CCSD codes
http://www.ccsd.org.uk/CCSDScheduleCode?Chapter=14&Section=1&SubSection=0&searchvalue=&chkbxInactives=1
PROCEDURES
|
Diagnostic Laparoscopy
|
Q3900
|
Inter5
|
|
Therapeutic Laparoscopy
|
Q3800
|
Maj3
|
|
Abdominal Hysterectomy +/- Removal of
Adenxae (ovaries and tubes)
|
Q0740
|
Maj+2
|
|
Subtotal Abdominal Hysterectomy
|
Q0750
|
Maj5
|
|
Myomectomy
|
Q0920
|
Maj+2
|
|
Laparotomy and removal of ovarian cyst:
Unilateral/Bilateral
|
Q4400
|
Maj3
|
|
Laparotomy and removal of ovary/ovaries
|
Q2230
|
Maj3
|
|
Microwave Endometrial ablation
|
Q1702
|
Maj3
|
|
Hysteroscopic Endometrial ablation
|
Q1700
|
Maj3
|
|
NovaSure
|
Q1703
|
Maj3
|
|
Endometrial Sampling
|
Q2020
|
Min4
|
|
Hysteroscopy
|
Q1800
|
Inter2
|
|
Hysteroscopy with resection of fibroid
|
Q1802
|
Maj1
|
|
Insertion of Mirena Device
|
Q1290
|
|
|
Polypectorny
|
Q1030
|
Min4
|
|
Cervical Diathermy (including LLETZ)
|
Q0230
|
Min2
|
|
Colposcopy
|
P2730
|
Min4
|
|
Punch biopsy of the cervix [AVIVA]
|
Q0340
|
Min1
|
|
Cervical cone biopsy (LLETZ)
|
Q0330
|
Inter2
|
|
Excision of lesion of vagina
|
P2000
|
Inter2
|
|
Excision of lesion of vulva
|
P0600
|
Min4
|
|
Marsupialisation Bartholin Cyst
|
P0320
|
Inter2
|
|
Simple Vulvectomy
|
P0510
|
Maj5
|
Surgery for the prolapse
|
Vault
suspension
|
P2450(10008)
|
Maj5
|
|
Posterior
Vaginal Repair
|
P2230
|
Inter5
|
|
Repair
of Enterocele + Rectocele
|
P2340
|
Maj2
|
|
Vaginal
repair (Anterior +/- Posterior
+/- Eneterocele+/- Cystoscopy)
|
P2310
|
Maj5
|
|
Vaginal
Hysterectomy
|
Q0800
|
Maj+2
|
|
Vaginal
Hysterectomy & Vaginal Repair
|
P2380
|
Maj+5
|
|
Perineal
repair
|
P1300
|
Min4
|
|
Incision
of the introitus
|
P1400
|
Min4
|
|
Vaginal
Exam under anaesthesia
|
P2932
|
Min3
|
|
Other
obliteration of the vagina
|
P1800
|
Maj3
|
|
Reconstruction
of the vagina
|
P2100
|
Maj+5
|
Surgery for Urinary Symptoms
|
Tension Free Vaginal Tape Operation
|
M7590
|
Maj4
|
|
Cystoscopy
|
M4510
|
Inter1
|
|
Urethral Caruncle Diathermy (M5582)
Excision (M5580)
|
|
Min2
|
|
Dilatation of outlet of female bladder +/-
Cystoscopy
|
M5820
|
Inter1
|
|
Bladder neck injection +/- Cystoscopy
|
M5630
|
Inter3
|
|
Endoscopic hydro-distension of bladder
|
M4320
|
Inter1
|
|
Bladder instillation of pharmacologic
agent
|
M4712
|
Min4
|
Postoperative Investigation
|
Flowmetry
|
M4780
|
Inter1
|
|
Scan
|
72610
|
£132 |
|
Pru Health/ Sl
|
1
|
2
|
3
|
4
|
5
|
|
Minor
|
£100
|
£130
|
£140
|
£150
|
£175
|
|
Inter
|
£220
|
£260
|
£300
|
£345
|
£420
|
|
Major
|
£470
|
£530
|
£565
|
£615
|
£650
|
|
Major Plus
|
£700
|
£720
|
£745
|
£770
|
£880
|
|
Complex Maj
|
£915
|
£1,155
|
£1,460
|
£1,870
|
£2,200
|
|
BUPA
|
1
|
2
|
3
|
4
|
5
|
|
Minor
|
£91
|
£107
|
£117
|
£137
|
£167
|
|
Inter
|
£208
|
£249
|
£289
|
£335
|
£386
|
|
Major
|
£452
|
£508
|
£548
|
£589
|
£619
|
|
Major Plus
|
£665
|
£690
|
£716
|
£741
|
£782
|
|
Complex Maj
|
£837
