
2C Existing
92 SF719B
BOWELS, ENDOSCOPIC ULTRASOUND WITH
PSEUDOCYST DRAINAGE
3C Existing
93 SF720B
BOWELS, ENDOSCOPIC ULTRASOUND WITH STENT
INSERTION
3C Existing
94 SF800B BILE DUCT, BILIARY ATRESIA, PORTO-ENTEROSTOMY 6B Existing
95 SF801B
BILE DUCT, VARIOUS LESIONS, CHOLEDOCHO-
DUODENOSTOMY/CHOLEDOCHO-GASTROSTOMY
4A Existing
96 SF802B
BILE DUCT, VARIOUS LESIONS, CHOLEDOCHO-
JEJUNOSTOMY
4C Existing
97 SF803B
BILE DUCT, VARIOUS LESIONS, CHOLEDOCHOTOMY
(EXPLORATION COMMON BILE DUCT ONLY)
4C Existing
98 SF804B
BILE DUCT, VARIOUS LESIONS. HEPATICOJEJUNOSTOMY
UP TO BUT NOT INCLUDING THE CONFLUENCE OF THE
HEPATIC DUCTS
5C Existing
99 SF805B
BILE DUCT, VARIOUS LESIONS, OPERATIVE
CHOLEDOCHOSCOPY
1B Existing
100
SF806B
BILE DUCT, VARIOUS LESIONS, REVISION HIGH BILIARY
STRICTURE/ RADICAL RESECTION
7C Existing
101
SF807B
BILE DUCT, VARIOUS LESIONS, TRANSDUODENAL
SPHINCTEROPLASTY/ SPHINCTEROTOMY
5C Existing
102
SF808B
BILE DUCT, VARIOUS LESIONS, HEPATICOJEJUNOSTOMY
INVOLVING ANASTOMOSIS TO HEPATIC DUCTS BUT
WITHOUT LIVER RESECTION
6A Existing
103
SF700C CAPSULE ENDOSCOPY 3A Existing
104
SF701C COLON, ANTERIOR RESECTION 6C
Descriptor
change
105
SF702C
COLON, COLONOSCOPY, FIBREOPTIC WITH/WITHOUT
BIOPSY
2C Existing
106
SF703C
COLON, COLONOSCOPY (SCREENING), FIBREOPTIC
WITH/WITHOUT BIOPSY
2C Existing
107
SF704C
COLON, COLONOSCOPY, FIBREOPTIC WITH REMOVAL OF
POLYP (SINGLE OR MULTIPLE LESS THAN 1CM)
7
3A
Descriptor
change
108
SF705C
COLON, COLONOSCOPY, FIBREOPTIC WITH REMOVAL OF
POLYPS (MULTIPLE MORE THAN 1CM)
3B Existing
109
SF706C
COLON, COLONOSCOPY (SCREENING), FIBREOPTIC WITH
REMOVAL OF POLYP (SINGLE OR MULTIPLE LESS THAN
1CM)
3A Existing
110
SF707C
COLON, COLONOSCOPY (SCREENING), FIBREOPTIC WITH
REMOVAL OF POLYPS (MULTIPLE MORE THAN 1CM)
3B Existing
7
To allow repeat procedures for remnant polyps to be coded under SF704C (with polypectomy) or SF702C (if no other
procedure done).
SF – DIGESTIVE
51
111
SF708C
COLON, COLONOSCOPY WITH ENDOSCOPIC MUCOSAL
RESECTION (EMR) OF LARGE POLYPS (>3CM)
3C Existing
112
SF709C
COLON, HIRSCHSPRUNG’S DISEASE, ENDORECTAL
PULLTHROUGH (MIS)
5B Existing
113
SF710C
COLON, SIGMOID, SIGMOIDOSCOPY (FLEXIBLE),
FIBREOPTIC WITH/WITHOUT BIOPSY
1B Existing
114
SF711C
COLON, SIGMOID, SIGMOIDOSCOPY WITH POLYPECTOMY
WITH BIOPSY
1C Existing
115
SF712C COLON, TOTAL COLECTOMY / SUBTOTAL COLECTOMY 6A Existing
116
SF713C
COLON, TOTAL PROCTOCOLECTOMY & ILEO-ANAL POUCH
RECONSTRUCTION
6C Existing
117
SF714C
COLON, HIRSCHSPRUNG'S DISEASE, PULLTHROUGH FOR
LONG SEGMENT DISEASE
6A
Descriptor
change
118
SF800C
COLON, COLOSTOMY, CLOSURE WITHOUT RESECTION OF
BOWEL
4A Existing
119
SF802C COLON, VARIOUS LESIONS, COLOSTOMY 4A Existing
120
SF803C
COLON, VARIOUS LESIONS, RIGHT/LEFT
HEMICOLECTOMY
5C
Descriptor
change
121
SF804C
COLON, VARIOUS LESIONS, TOTAL COLECTOMY WITH
ILEORECTAL ANASTOMOSIS/ILEOSTOMY
6A Existing
122
SF805C
COLON, VARIOUS LESIONS, TOTAL PROCTO-COLECTOMY
AND ILEOSTOMY
6B Existing
123
SF806C
COLON, VARIOUS LESIONS, TRANVERSE/SIGMOID
COLECTOMY
5C
Descriptor
change
124
SF807C
COLON, COLONOSCOPY WITH ENDOSCOPIC
SUBMUCOSAL DISSECTION (ESD) OF LARGE POLYPS
(>3CM)
4A Existing
125
SF700D
BOWELS, SINGLE/DOUBLE BALLOON ENTEROSCOPY,
DIAGNOSTIC
3A Existing
126
SF701D
BOWELS, SINGLE/DOUBLE BALLOON ENTEROSCOPY,
THERAPEUTIC
3C Existing
127
SF702D
DUODENUM, TUMOUR, PANCREAS PRESERVING
DUODENECTOMY WITH RECONSTRUCTION OF AMPULLA
7C Existing
128
SF800D DIAPHRAGM, DIAPHRAGMATIC/HIATUS HERNIA, REPAIR 4A
Descriptor
change
129
SF801D
DUODENUM, VARIOUS LESIONS,
GASTROENTEROSTOMY/GASTRODUODENOSTOMY
4A Existing
130
SF802D DUODENUM, TRAUMA, BYPASS OPERATION 5A Existing
131
SF803D DUODENUM, TUMOR, PANCREATICO-DUODENECTOMY 7C Existing
132
SF804D DUODENUM, ULCER, PARTIAL GASTRECTOMY 5C Existing
133
SF805D DUODENUM, ULCER, VAGOTOMY - ALL TYPES 5C Existing
134
SF700E ESOPHAGUS/STOMACH, GASTROSCOPY AND DILATATION 3A Existing
135
SF702E ESOPHAGUS, DIVERTICULUM, EXCISION 5B
Descriptor
change
136
SF703E ESOPHAGUS, MOTILITY DISORDER, LONG MYOTOMY 4B
Descriptor
change
137
SF704E
ESOPHAGUS/STOMACH/COLON, GASTROINTESTINAL
ENDOSCOPY, ABLATIVE TREATMENT
3A Existing
138
SF705E
ESOPHAGUS/INTESTINE/STOMACH, UPPER GI
ENDOSCOPY WITH ENDOSCOPIC SUBMUCOSAL
DISSECTION
3C Existing
139
SF800E ESOPHAGUS, ACHALASIA, CARDIOMYOTOMY 4A
Descriptor
change
140
SF801E ESOPHAGUS, ATRESIA, REPAIR AND ANASTOMOSIS 6B Existing
SF – DIGESTIVE
52
141
SF802E ESOPHAGUS, BENIGN TUMOUR, RESECTION 5B
Descriptor
change
142
SF803E ESOPHAGUS, STRICTURE, DILATATION (ENDOSCOPIC) 2B Existing
143
SF804E ESOPHAGUS, TUMOR, ALLISON/IVOR-LEWIS OPERATION 6B Existing
144
SF805E
ESOPHAGUS, TUMOR, BYPASS WITH
STOMACH/INTESTINE
5C
Descriptor
change
145
SF806E
ESOPHAGUS, TUMOR,
CERVICAL/LARYNGOPHARYNGECTOMY WITH
TRACHEOSTOMY WITH/WITHOUT PLASTIC
RECONSTRUCTION
7C Existing
146
SF807E
ESOPHAGUS/INTESTINE/STOMACH, UPPER GL
ENDOSCOPY WITH INSERTION OF PROSTHESIS
3A Existing
147
SF808E
ESOPHAGUS/STOMACH, GASTROSCOPY WITH THERAPY
EG. APC-FULGARISATION OF TUMOR
3A Existing
148
SF809E ESOPHAGUS, TUMOR, TOTAL ESOPHAGECTOMY 7B Existing
149
SF810E
ESOPHAGUS, VARICES, ESOPHAGEAL/TRANSECTION
WITH SPLENECTOMY
6B Existing
150
SF811E
ESOPHAGUS, VARICES, GASTRO ESOPHAGEAL
DEVASCULARISATION WITH ESOPHAGEAL TRANSECTION
6B Existing
151
SF812E
ESOPHAGUS, VARIOUS LESIONS, CERVICAL
ESOPHAGOSTOMY
3A Existing
152
SF813E
ESOPHAGUS/INTESTINE/STOMACH, UPPER GI
ENDOSCOPY WITH COMPLICATED POLYPECTOMY (E.G.
LARGE POLYP REQUIRING MULTIPLE PIECEMEAL
RESECTIONS, MULTIPLE POLYPS >2, OR POLYPS WITH
COMPLICATIONS SUCH AS BLEEDING) OR ENDOSCOPIC
MUCOSAL RESECTION
3A Existing
153
SF700G
GALLBLADDER, CHOLECYSTITIS, IMAGING GUIDED
PERCUTANEOUS CHOLECYSTOSTOMY
2C Existing
154
SF701G
GALLBLADDER, TUMOUR, RADICAL CHOLECYSTECTOMY
WITH SEGMENT 4B AND 5 LIVER RESECTION AND
RADICAL LYMPHADENECTOMY
6C Existing
155
SF702G
GALLBLADDER, TUMOUR, RADICAL CHOLECYSTECTOMY
WITH SEGMENT 4B AND 5 LIVER RESECTION AND
RADICAL LYMPHADENECTOMY AND CHOLEDOCHECTOMY
WITH HEPATICO-ENTERIC ANASTOMOSIS
7A Existing
156
SF703G
GALLBLADDER, VARIOUS LESIONS, CHOLECYSTECTOMY
AND REPAIR OF CHOLECYSTO-ENTERIC/ CHOLECYSTO-
CHOLEDOCHAL FISTULA
6A
Descriptor
change
157
SF704G
GALLBLADDER, VARIOUS LESIONS, CHOLECYSTECTOMY
WITH INTRAOPERATIVE CHOLANGIOGRAM
4B
Descriptor
change
158
SF705G
GALLBLADDER, VARIOUS LESIONS, CHOLECYSTECTOMY
AND TRANSCYSTIC COMMON BILE DUCT EXPLORATION
5A
Descriptor
change
159
SF706G
GALLBLADDER (COMPLICATED) CHOLECYESTECTOMY
(PARTIAL/TOTAL)
4C
Descriptor
change
160
SF707G
GALLBLADDER, VARIOUS LESIONS, CHOLECYSTECTOMY,
CHOLEDOCHOTOMY, COMMON BILE DUCT EXPLORATION
WITH CHOLEDOCHO-DUODENOSTOMY
5C
Descriptor
change
161
SF708G
RADICAL CHOLEDOCHECTOMY WITH LIVER RESECTION
(LESS THAN 4 SEGMENTS)
7A Existing
162
SF709G
RADICAL CHOLEDOCHECTOMY WITH LIVER RESECTIONS
(4 OR MORE SEGMENTS) OR WITH MULTIPLE
HEPATICOENTERIC ANASTOMOSIS
7C Existing
163
SF800G GALLBLADDER, VARIOUS LESIONS, CHOLECYSTOSTOMY 3B
Descriptor
change
SF – DIGESTIVE
53
164
SF801G
GALLBLADDER, VARIOUS LESIONS, CHOLECYSTECTOMY
(PARTIAL/TOTAL)
4A
Descriptor
change
165
SF802G
GALLBLADDER, VARIOUS LESIONS, CHOLECYSTECTOMY
AND CHOLEDOCHO-
JEJUNOSTOMY/DUODENOSTOMY/GASTROSTOMY
5C Existing
166
SF803G
GALLBLADDER, VARIOUS LESIONS, CHOLECYSTO-
DUODENOSTOMY/CHOLECYSTO-
GASTRECTOMY/CHOLECYSTO-JEJUNOSTOMY
4A Existing
167
SF700I
OESOPHAGUS/STOMACH, UPPER GI ENDOSCOPY WITH
POLYPECTOMY/ REMOVAL OF FOREIGN
BODY/DIATHERMY OF BLEEDING LESIONS / INJECTION OF
VARICES / REMOVAL OF SINGLE POLYP
2C
Descriptor
change
168
SF701I
INTESTINE/STOMACH, UPPER GI ENDOSCOPY
WITH/WITHOUT BIOPSY
8
1B Existing
169
SF702I
INTESTINE, BLEEDING GIT, MESENTERIC ARTERY
EMBOLISATION
4B Existing
170
SF703I
INTESTINE, SMALL BOWEL, ILEOSTOMY STENOSIS,
REVISION
3A Existing
171
SF704I
INTESTINE, SMALL BOWEL, VARIOUS LESIONS,
ENTEROSTOMY
4A Existing
172
SF705I
INTESTINE, SMALL BOWEL, VARIOUS LESIONS,
INTUBATION WITH/WITHOUT BIOPSY
1B Existing
173
SF706I
INTESTINE, SMALL BOWEL, VARIOUS LESIONS,
EXTENSIVE RESECTION WITH ANASTOMOSES, WITH OR
WITHOUT STOMA
4C
Descriptor
change
174
SF707I
INTESTINE, SMALL BOWEL, VARIOUS LESIONS, SIMPLE
RESECTION WITH ANASTOMOSES, WITH OR WITHOUT
STOMA
4A
Descriptor
change
175
SF708I
INTESTINE, SMALL BOWEL, VITELLO-INTESTINAL FISTULA,
EXCISION
3A Existing
176
SF800I INTESTINE, ENTEROSTOMY, CLOSURE 3B Existing
177
SF801I INTESTINE, INTUSSUSCEPTION, REDUCTION 3B
Descriptor
change
178
SF802I INTESTINE, INTUSSUSCEPTION, REDUCTION BY FLUID 2A Existing
179
SF803I INTESTINE, INTUSSUSCEPTION, RESECTION 4A Existing
180
SF804I INTESTINE, TOTAL AGANGLIONOSIS, RECONSTRUCTION 6B Existing
181
SF805I
INTESTINE, MECKEL'S DIVERTICULUM, VARIOUS LESIONS,
RESECTION
3B
Descriptor
change
182
SF700L LIVER TRANSPLANT, DONATION (CADAVERIC DONOR) 5C Existing
183
SF701L LIVER TRANSPLANT, DONATION (LIVE DONOR) 6B Existing
184
SF702L LIVER TRANSPLANT, RECIPIENT 7C Existing
185
SF703L
LIVER, ABSCESS, IMAGING GUIDED PERCUTANEOUS
ASPIRATION
2A Existing
186
SF704L
LIVER, ABSCESS, IMAGING GUIDED PERCUTANEOUS
DRAINAGE CATHETER INSERTION
2C Existing
187
SF705L
LIVER, PORTAL HYPERTENSION, TRANSJULAR
INTRAHEPATIC PORTO-SYSTEMIC SHUNT CREATION
(TIPSS)
5A Existing
188
SF706L
LIVER, TUMOUR, IMAGING GUIDED PERCUTANEOUS
LOCAL ABLATION, SIMPLE (RADIOFREQUENCY,
CRYOTHERAPY, MICROWAVE, LASER, ALCOHOL, ETC)
3C Existing
8
Screening gastroscopy is not MediSave/ MediShield Life claimable.
SF – DIGESTIVE
54
189
SF707L
LIVER, TUMOUR, TRANS-ARTERIAL CHEMO-
EMBOLIZATION (TACE)
4A Existing
190
SF708L
LIVER, TUMOUR, TRANS-ARTERIAL RADIO NUCLIDE
INFUSION
4B Existing
191
SF709L
LIVER, VARIOUS LESIONS, MIS ULTRASOUND AND LOCAL
ABLATION INCLUDING RADIO-FREQUENCY ABLATION
4B Existing
192
SF710L LIVER, VARIOUS LESIONS, TRANSJUGULAR LIVER BIOPSY 3B Existing
193
SF711L
LIVER, VARIOUS LESIONS, IMAGING GUIDED
PERCUTANEOUS BIOPSY (FOCAL LESIONS, TARGETED)
2A Existing
194
SF712L
LIVER, TUMOUR, IMAGING GUIDED PERCUTANEOUS
LOCAL ABLATION, COMPLEX (RADIOFREQUENCY,
CRYOTHERAPY, MICROWAVE, LASER, ALCOHOL, ETC)
4A Existing
195
SF800L LIP, MUCOUS CYST/MUCOCELE, REMOVAL 1B Existing
196
SF801L
LIP, VARIOUS LESIONS, FULL THICKNESS WEDGE
EXCISION WITH REPAIR
2C Existing
197
SF802L
LIP, VARIOUS LESIONS, RECONSTRUCTION USING FULL
THICKNESS FLAP
5C Existing
198
SF803L LIP, VARIOUS LESIONS, VERMILIONECTOMY 2C Existing
199
SF804L LIVER, ABSCESS, TRANS-ABDOMINAL DRAINAGE 3C
Descriptor
change
200
SF805L
LIVER, HYDATID CYST, TRANS-ABDOMINAL DRAINAGE
(PERCUTANEOUS)
3B Existing
201
SF806L
LIVER, OBSTRUCTIVE JAUNDICE, LONGMIRE
OPERATION/CHLODEDOCHO JEJUNOSTOMY
4C Existing
202
SF807L LIVER, TRAUMA, MAJOR REPAIR LACERATION 6B Existing
203
SF808L LIVER, TRAUMA, MINOR REPAIR LACERATION 4A Existing
204
SF809L
LIVER, TRAUMA/TUMOR, EXTENDED LOBECTOMY (5
SEGMENTS/MORE)
7C Existing
205
SF810L LIVER, TRAUMA/TUMOR, HEPATIC ARTERY LIGATION 4B Existing
206
SF811L LIVER, TRAUMA/TUMOR, LIVER TRANSPLANT 7C Existing
207
SF812L LIVER, VARIOUS LESIONS, LOBECTOMY (3 - 4 SEGMENTS) 6B
Descriptor
change
208
SF813L
LIVER, VARIOUS LESIONS, PARTIAL
LOBECTOMY/SEGMENTAL RESECTION
5C
Descriptor
change
209
SF814L
LIVER, VARIOUS LESIONS, IMAGING GUIDED
PERCUTANEOUS BIOPSY (LIVER PARENCHYMA, NON
DIRECTED)
1C Existing
210
SF815L LIVER, VARIOUS LESIONS, WEDGE/LOCAL EXCISION 4C
Descriptor
change
211
SF700M
MOUTH, DEFECT, MUCOUS MEMBRANE/CONNECTIVE
TISSUE GRAFT
2A Existing
212
SF701M
MOUTH, FRENAL ATTACHMENT, RELEASE 1B Existing
213
SF702M
MOUTH, INTRA ORAL TUMOUR RADICAL EXCISION WITH
RESECTION OF MANDIBLE AND BILATERAL NECK
DISSECTION
7A Existing
214
SF703M
MOUTH, PERIODONTIUM (WITHIN 1 QUADRANT),
PERIODONTITIS, OPEN FLAP DEBRIDEMENT
1B Existing
215
SF704M
MOUTH, PERIODONTIUM (WITHIN 1 QUADRANT), SOFT
TISSUE DEFECT/DEFORMITY, GINGIVOPLASTY
1B Existing
216
SF705M
MOUTH, PERIODONTIUM (WITHIN 1 QUADRANT), SOFT
TISSUE DEFECT/DEFORMITY, GINGIVOPLASTY WITH
AUTOGENOUS SOFT TISSUE GRAFT
2B
Descriptor
change
217
SF706M
MOUTH, PERIODONTIUM (WITHIN 2 QUADRANTS),
PERIODONTITIS, OPEN FLAP DEBRIDEMENT
2A Existing
SF – DIGESTIVE
55
218
SF707M
MOUTH, PERIODONTIUM (WITHIN 2 QUADRANTS), SOFT
TISSUE DEFECT/DEFORMITY, GINGIVOPLASTY
2A Existing
219
SF708M
MOUTH, PERIODONTIUM (WITHIN 2 QUADRANTS), SOFT
TISSUE DEFECT/DEFORMITY, GINGIVOPLASTY WITH
AUTOGENOUS SOFT TISSUE GRAFT
3A
Descriptor
change
220
SF709M
MOUTH, PERIODONTIUM, BONE DEFECT/DEFORMITY,
AUGMENTATION (AUTOGENOUS) /REGENERATION
2C Existing
221
SF710M
MOUTH, PERIODONTIUM, BONE DEFECT/DEFORMITY,
AUGMENTATION (NON-AUTOGENOUS) /REGENERATION
2A Existing
222
SF711M
MOUTH, SALIVARY GLAND, VARIOUS LESIONS,
DILATATION OF DUCT
MSP Existing
223
SF712M
MOUTH, SUBMUCOSAL RESECTION, ENDOSCOPIC
EXCISION WITH BIOPSY
4A Existing
224
SF713M
MOUTH, SUBLINGUAL GLAND, TUMOR, EXCISION BIOPSY 2C Existing
225
SF714M
MOUTH, SUBMANDIBULAR GLAND, CALCULUS (DEEP),
REMOVAL BIOPSY
3A Existing
226
SF715M
MOUTH, SUBMANDIBULAR GLAND, CALCULUS, REMOVAL
WITH BIOPSY
1C Existing
227
SF716M
MOUTH, SUBMANDIBULAR GLAND, VARIOUS LESIONS,
EXCISION WITH BIOPSY
3C Existing
228
SF800M
MOUTH, ABSCESS (DEEP), DRAINAGE OF 1 SPACE
(INCLUDES SUBMASSETERIC, SUBMANDIBULAR,
TEMPORAL, AND PTERYGOMANDIBULAR SPACES)
2B
Descriptor
change
229
SF801M
MOUTH, ABSCESS, (SUPERFICIAL), DRAINAGE 1A Existing
230
SF802M
MOUTH, ANGULAR CLEFT WITH MACROSTOMIA
(BILATERAL) REPAIR
6A Existing
231
SF803M
MOUTH, ANGULAR CLEFT WITH MACROSTOMIA
(UNILATERAL) REPAIR
4C Existing
232
SF804M
MOUTH, CLEFT LIP, BILATERAL PRIMARY REPAIR 6A Existing
233
SF805M
MOUTH, CLEFT LIP, SECONDARY CORRECTION (ABBE
FLAP)
6A Existing
234
SF806M
MOUTH, CLEFT LIP, SECONDARY CORRECTION 4A Existing
235
SF807M
MOUTH, CLEFT LIP, SECONDARY CORRECTION OF
NOSTRIL/NASAL TIP
4B Existing
236
SF808M
MOUTH, CLEFT LIP, UNILATERAL PRIMARY REPAIR 4C Existing
237
SF809M
MOUTH, DISLOCATED TEETH/DENTO-ALVEOLAR
FRACTURE, REDUCTION AND IMMOBILISATION
2C Existing
238
SF825M
MOUTH, ABSCESS (DEEP), DRAINAGE OF MORE THAN 1
SPACE (INCLUDES SUBMASSETERIC, SUBMANDIBULAR,
TEMPORAL, AND PTERYGOMANDIBULAR SPACES)
3A New
239
SF811M
ORAL CAVITY AND PHARYNX, FOREIGN BODY, REMOVAL 1B Existing
240
SF812M
MOUTH, INTRA ORAL TUMOUR RADICAL EXCISION WITH
RESECTION OF MANDIBLE AND UNILATERAL NECK
DISSECTION
6C Existing
241
SF813M
MOUTH, LEUKOPLAKIA, LIMITED EXCISION 1B Existing
242
SF814M
