General surgery MSP billing codes


Consultation

Code Description Amount
07010 CONSULTATION- GENERAL SURGERY $97.77
07012 REPEAT OR LIMITED CONSULTATION- GENERAL SURGERY $51.74
70070 TELEHEALTH CONSULTATION - GENERAL SURGERY $97.77
70072 TELEHEALTH REPEAT OR LIMITED CONSULT - GEN SURGERY $51.74
71010 CONSULTATION - GENERAL SURGERY - MALIGNANCY $125.50

Referred Cases

Code Description Amount
07005 EMERGENCY VISIT - GENERAL SURGERY $94.77
07006 DIRECTIVE CARE - GENERAL SURGERY $27.76
07007 SUBSEQUENT OFFICE VISIT - GENERAL SURGERY $23.82
07008 SUBSEQUENT HOSPITAL VISIT - GENERAL SURGERY $20.28
07009 SUBSEQUENT HOME VISIT- GENERAL SURGERY $47.44
07010 CONSULTATION- GENERAL SURGERY $97.77
07012 REPEAT OR LIMITED CONSULTATION- GENERAL SURGERY $51.74
71008 POST OP VISIT IN HOSP (1-14 DAYS) $21.65
71010 CONSULTATION - GENERAL SURGERY - MALIGNANCY $125.50
71017 GENERAL SURGERY - VISIT FOR MALIGNANCY $47.64

Visits

Code Description Amount
07005 EMERGENCY VISIT - GENERAL SURGERY $94.77
07006 DIRECTIVE CARE - GENERAL SURGERY $27.76
07007 SUBSEQUENT OFFICE VISIT - GENERAL SURGERY $23.82
07008 SUBSEQUENT HOSPITAL VISIT - GENERAL SURGERY $20.28
07009 SUBSEQUENT HOME VISIT- GENERAL SURGERY $47.44
70076 TELEHEALTH DIRECTIVE CARE - GENERAL SURGERY $27.76
70077 TELEHEALTH SUBSEQUENT OFFICE VISIT - GENERAL SURG $23.82
70078 TELEHEALTH SUBSEQUENT HOSPITAL VISIT - GEN SURGERY $20.28
71008 POST OP VISIT IN HOSP (1-14 DAYS) $21.65

Telehealth Service With Direct Interactive Video Link With The Patient

Code Description Amount
70070 TELEHEALTH CONSULTATION - GENERAL SURGERY $97.77
70072 TELEHEALTH REPEAT OR LIMITED CONSULT - GEN SURGERY $51.74
70076 TELEHEALTH DIRECTIVE CARE - GENERAL SURGERY $27.76
70077 TELEHEALTH SUBSEQUENT OFFICE VISIT - GENERAL SURG $23.82
70078 TELEHEALTH SUBSEQUENT HOSPITAL VISIT - GEN SURGERY $20.28

Emergency Care

Code Description Amount
00081 Emergency Bedside Care $101.40
00082 CRITICAL CARE MONITORING $60.83

Emergency Care

Code Description Amount
00081 Emergency Bedside Care $101.40
00082 CRITICAL CARE MONITORING $60.83
10087 TRAUMA TEAM LEADER - INITIAL ASSESSMENT $296.07
10088 TRAUMA TEAM LEADER - TERTIARY ASSESSMENT $102.00
10089 TRAUMA TEAM LEADER - SUBSEQUENT HOSPITAL VISIT $77.20

Trauma General Services

Code Description Amount
10087 TRAUMA TEAM LEADER - INITIAL ASSESSMENT $296.07
10088 TRAUMA TEAM LEADER - TERTIARY ASSESSMENT $102.00
10089 TRAUMA TEAM LEADER - SUBSEQUENT HOSPITAL VISIT $77.20

Surgical Fee Modifiers

Code Description Amount
07001 SURGICAL SURCHARGE (AGE 75+) $80.00

Surgical Assistant

Code Description Amount
00195 SURGICAL ASSIST-LESS THAN $317.00 INCLUSIVE $131.64
00196 SURGICAL ASSIST $317.01 TO 529.00 INCLUSIVE $185.59
00197 SURGICAL ASSISTANCE - OPERATIONS OVER $529.00 $245.47
00198 SURGICAL ASSIST TIME AFTER 3 HRS - PER 15 MINS $27.80
70019 CERTIFIED SURGICAL ASSIST $251.70
70020 CERTIFIED SURGICAL ASSIST - TIME FROM 1-3 HOURS $26.28

Surgical Assistant Or Second Operator

Code Description Amount
00195 SURGICAL ASSIST-LESS THAN $317.00 INCLUSIVE $131.64
00196 SURGICAL ASSIST $317.01 TO 529.00 INCLUSIVE $185.59
00197 SURGICAL ASSISTANCE - OPERATIONS OVER $529.00 $245.47
00198 SURGICAL ASSIST TIME AFTER 3 HRS - PER 15 MINS $27.80
70019 CERTIFIED SURGICAL ASSIST $251.70
70020 CERTIFIED SURGICAL ASSIST - TIME FROM 1-3 HOURS $26.28

Second Surgeon

Code Description Amount
07593 PENA POSTERIOR SAGITTAL ANOPROCTOPLASTY 2ND SURGEO $332.60
07702 CLOACAL ANOMALY - TOTAL CORRECTION SECOND SURGEON $386.68
70503 OESOPHAGECTOMY W/O THORACOTOMY - SECONDARY SURGEON $465.00
70504 OESOPHAGECTOMY W/ COLON INTERPOSITION - 2ND SURG $465.00
70505 OESOPHAGECTOMY W/ THORACOTOMY - 2ND SURGEON $465.00
70506 OESOPHAGECTOMY W/THORACOTOMY&COLON INTER.-2ND SURG $465.00
70509 PART. OESOPHAGECTOMY W/COLON INTER. - 2ND SURG $465.00
70511 PART.OESOPHAGECTOMY THORACOABDOMINAL - 2ND SURG. $465.00
77025 SYNCHRONOUS COMBINED BYPASS GRAFT - EXTREMITIES $294.41
77030 SECOND OPERATOR: SYNCHRONOUS COMBINED BYPASS GRAFT $294.41

