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Doctors Gazette 2021

Part lll : Procedures

3. Musculo-Skeletal System

3.8 Specific areas

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Specialist

General Practitioner

Anaesthetic

U/E

R

U/E

R

U/E

R          T/M

3.8.1

Foot and ankle

 

 

 

 

 

 

0900

Excision tarsal coalition - stand alone procedure

141.5

4 014.36

120.00

3 404.40

3

397.68 +T+M

0901

Tenotomy single tendon

63.3

1 795.82

63.3

1 795.82

3

397.68 +T+M

0903

Hammertoe: one toe

99.5

2 822.82

99.5

2 822.82

3

397.68 +T+M

0905

Fillet of toe or Ruiz-Mora procedure

99.5

2 822.82

99.5

2 822.82

3

397.68 +T+M

0906

Arthodesis Hallux

148

4 198.76

120

3 404.40

3

397.68 +T+M

0909

Excision arthorplasty

145.2

4 119.32

120

3 404.40

3

397.68 +T+M

0910

Cheilectomy or metatarsopfangeal Implant Hallux

183

5 191.71

146.4

4 153.37

3

397.68 +T+M

0911

Metatarsal osteotomy or Lapidus or similar or Chevron - stand alone procedure

189.2

5 367.60

151.36

4 294.08

3

397.68 +T+M

5730

Hallux valgus double osteotomy etc

182.60

5 180.36

146.08

4 144.29

3

397.68 +T+M

5731

Distal soft tissue procedure for Hallux Valgus

173.6

4 925.03

138.88

3 940.03

3

397.68 +T+M

5732

Atkin procedure or similar

166.8

4 732.12

133.44

3 785.69

3

397.68 +T+M

5734

Removal bony prominence foot (bunionette not applicable to COID)

91

2 581.67

91

2 581.67

3

397.68 +T+M

5735

Repair angular deformity toe (lesser toes)

97.2

2 757.56

97.2

2 757.56

3

397.68 +T+M

5736

Sesamoidectomy

97.8

2 774.59

97.8

2 774.59

3

397.68 +T+M

5737

Repair major foot tendons e.g. Tib Post

147.30

4 178.90

120

3 404.40

3

397.68 +T    

5738

Repair of dislocating peronsal tendons

173.2

4 913.68

138.56

3 930.95

3

397.68 +T    

5740

Steindler strip - plantar fascia

97.2

2 757.56

97.2

2 757.56

3

397.68 +T    

5742

Tendon transfer foot

172

4 879.64

137.6

3 903.71

3

397.68 +T    

5743

Capsulotomy metatarsophalargeal joints - foot

86.8

2 462.52

86.8

2 462.52

3

397.68 +T    

 

 

 

 

 

 

 

 

3.8.3

Replantation

 

 

 

 

 

 

0912

Replantation of amputated upper limb proximal to wrist joint

730

20 710.10

584

16 568.08

3

397.68 +T+M

0913

Replantation of thumb

670

19 007.90

536

15 206.32

3

397.68 +T+M

0914

Replantation of a single digit (to be motivated), for multiple digits, modifier 0005 applicable

580

16 454.60

464

13 163.68

3

397.68 +T+M

0915

Replantation operation through the palm

1270

36 029.90

1016

28 823.92

3

397.68 +T+M

 

 

 

 

 

 

 

 

3.8.4

Hands: (Note: Skin: See Integumentary system)

 

 

 

 

 

 

0919

Tumours: Epidermiod cysts

35

992.95

35

992.95

3

397.68 +T+M

0922

Removal of foreign bodies requiring incision: Under local anaesthetic

19

539.03

19

539.03

3

397.68 +T+M

0923

Removal of foreign bodies requiring incision: Under general or regional anaesthetic

32

907.84

32

907.84

3

397.68 +T+M

0924

Crushed hand injuries: Initial extensive soft tissue toilet under general anaesthetic (sliding scale)

37

to

110

1 049.69

 

3 120.70

37

to

110

1 049.69

 

3 120.70

3

397.68 +T+M

0925

Crushed hand injuries: Subsequent dressing charges under general anaesthetic

16

453.92

16

453.92

3

397.68 +T+M

0926

Initial treatment of fractures, tendons, nerves, loss of skin and blood vessels,including removal of dead tissue under general anaesthesia and six weeks alter-care

269

7 631.53

215.2

6 105.22

3

397.68 +T+M

 

 

 

 

 

 

 

 

3.8.5

Spine

 

 

 

 

 

 

0927

Excision of one vertebral body, for a lesion within the body (no decompression)

207

5 872.59

165.6

4 698.07

3

397.68 +T+M

0928

Excision of each additional vertebral segment for a lesion within the body (no decompression)

+       42

1 191.54

42

1 191.54

3

397.68 +T+M

0929

Manipulation of spine with anaesthetic (no after -care), modifier 0005 not applicable

14

397.18

14

397.18

5

662.80 +T+M

0930

Posterior osteotomy of spine: One vertebral segment

339

9 617.43

271.2

7 693.94

3

397.68 +T+M

0931

Posterior spinal fusion: One level

385

10 922.45

308

8 737.96

3

397.68 +T+M

0932

Posterior osteotomy of spine: Each additional vertebral segment

+     103

2 922.11

103

2 922.11

3

397.68 +T+M

0933

Anterior spinal osteotomy with disc removal: One vertebral segment

315

8 936.55

252

7 149.24

3

397.68 +T+M

0936

Anterior spinal osteotomy with disc removal: Each additional vertebral segment

+     103

2 922.11

+      103

2 922.11

3

397.68+T+M

0938

Anterior fusion base of skull to C2

449

12 738.13

359.2

10 190.50

4

530.24 +T+M

0939

Trans-abdominal anterior exposure of the spine for spinal-fusion only if done by a second surgeon

