Recent fee changes - 2011

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Quarter 4

Amend date CCSD Code CCSD Description Amend made Previous fee New Fee Previous Narrative
Nov-11 H6260 Proctoscopy (+/- biopsy) New CCSD code N/A
Oct-11 B2986 Reconstruction of breast using deep inferior epigastric perforator flap (diep) (including delayed reconstruction) Surg fee £2,004.00 £2,556.00
Oct-11 B2986 Reconstruction of breast using deep inferior epigastric perforator flap (diep) (including delayed reconstruction) Anae fee £1,008.00 £1,044.00
Oct-11 C7982 Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy, including dissection or excision of epiretinal membrane/macular surgery Anae fee £396.00 £516.00
Oct-11 C7982 Pars plana vitrectomy with internal tamponade, scleral buckling and retinopexy, including dissection or excision of epiretinal membrane/macular surgery Surg fee £924.00 £1,044.00
Oct-11 D1440 Combined approach tympanoplasty - intact canal wall tympanoplasty Surg fee £648.00 £756.00
Oct-11 E4990 Panendoscopy +/- incisional biopsy Narrative change Flexible panendoscopy
Oct-11 E4991 Therapeutic panendoscopy +/- excision biopsy, excision or destruction of lesions Narrative change Rigid panendoscopy
Oct-11 E5533 Percutaneous radiofrequency ablation of malignant neoplasm of lung Surg fee £600.00* £900.00
Oct-11 E5533 Percutaneous radiofrequency ablation of malignant neoplasm of lung Anae fee £0.00 £300.00
Oct-11 G0100 Oesophagectomy/oesophagogastrectomy with anastomosis in chest Surg fee £1,380.00 £2,304.00
Oct-11 G0100 Oesophagectomy/oesophagogastrectomy with anastomosis in chest Anae fee £528.00 £852.00
Oct-11 H4122 Transanal endoscopic microsurgery Anae fee £264.00 £420.00
Oct-11 J0200 Partial excision of liver Surg fee £1,092.00 £1,200.00
Oct-11 J0210 Hemihepatectomy Surg fee £1,884.00 £2,004.00
Oct-11 J5610 Pancreatoduodenectomy and excision of surrounding tissue (whipple's procedure) Surg fee £1,680.00 £2,400.00
Oct-11 J5610 Pancreatoduodenectomy and excision of surrounding tissue (whipple's procedure) Anae fee £528.00 £720.00
Oct-11 M2730 Ureteroscopic extraction of calculus of ureter (includes cystoscopy and insertion/removal of stent) Narrative change Ureteroscopic extraction of calculus of ureter (including cystoscopy)
Oct-11 M2930 Removal of prosthesis from ureter (including cystoscopy) Surg fee £132.00 £204.00*
Oct-11 M3000 Endoscopic examination of ureter (+/- cystoscopy and insertion/removal of stent) Narrative change Endoscopic examination of ureter (including cystoscopy)
Oct-11 M4510 Diagnostic endoscopic examination of bladder (including any biopsy) Surg fee £204.00 £204.00*
Oct-11 P2380 Anterior (+/- posterior) colporrhaphy with vaginal hysterectomy (including primary repair of enterocele and cystoscopy) Narrative change Anterior (+/- posterior) colporrhaphy with vaginal hysterectomy (including primary repair of enterocele)
Oct-11 S2500 Local flap - less than 9cm2 Surg fee £192.00 £312.00*
Oct-11 T2000 Primary repair of inguinal hernia Surg fee £360.00 £324.00
Oct-11 T2000 Primary repair of inguinal hernia Anae fee £180.00 £168.00
Oct-11 T7790 Excision of benign soft tissue tumour (e.g. glomus, giant cell) Surg fee £216.00 £348.00*
Oct-11 T8002 Minor release of muscle for pain or contracture (involving small joint) Surg fee £216.00 £252.00*
Oct-11 W3650 Diagnostic aspiration and / or trephine biopsy of bone marrow Surg fee £168.00* £180.00*
Oct-11 W3732 Revision of uncemented or cemented total hip replacement without adjunctive procedures Surg fee £1,152.00 £1,500.00
Oct-11 W3732 Revision of uncemented or cemented total hip replacement without adjunctive procedures Anae fee £552.00 £600.00
Oct-11 W5550 Excision of radial head (as sole procedure) Surg fee £192.00 £612.00
Oct-11 W5550 Excision of radial head (as sole procedure) Anae fee £108.00 £204.00
Oct-11 W6202 Partial fusion of wrist Surg fee £432.00 £528.00
Oct-11 W6202 Partial fusion of wrist Anae fee £192.00 £204.00
Oct-11 XR110 Ultrasound guided biopsy (ies) Surg fee £204.00* £264.00*
Oct-11 XR180 Ultrasound guided drainage of fluid collection Surg fee £204.00* £360.00*
Oct-11 XR280 Insertion of aortic metallic stent - graft Surg fee £1,188.00 £1,308.00
Oct-11 XR280 Insertion of aortic metallic stent - graft Anae fee £144.00 £456.00
Oct-11 XR960 Percutaneous thermal coagulation of mass Anae fee £84.00 £252.00