Second Surgeon

Code Description Amount
07593 PENA POSTERIOR SAGITTAL ANOPROCTOPLASTY 2ND SURGEO $332.60
07702 CLOACAL ANOMALY - TOTAL CORRECTION SECOND SURGEON $386.68
70503 OESOPHAGECTOMY W/O THORACOTOMY - SECONDARY SURGEON $465.00
70504 OESOPHAGECTOMY W/ COLON INTERPOSITION - 2ND SURG $465.00
70505 OESOPHAGECTOMY W/ THORACOTOMY - 2ND SURGEON $465.00
70506 OESOPHAGECTOMY W/THORACOTOMY&COLON INTER.-2ND SURG $465.00
70509 PART. OESOPHAGECTOMY W/COLON INTER. - 2ND SURG $465.00
70511 PART.OESOPHAGECTOMY THORACOABDOMINAL - 2ND SURG. $465.00
77025 SYNCHRONOUS COMBINED BYPASS GRAFT - EXTREMITIES $294.41
77030 SECOND OPERATOR: SYNCHRONOUS COMBINED BYPASS GRAFT $294.41

Superficial Issues

Code Description Amount
06016 REMOVAL OF TUMOR OR SCAR UNDER GA, UP TO 5 CM $125.26
06017 REMOVAL OF TUMOUR; 5 CM TO 10 CM $256.85
06018 REMOVAL OF TUMOR - MORE THAN 10 CM $443.84
06028 ABSCESS - WEB SPACE OPERATION ONLY $70.15
06029 ABSCESS - WEB SPACE UNDER GENERAL ANAESTHETIC $250.00
06063 REMOVAL OF FOREIGN BODY REQUIRING GA $245.89
06069 EXCISION OF TUMOR OR SMALL SCAR - FACE $87.33
06166 EXCISION OF AXILLARY SWEAT GLAND FOR HYPERHYDROSIS $318.88
07025 TEMPORAL ARTERY BIOPSY $77.72
07027 ABSCESS - DEEP - GENERAL ANAESTHETIC $125.26
07028 SURAL NERVE - BIOPSY OF $72.20
07041 ABDOMEN ASPIRATION/CHEST $41.05
07045 ANTERIOR CLOSED SPACE ABSCESS - OP ONLY $38.60
07053 EXC OF NAIL BED, COMPLETE, W/SHORTENING OF PHALANX $135.32
07055 GANGLIA - WRIST $178.76
07059 ABSCESS - DEEP - LOCAL/REGIONAL ANESTHESIA $56.37
07061 WOUND INFECTION - POST-OP/GA $79.88
07072 HYDRADENITIS SUPPURATIVA EXCISION - AXILLARY $119.77
07073 TENOTOMY CONGENITAL TORTICOLLIS $131.91
07074 TENOTOMY RESECTION OF TENDON $253.02
07075 HYDRADENITIS SUPPURATIVA EXCISION - INGUINAL $119.77
07076 HYDRADENITIS SUPPURATIVA EXCISION - PERIANAL $119.77
07082 HYDRADENITIS SUPPURATIVA EXCISION - PERINEAL $119.77
07685 PILONIDAL CYSTS OR SINUS - EXCISION OR MARSUPIALI $272.08
13601 BIOPSY - FACIAL AREA (OPERATION ONLY) $49.77
13605 ABSCESS - SUPERFICIAL $42.63
13610 MINOR LACERATION OR FOREIGN BODY - NO ANAESTHESIA $34.15
13611 MINOR LACERATION/FOREIGN BODY REQUIRING ANAES. $63.59
13620 EXCISION TUMOR OF SKIN/SCAR UP TO 5CM $64.26
13621 EXCISION ADDITIONAL TUMOR OF SKIN/SCAR UP TO 5CM $31.80
13622 LOCALIZED CARCINOMA OF SKIN PROVEN HISTOPATH. $70.25
13630 PARONYCHIA $34.06
13631 NAIL REMOVAL - SIMPLE $34.06
13632 NAIL REMOVAL WITH DESTRUCTION OF NAIL BED $68.91
13633 WEDGE EXCISION OF ONE NAIL $60.80
70023 EXC BIOPSY OF LYMPH GLAND FOR SUSP MALIG - NECK $131.24
70024 EXC BIOPSY OF LYMPH GLANDS FOR SUSP MALIG -AXILLA $232.76
70025 EXC BIOPSY OF LYMPH GLANDS FOR SUSP MALIG - GROIN $79.87
70084 ABSCESS - PILONIDAL CYST/SINUS - INCISION/DRAINAGE $56.37

Superficial / Miscellaneous

Code Description Amount
06016 REMOVAL OF TUMOR OR SCAR UNDER GA, UP TO 5 CM $125.26
06017 REMOVAL OF TUMOUR; 5 CM TO 10 CM $256.85
06018 REMOVAL OF TUMOR - MORE THAN 10 CM $443.84
06028 ABSCESS - WEB SPACE OPERATION ONLY $70.15
06029 ABSCESS - WEB SPACE UNDER GENERAL ANAESTHETIC $250.00
06063 REMOVAL OF FOREIGN BODY REQUIRING GA $245.89
06069 EXCISION OF TUMOR OR SMALL SCAR - FACE $87.33
06166 EXCISION OF AXILLARY SWEAT GLAND FOR HYPERHYDROSIS $318.88
07025 TEMPORAL ARTERY BIOPSY $77.72
07027 ABSCESS - DEEP - GENERAL ANAESTHETIC $125.26
07028 SURAL NERVE - BIOPSY OF $72.20
07041 ABDOMEN ASPIRATION/CHEST $41.05
07045 ANTERIOR CLOSED SPACE ABSCESS - OP ONLY $38.60
07053 EXC OF NAIL BED, COMPLETE, W/SHORTENING OF PHALANX $135.32
07055 GANGLIA - WRIST $178.76
07059 ABSCESS - DEEP - LOCAL/REGIONAL ANESTHESIA $56.37
07061 WOUND INFECTION - POST-OP/GA $79.88
07072 HYDRADENITIS SUPPURATIVA EXCISION - AXILLARY $119.77
07073 TENOTOMY CONGENITAL TORTICOLLIS $131.91
07074 TENOTOMY RESECTION OF TENDON $253.02
07075 HYDRADENITIS SUPPURATIVA EXCISION - INGUINAL $119.77
07076 HYDRADENITIS SUPPURATIVA EXCISION - PERIANAL $119.77
07082 HYDRADENITIS SUPPURATIVA EXCISION - PERINEAL $119.77
07685 PILONIDAL CYSTS OR SINUS - EXCISION OR MARSUPIALI $272.08
13601 BIOPSY - FACIAL AREA (OPERATION ONLY) $49.77
13605 ABSCESS - SUPERFICIAL $42.63
13610 MINOR LACERATION OR FOREIGN BODY - NO ANAESTHESIA $34.15
13611 MINOR LACERATION/FOREIGN BODY REQUIRING ANAES. $63.59
13620 EXCISION TUMOR OF SKIN/SCAR UP TO 5CM $64.26
13621 EXCISION ADDITIONAL TUMOR OF SKIN/SCAR UP TO 5CM $31.80
13622 LOCALIZED CARCINOMA OF SKIN PROVEN HISTOPATH. $70.25
13630 PARONYCHIA $34.06
13631 NAIL REMOVAL - SIMPLE $34.06
13632 NAIL REMOVAL WITH DESTRUCTION OF NAIL BED $68.91
13633 WEDGE EXCISION OF ONE NAIL $60.80
70023 EXC BIOPSY OF LYMPH GLAND FOR SUSP MALIG - NECK $131.24
70024 EXC BIOPSY OF LYMPH GLANDS FOR SUSP MALIG -AXILLA $232.76
70025 EXC BIOPSY OF LYMPH GLANDS FOR SUSP MALIG - GROIN $79.87
70084 ABSCESS - PILONIDAL CYST/SINUS - INCISION/DRAINAGE $56.37