MOUTH, LEUKOPLAKIA, WIDE EXCISION AND SKIN
GRAFTING
3A Existing
243
SF815M
MOUTH, MACROCHEILIA AND MACROGLOSSIA,
RECONSTRUCTION
3A Existing
244
SF816M
MOUTH, MALIGNANT TUMOR, WIDE EXCISION AND MAJOR
RECONSTRUCTION
6B Existing
245
SF817M
MOUTH, MUCOUS CYST/RANULA OF FLOOR OF MOUTH,
MARSUPIALIZATION /BIOPSY
1B Existing
246
SF818M
MOUTH, MUCOUS CYST/RANULA OF FLOOR OF MOUTH,
EXCISION WITH/WITHOUT BIOPSY
2C Existing
SF – DIGESTIVE
56
247
SF819M
MOUTH, NASOLABIAL CYST, EXCISION BIOPSY 2C Existing
248
SF820M
MOUTH, ORO-ANTRAL FISTULA, REMOVAL OF
TOOTH/ROOTS IN ANTRUM AND CLOSURE
3B Existing
249
SF821M
MOUTH, SMALL SOFT TISSUE TUMOR, EXCISION BIOPSY <
3CM
1B Existing
250
SF822M
MOUTH, TUMOR, RADICAL EXCISION BIOPSY WITH
RESECTION OF MANDIBLE AND LYMPH NODES AND
RECONSTRUCTION
7C Existing
251
SF823M
MOUTH, VARIOUS LESIONS OF ORAL MUCOSA
(LARGE/MULTIPLE), CRYOSURGICAL/LASER APPLICATION
WITH BIOPSY
3B Existing
252
SF824M
MOUTH, VARIOUS/PATHOLOGIC LESIONS OF ORAL
MUCOSA, CRYOSURGICAL/LASER APPLICATION WITH
BIOPSY
2B Existing
253
SF800N NECK, BRANCHIAL CYST, REMOVAL WITH BIOPSY 3B Existing
254
SF801N NECK, BRANCHIAL FISTULA, REMOVAL 3B Existing
255
SF700P
PANCREAS, PSEUDOCYST/ABSCESS, IMAGING GUIDED
PERCUTANEOUS DRAINAGE CATHETER INSERTION
2C Existing
256
SF701P
PANCREAS, TRANSPLANT (DONATION - CADAVERIC
DONOR)
5C Existing
257
SF702P PANCREAS, TRANSPLANT (RECIPIENT) 7C Existing
258
SF703P
PANCREAS, VARIOUS LESIONS, DUODENUM PRESERVING
PANCREATIC HEAD RESECTION (BEGER'S OPERATION)
7A Existing
259
SF704P
PANCREAS, VARIOUS LESIONS, DUODENUM PRESERVING
PANCREATIC HEAD RESECTION WITH LONGITUDINAL
PANCREATICO-ENTERIC ANASTOMOSIS (FREY'S
OPERATION)
7A Existing
260
SF705P
PANCREAS, VARIOUS LESIONS, ENUCLEATION OF
LESIONS (1 TO 2)
4C Existing
261
SF706P
PANCREAS, VARIOUS LESIONS, ENUCLEATION OF
LESIONS (3 OR MORE)
5A Existing
262
SF707P
PANCREAS, VARIOUS LESIONS, IMAGING GUIDED
PERCUTANEOUS BIOPSY
2A Existing
263
SF708P
PANCREAS, VARIOUS LESIONS, DISTAL
PANCREATECTOMY AND SPLENECTOMY
5B
Descriptor
change
264
SF709P
PANCREAS, VARIOUS LESIONS, SUBTOTAL
PANCREATECTOMY (EXTENDING TO THE NECK) AND
SPLENECTOMY
5C
Descriptor
change
265
SF710P
PANCREAS, VARIOUS LESIONS, PORTAL VENOUS
SAMPLING
3B Existing
266
SF711P
PANCREAS, VARIOUS LESIONS, SEGMENTAL
PANCREATECTOMY WITH PANCREATICO-ENTERIC
ANASTOMOSIS
6B Existing
267
SF712P
PANCREAS, VARIOUS LESIONS, SPLEEN-PRESERVING
DISTAL PANCREATECTOMY
5C
Descriptor
change
268
SF713P
PAROTID, TOTAL PAROTIDECTOMY WITH NECK
DISSECTION
6B Existing
269
SF714P
PAROTID, TOTAL PAROTIDECTOMY, WITH/WITHOUT
PRESERVATION OF FACIAL NERVE
6A Existing
270
SF800P PALATE, CLEFT (COMPLETE), PRIMARY REPAIR 5C Existing
271
SF801P PALATE, CLEFT (PARTIAL), PRIMARY REPAIR 4B Existing
272
SF802P
PALATE, CLEFT, SECONDARY REPAIR (CLOSURE OF
FISTULA)
3B Existing
273
SF803P
PALATE, SECONDARY REPAIR (LENGTHENING
PROCEDURE)
5A Existing
SF – DIGESTIVE
57
274
SF804P PALATE, CLEFT, UVULOPHARYNGOPLASTY 5C Existing
275
SF805P
PANCREAS, CYST/PSEUDOCYST, DRAINAGE AND
ANASTOMOSIS TO INTESTINE/STOMACH
5A
Descriptor
change
276
SF806P PANCREAS, TUMOUR, TRIPLE BYPASS 5C Existing
277
SF807P
PANCREAS, VARIOUS LESIONS, DISTAL
PANCREATECTOMY/ANASTOMOSIS OF PANCREATIC
DUCT
5C Existing
278
SF808P
PANCREAS, VARIOUS LESIONS, EXTERNAL DRAINAGE
(OPEN)
3B Existing
279
SF809P
PANCREAS, VARIOUS LESIONS, WHIPPLE
OPERATION/TOTAL PANCREATECTOMY
7C Existing
280
SF810P
PHARYNX/LARYNX, PARAPHARYNGEAL SPACE TUMOR
EXCISION
6A Existing
281
SF811P PAROTID, CALCULUS (DEEP), REMOVAL 3A Existing
282
SF812P PAROTID, CALCULUS (SUPERFICIAL), REMOVAL 1C Existing
283
SF813P PAROTID, FISTULA, REPAIR 3A Existing
284
SF814P PAROTID, TUMOR, SUPERFICIAL PAROTIDECTOMY 5C Existing
285
SF815P
PAROTID, TUMOR, TOTAL PAROTIDECTOMY WITH
PARAPHARYNGEAL SPACE RESECTION AND FLAP
RECONSTRUCTION
7B Existing
286
SF816P
PAROTID, TUMOUR, TOTAL PAROTIDECTOMY WITH
RECONSTRUCTION FACIAL NERVE
6B Existing
287
SF817P
PAROTID, TUMOR, TOTAL PAROTIDECTOMY WITH
RADICAL NECK DISSECTION
6B Existing
288
SF700R
RECTUM, PERINEAL RECTOSIGMOIDECTOMY FOR
RECTAL PROLAPSE
5C Existing
289
SF701R
RECTUM, RESECTION - RECTOPEXY FOR RECTAL
PROLAPSE
5C
Descriptor
change
290
SF702R RECTUM, STARR - STAPLED HEMORROIDECTOMY 3A Existing
291
SF703R
RECTUM, ULTRA-LOW ANTERIOR RESECTION (TOTAL
MESORECTAL EXCISION) WITH/WITHOUT PLND
6C Existing
292
SF800R RECTUM, FOREIGN BODY, MANUAL REMOVAL MSP Existing
293
SF801R
RECTUM, HIRSCHSPRUNG'S DISEASE, ANAL
SPHINCTEROTOMY
2C Existing
294
SF802R
RECTUM, HIRSCHSPRUNG'S DISEASE, RECTAL
MYECTOMY
3B Existing
295
SF803R
RECTUM, HIRSCHSPRUNG'S DISEASE, RECTO-
SIGMOIDECTOMY
5C Existing
296
SF804R RECTUM, STRICTURE, LASER TREATMENT 1C Existing
297
SF805R
RECTUM, TUMOR, ANTERIOR RESECTION/ABDOMINO-
PERINEAL RESECTION WITH SALPINGO-OOPHORECTOMY
AND TOTAL HYSTERECTOMY
6C Existing
298
SF806R
RECTUM, TUMOR, LASER VAPORISATION/ENDOSCOPIC
FULGURATION
2C Existing
299
SF807R
RECTUM, VARIOUS LESIONS, ABDOMINO-PERINEAL PULL
THROUGH RESECTION WITH COLO-ANAL ANASTOMOSIS
6B Existing
300
SF808R RECTUM, VARIOUS LESIONS, HARTMANN'S PROCEDURE 5C Existing
301
SF809R
RECTUM, VARIOUS LESIONS, TRANSANAL REMOVAL WITH
BIOPSY
4A Existing
302
SF700S SACRAL NERVE STIMULATION 4B Existing
303
SF701S
STOMACH, GASTROESOPHAGEAL REFLUX,
FUNDOPLICATION, WITH/WITHOUT GASTROTOMY
5C
Descriptor
change
304
SF702S STOMACH, OBESITY, GASTRIC BANDING (MIS) 5C Existing
305
SF703S STOMACH, OBESITY, SLEEVE GASTRECTOMY
5B
Descriptor
change
SF – DIGESTIVE
58
306
SF704S
STOMACH, VARIOUS LESIONS, PERCUTANEOUS
GASTROSTOMY/ JEJUNOSTOMY INSERTION (WITH OR
WITHOUT IMAGE GUIDANCE)
3A
Descriptor
change
307
SF705S
STOMACH, PARTIAL/SUBTOTAL GASTRECTOMY FOR
BENIGN GASTRIC DISEASES
5C Existing
308
SF706S
STOMACH, VARIOUS LESIONS, TOTAL/PROXIMAL
GASTRECTOMY WITH/WITHOUT SPLENECTOMY
6B Existing
309
SF707S
STOMACH, WEDGE RESECTION/STOMACH FOR BENIGN
GASTRIC DISEASES
4A Existing
310
SF708S STOMACH, PYLOROMYOTOMY, MIS 3A Existing
311
SF709S
STOMACH, TUMOUR, SUBTOTAL GASTRECTOMY AND
RADICAL LYMPHADENECTOMY
6B Existing
312
SF710S
STOMACH, TUMOUR, TOTAL GASTRECTOMY AND
RADICAL LYMPHADENECTOMY
6B Existing
313
SF711S
STOMACH, VARIOUS LESIONS, IMAGING GUIDED
INSERTION OF NASO-GASTRIC TUBE/NASO-JEJUNAL
TUBE
1C Existing
314
SF712S STOMACH/DUODENUM, PERFORATED ULCER, REPAIR 4B
Descriptor
change
315
SF713S
STOMACH, OBESITY, BILIOPANCREATIC DIVERSION
WITH/WITHOUT DUODENAL SWITCH
5C Existing
316
SF800S
SACRUM & COCCYX, PILONIDAL SINUS/CYST, EXCISION
WITH BIOPSY
2C Existing
317
SF801S SACRUM & COCCYX, TUMOR, EXCISION WITH BIOPSY 6B Existing
318
SF803S STOMACH, MORBID OBESITY, BYPASS ONLY 4A Existing
319
SF804S STOMACH, MORBID OBESITY, REDUCTION AND BYPASS 5C
Descriptor
change
320
SF805S STOMACH, PYLORIC STENOSIS, PYLOROPLASTY 3B Existing
321
SF806S
STOMACH, PYLORIC TUMOR (INFANT),
PYLOROPLASTY/PYLOROMYOTOMY
3A Existing
322
SF807S
STOMACH, TUMOR OF CARDIA, ENDOSCOPIC YAG LASER
SURGERY/VAPORISATION
3B Existing
323
SF808S STOMACH, TUMOR/ULCER, GASTROJEJUNOSTOMY 4A Existing
324
SF809S STOMACH, ULCERS, VAGOTOMY - ALL TYPES 5C
Descriptor
change
325
SF810S
STOMACH, VARIOUS LESIONS, PARTIAL/SUBTOTAL
GASTRECTOMY
5C Existing
326
SF811S
STOMACH, VARIOUS LESIONS/POST-GASTRECTOMY
COMPLICATIONS, REVISION GASTRECTOMY
5C Existing
327
SF812S
STOMACH, TOTAL/PROXIMAL GASTRECTOMY FOR
BENIGN GASTRIC DISEASES
6B Existing
328
SF813S STOMACH, VARIOUS LESIONS, WEDGE RESECTION 4A Existing
329
SF814S
STOMACH, VARIOUS LESIONS, PERCUATNEOUS
GASTROSTOMY/JEJUNOSTOMY CHANGE (WITH OR
WITHOUT IMAGE GUIDANCE)
1A New
330
SF701T
TOOTH, UNERUPTED/PARTIALLY ERUPTED/IMPACTED,
SURGICAL EXPOSURE
1C Existing
331
SF702T
TOOTH, UNERUPTED/PARTIALLY ERUPTED/IMPACTED,
SURGICAL EXPOSURE AND BONDING FOR TRACTION AND
ASSISTED ERUPTION
2C Existing
332
SF703T
TEETH (2 OR MORE) UNERUPTED/PARTIALLY
ERUPTED/IMPACTED, SURGICAL EXPOSURE
2B Existing
333
SF704T
TEETH (2 TO 3), UNERUPTED/PARTIALLY
ERUPTED/IMPACTED, SURGICAL EXPOSURE AND
BONDING FOR TRACTION AND ASSISTED ERUPTION
3C Existing
SF – DIGESTIVE
59
334
SF705T
TEETH (4 OR MORE) UNERUPTED/ PARTIALLY ERUPTED/
IMPACTED, SURGICAL EXPOSURE AND BONDING FOR
TRACTION AND ASSISTED ERUPTION
4A Existing
335
SF706T
MIS REPAIR OF ESOPHAGEAL FISTULA AND ESOPHAGEAL
ATRESIA
6B Existing
336
SF707T
TONGUE, VARIOUS LESIONS (BENIGN CONDITION),
EXCISION BIOPSY <3CM
1B Existing
337
SF708T
TOOTH (SINGLE-ROOTED), VARIOUS LESIONS, PERI-
RADICULAR SURGERY
2C Existing
338
SF723T
TONGUE, TRANSORAL RESECTION OF TONGUE BASE
MUSCLE WITH OR WITHOUT LINGUAL TONSIL EXCISION
4C Existing
339
SF800T
TEETH (2 TO 3), IMPACTED, EXCISION WITH REMOVAL OF
BONE AND TOOTH DIVISION
3C Existing
340
SF801T
TEETH (2 TO 3), IMPACTED, EXCISION WITH REMOVAL OF
BONE (WITHOUT TOOTH DIVISION)
3B Existing
341
SF802T
TEETH (4 OR MORE), IMPACTED, EXCISION WITH
REMOVAL OF BONE AND TOOTH DIVISION
4B Existing
342
SF803T
TEETH (4 OR MORE), IMPACTED, EXCISION WITH
REMOVAL OF BONE (WITHOUT TOOTH DIVISION)
4A Existing
343
SF804T TONGUE, TONGUE TIE, RELEASE 1A Existing
344
SF805T TONGUE, TONGUE TIE, REVISION 1B Existing
345
SF806T
TONGUE, TUMOR, GLOSSECTOMY WITH RADICAL NECK
DISSECTION
6B Existing
346
SF807T TONGUE, TUMOR, HEMI-GLOSSECTOMY 4A Existing
347
SF808T TONGUE, TUMOR, TOTAL GLOSSECTOMY 4A Existing
348
SF809T TONGUE, VARIOUS LESIONS, PARTIAL EXCISION 3A Existing
349
SF810T
TOOTH (DEEP, I.E. COMPLETELY BURIED IN BONE),
EXCISION WITH REMOVAL OF BONE AND TOOTH DIVISION
3A Existing
350
SF811T
TOOTH (SUPERFICIAL), UNERUPTED/PARTIALLY
ERUPTED/IMPACTED, EXCISION WITH INCISION OF
OVERLYING SOFT TISSUE AND REMOVAL OF TOOTH
MSP Existing
351
SF812T
TOOTH (SUPERFICIAL), UNERUPTED/PARTIALLY
ERUPTED/IMPACTED, EXCISION WITH REMOVAL OF BONE
(WITHOUT TOOTH DIVISION)
1B Existing
352
SF813T
TOOTH (SUPERFICIAL), UNERUPTED/PARTIALLY
ERUPTED/IMPACTED, EXCISION WITH REMOVAL OF BONE
AND TOOTH DIVISION
2C Existing
353
SF814T
TOOTH, DISLOCATION, REIMPLANTATION AND
TRANSPLANTATION
3A Existing
354
SF815T
TOOTH, FRACTURE/DISLOCATION, REMOVAL OF ARCH
BAR/DENTAL CAP SPLINT
MSP Existing
355
SF816T
TOOTH, SIMPLE UNERUPTED/PARTIALLY
ERUPTED/IMPACTED/FRACTURED, REMOVAL OF
MULTIPLE ROOTS
2C Existing
356
SF817T
TOOTH, UNERUPTED/PARTIALLY ERUPTED/IMPACTED,
EXCISION WITH RELEASE OF NEUROVASCULAR BUNDLE
4A Existing
357
SF818T
TOOTH (MULTIPLE-ROOTED OR MORE THAN 1 TOOTH),
VARIOUS LESIONS, PERI-RADICULAR SURGERY
3A Existing
SG – URINARY
60
S/N
Code
Description
Table
Classification
1 SG700B
BLADDER, CYSTOSCOPIC INTRADETRUSOR INJECTION
OF BOTULINUM
2C Existing
2 SG701B BLADDER/URETER, LYMPHOLYSIS FOR CHYLURIA, MIS 4A Existing
3 SG702B BLADDER, DIVERTICULUM, MIS EXCISION 4A Existing
4 SG703B
BLADDER, VARIOUS LESIONS, IMAGE GUIDED
SUPRAPUBIC CYSTOSTOMY
1C Existing
5 SG704B BLADDER, URACHAL FISTULA, MIS EXCISION 4A Existing
6 SG705B BLADDER, VARIOUS LESIONS, CATHETERISATION MSP Existing
7 SG706B BLADDER, VARIOUS LESIONS, MIS PARTIAL EXCISION 4A Existing
8 SG707B
BLADDER, VARIOUS LESIONS, TOTAL RADICAL
CYSTECTOMY, FOR MALIGNANCY + CREATION OF ILEAL
NEOBLADDER
6C Existing
9 SG708B
BLADDER, CYSTOSCOPY, EXTERNAL SPHINCTEROTOMY
FOR NEUROGENIC BLADDER NECK OBSTRUCTION
2C Existing
10 SG709B
BLADDER, CYSTOSCOPY, REMOVAL OF FOREIGN
BODY/URETERIC STENT
2B Uptable
11 SG710B
BLADDER, CYSTOSCOPY, WITH CONTROLLED
HYDRODILATATION OF THE BLADDER
1B Existing
12 SG711B
BLADDER, CYSTOSCOPY, WITH ENDOSCOPIC
REMOVAL/MANIPULATION OF URETERIC CALCULUS
3B Existing
13 SG712B
BLADDER, CYSTOSCOPY, WITH ENDOSCOPIC
RESECTION/INCISION OF BLADDER NECK
3B Existing
14 SG713B BLADDER, CYSTOSCOPY, WITH OR WITHOUT BIOPSY 1B Existing
15 SG714B
BLADDER/URETHRA, TRANSURETHRAL RESECTION OF
BLADDER TUMOUR (<3CM)
4A Existing
16 SG715B
BLADDER/URETHRA, TRANSURETHRAL RESECTION OF
BLADDER TUMOUR (>3CM)
4B Existing
17 SG716B
BLADDER/URETER, CYSTOSCOPY, WITH URETERIC
CATHETERISATION
1C Existing
18 SG717B
BLADDER, CYSTOSCOPY, WITH URETERIC
MEATOTOMY/WITH RESECTION OF URETEROCELE
3B Existing
19 SG718B
BLADDER/URETHRA, CYSTOSCOPY, WITH URETHRAL
DILATATION
1C Existing
20 SG729B
BLADDER, STANDARD URODYNAMICS STUDY, SIMPLE
(WITHOUT VIDEO)
1C Existing
21 SG730B
BLADDER, STANDARD URODYNAMICS STUDY, COMPLEX
(WITH VIDEO)
2A Existing
22 SG800B
BLADDER, BLADDER NECK CONTRACTURE,
(ACQUIRED/CONGENITAL), WEDGE EXCISION
3B Existing
23 SG802B
BLADDER, CALCULUS,
VESICOLITHOTOMY/LITHOLAPAXY/ULTRASONIC
LITHOTRIPSY
2C Existing
24 SG803B BLADDER, CUTANEOUS FISTULA, CLOSURE 2C Existing
25 SG804B BLADDER, DIVERTICULUM, OPEN EXCISION 3B Existing
26 SG805B
BLADDER, ECTOPIA VESICAE/ECTOPIA CLOACAE WITH
CONGENITAL INCONTINENCE, SPHINCTER
RECONSTRUCTION
7B Existing
27 SG806B
BLADDER, INCONTINENCE, CORRECTION, ABDOMINAL
APPROACH
5A Existing
28 SG807B
BLADDER, MILD STRESS INCONTINENCE, CYCTOSCOPIC
INJECTION OF COLLAGEN
3B Existing
29 SG808B
BLADDER, RETENTION OF URINE, SUPRAPUBIC
CYSTOSTOMY
1B Existing
30 SG809B BLADDER, TUMOR, ANTERIOR EXENTERATION (FEMALE) 6B Existing
SG – URINARY
61
31 SG810B BLADDER, URACHAL FISTULA, OPEN EXCISION 3B Existing
32 SG811B BLADDER, VARIOUS LESION, ASPIRATION MSP Existing
33 SG812B
BLADDER, VARIOUS LESIONS, ENLARGEMENT
CYSTOPLASTY WITH BOWEL
6B Existing
34 SG813B BLADDER, VARIOUS LESIONS, OPEN PARTIAL EXCISION 3B Existing
35 SG814B
BLADDER, VARIOUS LESIONS, TOTAL CYSTECTOMY WITH
ILEAL CONDUIT
6B Existing
36 SG815B BLADDER, VESICO-INTESTINAL FISTULA, CLOSURE 5C Existing
37 SG816B BLADDER, VESICO-VAGINAL FISTULA, CORRECTION 5C Existing
38 SG817B
BLADDER, VESICO-VAGINAL FISTULA, CLOSURE BY
ABDOMINAL ROUTE
5C Existing
39 SG818B BLADDER, VESICOSTOMY 3A Existing
40 SG819B
BLADDER, VARIOUS LESIONS, REPAIR, SIMPLE (DEFECT<
3CM)
3B New
41 SG820B
BLADDER, VARIOUS LESIONS, REPAIR, COMPLICATED
(E.G. DEFECT >3CM OR TRIGONE INVOLVEMENT,
BLADDER RECONSTRUCTION)
4A New
42 SG821B
BLADDER/PROSTATE, VARIOUS LESIONS,
HAEMOSTASIS/CLOT EVACUATION/CYSTODIATHERMY
2C New
43 SG700K
KIDNEY AND URETER, VARIOUS LESIONS,
NEPHROURETERECTOMY, MIS
6A Existing
44 SG701K
KIDNEY, CATHETER BLOCKAGE, IMAGING GUIDED
NEPHROSTOMY CATHETER CHANGE/CATHETER
ADJUSTMENT
1A Existing
45 SG702K
KIDNEY, CYST, IMAGING GUIDED PERCUTANEOUS
ALCOHOL ABLATION
2B Existing
46 SG703K
KIDNEY, CYST, IMAGING GUIDED PERCUTANEOUS
ASPIRATION
2A Existing
47 SG704K KIDNEY, CYST, MARSUPIALISATION, MIS 4A Existing