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Quarter 3

Amend date CCSD Code CCSD Description Amend made Previous fee New Fee Previous Narrative
Sep-11 C5130 U/v irradition of riboflavin for cross linking of corneal collagan Removed as ineligible N/A
Sep-11 D0702 Aural toilet - including microsuction and/or suction of exteriorised mastoid cavity Narrative change Aural toilet - including microsuction
Sep-11 E1432 Standard fess: excision uncinate process and anterior ethmoid bulla, antrostomy/antral puncture, simple polypectomy, attention to middle turbinate (bilateral) Narrative change Standard fess: excision uncinate process and anterior ethmoid bulla, antrostomy/antral puncture, simple polypectomy, attention to middle turbinate
Sep-11 G1421 Endoscopic ablation of high-grade dysplasia in barrett's oesophagus Narrative change Endoscopic laser ablation of high-grade dysplasia in barrett's oesophagus
Sep-11 G4430 Therapeutic oesophago-gastro-duodenoscopy (ogd) with dilatation Narrative change Therapeutic oesophago-gastro-duodenoscopy (ogd) with bougie dilatation
Sep-11 K5830 Endomycardial biopsy New CCSD code N/A
Sep-11 N0680 Orchidectomy and excision of spermatic cord (+/- insertion of prosthesis) Narrative change Orchidectomy and excision of spermatic cord
Sep-11 T6580 Tendon graft, or tendon transfer, as sole procedure (not otherwise specified) Narrative change Tendon graft, as sole procedure (not otherwise specified)
Sep-11 V2540 Posterior excision of disc prolapse including microdiscectomy +/- decompression (lumbar region) Narrative change Posterior excision of disc prolapse including microdiscectomy (lumbar region)
Sep-11 V2542 Posterior excision of disc prolapse with undercutting facetectomy +/- decompression (lumbar region) Narrative change Posterior excision of disc prolapse with undercutting facetectomy (lumbar region)
Sep-11 W3713 Complex primary total hip replacement including bone grafting or femoral osteotomy Narrative change Complex primary total hip replacement requiring bone grafting or femoral osteotomy
Sep-11 W8240 Meniscal allograft transplantation New CCSD code N/A