Wounds

Code Description Amount
06075 LIPS AND EYELID WOUNDS COMPLICATED $332.87
06076 NOSE AND EAR WOUNDS COMPLICATED $418.15
06077 COMPLICATED LACERATION OF THE SCALP CHEEK AND NECK $326.71
13612 EXTENSIVE LACERATION GREATER THAN 5CM $12.75
70150 LACERATIONS - TONGUE/FLOOR OF MOUTH - COMPLICATED $265.30

Wounds

Code Description Amount
06075 LIPS AND EYELID WOUNDS COMPLICATED $332.87
06076 NOSE AND EAR WOUNDS COMPLICATED $418.15
06077 COMPLICATED LACERATION OF THE SCALP CHEEK AND NECK $326.71
13612 EXTENSIVE LACERATION GREATER THAN 5CM $12.75
70150 LACERATIONS - TONGUE/FLOOR OF MOUTH - COMPLICATED $265.30

Necrotizing Infections Or Severe Trauma

Code Description Amount
70155 DEBRIDEMENT/SKIN/SUBCUTANEOUS TISSUE / INFECTION $403.86
70158 DEBRIDEMENT SKIN/SUBCUTANEOUS TISSUE,UP TO 5% BODY $231.19
70159 DEBRIDEMENT SKIN/SUBCUTANEOUS TISSUE; EACH SUB 5% $115.59
70162 DEBRIDEMENT SKIN/SUB/NECROTIC FASCIA / 1ST 5% $258.04
70163 DEBRIDEMENT SKIN/SUB/NECROTIC FASCIA/EACH SUB 5% $128.44
70165 DEBRIDEMENT SKIN/FASCIA/MUSCLE/BONE;UP TO 1ST 5% $282.56
70166 DEBRIDEMENT SKIN/FASCIA/MUSCLE/BONE;EACH SUB 5% $141.28
70168 ACTIVE WOUND MGMT-ACUTE PHASE AFTER DEBRIDEMENT $77.06
70169 ACTIVE WOUND MGMT/IN OR ACUTE PHASE AFT DEBRIDEMNT $123.30

Debridement Of Soft Tissues For Necrotizing Infections Or Severe Trauma

Code Description Amount
70155 DEBRIDEMENT/SKIN/SUBCUTANEOUS TISSUE / INFECTION $403.86
70158 DEBRIDEMENT SKIN/SUBCUTANEOUS TISSUE,UP TO 5% BODY $231.19
70159 DEBRIDEMENT SKIN/SUBCUTANEOUS TISSUE; EACH SUB 5% $115.59
70162 DEBRIDEMENT SKIN/SUB/NECROTIC FASCIA / 1ST 5% $258.04
70163 DEBRIDEMENT SKIN/SUB/NECROTIC FASCIA/EACH SUB 5% $128.44
70165 DEBRIDEMENT SKIN/FASCIA/MUSCLE/BONE;UP TO 1ST 5% $282.56
70166 DEBRIDEMENT SKIN/FASCIA/MUSCLE/BONE;EACH SUB 5% $141.28
70168 ACTIVE WOUND MGMT-ACUTE PHASE AFTER DEBRIDEMENT $77.06
70169 ACTIVE WOUND MGMT/IN OR ACUTE PHASE AFT DEBRIDEMNT $123.30

Vascular Access

Code Description Amount
07141 Permcath Removal $100.17
00526 INSERTION OF INTRAVENOUS INFUSION LINE, UNDER 5 $55.21
00801 INTRA-ARTERIAL CANNULATION $21.67
07134 PERITONEAL VENOUS SHUNT FOR ASCITES $382.85
07139 BROVIAC CATHETER - INSERTION OF $159.42
07140 CATHETER INSERTION - BROVIAC TYPE, <3 MO OR <3 KG $263.85
07142 VENOUS ACCESS PORT - IMPLANTABLE - INSERTION $251.05
07143 VENOUS ACCESS PORT - IMPLANTABLE/REVISION/REMOVAL $288.10
07145 INTRA OSSEOUS - ACCESS $39.90
07146 INFERIOR VENA CAVA FILTER - INSERTION $360.76

Vascular Access

Code Description Amount
07141 Permcath Removal $100.17
00319 CENTRAL CATHETER INSERTION - TPN $55.46
00526 INSERTION OF INTRAVENOUS INFUSION LINE, UNDER 5 $55.21
00801 INTRA-ARTERIAL CANNULATION $21.67
07134 PERITONEAL VENOUS SHUNT FOR ASCITES $382.85
07139 BROVIAC CATHETER - INSERTION OF $159.42
07140 CATHETER INSERTION - BROVIAC TYPE, <3 MO OR <3 KG $263.85
07142 VENOUS ACCESS PORT - IMPLANTABLE - INSERTION $251.05
07143 VENOUS ACCESS PORT - IMPLANTABLE/REVISION/REMOVAL $288.10
07145 INTRA OSSEOUS - ACCESS $39.90
07146 INFERIOR VENA CAVA FILTER - INSERTION $360.76

Mouth & Lips

Code Description Amount
02275 GLOSSECTOMY - SUBTOTAL $1,035.88
02279 RESECTION-BASE OF TONGUE &/OR TONSIL/SOFT PALATE $1,889.27
02457 TONGUE TIE, G.A. $81.33
02458 TONGUE - LOCAL EXCISION/GA $162.64
02478 GLOSSECTOMY - PARTIAL FOR CARCINOMA $362.84
02480 MANDIBLE/ FLOOR OF MOUTH-RESECTION FOR MALIGNANCY $1,294.80
06140 WEDGE RESECTION - LIP VERMILION $196.71
06141 WEDGE RESECTION OF LIP SULCUS $245.89
07789 LESION - TONGUE $313.15
07790 LESION - BENIGN - FLOOR OF MOUTH $119.77