|
£1,040
|
£1,370
|
£1,725
|
£2,030
|
|
PHC/ H Now
|
1
|
2
|
3
|
4
|
5
|
|
Minor
|
£100
|
£118
|
£129
|
£151
|
£184
|
|
Inter
|
£229
|
£274
|
£318
|
£369
|
£425
|
|
Major
|
£497
|
£559
|
£603
|
£648
|
£681
|
|
Major Plus
|
£732
|
£759
|
£788
|
£815
|
£860
|
|
Complex Maj
|
£921
|
£1,144
|
£1,507
|
£1,898
|
£2,233
|
AVIVA
General search: http://www.aviva.co.uk/health/online-fee-schedule/
Vulva: http://www.aviva.co.uk/health/online-fee-schedule/female-reproductive-organs/vulva-labia.html
Vagina and perineum: http://www.aviva.co.uk/health/online-fee-schedule/female-reproductive-organs/vagina-perineum.html
Cervix: http://www.aviva.co.uk/health/online-fee-schedule/female-reproductive-organs/cervix-uteri.html
Uterus and adenaxae:http://www.aviva.co.uk/health/online-fee-schedule/female-reproductive-organs/uterus-adnexa.html
Suspension:http://www.aviva.co.uk/health/online-fee-schedule/female-reproductive-organs/suspension.html
WPA-Prime Health
http://www.wpa.org.uk/medical/feeSearch.aspx
http://www.wpa.org.uk/medical/medicalfees.aspx
Bladder Ultrasound 72610/75
AC100/110 should be added in full not considered as part of multiple procedures
[e.g. BPS + scan + local anaesthetic= 447.5= 300+37.5+ 110]
| P2420 | Sacrocolpopexy | £900.00 |
No sacrospinous fixation
CS Health
http://www.cshealthcare.co.uk/Pages/MedicalFees.aspx
100%-50%-25%
Simply Health, Medisure, HSA, BCWA, HealthSure, LHF and Totally Active
Fee schedule search
Simplyhealth fee schedule: Explanatory Notes
100%- 125%- 140%
BUPA
https://www.consultantnet.org/asp/working_with_bupa/schedule_of_procedures.asp
markmalak
Schedule of procedures
Procedure search
Fees payable
VULVA / LABIA
VAGINA / PERINEUM
CERVIX UTERI
UTERUS / ADNEXA
SUSPENSION
Surgeon fees | 1 | 2 | 3 | 4 | 5 |
Minor | £91.00 | £107.00 | £117.00 | £137.00 | £167.00 |
25% | £113.75 | £133.75 | £146.25 | £171.25 | £208.75 |
40% | £127.40 | £149.80 | £163.80 | £191.80 | £233.80 |
Inter | £208.00 | £249.00 | £289.00 | £335.00 | £386.00 |
25% | £260.00 | £311.25 | £361.25 | £418.75 | £482.50 |
40% | £291.20 | £348.60 | £404.60 | £469.00 | £540.40 |
Major | £452.00 | £508.00 | £548.00 | £589.00 | £619.00 |
25% | £565.00 | £635.00 | £685.00 | £736.25 | £773.75 |
40% | £632.80 | £711.20 | £767.20 | £824.60 | £866.60 |
Major Plus | £665.00 | £690.00 | £716.00 | £741.00 | £782.00 |
25% | £831.25 | £862.50 | £895.00 | £926.25 | £977.50 |
40% | £931.00 | £966.00 | £1,002.40 | £1,037.40 | £1,094.80 |
Complex Major | £837.00 | £1,040.00 | £1,370.00 | £1,725.00 | £2,030.00 |
25% | £1,046.25 | £1,300.00 | £1,712.50 | £2,156.25 | £2,537.50 |
40% | £1,171.80 | £1,456.00 | £1,918.00 | £2,415.00 | £2,842.00 |
Prudential Health Insurance (Pru Health)-
Standard Life
100% 25% 40%
Surgeon fees
| 1 | 2 | 3 | 4 | 5 |
Minor | £100 | £130 | £140 | £150 | £175 |
Inter | £220 | £260 | £300 | £345 | £420 |