48 SG705K KIDNEY TRANSPLANT, DONATION (CADAVERIC DONOR) 5A Existing
49 SG706K KIDNEY TRANSPLANT, DONATION (LIVE DONOR) 5C
Descriptor
change
50 SG731K
KIDNEY, VARIOUS LESIONS, RADICAL NEPHRECTOMY
(OPEN/MIS) WITH IVC THROMBECTOMY
6A New
51 SG708K KIDNEY TRANSPLANT, RECIPIENT 6C Existing
52 SG709K
KIDNEY, CALCULUS, PERCUTANEOUS
NEPHROLITHOTOMY OR PERCUTANEOUS
NEPHROSTOLITHOTOMY (PCNL)
5A Uptable
53 SG711K
KIDNEY, HYDRONEPHROSIS, PERCUTANEOUS
NEPHROSTOMY AND DRAINAGE CATHETER INSERTION
(PCN AND DRAINAGE)
2B Existing
54 SG712K
KIDNEY, RENAL ABSCESS/PERINEPHRIC ABSCESS,
IMAGING GUIDED PERCUTANEOUS DRAINAGE
2C Existing
55 SG713K
KIDNEY, RENAL ABSCESS/PERINEPHRIC ABSCESS,
IMAGING GUIDED PERCUTANEOUS ASPIRATION
2A Existing
56 SG714K
KIDNEY, STONES, IMAGING GUIDED PERCUTANEOUS
RENAL STONES REMOVAL
3B Existing
57 SG715K
KIDNEY, TUMOUR, MIS GUIDED PERCUTANEOUS LOCAL
ABLATION (RADIOFREQUENCY, CRYOTHERAPY ETC)
4A Existing
58 SG716K KIDNEY, VARIOUS LESIONS, CHECK NEPHROSTOGRAM 1A Existing
59 SG717K
KIDNEY, VARIOUS LESIONS, IMAGING GUIDED
PERCUTANEOUS BIOPSY (RENAL PARENCHYMA, NON
DIRECTED)
1C Existing
60 SG718K
KIDNEY, VARIOUS LESIONS, PERCUTANEOUS
ANTEGRADE NEPHROSTOGRAPHY (PCN)
1C Existing
SG – URINARY
62
61 SG719K
KIDNEY, VARIOUS LESIONS, IMAGING GUIDED
PERCUTANEOUS BIOPSY (FOCAL LESIONS, TARGETED)
2A Existing
62 SG720K
KIDNEY, VARIOUS LESIONS, PARTIAL NEPHRECTOMY,
LAPARASCOPIC
6A Existing
63 SG721K
KIDNEY, VARIOUS LESIONS, PARTIAL NEPHRECTOMY,
OPEN
5C Existing
64 SG722K
KIDNEY, VARIOUS LESIONS, SIMPLE NEPHRECTOMY,
LAPROSCOPIC
4C Existing
65 SG723K KIDNEY/URETER, ENDOPYELOTOMY (PERCUTANEOUS) 4B Existing
66 SG725K KIDNEY/URETER, PYELOPLASTY, UNILATERAL 5A
Descriptor
change
67 SG726K
KIDNEY/URETER, RETROGRADE INTRARENAL SURGERY
OR RIRS USING FLEXIBLE URETEROSCOPY
(DIAGNOSTIC)
2C Existing
68 SG727K
KIDNEY/URETER, RETROGRADE INTRARENAL SURGERY
OR RIRS USING FLEXIBLE URETEROSCOPY
(THERAPEUTIC – EG LITHOTRIPSY AND/OR BASKET
EXTRACTION OF STONES < 1CM)
4B
Uptable
Descriptor
change
69 SG728K
KIDNEY TRANSPLANT, RECIPIENT, DUAL KIDNEY
TRANSPLANT (MARGINAL DONOR)
7A Existing
70 SG729K
KIDNEY, TUMOUR, IMAGING GUIDED PERCUTANEOUS
LOCAL ABLATION, (RADIOFREQUENCY, MICROWAVE,
CRYOTHERAPY, ETHANOL)
3C
Descriptor
change
71 SG730K
KIDNEY/URETER, RETROGRADE INTRARENAL SURGERY
OR RIRS USING FLEXIBLE URETEROSCOPY
(THERAPEUTIC – EG LITHOTRIPSY, AND/OR BASKET
EXTRACTION OF STONES >1CM)
4C New
72 SG800K
KIDNEY AND URETER, VARIOUS LESIONS,
NEPHROURETERECTOMY OPEN
5C Existing
73 SG801K KIDNEY, BLOCKED NEPHROSTOMY TUBE, CHANGE 1A Existing
74 SG802K
KIDNEY, CALCULUS, EXTRA CORPOREAL SHOCKWAVE
LITHOTRIPSY (ESWL)
4B Existing
75 SG803K
KIDNEY, CALCULUS,
NEPHROLITHOTOMY/PYELOLITHOTOMY
4B Existing
76 SG804K
KIDNEY, VARIOUS LESIONS, RADICAL NEPHRECTOMY
WITHOUT IVC THROMBECTOMY
5C
Descriptor
change
77 SG805K KIDNEY, CYST, EXCISION 3A Existing
78 SG806K KIDNEY, INJURY, REPAIR 5C Existing
79 SG807K KIDNEY, NEPHROPTOSIS, NEPHROPEXY 3B Existing
80 SG808K
KIDNEY, PELVI-URETERIC JUNCTION OBSTRUCTION,
OPEN PYELOPLASTY/URETEROCALYCOSTOMY
5C Existing
81 SG809K KIDNEY, PERINEPHRIC ABSCESS, DRAINAGE (OPEN) 3B Existing
82 SG810K KIDNEY, PYONEPHROSIS, DRAINAGE (OPEN) 3B Existing
83 SG811K
KIDNEY, PYONEPHROSIS, NEPHROSTOMY/PYELOSTOMY
(OPEN)
3B Existing
84 SG812K
KIDNEY, STAGHORN CALCULUS, NEPHROLITHOTOMY OR
PERCUTANEOUS NEPHROSTOLITHOTOMY (PCNL)
5C Existing
85 SG813K KIDNEY, VARIOUS LESIONS, BIOPSY (CLOSED) 1B Existing
86 SG814K KIDNEY, VARIOUS LESIONS, BIOPSY (OPEN) 3A Existing
87 SG815K KIDNEY, VARIOUS LESIONS, EXPLORATION 3A Existing
88 SG816K
KIDNEY, VARIOUS LESIONS, SIMPLE NEPHRECTOMY,
OPEN
4B Existing
89 SG700U
URETER, CYSTOSCOPY AND INSERTION OF DOUBLE J
STENT
2C Existing
SG – URINARY
63
90 SG701U
URETER, EXTRA CORPOREAL SHOCKWAVE LITHOTRIPSY
(ESWL) FOR URETERIC STONE
4A Existing
91 SG703U
URETHRA, MID-URETHRAL SLINGS 3A Existing
92 SG704U
URETER, STRICTURE, PERCUTANEOUS ANTEGRADE
BALLOON DILATATION
2B Existing
93 SG705U
URETHRA, SUBSTITUTION URETHROPLASTY, FLAP OR
GRAFT
5C Existing
94 SG706U
URETER, VARIOUS LESIONS, REIMPLANTATION,
BILATERAL
5A Existing
95 SG707U
URETER, VARIOUS LESIONS, PERCUTANEOUS
ANTEGRADE INSERTION OF DOUBLE J STENT
2C Existing
96 SG709U
URETER, URETEROSCOPY 2C Existing
97 SG711U
URETHRA, EXCISION OF URETHRAL DIVERTICULUM 4A Existing
98 SG712U
URETHRA, URETHROSCOPY, WITH RELATED
PROCEDURES
1B Existing
99 SG800U
URETER, CALCULUS, URETEROSCOPY AND LITHOTRIPSY
4A
Descriptor
change
100
SG801U
URETER, CALCULUS, URETEROLITHOTOMY 4A Existing
101
SG802U
URETER, CUTANEOUS URETEROSTOMY, CLOSURE 2C Existing
102
SG803U
URETER, PREVIOUS DIVERSION, REVISION 6A Existing
103
SG804U
URETER, VARIOUS LESIONS, BOARI FLAP
REIMPLANTATION
5C Existing
104
SG805U
URETER, VARIOUS LESIONS, INTESTINAL CONDUIT 5C Existing
105
SG806U
URETER, VARIOUS LESIONS, REDUCTION
URETEROPLASTY
5C Existing
106
SG807U
URETER, VARIOUS LESIONS, REIMPLANTATION,
UNILATERAL
4A Existing
107
SG808U
URETER, VARIOUS LESIONS, REPAIR 4A Existing
108
SG809U
URETER, VARIOUS LESIONS, REPLACEMENT BY BOWEL 5C Existing
109
SG810U
URETER, VARIOUS LESIONS, URETEROCALYCOSTOMY 5C Existing
110
SG811U
URETER, VARIOUS LESIONS, URETEROSTOMY 3C Existing
111
SG812U
URETER, VARIOUS LESIONS, URETEROTOMY/INSERTION
OF DOUBLE J STENT
3B Existing
112
SG813U
URETER, VARIOUS LESIONS, URETEROURETEROSTOMY 4B Existing
113
SG814U
URETHRA , EXCISION OF URETHRAL DIVERTICULUM 3B Existing
114
SG815U
URETHRA, FISTULA, CLOSURE 2C Existing
115
SG816U
URETHRA, INJURY, REPAIR/URETHROPLASTY OF
ANTERIOR URETHRA
4A Existing
116
SG817U
URETHRA, MEATAL STENOSIS, MEATOTOMY 1B Existing
117
SG818U
URETHRA, PROLAPSE, EXCISION 1B Existing
118
SG820U
URETHRA, STRICTURE, URETHRAL WALL STENTING 2C Existing
119
SG821U
URETHRA, STRICTURE, URETHROTOMY 2C Existing
120
SG822U
URETHRA, URETHRO-RECTAL FISTULA, CLOSURE 4B Existing
121
SG823U
URETHRA, VALVES/MEMBRANE, RESECTION
(ENDOSCOPIC)
3B Existing
122
SG824U
URETHRA, VALVES/MEMBRANE, RESECTION (OPEN) 4A Existing
123
SG825U
URETHRA, VARIOUS LESIONS, ANTERIOR
URETHROPLASTY
4B Existing
124
SG826U
URETHRA, VARIOUS LESIONS, EXCISION 3B Existing
125
SG827U
URETHRA, VARIOUS LESIONS, POSTERIOR
URETHROPLASTY
5C Existing
126
SG828U
URETHRA, VARIOUS LESIONS, STAGED URETHROPLASTY
(EACH STAGE)
3B Existing
127
SG829U
URETHRA, VARIOUS LESIONS, TRANSPUBIC
URETHROPLASTY
5A Existing
SG – URINARY
64
128
SG830U
URETHRA, VARIOUS LESIONS, URETHROPEXY 3A Existing
129
SG831U
URETHRA, VARIOUS LESIONS, URETHROTOMY 2C Existing
130
SG832U
URETER, CALCULUS, URETEROLITHOTOMY (MIS) 4B Existing
SH – MALE GENITAL
65
S/N
Code
Description
Table
Classification
1 SH700G
GENITAL TRACT, VARIOUS LESIONS,
HYSTEROSALPINGOGRAPHY
MSP Existing
2 SH706M
MALE GENITALIA, ELECTROEJECULATION 1C Existing
3 SH800M
MALE GENITALIA, TRANSSEXUALISM (TRANSVESTISM),
SEX REASSIGNMENT (MALE TO FEMALE)
5A Existing
4 SH801M
MALE GENITALIA, TRANSSEXUALISM (TRANSVESTISM),
SEX REASSIGNMENT WITH MAMMOPLASTY (MALE TO
FEMALE)
6B Existing
5 SH700P
PENIS, GLANULAR HYPOSPADIAS, MEATOPLASTY AND
CIRCUMCISION
2A Existing
6 SH701P PENIS, PARAPHIMOSIS/PHIMOSIS, REDUCTION MSP Existing
7 SH702P PENIS, PEYRONIE'S DISEASE, INCISION AND GRAFTING 3C Existing
8 SH703P PENIS, REMOVAL OF "PENILE" IMPLANT 3B Existing
9 SH704P
PENIS, TUMOR, AMPUTATION (PARTIAL) + BILATERAL
RADICAL LN DISSECTION
5C Existing
10 SH705P
PROSTATE GLAND, PROSTATE IMRT (INTENSITY
MODULATED RADIATION THERAPY) GOLD SEEDS
INSERTION
2C Existing
11 SH706P
PROSTATE GLAND, LASER VAPORISATION OF
PROSTATE
4A Existing
12 SH800P
PENIS, EPISPADIAS, REPAIR INVOLVING BLADDER
NECK CLOSURE
4C Existing
13 SH801P
PENIS, EPISPADIAS, REPAIR NOT INVOLVING
SPHINCTER (EACH STAGE)
3B Existing
14 SH802P PENIS, CORRECTION OF CHORDEE 2C
Descriptor
change
15 SH803P
PENIS, CORRECTION OF CHORDEE WITH
TRANSPLANTATION OF PREPUCE
3B
Descriptor
change
16 SH804P
PENIS, HYPOSPADIAS, MEATOTOMY &
HEMICIRCUMCISION
1B Existing
17 SH805P PENIS, HYPOSPADIAS, SECONDARY CORRECTION 2C Existing
18 SH806P PENIS, HYPOSPADIAS, URETHRAL RECONSTRUCTION 4A Existing
19 SH807P
PENIS, HYPOSPADIAS, URETHRAL RECONSTRUCTION &
CORRECTION OF CHORDEE
5C Existing
20 SH808P
PENIS, PARAPHIMOSIS/PHIMOSIS/REDUCTION
PREPUCE, CIRCUMCISION
1B Existing
21 SH809P PENIS, PENILE WARTS, LASER VAPORISATION 1B Existing
22 SH810P PENIS, PEYRONIE'S DISEASE, OPERATION 2C Existing
23 SH811P PENIS, PRIAPISM, DECOMPRESSION (SHUNT OP) 3C Existing
24 SH812P PENIS, PRIAPISM, DECOMPRESSION (SINGLE) 1B Existing
25 SH813P
PENIS, SEX REASSIGNMENT (FEMALE TO MALE),
IMPLANTATION OF PENILE PROSTHESIS
2B Existing
26 SH814P
PENIS, TRAUMA (AMPUTATION), MICROVASCULAR
REATTACHMENT
7C Existing
27 SH815P PENIS, TRAUMA, RECONSTRUCTION (1ST STAGE) 6B Existing
28 SH816P PENIS, TRAUMA, RECONSTRUCTION (2ND STAGE) 5A Existing
29 SH817P PENIS, TRAUMA, REPAIR OF AVULSION 4A Existing
30 SH818P
PENIS, TRAUMA, REPAIR OF LACERATION/FRACTURE
INVOLVING CAVERNOUS TISSUE
2C Existing
31 SH819P PENIS, TUMOUR, AMPUTATION (PARTIAL) 3A Existing
32 SH820P PENIS, TUMOR, AMPUTATION (TOTAL) 4A Existing
33 SH821P
PENIS, TUMOR, AMPUTATION (TOTAL) WITH BLOCK
DISSECTION
5C Existing
SH – MALE GENITAL
66
34 SH822P
PENIS, VARIOUS LESIONS, ANDROSCOPIC
EXAMINATION
MSP Existing
35 SH823P PENIS, VARIOUS LESIONS, EXCISION 1B Existing
36 SH824P PENIS, VARIOUS LESIONS, INJECTION MSP Existing
37 SH825P
PENIS, VARIOUS LESIONS, INSERTION OF PENILE
PROSTHESIS
5A Existing
38 SH826P
PROSTATE GLAND, ABSCESS,
RETROPUBIC/ENDOSCOPIC DRAINAGE
2C Existing
39 SH827P
PROSTATE GLAND, HYPERTROPHY, INSERTION OF
PROSTATIC STENT
2C Existing
40 SH829P PROSTATE GLAND, SIMPLE PROSTATECTOMY 4B
Descriptor
change
41 SH830P
PROSTATE GLAND, VARIOUS LESIONS, RADICAL
PROSTATECTOMY, WITHOUT LYMPH NODE
DISSECTION
6A
Descriptor
change
42 SH838P
PROSTATE GLAND, VARIOUS LESIONS, RADICAL
PROSTATECTOMY, WITH LYMPH NODE DISSECTION
6C New
43 SH832P
PROSTATE GLAND, PROSTATE, BENIGN HYPERPLASIA,
MINIMALLY INVASIVE ABLATION
3B Existing
44 SH833P
PROSTATE GLAND, VARIOUS LESIONS, TRANS-RECTAL
ULTRASOUND (TRUS)
1A Existing
45 SH834P
PROSTATE GLAND, VARIOUS LESIONS, TRANS-RECTAL
ULTRASOUND (TRUS) GUIDED BIOPSY
1B Existing
46 SH835P
PROSTATE GLAND, VARIOUS LESIONS, SATURATION
PROSTATE BIOPSY OR MRI-US GUIDED FUSION BIOPSY
2A
Descriptor
change
47 SH836P
PROSTATE GLAND, VARIOUS LESIONS,
TRANSURETHRAL RESECTION (TURP)/ENUCLEATION
OF PROSTATE (RESECTED WEIGHT LESS THAN 30G)
4B
Descriptor
change
48 SH837P
PROSTATE GLAND, VARIOUS LESIONS,
TRANSURETHRAL RESECTION (TURP)/ENUCLEATION
OF PROSTATE (RESECTED WEIGHT MORE THAN 30G)
5C
Descriptor
change
49 SH800S SCROTUM, HYDROCELE, ASPIRATION MSP Existing
50 SH801S
SCROTUM, HYDROCELE/VARICOCELE (BILATERAL),
EXCISION
3A Existing
51 SH802S
SCROTUM, HYDROCELE/VARICOCELE (UNILATERAL),
EXCISION
2B Existing
52 SH803S
SPERMATIC CORD, SPERMATOCELE/EPIDIDYMAL CYST,
EXCISION
2A Existing
53 SH804S
SPERMATIC CORD, VARIOUS LESIONS,
EPIDIDYMECTOMY
2A Existing
54 SH700T
TESTIS, TORSION TESTIS, ORCHIDECTOMY DONE WITH
FIXATION OF CONTRALATERAL TESTIS
2B Existing
55 SH701T
TESTIS, VARIOUS LESIONS, ORCHIDECTOMY (SIMPLE)
(MIS)
3C Existing
56 SH702T TESTIS, VARIOCOELE, SPERMATIC VEIN EMBOLISATION 4A Existing
57 SH800T
TESTIS, TUMOR, RETROPERITONEAL LYMPH NODE
DISSECTION FOLLOWING ORCHIDECTOMY
5C Existing
58 SH801T
TESTIS, UNDESCENDED/ECTOPIC (BILATERAL),
ORCHIDOPEXY/TRANSPLANTATION WITH HERNIA
REPAIR
4A Existing
59 SH802T
TESTIS, UNDESCENDED/ECTOPIC (UNILATERAL),
ORCHIDOPEXY/TRANSPLANTATION WITH HERNIA
REPAIR
3B Existing
60 SH803T
TESTIS, UNDESCENDED/ECTOPIC, ORCHIDOPEXY WITH
MICROVASCULAR ANASTOMOSIS
5C Existing
SH – MALE GENITAL
67
61 SH804T
SCROTUM, EXPLORATION, DETORSION OF TESTIS AND
BILATERAL TESTES FIXATION
2A Existing
62 SH805T TESTIS, VARIOUS LESIONS, BIOPSY OR ASPIRATION 1C Existing
63 SH806T TESTIS, VARIOUS LESIONS, EXPLORATION/REPAIR 1C Existing
64 SH807T
TESTIS, VARIOUS LESIONS, INSERTION OF TESTICULAR
PROSTHESIS
3A Existing
65 SH808T TESTIS, VARIOUS LESIONS, ORCHIDECTOMY (SIMPLE) 2B Existing
66 SH809T
TESTIS, VARIOUS LESIONS, ORCHIDECTOMY WITH
COMPLETE EXCISION OF SPERMATIC CORD
3A Existing
67 SH810T TESTIS, VARIOUS LESIONS, ORCHIDOPLASTY 1C Existing
68 SH800V
VAS DEFERENS, VARIOUS LESIONS, EXPLORATION
(MICROSURGICAL) AND TESTICULAR BIOPSY
5C Existing
69 SH801V
VAS DEFERENS, VARIOUS LESIONS, REANASTOMOSIS
(MICROSURGICAL)
4C Existing
70 SH802V
VAS DEFERENS, VARIOUS LESIONS,
VARICOCELECTOMY (MICROSURGICAL)
3C Existing
71 SH803V VAS DEFERENS, VARIOUS LESIONS, VASECTOMY 1C Existing
72 SH804V
VAS DEFERENS, VARIOUS LESIONS,
VASOEPIDIDYMOGRAPHY & VASOVESICULOGRAPHY
1B Existing
73 SH805V
VAS DEFERENS, VARIOUS LESIONS,
VASOEPIDIDYMOSTOMY (MICROSURGICAL)
5C Existing
SI – FEMALE GENITAL
68
S/N
Code
Description
Table
Classification
1 SI700C
CERVIX, CANCER, RADICAL TRACHELECTOMY
WITH/WITHOUT LYMPHADENECTOMY
5B Existing
2 SI701C
CERVIX, CERVICAL INCOMPETENCE, REMOVAL OF
CERCLAGE
1C
Descriptor
change
3 SI702C
UTERUS/CERVIX, TRANSCERVICAL RESECTION (TCR)
MYOMA (<3CM), HYSTEROSCOPIC
3C
Uptable,
Descriptor
change
4 SI703C
UTERUS/CERVIX, TRANSCERVICAL RESECTION (TCR)
MYOMA (>3CM), HYSTEROSCOPIC
4C
Uptable,
Descriptor
change
5 SI704C
CERVIX, TRANSCERVICAL RESECTION (TCR) POLYP
(<2CM), HYSTEROSCOPIC
2B Existing
6 SI705C
CERVIX, TRANSCERVICAL RESECTION (TCR) POLYP
(>2CM), HYSTEROSCOPIC
2C Existing
7 SI706C
CERVIX, TRANSCERVICAL RESECTION (TCR) SEPTUM,
HYSTEROSCOPIC
3A Existing
8 SI707C
CERVIX, VARIOUS LESIONS, COLPOSCOPY, ABLATIONAL
AND/OR EXCISIONAL TREATMENT (E.G. LASER
VAPOURISATION/LOOP ELECTROSURGICAL EXCISION
PROCEDURE/LASER EXCISION OF TRANSFORMATION
ZONE WITH BIOPSY)
2A Existing
9 SI800C CERVIX, TEAR, SIMPLE REPAIR WITHOUT ANESTHESIA MSP Existing
10 SI801C CERVIX, POLYP, EXCISION (OUTPATIENT) MSP Existing
11 SI802C CERVIX, CERVICAL INCOMPETENCE, CERCLAGE 2B Existing
12 SI803C
CERVIX, CERVICAL INTRAEPITHELIAL NEOPLASIA, CONE
BIOPSY WITH/WITHOUT LASER
3A Existing
13 SI804C
CERVIX, ECTROPION, AMPUTATION/REPAIR OF CERVIX
(TRACHELORRHAPHY)
3B Existing
14 SI805C
CERVIX, POLYP, EXCISION/EROSION (COMPLICATED)
INCLUDES D&C WITH BIOPSY
2B Existing
15 SI806C
CERVIX, POLYP, EXCISION/EROSION (SIMPLE) WITH
BIOPSY
1B Existing
16 SI807C CERVIX, POLYP/EROSION, LASER THERAPY 1B
Descriptor
change
17 SI808C CERVIX, STENOSIS, DILATATION 1B Existing
18 SI809C CERVIX, TEAR, REPAIR UNDER ANESTHESIA 1C Existing