Head And Neck

Code Description Amount
02275 GLOSSECTOMY - SUBTOTAL $1,035.88
02279 RESECTION-BASE OF TONGUE &/OR TONSIL/SOFT PALATE $1,889.27
02457 TONGUE TIE, G.A. $81.33
02458 TONGUE - LOCAL EXCISION/GA $162.64
02478 GLOSSECTOMY - PARTIAL FOR CARCINOMA $362.84
02480 MANDIBLE/ FLOOR OF MOUTH-RESECTION FOR MALIGNANCY $1,294.80
06140 WEDGE RESECTION - LIP VERMILION $196.71
06141 WEDGE RESECTION OF LIP SULCUS $245.89
07789 LESION - TONGUE $313.15
07790 LESION - BENIGN - FLOOR OF MOUTH $119.77

Pharynx And Tonsils

Code Description Amount
00701 DIRECT LARYNGOSCOPY $36.97
02399 CRYOTHERAPY OF TONSILS AND ORAL LESIONS $112.60
02403 TONSILLECTOMY - UNDER LA $252.73
02413 OPERATIVE CONTROL OF POST-TONSILLECTOMY HAEMORRHAG $162.64
02442 ADENOIDECTOMY - ADULT OR CHILD OVER 14 YEARS $126.33
02444 INCISION OF PERITONSILLAR ABSCESS-GENERAL ANAESTHE $126.33
02445 TONSILLECTOMY - OVER 14 YEARS OF AGE $210.00
02446 TONSILLECTOMY -14 YEARS AND UNDER(INCLUDES NEONATE $188.00
02447 INCISION OF PERITONSILLAR ABSCESS-LOCAL ANAESTHETI $50.04

Pharynx And Tonsils

Code Description Amount
00701 DIRECT LARYNGOSCOPY $36.97
02399 CRYOTHERAPY OF TONSILS AND ORAL LESIONS $112.60
02403 TONSILLECTOMY - UNDER LA $252.73
02413 OPERATIVE CONTROL OF POST-TONSILLECTOMY HAEMORRHAG $162.64
02442 ADENOIDECTOMY - ADULT OR CHILD OVER 14 YEARS $126.33
02444 INCISION OF PERITONSILLAR ABSCESS-GENERAL ANAESTHE $126.33
02445 TONSILLECTOMY - OVER 14 YEARS OF AGE $210.00
02446 TONSILLECTOMY -14 YEARS AND UNDER(INCLUDES NEONATE $188.00
02447 INCISION OF PERITONSILLAR ABSCESS-LOCAL ANAESTHETI $50.04

Salivary Glands And Ducts

Code Description Amount
00844 BIOPSY OF SALIVARY GLAND, FINE OR CORE NEEDLE $52.98
02452 SIALOLITHOTOMY - SIMPLE IN DUCT $62.54
02453 SIALOLITHOTOMY - COMPLICATED IN GLAND $187.67
02455 EXCISION OF SUBMANDIBULAR GLAND $312.77
02456 FISTULA - SALIVARY -PLASTIC TO STENSON'S DUCT $412.88
02471 SUBTOTAL PAROTIDECTOMY W FACIAL NERVE DISSECTION $825.79
02472 TOTAL PAROTIDECTOMY .. FOR MALIGNANCY OR DEEP LOBE $950.88
07515 ABSCESS - PARTOID/SUBMAXILLARY/SUBLINGUAL $79.88
07516 EXCISION OR MARSUPIALIZATION OF SALIVARY CYST $119.77
07522 LOCAL EXCISION OF PAROTID TUMOR $131.91
07526 SALIVARY DUCT - DILATION $27.41

Salivary Glands And Ducts

Code Description Amount
00844 BIOPSY OF SALIVARY GLAND, FINE OR CORE NEEDLE $52.98
02452 SIALOLITHOTOMY - SIMPLE IN DUCT $62.54
02453 SIALOLITHOTOMY - COMPLICATED IN GLAND $187.67
02455 EXCISION OF SUBMANDIBULAR GLAND $312.77
02456 FISTULA - SALIVARY -PLASTIC TO STENSON'S DUCT $412.88
02471 SUBTOTAL PAROTIDECTOMY W FACIAL NERVE DISSECTION $825.79
02472 TOTAL PAROTIDECTOMY .. FOR MALIGNANCY OR DEEP LOBE $950.88
07515 ABSCESS - PARTOID/SUBMAXILLARY/SUBLINGUAL $79.88
07516 EXCISION OR MARSUPIALIZATION OF SALIVARY CYST $119.77
07522 LOCAL EXCISION OF PAROTID TUMOR $131.91
07526 SALIVARY DUCT - DILATION $27.41

Neck Dissection

Code Description Amount
02281 CONSERVATIVE RADICAL NECK DISSECTION $1,231.05
02282 TONGUE/MANDIBLE - COMPOSITE RESECTION AND ... $1,889.27
02470 RADICAL NECK DISSECTION $1,035.94
02477 SUPRAHYOID DISSECTION - CONTRALATERAL $475.44

Neck Dissection

Code Description Amount
02281 CONSERVATIVE RADICAL NECK DISSECTION $1,231.05
02282 TONGUE/MANDIBLE - COMPOSITE RESECTION AND ... $1,889.27
02470 RADICAL NECK DISSECTION $1,035.94
02477 SUPRAHYOID DISSECTION - CONTRALATERAL $475.44

Other Head And Neck

Code Description Amount
02407 TRACHEOTOMY $336.00
02459 EXCISION CYSTIC HYGROMA $538.00
02476 RE-ESTABLISHMENT IN NECK $625.59
07500 RESECTION OF MANDIBLE $394.48
07725 MAXILLECTOMY $800.57
07726 MAXILLECTOMY WITH EXENTERATION OF ORBIT AND SKIN G $1,031.51
07749 PARTIAL MAXILLECTOMY FOR MALIGNANCY - FENESTRATION $534.15
07796 EXCISION NEUROGENIC NEOPLASM NECK $534.15
70545 DIVERTICULECTOMY OF HYPOPHARYNX/OESOPHAGUS-CERVICA $526.42

Head And Neck Miscellaneous

Code Description Amount
02407 TRACHEOTOMY $336.00
02459 EXCISION CYSTIC HYGROMA $538.00
02476 RE-ESTABLISHMENT IN NECK $625.59
07500 RESECTION OF MANDIBLE $394.48
07725 MAXILLECTOMY $800.57
07726 MAXILLECTOMY WITH EXENTERATION OF ORBIT AND SKIN G $1,031.51
07749 PARTIAL MAXILLECTOMY FOR MALIGNANCY - FENESTRATION $534.15
07796 EXCISION NEUROGENIC NEOPLASM NECK $534.15
70545 DIVERTICULECTOMY OF HYPOPHARYNX/OESOPHAGUS-CERVICA $526.42