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Quarter 2

Amend date CCSD Code CCSD Description Amend made Previous fee New Fee Previous Narrative
Jun-11 17060 Professional attendance on (initiation of care of) patient requiring intensive care up to one hour Code removed from CCSD N/A
Jun-11 17180 Professional attendance on (initiation of care of) patient requiring intensive care up to 3 hours Narrative change Professonal attendance on (initiation of care) patient requiring intensive care between one and three hours
Jun-11 17240 Professional attendance on (initiation of care) patient requiring intensive care between three and four hours Code removed from CCSD N/A
Jun-11 17250 Professional attendance on (initiation of care) patient requiring intensive care over four hours Code removed from CCSD N/A
Jun-11 E0360 Septoplasty of nose (including attention to inferior turbinate) Narrative change Septoplasty of nose
Jun-11 E0520 Ligation of artery of internal nose (including endoscopic, as sole procedure) Narrative change Ligation of artery of internal nose (including endoscopic)
Jun-11 E1220 Caldwell-luc approach to maxillary sinus Narrative change Caldwell-luc
Jun-11 E1432 Standard fess: excision uncinate process and anterior ethmoid bulla, antrostomy/antral puncture, simple polypectomy, attention to middle turbinate Narrative change Fess uncinectomy, ethmoidectomy, antrostomy or antral puncture inc polypectomy and attention to turbinates etc
Jun-11 E1440 Transantral ethmoidectomy (and bilateral) Code removed from CCSD N/A
Jun-11 X0002 Clinical supervision and planning for delivery of chemotherapy cycle 1-14 days Narrative change Clinical supervision and planning for the delivery of chemotherapy regimens for 8 to 14 days
Jun-11 X0003 Supervision and planning for delivery of chemotherapy cycle 1-21 days Narrative change Clinical supervision and planning for the delivery of chemotherapy regimens for 15 to 21 days
Jun-11 X0004 Clinical supervision and planning for delivery of chemotherapy cycle 1-28 days Narrative change Clinical supervision and planning for the delivery of chemotherapy regimens for 22 to 28 days
May-11 A4860 Implantation/removal of epidural delivery system New CCSD code N/A
May-11 E1360 Endoscopic balloon dilation frontal sinuplasty (as sole procedure) New CCSD code N/A
May-11 E1370 Endoscopic balloon dilation maxillary sinuplasty (as sole procedure) New CCSD code N/A
May-11 E1380 Endoscopic balloon dilation spheniod sinuplasty (as sole procedure) New CCSD code N/A
May-11 E6310 Endobronchial ultrasound-guided transbronchial needle aspiration (ebus-tbna) for mediastinal masses New CCSD code N/A
May-11 J0780 Radiofrequency thermocoagulation of liver with scalpel liver resection New CCSD code N/A
May-11 K2560 Robot assisted replacement or repair of mitral valve New CCSD code N/A
May-11 K4180 Robot assisted bypass for coronary artery (ies) including harvesting of grafts and endarterectomy (cabg) New CCSD code N/A
May-11 M2680 Endoscopic removal and insertion of prosthesis into ureter (including cystosopy) New CCSD code N/A
May-11 Q0220 Laser destruction of lesion of cervix uteri (+/- colposcopy or polypectomy) Narrative change Laser destruction of lesion of cervix uteri (including colposcopy)
May-11 Q0230 Cauterisation of lesion of cervix uteri (+/- loop diathermy, colposcopy or polypectomy) Narrative change Cauterisation of lesion of cervix uteri (including loop diathermy and colposcopy)
May-11 Q0330 Cone biopsy of cervix uteri and/or (+/- laser, colposcopy or polypectomy) Narrative change Cone biopsy of cervix uteri (including laser and colposcopy)
May-11 Q0890 Vaginal hysterectomy including salpingo-oophorectomy (including laproscopically assisted) New CCSD code N/A
May-11 V3181 Prosthetic intervertebral disc replacement in the thoracic spine New CCSD code N/A
May-11 W1390 Open femoro-acetabular surgery for hip impingement syndrome New CCSD code N/A
May-11 XR140 Unilateral stereotactic core biopsy breast New CCSD code N/A
May-11 XR142 Bilateral stereotactic core biopsy breasts New CCSD code N/A
May-11 XR951 Ultrasound-guided compression repair of aneurysm (included pseudoaneurysm) New CCSD code N/A
Apr-11 B3034 Capsulectomy of the breast with removal of implant and reinsertion of implant - unilateral Narrative change Capsulectomy, removal of implant and reinsertion of impant - unilateral
Apr-11 B3034 Removal and/or reinsertion of prothesis into the breast, including capsulectomy - unilateral Narrative change Capsulectomy of the breast with removal of implant and reinsertion of implant - unilateral
Apr-11 B3035 Capsulectomy of the breast with removal of implant and reinsertion of implant - bilateral Narrative change Capsulectomy, removal of implant and reinsertion of impant - bilateral
Apr-11 B3035 Removal and/or reinsertion of prothesis into the breast, including capsulectomy - bilateral Narrative change Capsulectomy of the breast with removal of implant and reinsertion of implant - bilateral
Apr-11 C2542 Dacryocysto-rhinostomy (endoscopic/laser assisted), including insertion and later removal of tube Narrative change Dacryocysto-rhinostomy (endoscopic/laser assisted), including insertion of tube
Apr-11 P2730 Colposcopy (+/- biopsy or polypectomy) Narrative change Colposcopy (+/- biopsy)
Apr-11 Q0220 Laser destruction of lesion of cervix uteri (including cystoscopy) Narrative change Laser destruction of lesion of cervix uteri
Apr-11 Q0230 Cauterisation of lesion of cervix uteri (including loop diathermy and colposcopy) Narrative change Cauterisation of lesion of cervix uteri (including loop diathermy)
Apr-11 Q0330 Cone biopsy of cervix uteri (including laser and colposcopy) Narrative change Cone biopsy of cervix uteri (inc laser)
Apr-11 Q1700 Therapeutic hysteroscopic operations on uterus (including endometrial ablation excluding microwave or radiofrequency ablation) Narrative change Therapeutic endoscopic operations on uterus (including endometrial ablation)

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Quarter 1

Amend date CCSD Code CCSD Description Amend made Previous fee New Fee Previous Narrative
Mar-11 W1915 Hip osteochondroplasty (open) Code removed from CCSD N/A
Jan-11 B2913 Reconstruction of breast using latissimus dorsi including implantation of prothesis (including delayed reconstruction) Narrative change Reconstruction of breast using latissimus dorsi (including delayed reconstruction)
Jan-11 M0312 Laparoscopic renal cryotherapy or cryoablation (including endoscopic catheter insertion and retrograde pyelography) Narrative change Renal cryotherapy including endoscopic catheter insertion and retrograde pyleography
Jan-11 M7590 Insertion of suburethral tape including administration of local anaesthetic by operating surgeon (including cystoscopy) Narrative change Tension-free urethropexy including administration of local anaesthetic by operating surgeon (including cystoscopy)
Jan-11 P2420 Sacrocolpopexy (including laparoscopic) Narrative change Sacrocolpopexy
Jan-11 S0820 Curettage/cryotherapy of lesions of skin including cauterisation - four or more Surg fee £108.00* £204.00* N/A

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