19 SI810C CERVIX, VARIOUS LESIONS, COLPOSCOPY AND BIOPSY 1C Existing
20 SI811C CERVIX, VARIOUS LESIONS, COLPOSCOPY MSP Existing
21 SI812C CERVIX, VARIOUS LESIONS, CRYOSURGERY MSP Existing
22 SI813C CERVIX, VARIOUS LESIONS, PUNCH BIOPSY 1A Existing
23 SI814C CLITORIS, CLITOROMEGALY, AMPUTATION 2C Existing
24 SI700F
FALLOPIAN TUBE, BLOCKED TUBE, FLUOROSCOPIC
TRANSCERVICAL FALLOPIAN TUBAL RECANALISATION
(FTR)
2C Existing
25 SI701F
FALLOPIAN TUBE, BLOCKED TUBES, TUBAL
REANASTOMOSIS, MIS
5C Existing
26 SI702F FALLOPIAN TUBE, FALLOPOSCOPY 2B Existing
27 SI703F FALLOPIAN TUBE, STERILIZATION, HYSTEROSCOPIC 2B Existing
28 SI704F FALLOPIAN TUBE, STERILISATION 3A
Uptable,
Descriptor
change
29 SI705F
FALLOPIAN TUBE, TUBAL PATHOLOGY,
SALPINGECTOMY, MIS
3C Existing
SI – FEMALE GENITAL
69
30 SI706F
FALLOPIAN TUBE/UTERUS/OVARY, LAPAROSCOPY,
DIAGNOSTIC, WITH HYDROTUBATION
3B Existing
31 SI800F
FALLOPIAN TUBE, BLOCKED TUBES, TUBOPLASTY,
RECANALISATION, HYSTEROSCOPIC
3B Existing
32 SI801F
FALLOPIAN TUBE, BLOCKED TUBES, CORNUAL
REANASTOMOSIS (MICROSURGERY/MIS)
5C Existing
33 SI802F
FALLOPIAN TUBE, BLOCKED TUBES, PLASTIC REPAIR
(MICROSURGERY/MIS)
5C Existing
34 SI803F
FALLOPIAN TUBE, BLOCKED TUBES, PLASTIC REPAIR /
SALPINGOSTOMY (MACROSURGERY)
4C Existing
35 SI805F FALLOPIAN TUBE, REMOVAL OF ECTOPIC GESTATION 3B Existing
36 SI806F
FALLOPIAN TUBE, PERITUBAL ADHESIONS,
SALPINGOLYSIS (MICROSURGERY/MIS)
5C Existing
37 SI807F
FALLOPIAN TUBE, PERITUBAL ADHESIONS,
SALPINGOLYSIS (MACROSURGERY)
4A Existing
38 SI808F
FALLOPIAN TUBE, TUBAL PATHOLOGY OTHER THAN
ECTOPIC, SALPINGECTOMY/ SALPINGOSTOMY
4A Existing
39 SI809F
FALLOPIAN TUBE, TUBO-OVARIAN/ PELVIC ABSCESS,
DRAINAGE (TRANSABDOMINAL)
3B
Descriptor
change
40 SI810F
FEMALE GENITALIA, TRANSSEXUALISM
(TRANSVESTISM), SEX REASSIGNMENT (FEMALE TO
MALE)
5A Existing
41 SI811F
FEMALE GENITALIA, TRANSSEXUALISM
(TRANSVESTISM), SEX REASSIGNMENT WITH
MASTECTOMY (FEMALE TO MALE)
6B Existing
42 SI812F
FALLOPIAN TUBE, TUBO-OVARIAN/PELVIC ABSCESS,
DRAINAGE (TRANSVAGINAL)
2C New
43 SI800G
GENITAL TRACT, CANCER, STAGING UNDER GENERAL
ANESTHESIA (INCLUDES CYSTOSCOPY/DILATATION &
CURETTAGE/BIOPSY)
1C Existing
44 SI801G
GENITAL TRACT, PELVIC CYST, ULTRASOUND GUIDED
PROCEDURE-ASPIRATION
2C Existing
45 SI700L
LAPAROSCOPY, THERAPEUTIC, EXCEPT FOR RETRIEVAL
AND PLACEMENT OF GAMETES AND PLACEMENT OF
EMBRYOS
3C Existing
46 SI701L
LAPAROTOMY DEBULKING (ADVANCED DISEASE,
PRIMARY/RECURRENT)
6A Existing
47 SI702O
OVARY, MALIGNANT TUMOR/CYST, STAGING
LAPAROTOMY, AS THE ONLY PROCEDURE
3C Existing
48 SI703O
OVARIAN VEINS, PELVIC CONGESTION SYNDROME,
OVARIAN VEIN EMBOLISATION
3B Existing
49 SI800O
OVARY, MALIGNANT TUMOR/CYST, TOTAL
HYSTERECTOMY BILATERAL SALPINGO-
OOPHORECTOMY WITH OMENTECTOMY, SURGICAL
STAGING WITH/WITHOUT LYMPHADENECTOMY
5C Existing
50 SI801O
OVARY, TUMOR/CYST, ASPIRATION EXCEPT FOR OVUM
RETRIEVAL
3B Existing
51 SI805O
OVARY, TUMOR/CYST, OOPHORECTOMY/SALPINGO-
OOPHORECTOMY (SIMPLE)
3B Existing
52 SI806O
OVARY, TUMOR/CYST, OOPHORECTOMY/SALPINGO-
OOPHORECTOMY (COMPLICATED)
4A Existing
53 SI807O OVARY, VARIOUS LESIONS, BIOPSY 3A Existing
54 SI808O OVARY, VARIOUS LESIONS, OVARIOPEXY 3B Existing
SI – FEMALE GENITAL
70
55 SI809O
OVARY, VARIOUS LESIONS, OVARIOPLASTY,
LAPAROTOMY/MIS (USING MICROSURGICAL
TECHNIQUES)
6B Existing
56 SI810O OVARY, VARIOUS LESIONS, WEDGE RESECTION 3B Existing
57 SI811O
OVARY, TUMOUR/CYST, CYSTECTOMY, SIMPLE
UNILATERAL
3B New
58 SI812O
OVARY, TUMOUR/CYST, CYSTECTOMY, COMPLEX
UNILATERAL OR SIMPLE BILATERAL ( SINGLE>5CM,
BILATERAL CYST <5CM, ADHESIONS)
4A New
59 SI813O
OVARY, TUMOUR/CYST, CYSTECTOMY, COMPLEX
BILATERAL ( BILATERAL CYSTS BOTH>5CM)
4C New
60 SI700P PELVIC FLOOR RECONSTRUCTION, MIS 4C Existing
61 SI701P PELVIS, ARTERY/VEIN, LIGATION / OCCLUSION 3C Existing
62 SI702P
PELVIS, FROZEN/DENSE PELVIC ADHESIONS,
CONSERVATIVE RECONSTRUCTION OF OVARIES,
TUBES, UTERUS, PELVIC FLOOR
5A Existing
63 SI703P PELVIS, MALIGNANT, SECOND LOOK LAPAROTOMY 4A Existing
64 SI700U
UTERUS/CERVIX, HYSTEROSCOPY, DIAGNOSTIC (WITH
GENERAL ANESTHESIA)
1C Existing
65 SI701U
UTERUS/CERVIX, HYSTEROSCOPY, DIAGNOSTIC
(WITHOUT ANAESTHESIA)
1A Existing
66 SI702U
UTERUS, BENIGN CONDITIONS, TOTAL ABDOMINAL
HYSTERECTOMY WITH/WITHOUT SALPINGO-
OOPHORECTOMY AND PELVIC FLOOR REPAIR
(COMBINED OPERATION)
4C Existing
67 SI703U UTERUS, FETAL SURGERY 3B Existing
68 SI704U UTERUS, FOETOSCOPY 4A Existing
69 SI705U
UTERUS, ELONGATED CERVIX, CYSTOCOELE,
RECTOCOELE, AMPUTATION OF CERVIX + ANTERIOR
REPAIR + POSTERIOR REPAIR
4B Existing
70 SI706U UTERUS, ENDOMETRIAL ABLATION (BALLOON) 2B Existing
71 SI707U UTERUS, ENDOMETRIAL ABLATION (HYSTEROSCOPIC) 2C Existing
72 SI709U UTERUS, FIBROIDS, MYOMECTOMY (SIMPLE, <5CM)
9
3C Existing
73 SI710U UTERUS, FIBROIDS, UTERINE ARTERY EMBOLIZATION 3C Existing
74 SI731U
UTERUS, HYSTERECTOMY, COMPLICATED (BROAD
LIGAMENT , SEVERE ENDOMETRIOSIS, FROZEN PELVIS)
5C New
75
SI712U UTERUS, SUBTOTAL/TOTAL HYSTERECTOMY, >12WKS 5A Descriptor
change
76 SI713U UTERUS, SUBTOTAL/TOTAL HYSTERECTOMY, <12WKS 4C
Uptable,
Descriptor
change
77 SI714U UTERUS, INTRAUTERINE INSEMINATION MSP Existing
78 SI715U
UTERUS, MIS ABLATION OF ENDOMETRIOSIS (SIMPLE)
(AS SINGLE PROCEDURE, NOT INVOLVING RECTUM,
URETER)
3C Existing
79 SI716U
UTERUS, LYSIS OF ASHERMAN'S (COMPLICATED),
HYSTEROSCOPIC
3A Existing
80 SI717U
UTERUS, LYSIS OF ASHERMAN'S (SIMPLE),
HYSTEROSCOPIC
2C Existing
81 SI718U
UTERUS/VAGINA, MIS ASSISTED VAGINAL
HYSTERECTOMY (LAVH) WITH/WITHOUT PELVIC FLOOR
REPAIR (PFR)
4B Existing
9
This code should not be used for HIFU (High Intensity Focused Ultrasound) treatment of uterine fibroids.
SI – FEMALE GENITAL
71
82 SI719U
UTERUS, PROLAPSE, CYSTOCOELE, RECTOCOELE,
AMPUTATION OF CERVIX + VAGINAL SACROSPINOUS
LIGAMENT HYSTEROPEXY + ANTEIOR REPAIR +
POSTERIOR REPAIR
4B Existing
83 SI720U
UTERUS, PROLAPSE, CYSTOCOELE, RECTOCOELE,
TRANSOBTURATOR MESH + TRANSSACROSPINOUS
LIGAMENT MESH
4B Existing
84 SI721U
UTERUS, PROLAPSE, CYSTOCOELE, RECTOCOELE,
VAGINAL HYSTERECTOMY + ANTERIOR REPAIR +
BILATERAL SALPINGO-OOPHORECTOMY ± POSTERIOR
REPAIR
4B Existing
85 SI722U
UTERUS, PROLAPSE, CYSTOCOELE, RECTOCOELE,
VAGINAL SACROSPINOUS LIGAMENT HYSTEROPEXY +
ANTERIOR REPAIR + POSTERIOR REPAIR
4B Existing
86 SI723U
UTERUS, PROLAPSE, VAGINAL HYSTERECTOMY +
BILATERAL SALPINGO-OOPHORECTOMY
4B Existing
87 SI724U UTERUS/CERVIX, HYSTEROSCOPIC CANNULATION 2B Existing
88 SI725U UTERUS/CERVIX, HYSTEROSCOPY, DIAGNOSTIC, D&C 2B Existing
89 SI726U
UTERUS/VAGINA, MIS RECONSTRUCTION OF FROZEN
PELVIS/LATERAL PELVIC WALL DISSECTION;
EXTIRPATION OF RECTOVAGINAL ENDOMETRIOSIS
5C Existing
90 SI727U
UTERUS, FIBROID/ADENOMYOSIS, HIGHLY INTENSIVE
FOCUSED ULTRASOUND
3C New
91 SI728U
EXCISION OR ABLATION OF ADENOMYOMA/
ADENOMYOSIS (SIMPLE <5CM)
4C New
92 SI729U
EXCISION OR ABLATION OF ADENOMYOMA/
ADENOMYOSIS (COMPLICATED >5CM)
5A New
93 SI730U UTEROSACRAL LIGAMENT SUSPENSION/HUL 4A New
94 SI800U
URETHRA, CARUNCLE/POLYP, EXCISION/LASER
VAPORISATION
1C Existing
95 SI801U URETHRA, STENOSIS, DILATATION 1A Existing
96 SI806U
UTERUS, CONGENITAL ORGAN ABNORMALITY, PLASTIC
REPAIR INCLUDING METROPLASTY
6A Existing
97 SI807U
UTERUS, CONTRACEPTION, INTRAUTERINE
CONTRACEPTIVE DEVICE INSERTION
MSP Existing
98 SI809U
UTERUS, DISPLACED INTRAUTERINE CONTRACEPTIVE
DEVICE, REMOVAL UNDER GENERAL ANESTHESIA
2A Existing
99 SI810U
UTERUS, DISPLACED INTRAUTERINE CONTRACEPTIVE
DEVICE, REMOVAL WITHOUT GENERAL ANAESTHESIA
MSP Existing
100
SI811U
UTERUS, ENDOMETRIAL, BIOPSY WITHOUT GENERAL
ANAESTHESIA
MSP Existing
101
SI813U
UTERUS, FETAL DISORDER, ULTRASOUND GUIDED
FETAL BLOOD SAMPLING/CORDOCENTESIS
2C Existing
102
SI814U
UTERUS, FETAL DISORDER, ULTRASOUND GUIDED
FETAL THERAPY
4A Existing
103
SI815U
UTERUS, FIBROIDS, MYOMECTOMY (COMPLICATED E.G.
>5CM, MULTIPLE >2, CHALLENGING LOCATION)
10
5A Existing
104
SI817U
UTERUS, GENETIC ABNORMALITY, ULTRASOUND
GUIDED CHORIONIC BIOPSY
1C Existing
105
SI818U
UTERUS, GENETIC ABNORMALITY/FETAL MATURITY,
WITH/WITHOUT ULTRASOUND GUIDED AMNIOCENTESIS
1C Existing
106
SI819U UTERUS, GRAVID, EVACUATION (COMPLICATED) 2B Existing
10
This code should not be used for HIFU (High Intensity Focused Ultrasound) treatment of uterine fibroids.
SI – FEMALE GENITAL
72
107
SI820U UTERUS, GRAVID, EVACUATION (SIMPLE) 2A Existing
108
SI821U UTERUS, GRAVID, HYSTERECTOMY 4A Existing
109
SI822U UTERUS, GRAVID, HYSTEROTOMY 4A Existing
110
SI823U UTERUS, INVERSION, REPOSITIONING 3C Existing
111
SI824U
UTERUS, MALIGNANT CONDITION, ANTERIOR PELVIC
EXENTERATION
6B Existing
112
SI825U
UTERUS, MALIGNANT CONDITION, MODIFIED RADICAL
HYSTERECTOMY WITH/WITHOUT LYMPHADENECTOMY
6A
Uptable,
Descriptor
change
113
SI826U
UTERUS, MALIGNANT CONDITION, POSTERIOR PELVIC
EXENTERATION
6B Existing
114
SI827U
UTERUS, MALIGNANT CONDITION, TOTAL
HYSTERECTOMY, WITH /WITHOUT LYMPH NODE
DISSECTION
5A
Descriptor
change
115
SI829U
UTERUS, MALIGNANT CONDITIONS, TOTAL PELVIC
EXENTERATION
7C Existing
116
SI830U
UTERUS, MALIGNANT CONDITIONS, RADICAL
HYSTERECTOMY INCLUDING PELVIC
LYMPHADENECTOMY
6B
Descriptor
change
117
SI831U UTERUS, PERFORATION, REPAIR 3C Existing
118
SI832U
UTERUS, PREGNANCY AND MULTIPARITY,
UNCOMPLICATED CAESAREAN SECTION AND TUBAL
LIGATION
4B Existing
119
SI833U
UTERUS, PREGNANCY, COMPLICATED VAGINAL
DELIVERY (E.G TWINS, BREECH, INSTRUMENTAL
DELIVERY, VBAC)
3A
Descriptor
change
120
SI834U
UTERUS, PREGNANCY, UNCOMPLICATED CAESAREAN
SECTION
4A Existing
121
SI835U
UTERUS, PREGNANCY, CAESAREAN SECTION WITH
HYSTERECTOMY
5C Existing
122
SI836U
UTERUS, PREGNANCY, VAGINAL DELIVERY (WITH OR
WITHOUT EPISIOTOMY REPAIR)
2B Existing
123
SI837U UTERUS, PROLAPSE, VAGINAL HYSTERECTOMY 4A Existing
124
SI838U UTERUS, RETAINED PLACENTA, MANUAL REMOVAL 1B
Descriptor
change
125
SI839U UTERUS, RETROVERSION, VENTROSUSPENSION 3A Existing
126
SI840U UTERUS, RUPTURED, REPAIR (COMPLICATED) 4A Existing
127
SI841U UTERUS, RUPTURED, REPAIR (SIMPLE) 3B Existing
128
SI842U
UTERUS, VARIOUS LESIONS, CURETTAGE WITH
COLPOSCOPY/BIOPSY/DIATHERMY/
CRYOSURGERY/LASER THERAPY OF CERVIX
2C Existing
129
SI843U
UTERUS, VARIOUS LESIONS, CURETTAGE
WITH/WITHOUT DILATATION
2A Existing
130
SI844U
UTERUS, PREGNANCY, COMPLICATED CAESAREAN
SECTION (SEE FOOTNOTE FOR DEFINITION OF
'COMPLICATED'
11
)
4B Existing
11
‘Complicated’ refers to the following list of conditions:
1. Abnormally invasive placenta
2. Massive PPH >1.5 L
3. Transverse lie
4. Second stage Caesarean section
5. Multiple gestation
6. Placenta praevia
7. Caesarean section in women with BMI>30
8. Preterm Caesarean section <34 weeks
9. Abruptio placenta
10. All crash Caesarean section
11. Two or more previous Caesarean section
12. Previous myomectomy with adhesions
13. Fibroids in the lower segment limiting access to the lower
segment
14. Abnormal uterus e.g. Didelphys
SI – FEMALE GENITAL
73
131
SI845U
UTERUS, PREGNANCY AND MULTIPARITY, COMPLICATED
CAESAREAN SECTION AND TUBAL LIGATION (SEE
FOOTNOTE FOR DEFINITION OF 'COMPLICATED')
4C Existing
132
SI700V
VAGINA, CYSTOCOELE, PARAVAGINAL DEFECT REPAIR
(ABDOMINAL) / BURCH COLPOSUSPENSION
4A Existing
133
SI701V
VAGINA, CYSTOCOELE, RECTOCOELE, ANTERIOR
REPAIR/KELLY'S OPERATION + POSTERIOR REPAIR
3B Existing
134
SI702V VAGINA, CYSTOCOELE, TRANSOBTURATOR MESH 3B Existing
135
SI703V
VAGINA, ABDOMINAL SACROCOLPOPEXY +
PARAVAGINAL DEFECT REPAIR/BURCH
COLPOSUSPENSION + POSTERIOR REPAIR
5C
Uptable,
Descriptor
change,
136
SI704V
VAGINA, SACROSPINOUS LIGAMENT/ILIOCOCCYGEUS
FIXATION + ANTERIOR REPAIR + POSTERIOR REPAIR
4A
Descriptor
change
137
SI705V
VAGINA, INTRA-EPITHELIAL NEOPLASIA
COMPLETE/UPPER VAGINECTOMY
4B Existing
138
SI706V
VAGINA, INTRA-EPITHELIAL NEOPLASIA VAGINECTOMY
(PARTIAL)
3C Existing
139
SI707V
VAGINA, MID-URETHRAL TAPE/SLING (± CYSTOSCOPY) +
ANTERIOR REPAIR + POSTERIOR REPAIR
5A
Uptable,
Descriptor
change
140
SI710V VAGINA, TENSION FREE VAGINAL TAPE (TVT/TVTO) 4A Existing
141
SI711V
VAGINA/RECTUM, RECTO VAGINAL FISTULA, COMPLEX
RECTAL/TRANSPERINEAL APPROACH WITH COLOSTOMY
5B Existing
142
SI712V
VAGINA/RECTUM, RECTO VAGINAL FISTULA, COMPLEX
RECTAL/TRANSPERINEAL APPROACH WITHOUT
COLOSTOMY
4C Existing
143
SI713V
VAGINAL HYSTERECTOMY + ANTERIOR REPAIR +/-
POSTERIOR REPAIR
5A Uptable
144
SI714V VAGINAL SEPTUM, EXCISION 2A Existing
145
SI715V VULVA, LABIAL ABNORMALITY, HYMENOPLASTY 1B Existing
146
SI716V
VULVA, MALIGNANT CONDITION RADICAL WIDE LOCAL
EXCISION WITH SKIN FLAP CLOSURE
4B
Descriptor
change
147
SI717V
VULVA, MALIGNANT CONDITION, RADICAL VULVECTOMY
+ GROIN + PELVIC NODE DISSECTION
6C Existing
148
SI718V
VULVA, MALIGNANT CONDITION, RADICAL WIDE
EXCISION (E.G. RADICAL WIDE LOCAL EXCISION,
RADICAL HEMI-VULVECTOMY) + GROIN DISSECTION
5C
Descriptor
change
149
SI719V
VULVA, MALIGNANT CONDITION, RADICAL WIDE LOCAL
EXCISION
3C
Descriptor
change
150
SI720V
VULVA/VAGINA, VARIOUS LESIONS, COLPOSCOPY AND
LASER VAPORISATION
1B Existing
151
SI800V VAGINA, ATRESIA, VAGINOPLASTY 4B Existing
152
SI801V VAGINA, ATRESIA/STENOSIS, DILATATION 1B Existing
153
SI802V
VAGINA, CYSTOCOELE, ANTERIOR REPAIR/KELLY'S
OPERATION
3B Existing
154
SI803V
VAGINA, ENTEROCOELE, REPAIR + VAGINAL VAULT
SUSPENSION (ABDOMINAL)
5A
Descriptor
change
155
SI804V VAGINA, FISTULA, REPAIR (COMPLICATED/MULTIPLE) 5A Existing
156
SI805V VAGINA, FISTULA, REPAIR (SIMPLE) 4A Existing
157
SI806V VAGINA, FOREIGN BODY, REMOVAL 1A Existing
158
SI807V VAGINA, INCARCERATED PESSARY, REMOVAL 2B Existing
SI – FEMALE GENITAL
74
159
SI808V
VAGINA, LACERATIONS (COMPLEX AND INVOLVING ANAL
SPHINCTER), REPAIR UNDER REGIONAL OR GENERAL
ANAESTHESIA (INCLUDING THOSE SUSTAINED DURING
DELIVERY)
2C
Descriptor
change
160
SI809V
VAGINA, LACERATIONS (SIMPLE),
DEBRIDEMENT/SUTURE (EXCLUDES EPISIOTOMY)
1C Existing
161
SI810V VAGINA, MALIGNANT CONDITION, VAGINECTOMY 4B Existing
162
SI811V VAGINA, PELVIC ABSCESS, COLPOTOMY AND DRAINAGE 2C Existing
163
SI812V VAGINA, PROLAPSE, COLPORRHAPHY 4A Existing
164
SI813V VAGINA, PROLAPSE, INSERTION OF PESSARY MSP Existing
165
SI814V VAGINA, PROLAPSE, OBLITERATION (COLPOCLEISIS) 3B Existing
166
SI815V VAGINA, RECTOCOELE, POSTERIOR REPAIR 2C Existing
167
SI816V
VAGINA, SIMPLE TUMOR/GARTNER'S CYST, REMOVAL
WITH BIOPSY
2B Existing
168
SI817V
VAGINA, STRESS INCONTINENCE, KELLY'S OPERATION
+/- ANTERIOR REPAIR.