Breast Incision

Code Description Amount
70041 FINE NEEDLE ASPIRATION SOLID OR CYSTIC LESION $44.84
70042 ASPIRATION - FINE NEEDLE - ADDITIONAL CYST/ LESION $11.22
70043 MASTOTOMY WITH EXPLORATION OF DRAINAGE OF ABSCESS $79.88
70044 MASTOTOMY - GA $156.58

Breast

Code Description Amount
07470 NIPPLE EXPLORATION $166.42
07471 MASTECTOMY - SIMPLE FOR BENIGN DISEASE $334.39
07472 MASTECTOMY - TOTAL FOR MALIGNANCY $465.01
07473 MASTECTOMY - PARTIAL FOR MALIGNANCY $232.77
07474 AXILLARY DISSECTION (LEVEL II) - COMPLETE $465.01
07475 AXILLARY DISSECTION - PARTIAL $232.77
07479 SENTINEL LYMPH NODE BIOPSY $465.01
07497 BIOPSY OR SEGMENTAL RESECTION OF NON-PALPABLE BREA $216.57
07498 MASTECTOMY - SKIN SPARING - UNILATERAL $555.74
70041 FINE NEEDLE ASPIRATION SOLID OR CYSTIC LESION $44.84
70042 ASPIRATION - FINE NEEDLE - ADDITIONAL CYST/ LESION $11.22
70043 MASTOTOMY WITH EXPLORATION OF DRAINAGE OF ABSCESS $79.88
70044 MASTOTOMY - GA $156.58
70469 BIOPSY - BREAST - NEEDLE CORE $56.37
70470 BIOPSY - BREAST - INCISIONAL $112.75
70471 BIOPSY - BREAST - EXCISIONAL $120.44
70472 BIOPSY - NEEDLE CORE-STEREOTACTIC/ULTRASOUND GUIDE $83.16
70473 BIOPSY-NEEDLE CORE-STEREOTACTIC/ULTRASOUND GUIDED $117.39
70477 BIOPSY BREAST LESION - EACH ADDITIONAL $108.29
70478 MASTECTOMY - GYNECOMASTIA $300.00
70479 MASTECTOMY - RADICAL $762.62
79135 CHEST WALL TUMOUR WITH RIB RESECTION $977.66

Breast Excision

Code Description Amount
70469 BIOPSY - BREAST - NEEDLE CORE $56.37
70470 BIOPSY - BREAST - INCISIONAL $112.75
70471 BIOPSY - BREAST - EXCISIONAL $120.44

Oesophagus

Code Description Amount
07528 PLACEMENT GASTROESOPHAGEAL VENOUS COMPRESSION BALL $64.89
07536 DIRECT LIGATION OF OESOPHAGEAL VARICES $722.34
10761 ESOPHAGOGASTRODUODENOSCOPY (EGD) $88.00
10762 RIGID ESOPHAGOSCOPY $73.29
10763 INITIAL ESOPHAGEAL, GASTRIC OR DUODENAL BIOPSY $28.50
10764 MULTIPLE BIOPSIES FOR DIFFERENTIAL DIAGNOSES $42.75
33321 REMOVAL OF FOREIGN MATERIAL CAUSING OBSTRUCTION $99.95
33322 THERAPEUTIC INJECTION(S), SCLEROSIS, BAND LIGATION $114.44
33323 TRANSENDOSCOPIC TUBE, STENT OR CATHETER $99.90
33324 THERMAL COAGULATION - HEATER PROBE AND LASER $41.77
33325 GASTRIC POLYPECTOMY $158.36
33326 PERCUTANEOUS ENDOSCOPICALLY PLACED FEEDING TUBE $72.36
33327 ENDOSCOPIC REPOSITIONING OF GASTRIC FEEDING TUBE $13.97
33328 ESOPHAGEAL DILATION, BLIND BOUGINAGE $56.14
33329 ESOPHAGEAL DILATION OR DILATION OF PATHOLOGICAL $106.92
70500 OESOPHAGOTOMY:CERV. APPROACH W/ REM. FOREIGN BODY $526.42
70501 OESOPHAGOTOMY:THORA. APPROACH W/ REM. FOREIGN BODY $625.30
70502 CRICOPHARYNGEAL MYOTOMY - CERVICAL APPROACH $460.30
70503 OESOPHAGECTOMY W/O THORACOTOMY - SECONDARY SURGEON $465.00
70504 OESOPHAGECTOMY W/ COLON INTERPOSITION - 2ND SURG $465.00
70505 OESOPHAGECTOMY W/ THORACOTOMY - 2ND SURGEON $465.00
70506 OESOPHAGECTOMY W/THORACOTOMY&COLON INTER.-2ND SURG $465.00
70509 PART. OESOPHAGECTOMY W/COLON INTER. - 2ND SURG $465.00
70511 PART.OESOPHAGECTOMY THORACOABDOMINAL - 2ND SURG. $465.00
70530 EXCISION OESOPHAGEAL LESION - CERVICAL APPROACH $526.42
70531 EXCISION OESOPHAGEAL LESION THORACIC/ABDOMINAL $762.62
70532 EXCISION - OESOPHAGEAL LESION - LAPAROSCOPIC/ THO $762.62
70533 OESOPHAGECTOMY W/O THORACOTOMY - PRIMARY SURGEON $1,402.95
70534 OESOPHAGECTOMY W/ COLON INTERPOSITION - PRIM. SURG $1,640.97
70535 OESOPHAGECTOMY W/ THORACOTOMY - PRIMARY SURGEON $1,603.39
70536 OESOPHAGECTOMY W/THORACOTOMY&COLON INTER.-1ST SURG $1,828.87
70538 PARTIAL OESOPHAGECTOMY - DISTAL 2/3 $1,603.39
70539 PART. OESOPHAGECTOMY W/COLON INTER. - PRIM. SURG $1,828.87
70540 PART. OESOPHAGECTOMY THORACO-ABDOM. OR ABDOMINAL $1,402.95
70541 PART. OESOPHAGECTOMY THROACOABDOMINAL - 1ST SURG $1,640.97
70542 OESOPHAGECTOMY,TOTAL OR PARTIAL,W/O RECONSTRUCTION $1,052.82
70544 DIVERTICULECTOMY OF HYPOPHARYNX/OESOPHAGUS-THORACI $641.35
70545 DIVERTICULECTOMY OF HYPOPHARYNX/OESOPHAGUS-CERVICA $526.42
71530 OESOPHAGOSTOMY - CERVICAL $521.12
71531 REPAIR TRACHEO-OESOPHAGAL FISTULA-CERVICAL APPR. $788.95
71532 OESOPHAGOPLASTY - W/O TRACHEO-OESOPHAGEAL FISTULA $1,100.00
71533 OESOPHAGOPLASTY - W/ TRACHEO-OESOPHAGEAL FISTULA $1,350.00
71534 DIVISION OF TRACHEO-OESOPHAGEAL FISTULA $788.95
71535 OESOPHAGOGASTRIC FUNDOPLASTY - LAPAROSCOPIC $902.93
71536 OESOPHAGOGASTRIC FUNDOPLASTY - OPEN $722.34
71537 OESOPHAGOGASTRIC FUNDOPLASTY WITH FUNDIC PATCH $776.62
71538 OESOPHAGOGASTRIC FUNDOPLASTY - WITH GASTROPLASTY $975.00
71539 PLASTIC OPERATION: CARDIOSPASM -THORACIC APPROACH $659.62
71540 PLASTIC OPERATION: CARDIOSPASM - LAPAROSCOPIC $824.53
71541 CARDIOSPASM - WITH FUNDOPLICATION - OPEN $921.94
71542 CARDIOSPASM WITH FUNDOPLICATION - LAPAROSCOPIC $1,152.43
71543 GASTROINTESTINAL RECONSTRUCTION - WITH STOMACH $1,402.95
71544 GASTROINTESTINAL RECONSTRUCTION - COLON INTERPOSIT $1,640.97
71546 TRANSECTION OF OESOPHAGUS WITH REPAIR $814.22
71547 LIGATION/STAPLING - OESOPHAGEAL PERFORATION $659.62
71548 OESOPHAGEAL WOUND OR INJURY - CERVICAL APPROACH $700.00
71549 OESOPHAGEAL WOUND - TRANSTHORACIC/TRANSABDOMINAL $840.00
71550 OESOPHAGOSTOMY/FISTULA CLOSURE-CERVICAL APPROACH $700.00
71551 OESOPHAGOSTOMY OR FISTULA CLOSURE - TRANSTHORACIC $840.00