160

4 539.20

128

3 631.36

3

397.68 +T+M

0940

Transthoracic anterior exposure of the spine if done by a second surgeon

160

4 539.20

128

3 631.36

3

397.68 +T+M

0941

Anterior interbody fusion: One level I Anterior tussenwerwel fusie:

360

10 213.20

288

8 170.56

3

397.68 +T+M

0942

Anterior interbody fusion: Each additional level

+     102

2 893.74

+     102

2 893.74

3

397.68 +T+M

0943

Laminectomy with decompression of nerve mots and disc removal: One level

240

6 808.80

192

5 447.04

3

397.68 +T+M

0944

Posterior fusion: Occiput to C2

390

11 064.30

312

8 851.44

4

530.24 +T+M

0946

Posterior spinal fusion: Each additional level

+     111

3 149.07

+     111

3 149.07

3

397.68 +T+M

0948

Posterior interbody lumbar fusion: One level

364

10 326.68

291.2

8 261.34

3

397.68 +T+M

0950

Posterior interbody lumbar fusion: Each additional interspace

+       95

2 695.15

+        95

2 695.15

3

397.68 +T+M

0959

Excision of coccyx

96

2 723.52

 96

2 723.52

3

397.68 +T+M

0960

Posterior non-segmental instrumentation

167

4 737.79

133.6

3 790.23

5

662.80 +T+M

0961

Costo-transversectomy

198

S 617.26

158.4

4 493.81

3

397.68 +T+M

0962

Posterior segmental Instrumentation: 2 to 6 vertebrae

176

4 993.12

140.8

3 994.50

5

662.80 +T+M

0963

Antero-lateral decompression of spinal cord or anterior debridement

326

9 248.62

260.8

7 398.90

3

397.68 +T+M

0964

Posterior segmental instrumentation: 7 to 12 vertebrae

201

5 702.37

160.8

4 561.90

5

662.80 +T+M

0966

Posterior segmental instrumentation: 13 or more vertebrae

245

6 950.65

196

5 560.52

5

662.80 +T+M

0968

Anterior instrumentation: 2 to 3 vertebrae

159

4 510.83

127.2

3 608.66

5

662.80 +T+M

0969

Skull or skull-femoral traction including two weeks after-care

64

1 815.68

64

1 815.68

--

 

0970

Anterior instrumentation: 4 to 7 vertebrae

185

5 248.45

148

4 198.76

5

662.80 +T+M

0972

Anterior instrumentation : 8 or more vertebrae

206

5 844.22

164.8

4 675.38

5

662.80 +T+M

0974

Additional pelvic fixation of instrumentation other than sacrum

108

3 063.96

108

3 063.96

5

662.80 +T+M

5750

Reinsertion of instrumentation

276

7 830.12

220.8

6 264.10

6

795.36 +T +M

5751

Removal of posterior non-segmental instrumentation

173

4 908.01

138.4

3 926.41

6

795.36 +T +M

5752

Removal of posterior segmental instrumentation

175

4 964.75

140

3 971.80

6

795.36 +T+M

5753

Removal of anterior instrumentation

204

5 787.48

163.2

4 629.98

6

795.36 +T+M

5755

Laminectomy for spinal stenosis (exclude diskectomy, foraminotomy and spondylolisthesis): One or two levels

295

8 369.15

236

6 695.32

3

397.68 +T+M

5756

Laminectomy with full decompression for spondylolisthesis (Gill procedure)

304

8 624.48

243.2

6 899.58

3

397.68 +T+M

5757

Laminectomy for decompression without  foraminotomy or diskectomy more than two levels

321

9 106.77

256.8

7 285.42

3

397.68 +T+M

5758

Laminectomy with decompression of nerve roots and disc removal: Each additional level

63

1 787.31

63

1 787.31

3

397.68 +T+M

5759

Laminectomy for decompression diskectomy etc., revision operation

352

9 986.24

281.6

7 988.99

4

530.24 +T+M

5760

Laminectomy, facetectomy, decompression for lateral recess stenosis plus spiral stenosis: One level

301

8 539.37

240.8

6 831.50

3

397.68 +T+M

5761

Laminectomy, facetectomy, decompression for lateral recess stenosis plus spinal stenosis: Each additional level

68

1 929.16

68

1 929.16

3

397.68 +T+M

5763

Anterior disc removal and spinal decompression cervical: One level

344

9 759.28

275.2

7 807.42

3

397.68 +T+M

5764

Anterior disc removal and spinal decompression cervical: Each additional level

81

2 297.97

81

2 297.97

3

397.68 +T+M

5765

Vertebral corpectomy for spinal decompression: One level

466

13 220.42

372.8

10 576.34

3

397.68 +T+M

5766

Vertebral corpectomy for spinal decompression: Each additional level

88

2 496.56

88

2 496.56

3

397.68 +T+M

5770

Use of microscope in spinal and intercranial procedures (modifier 0005 not applicable)

71

2 014.27

71

2 014.27