3C Existing
169
SI818V
VAGINA, STRESS INCONTINENCE, ABDOMINAL
/COMBINED ABDOMINOVAGINAL SLING OPERATIONS (
EG. WATKINS INTERPOSITION, ALDRIDGE SLING AND
OTHER PUBOVAGINAL SLING OPERATIONS) +/-
CYSTOSCOPY
4B Existing
170
SI819V VAGINA, VARIOUS LESIONS, BIOPSY 1A Existing
171
SI820V VULVA, ABSCESS, INCISION 1B Existing
172
SI821V
VULVA, ATRESIA/ABSENCE, DETACHMENT OF SKIN
PEDICLE AFTER VAGINOPLASTY
2B Existing
173
SI822V
VULVA, BARTHOLIN CYST, EXCISION WITH/WITHOUT USE
OF LASER
2B Existing
174
SI823V
VULVA, BARTHOLIN CYST, INCISION/MARSUPIALIZATION
WITH OR WITHOUT USE OF LASER
1B Existing
175
SI824V VULVA, CHRONIC DYSTROPHY, BIOPSY MSP Existing
176
SI825V
VULVA, HEMATOMA, EVACUATION > 5CM
(COMPLICATED/MORE THAN 1)
2A Existing
177
SI826V VULVA, HEMATOMA, EVACUATION <5CM (SIMPLE) 1A Existing
178
SI827V VULVA, IMPERFORATE HYMEN, HYMENECTOMY 1B Existing
179
SI828V VULVA, LABIAL ABNORMALITY, LABIOPLASTY 1B Existing
180
SI829V
VULVA, LACERATION, DEBRIDEMENT/SUTURE >5CM
(COMPLICATED/ MORE THAN 1)
1C Existing
181
SI830V
VULVA, LACERATION, DEBRIDEMENT/SUTURE <5CM
(SIMPLE)
MSP Existing
182
SI831V
VULVA, MALIGNANT CONDITION, RADICAL VULVECTOMY
WITH GROIN DISSECTION AND WITH OR WITHOUT SKIN
FLAP CLOSURE
6B Existing
183
SI832V
VULVA, MALIGNANT CONDITION, RADICAL VULVECTOMY
WITH SKIN FLAP CLOSURE
5A
Descriptor
change
184
SI833V
VULVA, SEBACEOUS CYST/EPITHELIALCYST ETC,
EXICISION
MSP Existing
185
SI834V VULVA, TIGHT INTROITUS, FENTON'S OPERATION 1C Existing
186
SI835V VULVA, WARTS, LASER VAPORISATION 1B Existing
187
SP819U
UTERUS, GRAVID, EVACUATION (COMPLICATED) 2B Existing
188
SP820U
UTERUS, GRAVID, EVACUATION (SIMPLE) 2A Existing
189
SP832U
UTERUS, PREGNANCY AND MULTIPARITY,
UNCOMPLICATED CAESAREAN SECTION AND TUBAL
LIGATION
4B Existing
SI – FEMALE GENITAL
75
190
SP833U
UTERUS, PREGNANCY, COMPLICATED VAGINAL
DELIVERY (E.G TWINS, BREECH, INSTRUMENTAL
DELIVERY, VBAC)
3A
Descriptor
change
191
SP834U
UTERUS, PREGNANCY, UNCOMPLICATED CAESAREAN
SECTION
4A Existing
192
SP835U
UTERUS, PREGNANCY, CAESAREAN SECTION WITH
HYSTERECTOMY
5C Existing
193
SP836U
UTERUS, PREGNANCY, VAGINAL DELIVERY (WITH OR
WITHOUT EPISIOTOMY REPAIR)
2B Existing
194
SP844U
UTERUS, PREGNANCY, COMPLICATED CAESAREAN
SECTION (SEE FOOTNOTE FOR DEFINITION OF
'COMPLICATED'
12
)
4B Existing
195
SP845U
UTERUS, PREGNANCY AND MULTIPARITY, COMPLICATED
CAESAREAN SECTION AND TUBAL LIGATION (SEE
FOOTNOTE FOR DEFINITION OF 'COMPLICATED')
4C Existing
12
‘complicated’ refers to the following list of conditions:
1. Abnormally invasive placenta
2. Massive PPH >1.5 L
3. Transverse lie
4. Second stage Caesarean section
5. Multiple gestation
6. Placenta praevia
7. Caesarean section in women with BMI>30
8. Preterm Caesarean section <34 weeks
9. Abruptio placenta
10. All crash Caesarean section
11. Two or more previous Caesarean section
12. Previous myomectomy with adhesions
13. Fibroids in the lower segment limiting access to the lower
segment
14. Abnormal uterus e.g. Didelphys
SJ – ENDOCRINE
76
S/N
Code
Description
Table
Classification
1 SJ700A
ADRENAL, VARIOUS LESIONS, ADRENAL VENOUS
SAMPLING
3B Existing
2 SJ800A
ADRENALS, VARIOUS LESIONS, BIOPSY/EXCISION 6B
Descriptor
change
3 SJ701P
PITUITARY, VARIOUS LESIONS,
TRANSPHENOIDAL/TRANSEPTAL EXCISION
WITH/WITHOUT GRAFTING
6B
Descriptor
change
4 SJ800P
PARATHYROID, VARIOUS LESIONS, EXCISION 5C Existing
5 SJ801P
PARATHYROID, VARIOUS LESIONS, RE EXPLORATION 6B Existing
6 SJ700T THYROID, VARIOUS LESIONS, NEEDLE BIOPSY MSP Existing
7 SJ701T
THYROID, VARIOUS LESIONS, IMAGING GUIDED
PERCUTANEOUS ASPIRATION/BIOPSY
1B Existing
8 SJ702T
THYROID, VARIOUS LESIONS, TOTAL THYROIDECTOMY,
COMPLEX (RECURRENCE), WITH/WITHOUT STERNAL
SPLIT
6A Existing
9 SJ703T
THYROID, VARIOUS LESIONS, TOTAL/SUBTOTAL
THYROIDECTOMY WITH NECK DISSECTION (BILATERAL)
6C Existing
10 SJ704T
THYROID, BENIGN, SINGLE/MULTIPLE NODULE, IMAGING
GUIDED PERCUTANEOUS LOCAL ABLATION (ETHANOL,
LASER MICROWAVE, RADIOFREQUENCY)
13
3B New
11 SJ800T THYROGLOSSAL DUCT, CYST FISTULA, EXCISION 3B Existing
12 SJ801T THYROID, TUMOR, EXCISION 3B Existing
13 SJ802T
THYROID, VARIOUS LESIONS,
HEMITHYROIDECTOMY/PARTIAL THYROIDECTOMY
4A Existing
14 SJ803T
THYROID, VARIOUS LESIONS, TOTAL/SUBTOTAL
THYROIDECTOMY
5C Existing
15 SJ804T
THYROID, VARIOUS LESIONS, TOTAL/SUBTOTAL
THYROIDECTOMY WITH NECK DISSECTION (UNILATERAL)
6A Existing
13
Only clinically indicated for benign nodules with symptoms. Cosmetic indications are not allowed.
SK – NERVOUS
77
S/N
Code
Description
Table
Classification
1 SK700A
ARTERY, CAROTICO-CAVERNOUS FISTULA,
EMBOLISATION
6B Existing
2 SK701A
ARTERY, EXTRACRANIAL, VARIOUS LESIONS, BALLOON
TEST OCCLUSION
3B Existing
3 SK702A
ARTERY, EXTRACRANIAL, VARIOUS LESIONS,
DIAGNOSTIC EXTRACRANIAL ANGIOGRAPHY
3A Existing
4 SK703A ARTERY, EXTRACRANIAL, VARIOUS LESIONS, INFUSION 3C Existing
5 SK704A
ARTERY, EXTRACRANIAL, VARIOUS LESIONS,
PERCUTANEOUS TRANSCATHETER EMBOLIZATION
4B Existing
6 SK705A
ARTERY, EXTRACRANIAL, VARIOUS LESIONS,
PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY
4A Existing
7 SK706A ARTERY, EXTRACRANIAL, VARIOUS LESIONS, STENTING 4B Existing
8 SK707A
ARTERY, INTRACRANIAL, ANEURYSM/ARTERIO-VENOUS
MALFORMATION, EMBOLISATION
6B Existing
9 SK708A
ARTERY, INTRACRANIAL, THROMBOSIS, PERCUTANEOUS
CATHETER DIRECTED THROMBOLYSIS/THROMBECTOMY
6B Existing
10 SK709A
ARTERY, INTRACRANIAL, TUMOUR, PERCUTANEOUS
TRANSCATHETER EMBOLIZATION
4B Existing
11 SK710A
ARTERY, INTRACRANIAL, VARIOUS LESIONS,
DIAGNOSTIC CEREBRAL ANGIOGRAPHY
3A Existing
12 SK711A
ARTERY, INTRACRANIAL, VARIOUS LESIONS,
PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY
6A Existing
13 SK712A ARTERY, INTRACRANIAL, VARIOUS LESIONS, STENTING 6B Existing
14 SK713A
ARTERY, SPINAL, ANEURYSM/ARTERIO-VENOUS
MALFORMATION, EMBOLISATION
6B Existing
15 SK714A
ARTERY, SPINAL, TUMOUR, PERCUTANEOUS
TRANSCATHETER EMBOLIZATION
4B Existing
16 SK715A
ARTERY, SPINAL, VARIOUS LESIONS, DIAGNOSTIC
ANGIOGRAPHY
3B Existing
17 SK716A ARTERY-CAROTID, ANEURYSM-REPAIR/GRAFTING 7B Existing
18 SK717A
ARTERY-CAROTID, ARTERIO-OCCLUSIVE LESIONS,
EXTERNAL CAROTID INTERNAL CAROTID BYPASS,
COMPLEX
7A Existing
19 SK800A ARTERY, ARTERIO-VENOUS FISTULA, LIGATION 2A Existing
20 SK801A
ARTERY-CAROTID, ARTERIO-OCCLUSIVE LESIONS,
EXTERNAL CAROTID INTERNAL CAROTID BYPASS,
SIMPLE
6B Existing
21 SK802A
ARTERY-CAROTID, ATHEROSCLEROSIS, CAROTID
ENDARTERECTOMY
6B Existing
22 SK803A ARTERY-CAROTID, CAROTID BODY TUMOR, EXCISION 6C Existing
23 SK700B
BRAIN, ACOUSTIC TUMOR/CEREBELLO-PONTINE ANGLE
TUMOR, EXCISION, COMPLEX
7C Existing
24 SK701B
BRAIN, ANEURYSM/ARTERIO-VENOUS MALFORMATION,
CLIPPING/EXCISION, COMPLEX
7A Existing
25 SK702B
BRAIN, CORTICAL STIMULATION/MAPPING FOR
FUNCTIONAL NEUROSURGERY
7A Existing
26 SK703B BRAIN, DEEP BRAIN STIMULATION, BILATERAL 7C Existing
27 SK704B BRAIN, DEEP BRAIN STIMULATION, UNILATERAL 7A Existing
28 SK705B
BRAIN, EPILEPSY, CRANIOTOMY, COMPLEX (AWAKE
CRANIOTOMY)
7A Existing
29 SK706B
BRAIN, HYDROCEPHALUS AND OTHER LESIONS,
VENTRICULOATRIAL/VENTRICULOPERITONEAL SHUNT,
BILATERAL
4C Existing
SK – NERVOUS
78
30 SK707B
BRAIN, HYDROCEPHALUS, EXTERNAL VENTRICULAR
DRAINAGE, BILATERAL
4A Existing
31 SK708B
BRAIN, INTRACEREBRAL TUMOR, BIOPSY AND/OR
DECOMPRESSION/REMOVAL VIA CRANIOTOMY,
COMPLEX
7A Existing
32 SK709B
BRAIN, INTRACRANIAL EXTRACEREBRAL TUMOR,
CRANIOTOMY & REMOVAL, COMPLEX
7A Existing
33 SK710B
BRAIN, INTRACRANIAL EXTRACEREBRAL TUMOR,
CRANIOTOMY/HEMISPHERECTOMY
6B Existing
34 SK711B
BRAIN, VARIOUS LESIONS,
PALLIDOTOMY/THALAMOTOMY/OTHER STEREOTACTIC
PROCEDURE - BILATERAL
6A Existing
35 SK712B
BRAIN/SPINE ENDOSCOPIC CSF (CEREBROSPINAL FLUID
LEAK) LEAK REPAIR
6B Existing
36 SK800B BRAIN AND SPINE, ARACHNOIDAL CYST, OPERATION 6B Existing
37 SK801B
BRAIN, ACOUSTIC TUMOR/CEREBELLO-PONTINE ANGLE
TUMOR, EXCISION, SIMPLE
7A Existing
38 SK802B
BRAIN, ANEURYSM/ARTERIO-VENOUS MALFORMATION,
CLIPPING/EXCISION, SIMPLE
6C Existing
39 SK803B
BRAIN, CAROTICO-CAVERNOUS FISTULA,
EXTRACRANIAL AND INTRACRANIAL TRAPPING
7B Existing
40 SK804B BRAIN, EPILEPSY, CRANIOTOMY, SIMPLE 6B Existing
41 SK805B
BRAIN, HYDROCEPHALUS AND OTHER LESIONS,
VENTRICULOATRIAL/VENTRICULOPERITONEAL SHUNT
4A Existing
42 SK806B
BRAIN, HYDROCEPHALUS, EXTERNAL VENTRICULAR
DRAINAGE, UNILATERAL
3B Existing
43 SK807B
BRAIN, HYDROCEPHALUS, REVISION/REMOVAL OF
SHUNT
4A Existing
44 SK808B BRAIN, HYDROCEPHALUS, SPINO-PERITONEAL SHUNT 4A Existing
45 SK809B BRAIN, HYDROCEPHALUS, THIRD VENTRICULOSTOMY 6A Existing
46 SK810B
BRAIN, INTRACEREBRAL TUMOR, BIOPSY AND/OR
DECOMPRESSION/REMOVAL VIA CRANIOTOMY, SIMPLE
6B Existing
47 SK811B
BRAIN, INTRACRANIAL ABSCESS, CRANIECTOMY AND
DRAINAGE
6A Existing
48 SK812B
BRAIN, INTRACRANIAL ABSCESS, DRAINAGE VIA BURR-
HOLE
4A Existing
49 SK813B BRAIN, INTRACRANIAL ABSCESS, EXCISION 6B Existing
50 SK814B
BRAIN, INTRACRANIAL EXTRACEREBRAL TUMOR,
CRANIOTOMY & REMOVAL, SIMPLE
6B Existing
51 SK815B
BRAIN, INTRACRANIAL TUMOR/INTRACRANIAL CYST,
BIOPSY/DRAINAGE VIA BURR-HOLE
5C Existing
52 SK816B
BRAIN, TUMOR, VENTRICULAR PUNCTURE THROUGH
BURR-HOLE
4C Existing
53 SK817B
BRAIN, VARIOUS LESIONS,
PALLIDOTOMY/THALAMOTOMY/OTHER STEREOTACTIC
PROCEDURE - UNILATERAL
6A Existing
54 SK818B
BRAIN, VARIOUS LESIONS, INSERTION OF OMMAYA
RESERVOIR
4A Existing
55 SK700C BRACHIAL PLEXUS, BLOCK, CATHETER 1C Existing
56 SK701C BRACHIAL PLEXUS, BLOCK, NO CATHETER 1B Existing
57 SK703C BRACHIAL PLEXUS, EXPLORATION AND NEUROLYSIS 7B Existing
58 SK703E
ELECTROCONVULSIVE THERAPY, WITH OR WITHOUT
THE USE OF STIMULUS DOSING TECHNIQUES,
INCLUDING ANY NECESSARY MONITORING
1A Uptable
SK – NERVOUS
79
59 SK759E
EXAMINATION UNDER ANAESTHESIA (GENERAL OR
REGIONAL) WITHOUT OTHER SURGICAL PROCEDURES
14
1A Existing
60 SK700F FACIAL, TRIGEMINAL GANGLION BLOCK, ANAESTHETIC 3A Existing
61 SK701F FACIAL, TRIGEMINAL NERVE BLOCK, NEUROLYTIC 2A Existing
62 SK702F FACIAL, TRIGEMINAL GANGLION BLOCK, NEUROLYTIC 3C Existing
63 SK703F FACIAL, TRIGEMINAL NERVE BLOCK, ANAESTHETIC 1B Existing
64 SK700L
SYMPATHETIC NERVES, BLOCK, CATHETER
(UNILATERAL/BILATERAL)
2B Existing
65 SK701L LUMBAR PLEXUS, BLOCK, CATHETER 1C Existing
66 SK702L LUMBAR PLEXUS, BLOCK, NO CATHETER 1B Existing
67 SK703L
SYMPATHETIC NERVES, BLOCK, ANAESTHETIC
(UNILATERAL/BILATERAL)
1B Existing
68 SK704L
SYMPATHETIC NERVES, BLOCK, NEUROLYTIC
(UNILATERAL/BILATERAL)
2A Existing
69 SK800M
MENINGES, MYELOMENINGOCELE, EXCISION OF SAC 6A Existing
70 SK801M
MENINGES, MYELOMENINGOCELE, EXTENSIVE REPAIR
WITH SKIN FLAPS/Z-PLASTY
6B Existing
71 SK700N
NERVE ROOT, BLOCK (INJECTION OF ANAESTHETIC,
THERAPEUTIC SUBSTANCE) - CERVICAL, > 1 LEVEL
2B Existing
72 SK701N
NERVE ROOT, BLOCK (INJECTION OF ANAESTHETIC,
THERAPEUTIC SUBSTANCE) - CERVICAL, 1 LEVEL
2A Existing
73 SK704N COELIAC PLEXUS, BLOCK, ANAESTHETIC 2A Existing
74 SK706N COELIAC PLEXUS, BLOCK, NEUROLYTIC 2B Existing
75 SK707N
NERVE (OROFACIAL), DEFECT, GRAFT (MULTIPLE) USING
MICROSURGICAL TECHNIQUES (INCLUDE HARVESTING)
6A Existing
76 SK708N
NERVE (OROFACIAL), DEFECT, GRAFT (SINGLE)/NERVE
SHARE, USING MICROSURGICAL TECHNIQUES (INCLUDE
HARVESTING)
5A Existing
77 SK709N
NERVE (OROFACIAL), INJURY, DECOMPRESSION
(MULTIPLE/SINGLE INTRAOSSEOUS)
4A Existing
78 SK710N
NERVE (OROFACIAL), INJURY, DECOMPRESSION
(SINGLE)
3A Existing
79 SK711N
NERVE (OROFACIAL), INJURY, MICROSURGICAL REPAIR
(MULTIPLE/ SINGLE INTRAOSSEOUS)
5A Existing
80 SK712N
NERVE (OROFACIAL), INJURY, MICROSURGICAL REPAIR
(SINGLE)
4A Existing
81 SK713N
NERVE (LOWER LIMB), DISRUPTION, MAJOR
RECONSTRUCTION WITH REPAIR AND/OR
NEUROVASCULAR TRANSFER
6B Existing
82 SK714N
NERVE (LOWER LIMB), DISRUPTION, MAJOR REPAIR
(SINGLE)
4A Existing
83 SK715N
NERVE (LOWER LIMB), ENTRAPMENT SYNDROME,
DECOMPRESSION
3C Existing
84 SK716N
NERVE (UPPER LIMB), CARPAL TUNNEL SYNDROME,
RELEASE, BILATERAL, (WITH ENDONEUROLYSIS)
4A Existing
85 SK717N
NERVE (UPPER LIMB), CARPAL TUNNEL SYNDROME,
RELEASE, UNILATERAL, (WITH ENDONEUROLYSIS)
3A Existing
86 SK718N NERVE DEFECT, PERIPHERAL GRAFT (MICROSURGERY) 5C Existing
87 SK719N
NERVE (UPPER LIMB), DEFECT, GRAFT (SINGLE) USING
MICROSURGICAL TECHNIQUES
4B Existing
14
In a dental setting, if a dentist determines that the procedure requires anaesthesia due to uncooperative paediatric
patients, or paediatric patients who have special needs, the dentist should refer the case to a specialist/paediatric dentist
for assessment if the procedure requires general anaesthesia.