Breast Stereotactic Or Ultrasound Guided Core Needle Biopsy

Code Description Amount
07470 NIPPLE EXPLORATION $166.42
07497 BIOPSY OR SEGMENTAL RESECTION OF NON-PALPABLE BREA $216.57
70472 BIOPSY - NEEDLE CORE-STEREOTACTIC/ULTRASOUND GUIDE $83.16
70473 BIOPSY-NEEDLE CORE-STEREOTACTIC/ULTRASOUND GUIDED $117.39
70477 BIOPSY BREAST LESION - EACH ADDITIONAL $108.29

Diaphragm Repair

Code Description Amount
70601 REPAIR PARA-OESOPHAGEAL HIATUS HERNIA $745.31
70602 DIAPHRAGMATIC OR OTHER HERNIA - OPEN $745.31
70603 DIAPHRAGMATIC OR OTHER HERNIA - LAPAROSCOPIC $745.31
70604 CONGENITAL DIAPHRAGMATIC HERNIA $1,125.00
70605 REPAIR DIAPHRAGMATIC HERNIA OR LACERATION - ACUTE $788.95
70606 REPAIR DIAPHRAGMATIC HERNIA OR LACERATION -CHRONIC $722.34
70607 IMBRICATION OF DIAPHRAGM FOR EVENTRATION $659.70

Breast Mastectomy

Code Description Amount
07471 MASTECTOMY - SIMPLE FOR BENIGN DISEASE $334.39
07472 MASTECTOMY - TOTAL FOR MALIGNANCY $465.01
07473 MASTECTOMY - PARTIAL FOR MALIGNANCY $232.77
07474 AXILLARY DISSECTION (LEVEL II) - COMPLETE $465.01
07475 AXILLARY DISSECTION - PARTIAL $232.77
07479 SENTINEL LYMPH NODE BIOPSY $465.01
07498 MASTECTOMY - SKIN SPARING - UNILATERAL $555.74
70478 MASTECTOMY - GYNECOMASTIA $300.00
70479 MASTECTOMY - RADICAL $762.62
79135 CHEST WALL TUMOUR WITH RIB RESECTION $977.66

Stomach

Code Description Amount
07578 VAGOTOMY - HIGHLY SELECTIVE $624.37
07623 GASTRECTOMY REVISION AFTER PREVIOUS GASTRECTOMY $984.88
07624 GASTRECTOMY EMERGENCY FOR CONTINUED HAEMORRHAGE $984.88
07626 PYLOROPLASTY $394.48
07627 GASTROJEJUNOSTOMY - OPEN $425.82
07628 GASTROJEJUNOSTOMY OR PYLOROPLASTY $624.37
07630 GASTROSTOMY - OPEN $329.17
07632 GASTROTOMY, OPEN $448.45
07633 CLOSURE OF GASTROJEJUNOCOLIC FISTULA $1,118.10
33394 PEG PROCEDURE-ASSISTANT'S FEE $110.30
70620 GASTROTOMY $394.48
70621 GASTROTOMY WITH SUTURE REPAIR OF BLEEDING ULCER $661.39
70622 GASTROTOMY-SUTURE REPAIR OESOPHAGOGASTRIC LACER. $688.94
70624 PYLOROMYOTOMY, CUTTING OF PYLORIC MUSCLE $394.48
70625 LIMITED/WEDGE EXCISION-ULCER OR BENIGN TUM STOMACH $561.19
70626 LIMITED/WEDGE EXCISION MALIGNANT TUM-STOMACH-OPEN $641.35
70627 GASTRECTOMY - TOTAL - OPEN $1,300.00
70628 GASTRECTOMY - RECONSTRUCTION - ROUX-EN-Y - OPEN $1,300.00
70629 GASTRECTOMY WITH FORMATION/INTESTINAL POUCH - OPEN $1,300.00
70630 GASTRECTOMY PARTIAL/DISTAL WITH GASTRODUODENOSTOMY $962.04
70631 GASTRECTOMY PARTIAL/DISTAL/GASTROJEJUNOSTOMY-OPEN $962.04
70632 GASTRECTOMY PARTIAL/DISTAL RECONSTRUCTION-ROUX-EN $1,002.10
70633 GASTRECTOMY, PARTIAL, DISTAL-INTESTINAL POUCH-OPEN $1,082.30
70634 VAGOTOMY (EXTRA) $62.63
70635 GASTRECTOMY - PROXIMAL - OPEN $1,179.50
70637 TUBE CHANGE - GASTROSTOMY $30.05
70641 GASTROTOMY - LAPAROSCOPIC $525.00
70642 GASTRIC RESTRICTIVE PROCEDURE $771.99
70643 GASTRIC RESTRICTIVE PROCEDURE/BYPASS - OPEN $975.00
70644 GASTRIC RESTRICTIVE PROCEDURE/SMALL BOWEL RECONSTR $911.89
70645 GASTRIC RESTRICT PROCEDURE/REVISION/REVERSAL/OPEN $1,000.00
70646 GASTROSTOMY - CLOSURE - SURGICAL $394.48
70649 FISTULA - GASTROCOLIC $771.63
72723 REVISION GASTRECTOMY/AFTER PRV GASTRECTOMY LAP $1,231.10
72725 LIMITED/WEDGE EXCISION - ULCER OR BENIGN TUMOUR $701.49
72726 LIMITED/WEDGE EXCISION - MALIGNANT TUMOUR STOMACH $801.69
72727 GASTRECTOMY,TOTAL:OESOPHAGOENTEROSTOMY-LAPAROSCOP $1,397.63
72728 GASTRECTOMY, TOTAL: WITH ROUX-EN-Y RECONSTRUCTION $1,453.08
72729 GASTRECTOMY, TOTAL: WITH POUCH - LAPAROSCOPIC $1,498.46
72730 GASTRECTOMY,PARTIAL,DISTAL(BILLROTH I)LAPAROSCOPIC $1,202.55
72731 GASTRECTOMY,PARTIAL,DISTAL(BILLROTH II)LAPAROSCOPE $1,202.55
72732 GASTRECTOMY,PARTIAL,DISTAL/ROUX-EN-Y-LAPAROSCOPIC $1,252.63
72733 GASTRECTOMY, PARTIAL, WITH POUCH - LAPAROSCOPIC $1,352.88
72735 PROXIMAL GASTRECTOMY - LAPAROSCOPIC $1,474.38
72737 GASTROJEJUNOSTOMY - LAPAROSCOPIC $532.28
72739 LAPAROSCOPIC VERTICAL SLEEVE GASTRECTOMY $1,083.78
72743 GASTRIC RESTRICTIVE PROCEDURE - LAPAROSCOPIC $1,036.23
72775 REVISION/REVERSAL OF GASTRIC RESTRICTIVE PROCEDURE $1,033.41