Major | £470 | £530 | £565 | £615 | £650 |
Major Plus | £700 | £720 | £745 | £770 | £880 |
Complex Major | £915 | £1155 | £1460 | £1870 | £2200 |
BMI Standard Life
Initial £115 FU £80
New Initiative
PHC - Health Now
BUPA + 10%
For bilateral procedures not identified within a specific CCSD code we will pay 100% of the actual procedure plus an additional 66%
AXA PPP , First Healthcare
The full schedule of procedures and fees
Introduction
Investigations, simple procedures and consultation codes
Female Organs
Urinary System
http://www.axappphealthcare.co.uk/personal/member-services/private-medical-insurance/schedule-of-procedures-and-fees
http://www.axappphealthcare.co.uk/assets/documents/specialists/business-guidelines/schedule-of-published-fees.pdf
The benefit for hysteroscopy includes an amount for D&C and insertion of mirena coil.
Similarly where a therapeutic hysteroscopy is performed, we will not reimburse an additional charge for a diagnostic hysteroscopy.
The benefit for hysterectomy for ovarian malignancy includes an amount for removal of omentum and this should not be listed as extra.
Cystoscopy should not be charged as an additional procedure with suspension/uro-gynaecological procedures.
We consider insertion of suprapubic catheter to be an intrinsic part of procedures such as a suprapubic sling or retropubic suspension of bladder neck and will not reimburse these as an additional procedure.
The benefit for colposcopy includes an amount for punch biopsy.
- The benefit for therapeutic laparoscopy includes an amount for diagnostic laparoscopy.
The code for division of adhesions is no longer in our Schedule. Adhesions are a part of a large number
of gynaecological pathologies and the benefit for treatment includes an amount for division of adhesions. We do however accept that there are some cases where numerous dense adhesions add considerably to the complexity of a procedure and in such cases suggest an enhanced fee is submitted together with a note of explanation.
Postoperative analgesia is part of all surgery. We will not reimburse additional charges by surgeons or anaesthetists for wound infiltration with local anaesthetic
There are many procedures which are commonly performed under local/topical anaesthesia or sedation by the operator such as investigations and simple procedures listed in Section 1, removal of skin lesions, flexible cystoscopy [hysteroscopy- colposcopy] and sigmoidoscopy. In these instances the published surgical benefit includes an amount for anaesthesia by the operator and no additional charges should be made for this service. For procedures normally performed under general or regional anaesthesia an additional fee of up to £100 may be made for local anaesthesia by the main operator as long as no separate anaesthetic is billed. An example of this is a hernia repair under local anaesthetic.