SK – NERVOUS
80
88 SK720N
NERVE (UPPER LIMB), DEFECT,
GRAFTING/INTERFASCICULAR REPAIR/NEUROVASCULAR
TRANSFER
6B Existing
89 SK721N
NERVE (UPPER LIMB), ENTRAPMENT SYNDROME
(OTHERS), DECOMPRESSION (BILATERAL)
3C Existing
90 SK722N
NERVE (UPPER LIMB), ENTRAPMENT SYNDROME
(OTHERS), DECOMPRESSION (UNILATERAL)
3A Existing
91 SK724N
NERVE (UPPER LIMB), GUYON'S TUNNEL SYNDROME,
RELEASE (BILATERAL WITH ENDONEUROLYSIS)
4A Existing
92 SK725N
NERVE (UPPER LIMB), GUYON'S TUNNEL SYNDROME,
RELEASE (UNILATERAL)
3A Existing
93 SK726N
NERVE (UPPER LIMB)-MAJOR, INJURY, MICROSURGICAL
REPAIR (MULTIPLE)
5C Existing
94 SK727N
NERVE (UPPER LIMB)-MAJOR, INJURY, MICROSURGICAL
REPAIR (SINGLE)
4B Existing
95 SK729N
NERVE ROOTS, DORSAL ROOT GANGLION,
ANAESTHETIC, MORE THAN TWO
3C Existing
96 SK730N
NERVE ROOTS, DORSAL ROOT GANGLION,
ANAESTHETIC, ONE TO TWO
2B Existing
97 SK731N
NERVE ROOTS, DORSAL ROOT GANGLION, PULSED
RADIOFREQUENCY, NEUROLYTIC, MORE THAN TWO
3B
Downtable,
Descriptor
change
98 SK732N
NERVE ROOTS, DORSAL ROOT GANGLION, PULSED
RADIOFREQUENCY, NEUROLYTIC, ONE TO TWO
3A
Downtable,
Descriptor
change
99 SK733N
PERIPHERAL NERVE, BLOCK, ANAESTHETIC (UP TO 2
NERVES)
1A Existing
100
SK735N
PERIPHERAL NERVE, BLOCK, ANAESTHETIC (MORE
THAN 2 NERVES)
1C Existing
101
SK736N
PERIPHERAL NERVE, BLOCK, NEUROLYTIC (UP TO 2
NERVES)
1B Existing
102
SK737N
NERVE ROOT, BLOCK (INJECTION OF ANAESTHETIC,
THERAPEUTIC SUBSTANCE), LUMBAR/THORACIC, > 1
LEVEL
2A Existing
103
SK738N
NERVE ROOT, BLOCK (INJECTION OF ANAESTHETIC,
THERAPEUTIC SUBSTANCE), LUMBAR/THORACIC, 1
LEVEL
1C Existing
104
SK740N
PERIPHERAL NERVE, BLOCK, NEUROLYTIC (MORE THAN
2 NERVES)
2B Existing
105
SK741N NERVE, VAGUS NERVE STIMULATOR 6A Existing
106
SK742N
NEUROSTIMULATOR, INSERTION OF INTERNAL PULSE
GENERATOR, INVOLVES OPENING OF WOUND,
TUNNELING, OPENING OF POUCH FOR IPG & TESTING OF
SYSTEM
4B Existing
107
SK743N
NEUROSTIMULATOR, REVISION/REPLACEMENT OF
IMPLANTABLE PULSE GENERATOR (DOES NOT INVOLVE
TUNNELING)
3B Existing
108
SK744N
NERVE-DIGITAL, INJURY, MICROSURGICAL REPAIR
(MULTIPLE)
4B Existing
109
SK745N
NERVE-DIGITAL, INJURY, MICROSURGICAL REPAIR
(SINGLE)
2C Existing
110
SK746N
NERVE-FACIAL PARALYSIS, FREE FASCIA AND/OR NERVE
GRAFT (MICROSURGICAL – STAGE 1)
3B Existing
111
SK747N
NERVE-FACIAL PARALYSIS, FREE MUSCLE FLAP
(MICROSURGICAL – STAGE 2)
7B Existing
SK – NERVOUS
81
112
SK748N
NERVE-FACIAL PARALYSIS, FREE FASCIA SLING/GRAFT
(SINGLE/UNILATERAL)
3A Existing
113
SK749N NERVE-FACIAL PARALYSIS, LOCAL MUSCLE TRANSFER 5A Existing
114
SK758N
NERVE, FAECAL INCONTINENCE OR OTHER,
PERCUTANEOUS TIBIAL NERVE STIMULATION
1A Existing
115
SK800N NERVE, VARIOUS LESIONS, BIOPSY 1B Existing
116
SK801N
NERVE, VARIOUS LESIONS, PRIMARY/SECONDARY
SUTURE
4A Existing
117
SK802N
NERVE-CRANIAL, VARIOUS LESIONS, MICROVASCULAR
DECOMPRESSION/NEURECTOMY
6B Existing
118
SK803N NERVE-CUTANEOUS, INJURY, PRIMARY SUTURE 3B Existing
119
SK804N NERVE-DIGITAL, INJURY, PRIMARY REPAIR 2C Existing
120
SK805N
NERVE-FACIAL (MASTOID PORTION), ENTRAPMENT,
DECOMPRESSION
5C Existing
121
SK806N
NERVE-FACIAL, VARIOUS LESIONS, COMBINED MIDDLE
FOSA AND TRANSMASTOID FACIAL NERVE
DECOMPRESSION
7C Existing
122
SK807N NERVE-PERIPHERAL (DEEP), TUMOR, EXCISION 4A Existing
123
SK808N NERVE-PERIPHERAL (SUPERFICIAL), TUMOR, EXCISION 3A Existing
124
SK809N
NERVE-SYMPATHETIC, VARIOUS LESIONS,
SYMPATHECTOMY, WITH/WITHOUT VIDEO-ASSISTANCE,
BILATERAL
5A Existing
125
SK810N
NERVE-SYMPATHETIC, VARIOUS LESIONS,
SYMPATHECTOMY, WITH/WITHOUT VIDEO-ASSISTANCE,
UNILATERAL
4B Existing
126
SK811N
NERVE-TRIGEMINAL (GANGLION), NEUROLAGIA,
INJECTION WITH ALCOHOL/RADIOFREQUENCY
GANGLIONOTOMY, IMAGING GUIDED
4B Existing
127
SK812N NERVE, ULNAR, ENTRAPMENT, TRANSPOSITION 5A Existing
128
SK800P
BRACHIAL PLEXUS, EXPLORATION AND/OR
NEUROTISATION AND/OR MULTIPLE NERVE
GRAFTING/CROSSED NERVE TRANSFERS, AND/OR
THORACIC OUTLET DECOMPRESSION +/-
SCALENECTOMY
6B
Descriptor
change
129
SK701S SPINE, IMPLANTATION OF PORT E.G. PORT-A-CATH 2B Existing
130
SK702S
SPINE, FACET JOINT BLOCK (INJECTION OF
ANAESTHETIC OR THERAPEUTIC SUBSTANCE), UP TO 3
JOINTS
2B Existing
131
SK703S
SPINE, FACET JOINT BLOCK (INJECTION OF
ANAESTHETIC OR THERAPEUTIC
SUBSTANCE), MORE THAN 3 JOINTS
2C Existing
132
SK704S
SPINE, FACET JOINT, RADIOFREQUENCY, UP TO 3
JOINTS
3C Existing
133
SK705S
SPINE, FACET JOINT, RADIOFREQUENCY, MORE THAN 3
JOINTS
4A Existing
134
SK706S
SACRAL ROOT BLOCK, NEUROLYTIC, RADIOFREQUENCY,
IMAGING GUIDED, UP TO 2
2C Existing
135
SK707S
SACRAL ROOT BLOCK, NEUROLYTIC, RADIOFREQUENCY,
IMAGING GUIDED, MORE THAN 2
4A Existing
136
SK709S SACRUM, GANGLION IMPAR, BLOCK, ANAESTHETIC 3A Existing
137
SK710S SCIATIC NERVE, BLOCK 1A Existing
138
SK711S
PARAVERTEBRAL REGION, BLOCK, ANAESTHETIC (MORE
THAN 2 LEVELS)
2A Existing
139
SK714S
PARAVERTEBRAL REGION, BLOCK, ANAESTHETIC (UP TO
2 LEVELS)
1B Existing
SK – NERVOUS
82
140
SK715S SACRO-ILIAC JOINT, RADIOFREQUENCY, BILATERAL 4A Existing
141
SK716S
SACRO-ILIAC JOINT, SACROILIAC JOINT BLOCK
(INJECTION OF ANAESTHETIC, THERAPEUTIC
SUBSTANCE), BILATERAL
2B Existing
142
SK717S
SACRO-ILIAC JOINT, SACROILIAC JOINT BLOCK
(INJECTION OF ANAESTHETIC, THERAPEUTIC
SUBSTANCE), UNILATERAL
1B Existing
143
SK718S SACRO-ILIAC JOINT, RADIOFREQUENCY, UNILATERAL 3A Existing
144
SK719S
SKULL, CRANIOSTENOSIS, OPERATION, CRANIOFACIAL
RECONSTRUCTION
7A Existing
145
SK720S
SKULL, INTRACRANIAL HEMORRHAGE, OSTEOPLASTIC
CRANIOTOMY/EXTENSIVE CRANIECTOMY, BILATERAL
6A Existing
146
SK721S
SKULL, BURR HOLE, INSERTION OF INTRACRANIAL
PRESSURE (ICP) MONITOR
3B Existing
147
SK722S
SKULL, CHIARI MALFORMATION/SYRINGOMYELIA,
POSTERIOR FOSSA DECOMPRESSION WITH
DURAPLASTY
7A Existing
148
SK723S SPHENOPALATINE GANGLION - BLOCK, NEUROLYTIC 3C Existing
149
SK724S SPINAL CORD, STIMULATION/MODULATION 5C
Descriptor
change
150
SK726S
SPINAL CORD, TUMOURS, LAMINECTOMY AND EXCISION
(EXTRADURAL)
6B Existing
151
SK727S
SPINAL CORD, TUMOURS, LAMINECTOMY AND EXCISION
(INTRADURAL EXTRAMEDULLARY)
6C Existing
152
SK728S
SPINAL CORD, TUMOURS, LAMINECTOMY AND EXCISION
(INTRADURAL INTRAMEDULLARY)
7A Existing
153
SK729S SPINAL- IMPLANT OF ELECTRICAL PUMP DEVICE 5C Existing
154
SK730S
SPINAL/EPIDURAL REMOVAL, REVISION OF IMPLANTED
RESERVOIR DEVICE (E.G. PAR)
2C Existing
155
SK731S
SPINE, THORACIC/LUMBAR, EPIDURAL ADHESIOLYSIS,
MULTIPLE CATHETER
3C Existing
156
SK732S
SPINE, CERVICAL, EPIDURAL ADHESIOLYSIS, SINGLE
CATHETER
4B Existing
157
SK733S
SPINE, THORACIC/LUMBAR, EPIDURAL ADHESIOLYSIS,
SINGLE CATHETER
3B Existing
158
SK734S SPINAL/EPIDURAL, EPIDUROSCOPY 2A Existing
159
SK735S
SACRUM, GANGLION IMPAR, BLOCK, RADIOFREQUENCY,
NEUROLYTIC
3C Existing
160
SK737S
SPINE, PERCUTANEOUS IMPLANT OF SPINAL CORD
STIMULATOR, (TRIAL), SINGLE LEAD
3B Existing
161
SK738S
SPINE, PERCUTANEOUS IMPLANT OF SPINAL CORD
STIMULATOR, (TRIAL), DOUBLE LEADS
3C Existing
162
SK739S
SPINE, REMOVAL OF SPINAL CORD STIMULATOR
ELECTRICAL GENERATOR
3A Existing
163
SK740S
SPINE, REPLACEMENT OF COMPUTERIZED RESERVOIR
DEVICE (E.G. SYNCHROMED)
3B Existing
164
SK741S
SPINE, REPLACEMENT OF SPINAL CORD STIMULATOR,
ELECTRICAL GENERATOR
3B Existing
165
SK747S
SPINE, VARIOUS LESIONS, SYRINGO-
ARACHNOID/PLEURAL/PERITONEAL SHUNT
6A Existing
166
SK752S SPLANCHNIC NERVES, BLOCK, ANAESTHETIC 2B Existing
167
SK753S SPLANCHNIC NERVES, BLOCK, NEUROLYTIC 2C Existing
168
SK754S STELLATE GANGLION, BLOCK, ANAESTHETIC 1B Existing
169
SK756S STELLATE GANGLION, BLOCK, NEUROLYTIC 2B Existing
SK – NERVOUS
83
170
SK757S
SUPERIOR HYPOGASTRIC PLEXUS, VARIOUS LESIONS,
IMAGING GUIDED INJECTION OF ANAESTHETIC
2B Existing
171
SK758S
SUPERIOR HYPOGASTRIC PLEXUS, VARIOUS LESIONS,
IMAGING GUIDED INJECTION OF NEUROLYTIC,
RADIOFREQUENCY
3B Existing
172
SK759S
SPINE, CERVICAL/THORACIC, INJECTION, EPIDURAL,
WITHOUT OTHER PROCEDURES
1C Existing
173
SK760S
SPINE, LUMBAR/SACRAL/CAUDAL, INJECTION, EPIDURAL,
WITHOUT OTHER PROCEDURES
1A Existing
174
SK761S
SPINE, CERVICAL/THORACIC, INJECTION, INTRATHECAL
WITHOUT OTHER PROCEDURES
2B Existing
175
SK762S
SPINE, LUMBAR/SACRAL/CAUDAL, INJECTION,
INTRATHECAL WITHOUT OTHER PROCEDURES
2A Existing
176
SK763S
SPINE, CERVICAL, EPIDURAL ADHESIOLYSIS, MULTIPLE
CATHETER
4C Existing
177
SK764S SPHENOPALATINE GANGLION, BLOCK, ANAESTHETIC 3B Existing
178
SK765S SPINE, LUMBAR/SACRAL/CAUDAL, INFUSION, EPIDURAL 1C New
179
SK800S
SKULL, COMPOUND FRACTURE WITH DURAL
PENETRATION AND BRAIN DAMAGE, OPERATION
6B Existing
180
SK801S
SKULL, COMPOUND FRACTURE WITHOUT DURAL
PENETRATION, OPERATION
5C Existing
181
SK802S
SKULL, CRANIOSTENOSIS (MULTIPLE SUTURE),
OPERATION
6B Existing
182
SK803S SKULL, CRANIOSTENOSIS (SINGLE SUTURE), OPERATION 6A Existing
183
SK804S SKULL, DEFECT, CRANIOPLASTY (LARGE) 5C Existing
184
SK805S SKULL, DEFECT, CRANIOPLASTY (SMALL) 5A Existing
185
SK806S
SKULL, DEPRESSED/COMMINUTED FRACTURE,
ELEVATION
5C Existing
186
SK807S
SKULL, FRACTURE WITH RHINORRHOEA/OTORRHOEA,
CRANIOPLASTY AND REPAIR
6B Existing
187
SK808S
SKULL, INTRACRANIAL HEMORRHAGE, BURR-HOLE
CRANIOTOMY, BILATERAL
5A Existing
188
SK809S
SKULL, INTRACRANIAL HEMORRHAGE, BURR-HOLE
CRANIOTOMY, (UNILATERAL)
4A Existing
189
SK810S
SKULL, INTRACRANIAL HEMORRHAGE, OSTEOPLASTIC
CRANIOTOMY/EXTENSIVE CRANIECTOMY, UNILATERAL
5C Existing
190
SK811S SKULL, OSTEOMYELITIS, CRANIECTOMY 5C Existing
191
SK812S
SPINAL CORD, ANEURYSM/ARTERIO-VENOUS
MALFORMATION CLIPPING/ EXCISION
7A Existing
192
SK700T
INTERCOSTAL NERVE, BLOCK, ANAESTHETIC (MORE
THAN 3 LEVELS)
1C Existing
193
SK701T
INTERCOSTAL NERVE, BLOCK, ANAESTHETIC (UP TO 3
LEVELS)
1B Existing
194
SK702T
INTERCOSTAL NERVE, BLOCK, NEUROLYTIC (UP TO 3
LEVELS)
2A Existing
195
SK703T INTERPLEURAL SPACE, BLOCK, CATHETER 1C Existing
196
SK704T INTERPLEURAL SPACE, BLOCK, NO CATHETER 1B Existing
197
SK705T
INTERCOSTAL NERVE, BLOCK, NEUROLYTIC (MORE
THAN 3 LEVELS)
2C Existing
198
SK700V VEIN, INTRAVENOUS, ANAESTHETIC MSP Existing
199
SK701V VEIN, INTRACRANIAL, VENOUS SAMPLING 3B Existing
200
SK702V VEIN, INTRAVENOUS SYMPATHETIC, BIER’S BLOCK 1B Existing
SL – EYE
84
S/N
Code
Description
Table
Classification
1 SL800A
ANTERIOR CHAMBER PARACENTESIS, IRRIGATION OR
REFORMATION
1B Existing
2 SL802A
ANTERIOR CHAMBER, VARIOUS LESIONS, VITREOUS
REMOVAL
3B Existing
3 SL700B BROW, BROWLIFT, ENDOSCOPIC, BILATERAL 5A Existing
4 SL701B
BROW, BROWLIFT, ENDOSCOPIC, BILATERAL WITH MID-
FACE LIFT
5C Existing
5 SL702B BROW, BROWLIFT, ENDOSCOPIC, UNILATERAL 4A Existing
6 SL703B BROW, DIRECT BROWPLASTY, BILATERAL 3C Existing
7 SL704B BROW, DIRECT BROWPLASTY, UNILATERAL 3A Existing
8 SL819B BIOPSY: CORNEAL, LIMBAL, ORAL, CONJUNCTIVA 1B Existing
9 SL700C CONJUNCTIVA, EXCISION OF PTERYGIUM, BARE SCLERA 1A Existing
10 SL701C
CONJUNCTIVA, PTERYGIUM, REMOVAL, COMPLEX
(RECURRENT, DOUBLE, SYMBLEPHARON), WITH OR
WITHOUT AMNIOTIC MEMBRANE TRANSPLANT
3B Existing
11 SL702C
CORNEA, ASTIGMATIC KERATOTOMY (WITH OR WITHOUT
LIMBAL RELAXING INCISIONS / GRAFT REFRACTIVE
SURGERY)
3A Existing
12 SL703C
CORNEA, DESCEMET'S MEMBRANE ENDOTHELIAL
KERATOPLASTY (DMEK)
6B Existing
13 SL704C
CORNEA, RIBOFLAVIN-UVA INDUCED COLLAGEN
CROSSLINKING TREATMENT FOR CORNEAL ECTASIA
(CXL-CROSSLINKING LASER/POST LASIK
KERATECTOMY/KERATITIS)
3B Existing
14 SL705C CORNEA/CONJUNCTIVA, GUNDERSON FLAP 3B Existing
15 SL706C
CORNEAL/OCULAR SURFACE, OSTEO-ODONTO-
KERATOPROSTHESIS STAGE 1
7C Existing
16 SL707C
CORNEAL/OCULAR SURFACE, OSTEO-ODONTO-
KERATOPROSTHESIS STAGE 2
5C Existing
17 SL708C CORNEA, FOREIGN BODY, REMOVAL MSP Existing
18 SL709C CORNEA, SUPERFICIAL KERATECTOMY 2A Existing
19 SL800C CONJUNCTIVA, LIMBIC TUMOR, REMOVAL 2C Existing
20 SL801C CONJUNCTIVA, NAEVUS, REMOVAL 1B Existing
21 SL802C CONJUNCTIVA, PINGUECULA, REMOVAL 1B Existing
22 SL803C
CONJUNCTIVA, PTERYGIUM, REMOVAL WITH
CONJUNCTIVAL GRAFT
3A Existing
23 SL804C
CORNEA, BAND KERATOPATHY, REMOVAL WITH
ETHYLENE DIAMINE TETRA-ACETIC ACID
2A Existing
24 SL805C CORNEA, DENDRITIC ULCER, EPITHELIAL DEBRIDEMENT MSP Existing
25 SL806C
CORNEA, VARIOUS LESIONS, KERATOPLASTY, COMPLEX
(TECTONIC, THERAPEUTIC, LAMELLAR, DESCEMET
STRIPPING AUTOMATED ENDOTHELIAL KERATOPLASTY)
6A Existing
26 SL807C
CORNEA, LACERATION, CONJUNCTIVAL GRAFT OVER
CORNEA
2C Existing
27 SL808C
CORNEA, LACERATION, CONJUNCTIVAL
PERITOMY/REPAIR BY CONJUNCTIVAL FLAP
2C Existing
28 SL809C
CORNEA, MYOPIA, PHOTOTHERAPEUTIC
KERATECTOMY/LASER IN-SITU KERATOMILEUSIS
3A Existing
29 SL810C
CORNEA, VARIOUS LESIONS, TRANSPLANTATION
(SUPERFICIAL/LAMELLAR/FULL THICKNESS)
5B Existing
30 SL811C
CORNEA, VARIOUS LESIONS, TRANSPLANTATION WITH
CATARACT EXTRACTION AND INTRA-OCULAR LENS
IMPLANTATION
6B Existing
SL – EYE
85
31 SL700E
EYE, GLAUCOMA, FILTERING AND ALLIED OPERATIONS
(INCLUDING TRABECULECTOMY / SCLERECTOMY) WITH
ANTI-METABOLITES
4A Existing
32 SL701E
EYE, GLAUCOMA, GONIOTOMY/TRABECULOTOMY
(BILATERAL)
5A Existing
33 SL702E
EYE, GLAUCOMA, GONIOTOMY/TRABECULOTOMY
(BILATERAL) - PAEDIATRIC
5A Existing
34 SL703E
EYE, GLAUCOMA, GONIOTOMY/TRABECULOTOMY
(UNILATERAL) - PAEDIATRIC
4A Existing