Oesophagus Incision

Code Description Amount
70500 OESOPHAGOTOMY:CERV. APPROACH W/ REM. FOREIGN BODY $526.42
70501 OESOPHAGOTOMY:THORA. APPROACH W/ REM. FOREIGN BODY $625.30
70502 CRICOPHARYNGEAL MYOTOMY - CERVICAL APPROACH $460.30

Intestines

Code Description Amount
07447 MESENTERIC INJURY - REPAIR OF $561.69
07455 EMERGENCY RESECTION OF OBSTRUCTED COLON $984.27
07565 TAKEDOWN PELVIC POUCH TO INCLUDE ILEOSTOMY - OPEN $810.82
07566 RECTAL MUCOSECTOMY, ILEOANAL ANASTOMOSIS $733.35
07567 PROCTECTOMY WITH RECTAL MUCOSECTOMY - OPEN $1,518.99
07569 COLECTOMY AND HEMIPROCTECTOMY - OPEN $1,067.45
07570 COLO-COLOSTOMY OR ENTERO-COLOSTOMY - OPEN $787.36
07588 COLOSTOMY OR ILEOSTOMY - LOOP - END - OPEN $462.60
07589 TOTAL PROCTOCOLECTOMY SYNCHRONOUS ABDOMINAL PORTIO $1,291.74
07634 ENTEROTOMY OR COLOTOMY (SINGLE); FOR EXPLORATION $477.99
07635 MULTIPLE COLOTOMY WITH OPERATIVE SIGMOIDOSCOPY $627.54
07636 SMALL INTESTINE RESECTION/WITH ANASTOMOSIS - OPEN $591.73
07640 COLECTOMY,TOTAL,ABDOMINAL,WITHOUT PROCTECTOMY/OPEN $1,105.53
07641 PROCTOCOLECTOMY TOTAL WITH PERINEAL EXCISION-OPEN $1,614.14
07643 ENTEROENTEROSTOMY $477.99
07645 COLOSTOMY OR ILEOSTOMY - LOOP - OPEN $401.52
07646 CLOSURE OF LOOP ENTEROSTOMY, LARGE/SMALL INTESTINE $369.49
07647 CLOSURE OF LOOP ENTEROSTOMY WITH RESECTION $552.75
07648 REVISION OF COLOSTOMY, ILEOSTOMY - SIMPLE INCISION $220.23
07649 REVISION OF COLOSTOMY, ILEOSTOMY - RADICAL $411.69
07650 INTESTINAL OBSTRUCTION; RESECTION OF BANDS $492.43
07651 VOLVULUS REDUCTION, INTUSSUSCEPTION BY LAPAROTOMY $516.10
07654 INTESTINAL OBSTRUCTION, PLICATION/INSERTION - TUBE $559.06
07655 EXCISION OF MECKEL'S DIVERTICULUM $361.47
07658 EXTERIORIZATION OF BOWEL $590.91
07662 ABDOMINO-PERINEAL RESECTION (SINGLE SURGEON)-OPEN $1,322.38
07663 ABDOMINO-PERINEAL RESECTION (SYNCHRONOUS ABDOMINAL $1,103.98
07664 PROCTECTOMY,COMBINED WITH ABDOM RESECTION/PERINEAL $369.49
70648 TUBE OR NEEDLE CATHETER JEJUNOSTOMY $350.00
70650 LYSIS OF INTRA-ABDOM ADHESIONS-FIRST 30 MIN EXTRA $150.00
70651 LYSIS OF INTRA-ABDOMINAL ADHESIONS-ADD. 15 MIN $75.00
70660 LYSIS OF INTRA-ABD ADHESIONS-LAP-FIRST 30 MIN EX $150.00
70661 LYSIS OF INTRA-ABD ADHESIONS-LAP-ADD 15MIN EXTRA $75.00
71650 HERNIA REPAIR - CORRECTION - MALROTATION $459.78
72620 RESECTION OF SMALL INTESTINE-WITH ENTEROSTOMY/OPEN $798.10
72621 MOBILIZATION - SPLENIC FLEXURE $93.95
72622 RESECTION - COLON - LIMITED - OPEN $772.70
72623 RESECTION - COLON - LIMITED - LAPAROSCOPIC $965.88
72624 HEMICOLECTOMY - RIGHT - OPEN $810.82
72625 HEMICOLECTOMY - RIGHT - LAPAROSCOPIC $1,013.53
72626 HEMICOLECTOMY - LEFT - OPEN $860.54
72631 HEMICOLECTOMY - LEFT - LAPAROSCOPIC $1,075.68
72632 SIGMOID RESECTION - OPEN $895.85
72633 SIGMOID RESECTION - LAPAROSCOPIC $1,119.81
72634 SIGMOID RESECTION/END COLOSTOMY - OPEN $846.47
72635 ANTERIOR RESECTION - RECTOSIGMOID-CARCINOMA - OPEN $1,100.00
72636 PROCTECTOMY - ABDOMINAL/TRANSANAL $1,103.98
72640 PARTIAL RIGHT COLECTOMY (CAECUM) - OPEN $773.34
72641 CAECOSTOMY/TUBE - DECOMPRESSION $296.18
72644 REVISION OF COLOSTOMY, ILEOSTOMY - WITH REPAIR $552.75
72645 CONTINENT ILEOSTOMY - OPEN $984.88
72646 COLOSTOMY OR ILEOSTOMY - MULTIPLE BIOPSIES $131.91
72647 INTESTINAL STRICTUROPLASTY - SINGLE $501.05
72648 INTESTINAL STRICTUROPLASTY - MULTIPLE $688.94
72651 RECONSTRUCTION HARTMANN PROCEDURE - OPEN $810.82
72652 HARTMAN PROCEDURE - RECONSTRUCTION - LAPAROSCOPIC $1,013.53
72653 FISTULA - ENTEROVESICAL/COLOVESICAL/COLOVAGINAL $773.34
72654 FISTULA - CLOSURE/BOWEL RESECTION $331.83
72656 APPENDECTOMY - OPEN $337.23
72657 APPENDECTOMY - PERFORATED $495.57
72658 APPENDECTOMY - LAPAROSCOPIC $337.23
72659 APPENDECTOMY - LAPAROSCOPIC - PERFORATED $495.57
72660 APPENDICEAL ABSCESS - INCISION/DRAINAGE $425.82
72715 COLOSTOMY OR ILEOSTOMY - LOOP - LAPAROSCOPIC $501.90
72720 RESECTION SMALL INTESTINE/ENTEROSTOMY-LAPAROSCOPIC $997.63
72734 SIGMOID RESECTION-WITH END COLOSTOMY-LAPAROSCOPIC $1,058.09
72736 RESECTION OF SMALL INTESTINE WITH ANASTOMOSIS $739.66
72740 PARTIAL RIGHT COLECTOMY - LAPAROSCOPIC $966.68
72741 TOTAL PROCTOCOLECTOMY-SINGLE SURGEON/LAPAROSCOPIC $2,017.68
72745 CONTINENT ILEOSTOMY (KOCH PROCEDURE) LAPAROSCOPIC $1,231.10
72755 ANTERIOR RESECTION OF RECTOSIGMOID - LAPAROSCOPIC $1,375.00
72760 COLECTOMY - TOTAL, ABDOMINAL - LAPAROSCOPIC $1,381.91
72762 ABDOMINO-PERINEAL RESECTION-SINGLE SURGEON $1,652.98
72763 ABDOMINO-PERINEAL RESECTION-SYNCHRONOUS $1,379.98
72765 TAKE-DOWN OF PELVIC POUCH - LAPAROSCOPIC $1,013.53
72767 PROCTECTOMY WITH RECTAL MUCOSECTOMY-LAPAROSCOPIC $1,898.74
72769 COLECTOMY AND HEMIPROCTECTOMY - LAPAROSCOPIC $1,334.31
72770 COLO-COLOSTOMY OR ENTERO-COLOSTOMY-LAPAROSCOPIC $984.20
72788 COLOSTOMY OF ILEOSTOMY - END - LAPAROSCOPIC $578.25
72789 TOTAL PROCTOCOLOECTOMY - SYN.ABD.PORTION $1,614.68
71651 CORRETION OF MALROTATION - LAPAROSCOPIC $574.73
72601 CAECOSTOMY TUBE FOR DECOMPRESSION-LAP. (EXTRA) $370.23
72650 INTESTINAL OBSTRUCTION, RESECTION OF BANDS-LAP $615.54
72721 MOBILIZATION OF SPLENIC FLEXURE - LAP (EXTRA) $117.44