BMI AXA PPP
Initial £130 FU £100
100% then 50% then 0%
CIGNA
http://www.cigna.co.uk/healthcare-providers/fee-schedule/search.asp
http://www.cigna.co.uk/Providers/Fee%20Schedule/browse.asp
100%- 125%- 140%
Fee search: http://www.cigna.co.uk/Providers/Fee%20Schedule/search.asp
GROUPAMA
http://www.groupamahealthcare.co.uk/policyholders/Claims/Schedule_of_procedures.pdf
100%- 125%- 140%
PROCEDURES
|
Diagnostic Laparoscopy
|
Q3900
|
Inter5
|
|
Therapeutic Laparoscopy
|
Q3800
|
Maj3
|
|
Abdominal Hysterectomy +/- Removal of
Adenxae (ovaries and tubes)
|
Q0740
|
Maj+2
|
|
Subtotal Abdominal Hysterectomy
|
Q0750
|
Maj5
|
|
Myomectomy
|
Q0920
|
Maj+2
|
|
Laparotomy and removal of ovarian cyst:
Unilateral/Bilateral
|
Q4400
|
Maj3
|
|
Laparotomy and removal of ovary/ovaries
|
Q2230
|
Maj3
|
|
Microwave Endometrial ablation
|
Q1702
|
Maj3
|
|
Hysteroscopic Endometrial ablation
|
Q1700
|
Maj3
|
|
NovaSure
|
Q1703
|
Maj3
|
|
Endometrial Sampling
|
Q2020
|
Min4
|
|
Hysteroscopy
|
Q1800
|
Inter2
|
|
Hysteroscopy with resection of fibroid
|
Q1802
|
Maj1
|
|
Insertion of Mirena Device
|
Q1290
|
|
|
Polypectorny
|
Q1030
|
Min4
|
|
Cervical Diathermy (including LLETZ)
|
Q0230
|
Min2
|
|
Colposcopy
|
P2730
|
Min4
|
|
Punch biopsy of the cervix [AVIVA]
|
Q0340
|
Min1
|
|
Cervical cone biopsy (LLETZ)
|
Q0330
|
Inter2
|
|
Excision of lesion of vagina
|
P2000
|
Inter2
|
|
Excision of lesion of vulva
|
P0600
|
Min4
|
|
Marsupialisation Bartholin Cyst
|
P0320
|
Inter2
|
|
Simple Vulvectomy
|
P0510
|
Maj5
|
Surgery for the prolapse
|
Vault
suspension
|
P2450(10008)
|
Maj5
|
|
Posterior
Vaginal Repair
|
P2230
|
Inter5
|
|
Repair
of Enterocele + Rectocele
|
P2340
|
Maj2
|
|
Vaginal
repair (Anterior +/- Posterior
+/- Eneterocele+/- Cystoscopy)
|
P2310
|
Maj5
|
|
Vaginal
Hysterectomy
|
Q0800
|
Maj+2
|
|
Vaginal
Hysterectomy & Vaginal Repair
|
P2380
|
Maj+5
|
|
Perineal
repair
|
P1300
|
Min4
|
|
Incision
of the introitus
|
P1400
|
Min4
|
|
Vaginal
Exam under anaesthesia
|
P2932
|
Min3
|
|
Other
obliteration of the vagina
|
P1800
|
Maj3
|
|
Reconstruction
of the vagina
|
P2100
|
Maj+5
|
Surgery for Urinary Symptoms
|
Tension Free Vaginal Tape Operation
|
M7590
|
Maj4
|
|
Cystoscopy
|
M4510
|
Inter1
|
|
Urethral Caruncle Diathermy (M5582)
Excision (M5580)
|
|
Min2
|
|
Dilatation of outlet of female bladder +/-
Cystoscopy
|
M5820
|
Inter1
|
|
Bladder neck injection +/- Cystoscopy
|
M5630
|
Inter3
|
|
Endoscopic hydro-distension of bladder
|
M4320
|
Inter1
|
|
Bladder instillation of pharmacologic
agent
|
M4712
|
Min4
|
Postoperative Investigation
|
Flowmetry
|
M4780
|
Inter1
|
|
Scan
|
72610
|
£132
|
Dilators: French (circumference)= Hegar (Diameter) X3.14 http://www.chaseunion.com/documents/urethra/differ.htm
C = pi x D
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