35 SL704E
EYE, GLAUCOMA, SELECTIVE LASER TRABECULOPLASTY
(BILATERAL)
2C Existing
36 SL705E
EYE, GLAUCOMA DRAINAGE IMPLANTS EG. AHMED VALVE
IMPLANT, MOLTENO IMPLANT , BAERVELDT TUBE SHUNT
5C Existing
37 SL706E EYE, GLAUCOMA, CYCLODESTRUCTIVE PROCEDURES 3B Existing
38 SL707E EYE, GLAUCOMA, GONIOSYNECHIOLYSIS 3B Existing
39 SL708E
EYE, SQUINT, COMPLEX STRABISMUS SURGERY (4 OR
MORE MUSCLES, TRANSPOSITION, MUSCLE SPLITTING)
5A Existing
40 SL709E
EYE, THERMAL PHOTOCOAGULATION OF CHOROIDAL
NEOVASCULARIZATION AND ALLIED CONDITIONS
3B Existing
41 SL710E
EYELIDS, NON-INVOLUTIONAL ENTROPION/ ECTROPION
CORRECTION (UNILATERAL)
3C Existing
42 SL711E
EYELIDS, NON-INVOLUTIONAL ECTROPION/ ENTROPION,
CORRECTION (BILATERAL)
4B Existing
43 SL712E EYE, MEDIAL CANTHAL RECONSTRUCTION, BILATERAL 3C Existing
44 SL713E EYE, MEDIAL CANTHAL RECONSTRUCTION, UNILATERAL 3A Existing
45 SL714E EYE, NEEDLING OF BLEBS WITH ANTI-METABOLITES 1A Existing
46 SL715E
EYE, SOCKET, COMPLEX ANOPHTHALMIC SOCKET
RECONSTRUCTION
5A Existing
47 SL716E
EYELID, PTOSIS, CONJUNCTIVAL MULLERECTOMY
(BILATERAL)
4B Existing
48 SL717E
EYELID, PTOSIS, CONJUNCTIVAL MULLERECTOMY
(UNILATERAL)
3B Existing
49 SL718E
EYELIDS, VARIOUS LESIONS, UPPER BLEPHAROPLASTY,
BILATERAL
3C Existing
50 SL719E
EYEBALL, ENUCLEATION WITH ACRYLIC & SCLERAL BALL
IMPLANT
4C Existing
51 SL720E EYELID LOWERING (GOLD WEIGHT IMPLANT), BILATERAL 3C Existing
52 SL721E
EYELID LOWERING (GOLD WEIGHT IMPLANT),
UNILATERAL
3A Existing
53 SL722E
EYELIDS, BOTOX INJECTIONS FOR BLEPHAROSPASM &
HEMIFACIAL SPASM
1C Existing
54 SL723E
EYELIDS, CHALAZION OR STYE EXCISION UNDER
GENERAL ANAESTHESIA
1A Existing
55 SL725E
EYELIDS, VARIOUS LESIONS, MAJOR RECONSTRUCTION,
INVOLVING ANTERIOR AND POSTERIOR LAMELLA AND
MORE THAN 1/3 LID
5B Existing
56 SL726E EYE, SQUINT, OPERATION (ONE/BOTH EYES - 2 MUSCLES) 3B Existing
57 SL800E
EYE, EXOPHTHALMOS DUE TO THYROTOXICOSIS,
RETRACTOR RECESSIONS (BILATERAL)
5A Existing
58 SL801E
EYE, EXOPHTHALMOS DUE TO THYROTOXICOSIS,
RETRACTOR RECESSIONS (UNILATERAL)
4A Existing
59 SL803E
EYE, GLAUCOMA, FILTERING AND ALLIED OPERATIONS
(INCLUDING TRABECULECTOMY / SCLERECTOMY)
3B Existing
60 SL804E
EYE, GLAUCOMA, GONIOTOMY/TRABECULOTOMY
(UNILATERAL)
4A Existing
SL – EYE
86
61 SL805E
EYE, GLAUCOMA, SELECTIVE LASER TRABECULOPLASTY
(UNILATERAL)
2A Existing
62 SL806E
EYE, INTRAOCULAR FOREIGN BODY, REMOVAL FROM
ANTERIOR SEGMENT
3A Existing
63 SL807E
EYE, INTRAOCULAR FOREIGN BODY, REMOVAL FROM
POSTERIOR SEGMENT
3B Existing
64 SL808E
EYE, PERFORATING WOUND (NOT INVOLVING
INTRAOCULAR STRUCTURES), REPAIR
2C Existing
65 SL809E
EYE, PERFORATING WOUND (WITH
INCARCERATION/PROLAPSE OF UVEAL
TISSUE/LENS/VITREOUS), REPAIR
3C Existing
66 SL810E
EYE, SQUINT, COMPLEX STRABISMUS SURGERY (VESSEL
SPARING SX, PARALYTIC AND RESTRICTIVE
STRABISMUS, HORIZONTAL COMBINED WITH
OBLIQUE/VERTICAL
4C Existing
67 SL811E
EYE, SQUINT, OPERATION (ONE/BOTH EYES - 3 MUSCLES
OR MORE)
4A Existing
68 SL812E
EYE, SQUINT, OPERATION (ONE/BOTH EYES -
ADJUSTABLE SUTURES)
4A Existing
69 SL813E
EYE, SQUINT, OPERATION (ONE/BOTH EYES -
TRANSPOSITION)
4A Existing
70 SL814E
ORBITAL, ENUCLEATION WITH INTEGRATED ORBITAL
IMPLANT
4A Existing
71 SL815E
EYE, VARIOUS LESIONS, ENUCLEATION WITHOUT
IMPLANT
3A Existing
72 SL816E EYE, VARIOUS LESIONS, EVISCERATION 2C Existing
73 SL818E
EYE, VARIOUS LESIONS, RESUTURING OF WOUND
FOLLOWING INTRAOCULAR PROCEDURES
2A Existing
74 SL819E EYE, VARIOUS LESIONS, RETROBULAR INJECTION MSP Existing
75 SL820E EYELIDS, CHALAZION CYST/STYE, EXCISION MSP Existing
76 SL821E
EYELIDS, ECTROPION, RETROPUNCTAL CAUTERY
MSP Existing
77 SL823E
EYELID, INVOLUTIONAL ENTROPION / ECTROPION
CORRECTION (UNILATERAL)
3B Existing
78 SL824E
EYELIDS, INVOLUTIONAL ECTROPION/ ENTROPION
CORRECTION (BILATERAL)
4A Existing
79 SL826E EYELIDS, ENTROPION, EVERTING SUTURES MSP Existing
80 SL827E EYELIDS, EXPOSURE, TARSORRHAPHY (PERMANENT) 1B Existing
81 SL828E EYELIDS, EXPOSURE, TARSORRHAPHY (TEMPORARY) 1A Existing
82 SL829E EYELIDS, FULL THICKNESS LACERATION, REPAIR 3A Existing
83 SL830E
EYELIDS, HEMANGIOMA, INTRA-LESION INJECTIONS
(FULL COURSE)
3A Existing
84 SL831E EYELIDS, PTOSIS, CORRECTION FASANELLA (BILATERAL) 4A Existing
85 SL832E
EYELIDS, PTOSIS, CORRECTION FASANELLA
(UNILATERAL)
3B Existing
86 SL833E
EYELIDS, PTOSIS, CORRECTION LEVATOR PALPEBRAE
SUPERIORIS RESECTION (BILATERAL)
5B Existing
87 SL834E
EYELIDS, PTOSIS, CORRECTION LEVATOR PALPEBRAE
SUPERIORIS RESECTION (UNILATERAL)
4B Existing
88 SL835E
EYELIDS, PTOSIS, CORRECTION WITH FASCIA LATA
GRAFT (BILATERAL)
5B Existing
89 SL836E
EYELIDS, PTOSIS, CORRECTION WITH FASCIA LATA
GRAFT (UNILATERAL)
4A Existing
90 SL839E EYELIDS, SIMPLE LACERATION, REPAIR 1B Existing
91 SL840E EYELIDS, STYE, INCISION MSP Existing
92 SL841E EYELIDS, TRICHIASIS, CRYOTHERAPY 1B Existing
SL – EYE
87
93 SL842E EYELIDS, TRICHIASIS, ELECTROLYSIS, EPILATION MSP Existing
94 SL843E
EYELIDS, TUMOR, EXCISION AND REPAIR WITH FULL
THICKNESS SKIN GRAFTING
3B Existing
95 SL844E
EYELIDS, TUMOR, EXCISION AND REPAIR WITH LOCAL
FLAP
4A Existing
96 SL845E EYELIDS, TUMOR, INCISIONAL BIOPSY MSP Existing
97 SL846E EYELIDS, TUMOR, SHAVING EXCISION 1A Existing
98 SL848E
EYELIDS, VARIOUS LESIONS, UPPER BLEPHAROPLASTY,
UNILATERAL
3A Existing
99 SL849E
EYELIDS, VARIOUS LESIONS, CANTHOPLASTY
(MEDIAL/LATERAL)
1C Existing
100
SL850E
EYELIDS, VARIOUS LESIONS, COMPOSITE GRAFT
(CHONDRO-CUTANEOUS/CHONDRO-MUCOSAL)
4A Existing
101
SL851E
EYELIDS, VARIOUS LESIONS, FULL THICKNESS WEDGE
RESECTION WITH REPAIR
3B Existing
102
SL852E
EYELIDS, VARIOUS LESIONS, MULTIPLE PLASTIC LID
PROCEDURES
5B Existing
103
SL853E
EYELIDS, VARIOUS LESIONS, RECONSTRUCTION USING
FULL THICKNESS FLAP
5A Existing
104
SL854E
EYELIDS, VARIOUS LESIONS, WHOLE THICKNESS
RECONSTRUCTION (OTHER THAN DIRECT SUTURE ONLY)
4A Existing
105
SL855E
EYE, GLAUCOMA, FILTERING AND ALLIED OPERATIONS
AND CATARACT SURGERY, WITH OR WITHOUT
INTRAOCULAR LENS IMPLANT
4B Existing
106
SL856E
EPISCLERAL PLAQUE BRACHYTHERAPY (INSERTION AND
REMOVAL)
6B New
107
SL700I IRIS RECONSTRUCTION / PUPILLOPLASTY 3A Existing
108
SL800I IRIS, TUMOR, EXCISION 3C Existing
109
SL801I IRIS, VARIOUS LESIONS, IRIDECTOMY/IRIDOTOMY 2C Existing
110
SL701L
LENS, CATARACT (PAEDIATRIC), EXTRACTION WITH
ANTERIOR VITRECTOMY
4B Existing
111
SL702L
LENS, CATARACT (PAEDIATRIC), EXTRACTION WITH
ANTERIOR VITRECTOMY - BILATERAL
5A Existing
112
SL703L
LENS, CATARACT (PAEDIATRIC), EXTRACTION WITH
ANTERIOR VITRECTOMY AND INTRAOCULAR LENS
IMPLANTATION
4C Existing
113
SL704L
LENS, CATARACT (PAEDIATRIC), EXTRACTION WITH
ANTERIOR VITRECTOMY AND INTRAOCULAR LENS
IMPLANTATION - BILATERAL
5B Existing
114
SL705L
LENS, COMBINED GLAUCOMA IMPLANTS WITH CATARACT
EXTRACTION (WITH OR WITHOUT INTRAOCULAR LENS
IMPLANTATION)
6A Existing
115
SL706L
LENS, COMPLICATED CATARACT EXTRACTION WITH
INTRAOCULAR LENS IMPLANT (CAPSULAR TENSION
RING/CAPSULAR TENSION SEGMENT/)
4C Existing
116
SL707L
LENS, IMPLANTATION OF POSTERIOR SEGMENT DRUG
DELIVERY DEVICE
4A Existing
117
SL708L
LENS, SECONDARY SCLERAL FIXATED INTRAOCULAR
LENS IMPLANTATION
5A Existing
118
SL709L LENS, SECTORIAL LASER PHOTOCOAGULATION 2C Existing
119
SL800L
LACRIMAL CANALICULUS REPAIR, VARIOUS LESIONS,
IMMEDIATE REPAIR
3B Existing
120
SL801L
LACRIMAL GLAND (LACRIMAL SAC), VARIOUS LESIONS,
EXCISION
3B Existing
SL – EYE
88
121
SL802L
LACRIMAL GLAND (PUNCTUM), VARIOUS LESIONS, SNIP
OPERATION
2C Existing
122
SL803L
LACRIMAL GLAND, OBSTRUCTION, PROBING ONE/BOTH
DUCTS
1B Existing
123
SL804L
LACRIMAL GLAND/DUCT, VARIOUS LESIONS,
DACROCYSTORHINOSTOMY (ENDOSCOPIC/NON-
ENDOSCOPIC) OR CONJUNCTIVAL-DCR (LESTER JONES
TUBE)
5C Existing
124
SL806L LENS, CATARACT (JUVENILE), REMOVAL AND NEEDLINGS 3B Existing
125
SL807L
LENS, CATARACT, EXTRACTION WITH INTRA-OCULAR
LENS IMPLANT (BILATERAL)
5A Existing
126
SL808L
LENS, CATARACT, EXTRACTION WITH INTRA-OCULAR
LENS IMPLANT (UNILATERAL LEFT)
4A Existing
127
SL809L
LENS, CATARACT, EXTRACTION WITH INTRA-OCULAR
LENS IMPLANT (UNILATERAL RIGHT)
4A Existing
128
SL810L
LENS, CATARACT, EXTRACTION WITH INTRA-OCULAR
LENS IMPLANT AND TRABECULECTOMY WITH/WITHOUT
ANTIMETABOLITES
5A Existing
129
SL811L LENS, CATARACT, EXTRACTION WITH TRABECULECTOMY 4A Existing
130
SL812L LENS, VARIOUS LESIONS, EXTRACTION 3B Existing
131
SL813L
LENS, VARIOUS LESIONS, REMOVAL OF INTRA-OCULAR
ARTIFICIAL LENS
2B Existing
132
SL814L
LENS, VARIOUS LESIONS, SECONDARY INTRA-OCULAR
LENS IMPLANTATION WITHOUT VITRECTOMY
15
4A
Descriptor
change
133
SL815L LENS, VARIOUS LESIONS, YAG LASER CAPSULOTOMY 1C Existing
134
SL700O
OCULAR SURFACE PROCEDURE INCLUDING AMNIOTIC
MEMBRANE TRANSPLANT (COMPLEX, CULTURED
GRAFTS/EXTENSIVE RECONSTRUCTION)
5C Existing
135
SL701O
OPTIC NERVE SHEATH FENESTRATION 5A Existing
136
SL702O
ORBIT, RECONSTRUCTION, EXTENSIVE FLOOR/MEDIAL
WALL FRACTURE
5A Existing
137
SL703O
ORBIT, VARIOUS LESIONS OF MID TO POSTERIOR ORBIT,
EXCISION
5B Existing
138
SL704O
ORBIT, VARIOUS LESIONS, ANTERIOR ORBITOTOMY
(EXTENSIVE)
4A Existing
139
SL705O
ORBIT, VARIOUS LESIONS, EXTENDED LATERAL
ORBITOTOMY
6A Existing
140
SL706O
ORBIT, VARIOUS LESIONS, OPTIC NERVE
DECOMPRESSION (BILATERAL)
6C Existing
141
SL707O
ORBIT, VARIOUS LESIONS, OPTIC NERVE
DECOMPRESSION (UNILATERAL)
5A Existing
142
SL708O
ORBITAL/SCLERAL, EVISCERATION WITH IMPLANT &
SCLERAL BALL
4A Existing
143
SL800O
ORBIT, CONTRACTURE, RECONSTRUCTION INCLUDING
MUCOUS MEMBRANE GRAFTING AND STENT MOULD
4A Existing
144
SL801O
ORBIT, TUMOR, EXENTERATION/FLAP RECONSTRUCTION 5C Existing
145
SL802O
ORBIT, VARIOUS LESIONS/TUMOURS,
EXENTERATION/REMOVAL VIA CRANIOTOMY
5C Existing
146
SL803O
ORBIT, VARIOUS LESIONS, ANTERIOR ORBITOTOMY 3B Existing
147
SL804O
ORBIT, VARIOUS LESIONS, DECOMPRESSION (BILATERAL) 5A Existing
148
SL805O
ORBIT, VARIOUS LESIONS, DECOMPRESSION
(UNILATERAL)
4B Existing
15
This code is not to be used for implantation of contact lens.
SL – EYE
89
149
SL806O
ORBIT, TUMOUR, EXENTERATION WITH ORBITECTOMY &
PRIMARY RECONSTRUCTION
5C Existing
150
SL807O
ORBIT, VARIOUS LESIONS, LATERAL ORBITOTOMY 4A Existing
151
SL808O
ORBIT, VARIOUS LESIONS, RECONSTRUCTION INCLUDING
ORBITAL SHIFT AND SOFT TISSUE (CRANIOFACIAL
APPROACH)
7C Existing
152
SL809O
ORBIT, VARIOUS LESIONS, RECONSTRUCTION OF
FLOOR/ROOF WITH BONE GRAFT
4B Existing
153
SL810O
ORBIT, VARIOUS LESIONS, RECONSTRUCTION OF
FLOOR/ROOF WITH ALLOPLASTIC MATERIAL
4A Existing
154
SL700P PHOTODYNAMIC THERAPY 3A Existing
155
SL701P
PHOTOREFRACTIVE
KERATECTOMY/PHOTOTHERAPEUTIC KERATECTOMY
(FOR DISEASED EYE)
3B Existing
156
SL700R
RETINA, LASER RETINOPEXY, COMPLEX (SUBRETINAL
FLUID, VITREOUS HAEMORRHAGE, MULTIPLE TEARS)
3B Existing
157
SL701R RETINA, PNEUMATIC RETINOPEXY 4A Existing
158
SL702R
RETINA, ROP (RETINOPATHY OF PREMATURITY) LASER
PHOTOCOAGULATION
3C Existing
159
SL703R
RETINA, TRANS PARS PLANA POSTERIOR
CAPSULECTOMY
3B Existing
160
SL704R
RETINA/MACULA, GRID AND FOCAL LASER
PHOTOCOAGULATION
3A Existing
161
SL705R RETINA, PAN RETINAL PHOTOCOAGULATION 3B Existing
162
SL800R
RETINA, DETACHMENT, REMOVAL OF ENCIRCLING
SILICONE BAND
2C Existing
163
SL801R
RETINA, DETACHMENT, RESECTION/BUCKLING
OPERATION/REVISION OPERATION WITH SINGLE PLOMB
5C Existing
164
SL802R
RETINA, DETACHMENT (COMPLEX), OPERATION (MORE
THAN ONE PLOMB/ENCIRCLAGE)
6B
Descriptor
Change
165
SL803R
RETINA, TEARS, DIATHERMY/CRYOTHERAPY
(UNILATERAL)
3A Existing
166
SL804R
RETINA, TEARS, CRYOTHERAPY OR
PHOTOCOAGULATION (LASER) (BILATERAL)
3C Existing
167
SL805R
RETINA, TEARS, PHOTOCOAGULATION (LASER)
(UNILATERAL)
3B Existing
168
SL806R
RETINAL, DETACHMENT, REMOVAL OF PARTIALLY
EXTRUDED PLOMB
MSP Existing
169
SL700T TEMPORAL ARTERY BIOPSY 2B Existing
170
SL700V VITREOUS, INTRAVITREAL INJECTIONS 1B Uptable
171
SL701V
VITREOUS, VARIOUS LESIONS, COMPLEX POSTERIOR
VITRECTOMY (PVR, GRT, TRAUMA)
6B Existing
172
SL800V
VITREOUS, VARIOUS LESIONS, SIMPLE VITRECTOMY
(PARS PLANA OR VITREOUS WASHOUT)
5C Existing
173
SL801V
VITREOUS, VARIOUS LESIONS, POSTERIOR VITRECTOMY
(PARS PLANA/ SCLEROTOMY/ LENSECTOMY-EXTRACTION
WITH INTRA-OCULAR LENS IMPLANT/ ENDOLASER/
MEMBRANE PEELS)
6B Existing
174
SL802V
VITREOUS, VARIOUS LESIONS, VITRECTOMY (PARS
PLANA/REMOVAL OF SILICONE OIL)
4A Existing
SL – EYE
90
175
SL800Z ORGAN PROCUREMENT COSTS: CORNEA
16
2A Existing
16
Procurement costs of pre-prepared grafts for cornea transplants may be filed under SL800Z, regardless of whether the
grafts are obtained from a local eye bank, or from overseas. A claim may be filed under SL800Z in addition to the claim
filed under the relevant TOSP code for the cornea transplant procedure.
SM – ENT
91
S/N
Code
Description
Table
Classification
1 SM700A ADENOIDS, VARIOUS LESIONS, REMOVAL 2C Existing
2 SM700E
EAR, AUDITORY MEATUS (INTERNAL), TUMOR,
TRANSMASTOID REMOVAL WITH EXTENDED
MASTOIDECTOMY
6B Existing
3 SM701E EAR (MIDDLE), COCHLEAR IMPLANT 6A Existing
4 SM702E
EAR (MIDDLE), VARIOUS LESIONS (BENIGN CONDITION),
EXCISION BIOPSY
2A Existing
5 SM703E
EAR, AURAL TOILET BY MICROSCOPY (COMPLEX) EG.
IMPACTED EAR WAX/FOREIGN BODY/DISCHARGE
MSP Existing
6 SM704E EAR, EXCISION PSEUDOCYST PINNA 2A Existing
7 SM706E EAR, BILATERAL PREAURICULAR SINUS EXCISION 3A Existing
8 SM707E
EAR, TYMPANIC MEMBRANE, BILATERAL MYRINGOTOMY
WITHOUT TUBE
1C Existing
9 SM708E
EAR, TYMPANIC MEMBRANE, BILATERAL MYRINGOTOMY
WITH TUBE
2B Existing
10 SM709E
EAR, TYMPANIC MEMBRANE, PERFORATION,
CAUTERISATION/DIATHERMY
1B Existing
11 SM710E
EAR, TYMPANIC MEMBRANE, PERFORATION, ROUND
WINDOW REPAIR
4A Existing
12 SM711E EAR, IMPLANTATION OF BONE-ANCHORED HEARING AID 4B Existing
13 SM712E EAR (MIDDLE), MIDDLE EAR IMPLANT SURGERY 5B Existing
14 SM800E EAR (MIDDLE), ABSCESS/INFLAMMATION, OPERATION 1B Existing
15 SM801E EAR (MIDDLE), ROUND WINDOW PERFORATION, REPAIR 4A Existing
16 SM802E
EAR (MIDDLE), VARIOUS LESIONS, EXPLORATION AND
TYMPANOTOMY
3A Existing
17 SM803E EAR (MIDDLE), VARIOUS LESIONS, STAPEDECTOMY 4B Existing
18 SM804E EAR, CAULIFLOWER EAR, CORRECTION 3A Existing
19 SM805E
EAR, CONGENITAL ATRESIA, RECONSTRUCTION OF
EXTERNAL AUDITORY CANAL AND MIDDLE EAR
4B Existing
20 SM806E EAR, DEFORMITY, COMPOSITE GRAFT 4A Existing
21 SM807E EAR, DEFORMITY, CORRECTION (BILATERAL) 3C Existing
22 SM808E EAR, DEFORMITY, CORRECTION (UNILATERAL) 3A Existing
23 SM809E
EAR, DEFORMITY, LOBULE RECONSTRUCTION
(BILATERAL)
2C Existing
24 SM810E
EAR, DEFORMITY, LOBULE RECONSTRUCTION
(UNILATERAL)
1C Existing
25 SM811E EAR, EXOSTOSIS OBTURANS, EXCISION BIOPSY 3A Existing
26 SM812E
EAR, FOREIGN BODY, REMOVAL
MSP Existing
27 SM813E
EAR, FOREIGN BODY, COMPLEX REMOVAL/EXCISION
(EMBEDDED/LARGE)
1B Existing
28 SM814E
EAR, HEMATOMA/SEROMA, EVACUATION/INCISION &
DRAINAGE
1B Existing
29 SM815E
EAR, KERATOSIS OBTURANS MODERATE/SEVERE,
EXCISION BIOPSY UNDER LA/GA
1C
Descriptor
change
30 SM816E EAR, LACERATION (FULL THICKNESS), REPAIR > 3CM 3A Existing
31 SM817E
EAR, LACERATION, WOUND DEBRIDEMENT
MSP Existing
32 SM818E
EAR, MICROTIA, CREATION OF POST-AURICULAR SULCUS
WITH SKIN GRAFT
3C Existing
33 SM819E
EAR, MICROTIA, INSERTION OF CARTILAGE/SILASTIC
FRAMEWORK
4A Existing
34 SM820E EAR, MICROTIA, REPOSITIONING OF LOBULE 2A Existing
35 SM821E EAR, PARTIAL AMPUTATION, RECONSTRUCTION 4A Existing
36 SM822E EAR, POLYP, REMOVAL 1B Existing
37 SM823E EAR, UNILATERAL PRE AURICULAR SINUS EXCISION 2B Existing
SM – ENT
92
38 SM824E EAR, SEBACEOUS CYST, EXCISION 1B Existing
39 SM825E
EAR, TOTAL AMPUTATION, MICROVASCULAR
RECONSTRUCTION
7C Existing
40 SM826E
EAR, TOTAL AMPUTATION, STAGED RECONSTRUCTION
(EACH STAGE)
4A Existing
41 SM827E
EAR, VARIOUS LESIONS, MEATOPLASTY/CANALPLASTY
WITH / WITHOUT SPLIT SKIN GRAFT
3B Existing
42 SM829E
EAR, VARIOUS LESIONS, MYRINGOPLASTY (POST-
AURAL/ENDAURAL APPROACH)
4A Existing
43 SM830E EAR, VARIOUS LESIONS, MYRINGOPLASTY (SIMPLE) 3B Existing
44 SM831E
EAR, TYMPANIC MEMBRANE,
UNILATERAL,MYRINGOTOMY WITHOUT TUBE
1B Existing
45 SM832E
EAR, TYMPANIC MEMBRANE, UNILATERAL
MYRINGOTOMY WITH TUBE
2A Existing
46 SM833E
EAR, VARIOUS LESIONS, OSSICULAR CHAIN
RECONSTRUCTION WITH/WITHOUT MYRINGOPLASTY
4B Existing
47 SM834E
EAR, VARIOUS LESIONS, VARIOUS GRAFT TO
FENESTRATION CAVITY
4A Existing
48 SM835E
ENDOLYMPHATIC SAC, VARIOUS LESIONS,
TRANSMASTOID SHUNT PROCEDURE
5C Existing
49 SM836E
EAR, EUSTACHIAN TUBE, VARIOUS LESIONS,
CATHETERISATION/INFLATION
1A Existing
50 SM837E
EAR, VARIOUS LESIONS, MIDDLE FOSSA EXTRA-DURAL
APPROACH TO TEMPORAL BONE WITH/WITHOUT
TRANSMASTOID APPROACH COMBINED ACCESS
6B Existing
51 SM838E
EAR, VARIOUS LESIONS, MYRINGOPLASTY (LATERAL
GRAFT/ONLAY GRAFT TECHNIQUE/UNDERLAY
TECHNIQUE) WITH/WITHOUT CANALPLASTY
4B
Descriptor
change
52 SM839E
EAR, TYMPANIC MEMBRANE, UNILATERAL,
TRANSTYMPANIC PERFUSION OF DRUGS, WITH
INJECTIONS/MYRINGOTOMY INCLUDING REPEAT
PROCEDURES DURING A 90-DAY PERIOD IN THE SAME
EAR
2A Existing
53 SM700I
INFERIOR TURBINATE REDUCTION (SUBMUCOUS
DIATHERMY/RADIOFREQUENCY)
1C Existing
54 SM701L LARYNX, TRANSCUTANEOUS INJECTION OF LARYNX 2B Uptable
55 SM702L
LARYNX AND ESOPHAGUS, TUMOR, ESOPHAGECTOMY
(TOTAL)/ LARYNGOPHARYNGECTOMY WITH
RESTORATION OF ALIMENTARY CONTINUITY
7C Existing
56 SM703L
LARYNX AND PHARYNX, VARIOUS LESIONS, LASER
APPLICATION
3B Existing
57 SM704L
LARYNX AND TRACHEA, VARIOUS LESIONS, MAJOR
MICROSURGERY WITHOUT RECONSTRUCTION
5C Existing
58 SM705L
LARYNX AND TRACHEA, VARIOUS LESIONS, MAJOR
PLASTIC OPERATION
5C Existing
59 SM706L LARYNX, FRACTURES, OPERATION 5C Existing
60 SM707L LARYNX, LARYNOGOFISSURE, EXTERNAL OPERATION 5C Existing
61 SM708L LARYNX, TUMOR, LARYNGECTOMY (TOTAL) 5C Existing
62 SM709L
LARYNX, LARYNGECTOMY WITH BILATERAL NECK
DISSECTION
7A Existing
63 SM710L
LARYNX, LARYNGECTOMY WITH UNILATERAL NECK
DISSECTION
6B Existing
64 SM711L LARYNGOSCOPY WITH REMOVAL OF TUMOUR/LESIONS 2C Existing
65 SM712L LARYNX, TUMOR, PARTIAL LARYNGECTOMY 5C Existing
SM – ENT
93
66 SM713L
LARYNX, TUMOR, PARTIAL LARYNGECTOMY WITH BLOCK
NECK DISSECTION
6B Existing
67 SM714L
LARYNX, VARIOUS DISORDERS, LARYNGEAL
FRAMEWORK SURGERY, THYROPLASTY TYPES I-IV
INCLUDING OPEN MEDIALISATION
4B Existing
68 SM716L
LARYNX, VARIOUS LESIONS, DIRECT LARYNGOSCOPE
EXAMINATION WITH/WITHOUT BIOPSY
1B Existing
69 SM717L
LARYNX, VARIOUS LESIONS, HEMI/PARTIAL
LARYNGECTOMY
5C Existing
70 SM718L
LARYNX, VARIOUS LESIONS, HEMI/PARTIAL
LARYNGECTOMY WITH RADICAL NECK DISSECTION
6B Existing
71 SM800L
LABYRINTH, VARIOUS LESIONS,
DESTRUCTION/LABYRINTHOTOMY
5C Existing
72 SM700M
MAXILLA, SINUSES, SINOSCOPY 1B Existing
73 SM701M
MOUTH, CAUTERY OF SOFT PALATE /TONGUE BASE 2B Existing
74 SM702M
MOUTH, VARIOUS/PATHOLOGIC LESIONS OF ORAL
MUCOSA, LASER APPLICATION
2B Existing
75 SM703M
MOUTH, VARIOUS LESIONS, PHARYNGOTOMY (LATERAL)
WITH EXCISION OF TONGUE
4A Existing
76 SM704M
MOUTH, VARIOUS LESIONS, UVULOTOMY 1B Existing
77 SM800M
MASTOID, VARIOUS LESIONS, MASTOIDECTOMY
(CORTICAL)
3C Existing
78 SM801M
MASTOID, VARIOUS LESIONS, MASTOIDECTOMY
(RADICAL/MODIFIED RADICAL) OSSICULAR CHAIN
RECONSTRUCTION WITH/WITHOUT MYRINGOPLASTY
5C
Descriptor
change
79 SM802M
MASTOID, VARIOUS LESIONS, MASTOIDECTOMY
(RADICAL/MODIFIED)
4B Existing
80 SM803M
MASTOID, VARIOUS LESIONS, MASTOIDECTOMY
(RADICAL/MODIFIED) WITH MYRINGOPLASTY
5C Existing
81 SM804M
MASTOID, VARIOUS LESIONS, REVISION
MASTOIDECTOMY
4B Existing
82 SM839M
MASTOID, VARIOUS LESIONS, OBLITERATION /
REDUCTION OF CAVITY
4A Existing
83 SM700N
NOSE,
NASOENDOSCOPY/NASOPHARYNGOLARYNGOSCOPY
(DIAGNOSTIC, SINGLE, DURING A 90-DAY PERIOD)
17
1A
Descriptor
change
84 SM701N NOSE, CHOANAL ATRESIA, PLASTIC REPAIR 4A Existing
85 SM702N
NOSE, CHOANAL ATRESIA, REPAIR BY PUNCTURE AND
DILATATION
2C Existing
86 SM703N NOSE, FOREIGN BODY, REMOVAL MSP Existing
87 SM704N
NOSE, HEMATOMA/ABSCESS, EVACUATION/INCISION &
DRAINAGE
1A Existing
88 SM705N
NOSE, HEMORRHAGE, HEMOSTASIS
(PACKING)/CRYOTHERAPY)
1B Existing
89 SM706N NOSE, LACERATION FULL THICKNESS, REPAIR >3CM 3A Existing
90 SM707N
NOSE, POLYPI (COMPLEX), NASOENDOSCOPY WITH
EXCISION BIOPSY, MORE THAN 2
2B Existing
91 SM708N
NOSE, POLYPI (SIMPLE), NASOENDOSCOPY WITH
EXCISION BIOPSY, 1 TO 2
1B Existing
92 SM709N NOSE, POST-NASAL SPACE, LASER APPLICATION 4A Existing
93 SM710N NOSE, RHINOPHYMA, EXCISION 3B Existing
17
The frequency restriction of code applies irrespective of the specialist performing the procedure or medical institution at
which the procedure is performed.
SM – ENT
94
94 SM711N NOSE, RHINOPHYMA, TOTAL CONSTRUCTION 6B Existing
95 SM712N NOSE, SIMPLE FRACTURE, MANIPULATION 1B Existing
96 SM713N
NOSE, VARIOUS LESIONS (POSTNASAL SPACE), DIRECT
EXAMINATION WITH BIOPSY AND NASENDOSCOPY
1B Existing
97 SM714N
NOSE, VARIOUS LESIONS (TURBINATES),
TURBINECTOMY/TURBINOPLASTY/SUBMUCOUS
RESECTION (WITH OR WITHOUT ENDOSCOPES)
2C Existing
98 SM715N NOSE, VARIOUS LESIONS, CAUTERISATION/DIATHERMY 1A Existing
99 SM716N
NOSE, VARIOUS LESIONS, COMPOSITE GRAFT
(CHONDRO-CUTANEOUS/CHONDRO-MUCOSAL)
4A Existing
100
SM717N NOSE, VARIOUS LESIONS, EXAMINATION MSP Existing
101
SM718N
NOSE, VARIOUS LESIONS, RHINOPLASTY
(AUGMENTATION EXCLUDING COST OF IMPLANTS)
3B Existing
102
SM719N
NOSE, VARIOUS LESIONS, RHINOPLASTY (CORRECTION
OF BONY VAULT ONLY)
4C Existing
103
SM720N
NOSE, RHINOPLASTY, CORRECTION OF LATERAL/ALAR
CARTILAGE AND/OR SEPTAL STRUT (INCLUDING ALL
GRAFTS, EXTRACORPOREAL SEPTOPLASTY),
RECONSTRUCTION OF NASAL VALVE(S), AND/OR
EXTRANASAL CARTILAGE HARVEST
4C Existing
104
SM721N
NOSE, VARIOUS LESIONS, RHINOPLASTY (RESTORATION
OF THE FACE INVOLVING AUTOGENOUS BONE OR
COSTAL CARTILAGE GRAFT)
5A Existing
105
SM722N
NOSE, VARIOUS LESIONS, RHINOPLASTY (SECONDARY
REVISION)
5A Existing
106
SM723N
NOSE, VARIOUS LESIONS, RHINOPLASTY (TOTAL)
INCLUDING CORRECTION OF ALL BONY AND
CARTILAGINOUS ELEMENTS
5C Existing
107
SM724N
NOSE, VARIOUS LESIONS, SEPTOPLASTY/SUBMUCOUS
RESECTION
3B Existing
108
SM725N NOSE, DRUG-INDUCED SLEEP ENDOSCOPY 1B New
109
SM726N
NOSE,
NASOENDOSCOPY/NASOPHARYNGOLARYNGOSCOPY
(REPEAT EXAMINATIONS, DURING A 90-DAY PERIOD)
18
MSP New
110
SM800N
NECK, ABSCESS (DEEP NECK SPACE/S), TRANSCERVICAL
DRAINAGE (INCLUDES
PARAPHARYNGEAL/RETROPHARYNGEAL SPACES)
3C New
111
SM700P PHARYNX, ADHESIONS, DIVISION 1B Existing
112
SM701P PHARYNX, CYSTS/VALLECULAR, REMOVAL 2C Existing
113
SM702P PHARYNX, POUCH, REMOVAL 4A Existing
114
SM703P
PHARYNX, TUMOR, PARTIAL PHARYNGECTOMY AND
RADICAL NECK DISSECTION WITH FLAP
7B Existing
115
SM704P PHARYNX, VARIOUS LESIONS, FLAP/PHARYNGOPLASTY 4B Existing
116
SM705P
PHARYNX, VARIOUS LESIONS, PARTIAL
PHARYNGECTOMY WITH PRIMARY CLOSURE
4B Existing
117
SM706P
PHARYNX, VARIOUS LESIONS, PHARYNGOTOMY
(LATERAL) WITH EXCISION OF TONGUE AND
RECONSTRUCTION
7B Existing
118
SM707P
PHARYNX, TONGUE BASE, FOR OSA, EXCISION OF
LINGUAL TONSILS
3B Existing
119
SM700S
SKULL/FACE, MALIGNANT TUMOUR/TRAUMA,
CRANIOFACIAL RESECTION
7C Existing
18
This code is to be utilised for repeat examinations within 90 days of using SM700N.
SM – ENT
95
120
SM702S
SINAL-NASAL, ENDOSCOPIC HEMOSTASIS (COMPLEX,
UNDER GENERAL ANAESTHESIA)
3C Existing
121
SM703S
SINUSES, NASAL, INFECTION, FUNCTIONAL SINUSCOPIC
ETHMOIDECTOMY (BILATERAL)
5A Existing
122
SM724S
SINUSES, NASAL, ENDOSCOPIC POST SINUS SURGERY
TOILET/DEBRIDEMENT
19
1B New
123
SM705S
SINUSES, ETHMOIDAL, VARIOUS LESIONS, EXTERNAL
OPERATION
5C Existing
124
SM706S
SINUSES, NASAL, FOREIGN BODY/OTHER LESIONS,
INTRANASAL OPERATION/REMOVAL OF FOREIGN BODY
2B Existing
125
SM707S
SINUSES, NASAL, HEMATOMA/ABSCESS, ANTRAL
DRAINAGE
2B Existing
126
SM708S
SINUSES, NASAL, INFECTION, FUNCTIONAL SINUSCOPIC
DRAINAGE OF ETHMOIDAL/ MAXILLARY SINUSES
3B Existing
127
SM709S
SINUSES, NASAL, INFECTION, FUNCTIONAL SINUSCOPIC
ETHMOIDECTOMY (UNILATERAL)
4A Existing
128
SM710S SINUSES, NASAL, ORO-ANTRAL FISTULA, CLOSURE 3A Existing
129
SM711S
SINUSES, NASAL, VARIOUS LESIONS OF ANTRUM, PROOF
PUNCTURE WITH/WITHOUT LAVAGE
1B
Descriptor
change
130
SM712S
SINUSES, NASAL, VARIOUS LESIONS, ANTROSTOMY
(RADICAL)
3A Existing
131
SM713S
SINUSES, NASAL, VARIOUS LESIONS, FRONTO-
ETHMOIDECTOMY (RADICAL) WITH OSTEOPLASTIC FLAP
5C Existing
132
SM714S
SINUSES, NASAL, VARIOUS LESIONS, FRONTO-NASAL
ETHMOIDECTOMY WITH/WITHOUT SPHENOIDOTOMY
5C Existing
133
SM715S
SINUSES, NASAL, VARIOUS LESIONS, INTRANASAL
OPERATION
3B Existing
134
SM716S
SINUSES, SPHENOIDAL, VARIOUS LESIONS, INTRANASAL
OPERATION
5C Existing
135
SM717S
SINUSES FRONTAL, VARIOUS LESIONS,
CATHETERISATION
1A Existing
136
SM718S
SINUSES FRONTAL, VARIOUS LESIONS, RADICAL
OBLITERATION
5C Existing
137
SM719S SINUSES FRONTAL, VARIOUS LESIONS, TREPHINE 2B Existing
138
SM720S
SINUSES-NASAL, VARIOUS LESIONS, LAVAGE THROUGH
AN ORO-ANTRAL PERFORATION
MSP Existing
139
SM721S
SKULL, BASE, RESECTION OF SKULL BASE SOFT TISSUE
TUMOURS WITH NO BONE INVOLVEMENT
5C
Descriptor
change
140
SM722S
SKULL, BASE, RESECTION OF SKULL BASE SOFT TISSUE
TUMOURS, (INCLUDING NASOPHARYNGECTOMY) WITH
RESECTION OF BONE AND PRESERVATION OF DURA
(EXTRADURAL)
6C
Descriptor
change
141
SM723S
SKULL, BASE, RESECTION OF SKULL BASE SOFT TISSUE
TUMOURS WITH RESECTION OF BONE AND DURA
(INTRADURAL, INCLUDING CLIVUS, PARASELLAR AREA
OR CAVERNOUS SINUS) WITH SKULL BASE
RECONSTRUCTION
7C
Descriptor
change
142
SM700T THROAT, HYOID SUSPENSION 3B Existing
143
SM701T
THROAT, UVULOPALATOPHARYNGOPLASTY (U3P),
WITH/WITHOUT TONSILLECTOMY
4B
Descriptor
change
144
SM702T
THYROGLOSSAL CYST, SISTRUNK OPERATION WITH
HYOID BONE REMOVAL
3B Existing
19
Single claim allowed per episode of procedure(s).
SM – ENT
96
145
SM703T TONSILS, ABSCESS, DRAINAGE 1A Existing
146
SM704T TONSILS, HEMORRHAGE, HEMOSTASIS 1B Existing
147
SM705T
TONSILS, VARIOUS LESIONS, REMOVAL WITH/WITHOUT
ADENOIDECTOMY
3B Existing
148
SM706T TONGUE SUSPENSION 2B Existing
149
SM707T
THROAT, PALATOPLASTY WITH/WITHOUT UVULOPLASTY,
USING LASER OR OTHER MODALITIES
3A Existing
ANNEX
97
GUIDELINES ON MEDISAVE AND MEDISHIELD LIFE CLAIMS
FOR SURGICAL PROCEDURES
[Also Annex A-5 of the MediSave Manual]
1. MediSave and MediShield Life claims should be based on the existing descriptors and
classifications in the Table of Surgical Procedures (TOSP) circulated by the Ministry of Health
(MOH). Doctors/dentists should not arbitrarily vary the tables based on their own assessment
of the TOSP codes.
2. The TOSP code used should be one that best described the surgery/procedure performed.
Only one TOSP code should be used if the single TOSP code adequately describes the episode
of surgery/procedure carried out.
3. In general, if there is no appropriate TOSP table for an operation, no Medisave claim
may be made. Financial counselling of patients should also be based on the prevailing
TOSP and its corresponding MediSave withdrawal limits. Financial counselling based on
future anticipated changes to the TOSP is not allowed.
4. For new procedures that are not coded in the TOSP, medical practitioners may submit
their proposals via their public acute hospital or national specialty centre (for public sector
practitioners), or their College/Chapter in the Academy of Medicine Singapore (for private
sector practitioners) for MOH’s TOSP Review Committee’s assessment ([email protected]).
Should these procedures subsequently be incorporated into the TOSP, MediSave use will be
allowed.
5. Need for Histopathology. All TOSP claims where appropriate must be supported by
histopathology, in the absence of which the claim can be rejected by MediSave audit. In rare
instances e.g. removal of cataracts, blepharoplasty, laser vaporization of the vagina etc., it is
not practicable to send for histopathology and thus claims will be allowed.
6. Separate Operations. Operations carried out on the same patient at different
admissions and for different conditions may be claimed as separate operations. Patients for
whom the diagnostic laparoscopy is done as a separate operation from the reversal of
sterilization on two separate admissions may be allowed to make separate MediSave
withdrawals for the two operations.
7. Surgical removal / excision biopsy of benign breast lumps (regardless of whether a
flap closure is performed) should be coded as SA812B (for single lump), which is at Table
2C, or SA813B (for multiple/bilateral lumps), which is at Table 3A. The exception is when a
surgeon excises a benign breast lump (>4cm) (e.g. as in phylloides tumour) and chooses flap
closure. In this case, only SA705B, i.e. “breast lump more than 4 cm (removal) with
parenchymal flap closure (unilateral/bilateral)”, which is at Table 4A, should be used; a
separate claim for the excision of that lump/s cannot be made.
ANNEX
98
8. A “Staged” operation for a single condition will only be allowed to be claimed as a
single operation, with the MediSave claim limit subject to the surgical table for the operation,
regardless of the number of stages of operations carried out to complete it within the same
surgical episode. For example, if angiocardiography (SD811H/3A) and PTCA (SD810H/4A)
were done on the patient within the same surgical episode, he can only claim for one
procedure using the highest table code for the surgical episode.
9. For multiple procedures, MediSave claims shall:
a. Be limited to not more than 3 surgical procedures;
b. Be limited to procedures involving not more than 2 anatomical systems (i.e.
code SA – SM) as defined in the Table of Surgical Operations, and comprising not
more than 2 procedures within each system; and
c. Be subject to a maximum MediSave withdrawal of $7,550 for the total operation
charges.
10. For paired organs (e.g. eyes, breast, kidneys etc.), two TOSP claims for the same
procedure are allowed if both organs are being operated on at the same time, particularly if
no bilateral TOSP code exists. Where a bilateral TOSP code exists, the bilateral TOSP code
should be used.
11. For gynaecological operations, the uterus, fallopian tubes, ovaries are classified as
separate organs. For the paired organs ovaries and fallopian tubes, each pair is classified
as a single organ respectively, e.g. if a person removes an ovarian cyst on one side and also
does a tubal surgery, two SI codes can be claimed. If the TOSP code already specifies
multiple operations, e.g. total hysterectomy bilateral salpingo-oophorectomy, only one claim
can be made although various organs (uterus, tubes, ovaries) are operated on. If bilateral
salpingo-oophorectomy (removal of both ovaries) is done, only one claim is allowed.
12. A surgeon converting a diagnostic operation into a definitive procedure at the same
sitting will be allowed only one claim of the higher TOSP. E.g. diagnostic laparoscopy followed
by appendicectomy; breast lump biopsy/frozen section proceeding to mastectomy.
13. For preoperative localization of breast tumours by ultrasound/ hookwire / VAB / ROLL
etc., a separate charge for such procedures will not be MediSave-claimable. Only the
definitive operation will be claimed, as detailed in the TOSP.
14. Abdominal and pelvic adhesiolysis can be claimed only if they are done as primary
procedures. If the same surgeon/gynaecologist proceeds to a definitive operation after
adhesiolysis (eg gastrectomy, hemicolectomy, hysterectomy etc.), claim can only be made
for the definitive operation.
15. Patients who undergo a diagnostic laparoscopy (SI706F Fallopian tube/uterus/ovary,
Laparoscopy, Diagnostic, with Hydrotubation – Table 3B) followed immediately by a
microsurgical reversal of sterilisation (SI802F Fallopian Tube, Blocked Tubes, Plastic Repair
microsurgery /laparoscopic /robotic – Table 5C) are only allowed one withdrawal from
ANNEX
99
MediSave to meet the charges for the operation. In this case, MediSave claim may be based
on the higher TOSP limit, namely that for Fallopian Tube, Blocked Tubes, Plastic Repair
(microsurgery/laparoscopic/robotic) which is a Table 5C operation subject to the withdrawal
limit of $3,950. Please note that an operating microscope has to be used before an operation
is deemed as “microsurgery”. Laparoscopic magnification/loupes do not constitute
microsurgery.
16. Patients for whom the diagnostic laparoscopy is done as a separate operation from
the reversal of sterilisation on two separate admissions may be allowed to make separate
MediSave withdrawals for the two operations, subject to the respective ceiling of $1,550 for
a Table 3B operation and $3,950 for a Table 5C operation for these procedures.
17. No MediSave/MediShield Life can be used for surgical operations performed for
cosmetic purposes, unless medically indicated. For example, all laser vaporisations of the
facial area, lower lid blepharoplasties and ‘eye bag’ operations will be deemed cosmetic and
as such no MediSave/MediShield Life claim is allowed. Medical practitioners should consult
MOH if in doubt.
18. MediSave claims for general health screening purposes (i.e. where the patient does
not present medical indications or complaints) are not allowed, with the exception of
screening colonoscopy for persons aged 50 and older. If the Faecal Occult Blood Test is
positive, colonoscopy is not a ‘screening’ procedure. Colonoscopy is considered a screening
procedure if the patient has colonoscopy without medical indication for the surgery.
19. Only one TOSP claim can be made for each procedure. For example, when 2
surgeons are performing gastrectomy, only one claim will be allowed.
20. Please refer to Appendix A-5-i for more details on the eligibility of LASIK procedures
for MediSave use, and Appendix A-5-ii for guidelines on MediSave use for Obstetrics and
Gynaecology surgical procedures.
21. For all eyelid ptosis, eyebrow ptosis and dermatochalasis correction that are submitted
for MediSave and MediShield Life claims, a certification from an ophthalmologist that the
ptosis and dermatochalasis has resulted in a functional visual block is still required. The ptosis
and dermatochalasis correction are medically indicated for symptomatic patients with an
upper eyelid Margin Reflex Distance (MRD1) of 2mm or less. Presenting symptoms related
to the functional eyelid condition, should be documented in the case record and to be
submitted when the case is audited. Visual field tests should be performed for borderline
cases MRD1 of 1-2mm, with and without taping up of the droopy anatomical structure (eyelid
and/or eyebrow as indicated). In these cases, it is in the interest of the claimant that paired
visual field is performed. Please refer to Appendix A-5-iii for the guidelines on the functional
indication, clinical photography and perimetry requirement for all eyelid ptosis, eyebrow ptosis
and dermatochalasis correction.
22. Doctors/dentists are reminded that they are ultimately responsible for claims made in
their name and should not put the onus of the claim on other staff who did not sign the Letter
ANNEX
100
of Certification. The Letter of Certification signed by the doctor should rightfully serve as the
reference for the claim that is subsequently submitted.
23. Doctors/dentists who have been notified by MOH to amend and resubmit MediSave
claims for surgical procedures should in no way amend the clinical notes to correspond to the
amended claim. All clinical notes should be contemporaneous so as to safeguard the
veracity of MediSave claims.
24. Procedural questions which are not covered by these guidelines may be submitted to
MOH ([email protected]) on a case-by-case basis for consideration. The decision made by
MOH shall be considered final.