Oesophagus Excision

Code Description Amount
70530 EXCISION OESOPHAGEAL LESION - CERVICAL APPROACH $526.42
70531 EXCISION OESOPHAGEAL LESION THORACIC/ABDOMINAL $762.62
70532 EXCISION - OESOPHAGEAL LESION - LAPAROSCOPIC/ THO $762.62

Rectum

Code Description Amount
00715 SIGMOIDOSCOPY WITH BIOPSY $35.56
00716 SIGMOIDOSCOPY; FLEXIBLE; DIAGNOSTIC $62.65
00718 SIGMOIDOSCOPY, FLEXIBLE AND WITH BIOPSY $75.84
07460 SIGMOIDOSCOPY - DECOMPRESSION - VOLVULUS $224.43
07461 SIGMOIDOSCOPY - REMOVAL OF FOREIGN BODY $105.46
07462 SIGMOIDOSCOPY - CONTROL BLEEDING $140.60
07463 SIGMOIDOSCOPY - DECOMPRESSION VOLVULUS, ANY METHOD $224.43
07464 SIGMOIDOSCOPY - POLYP REMOVAL $246.18
07465 SIGMOIDOSCOPY - ABLATION OF TUMOR/OTHER LESION $166.48
07580 RECTAL TUMOR EXCISION BY POSTERIOR PARASACRAL $632.74
07660 PELVIC ABSCESS - TRANSRECTAL DRAINAGE $220.09
07662 ABDOMINO-PERINEAL RESECTION (SINGLE SURGEON)-OPEN $1,322.38
07663 ABDOMINO-PERINEAL RESECTION (SYNCHRONOUS ABDOMINAL $1,103.98
07664 PROCTECTOMY,COMBINED WITH ABDOM RESECTION/PERINEAL $369.49
07665 ANORECTAL WALL, BIOPSY - ANAL APPROACH $148.07
07672 COMPLETE RECTAL PROLAPSE $685.25
10714 PROCTOSIGMOIDOSCOPY, RIGID - DIAGNOSTIC $33.57
10730 COLONOSCOPY,FLEXIBLE-TRANSABDOMINAL VIA COLOTOMY $235.51
10732 COLONOSCOPY - REMOVAL OF FOREIGN BODY $266.82
10733 COLONOSCOPY - CONTROL BLEEDING $298.14
72662 PROCTECTOMY, COMPLETE - SYNCHRONOUS ABDOMINAL $1,266.15
72664 PROCTECTOMY, COMPLETE - SUBTOTAL/TOTAL COLECTOMY $1,614.14
72665 PROCTECTOMY, PARTIAL - WITHOUT ANASTOMOSIS $492.14
72666 ALTEMEIER TRANSPERINEAL EXCISION OF RECTAL PROCIDE $664.22
72667 DIVISION OF STRICTURE OF RECTUM $175.75
72669 EXCISION OF RECTAL TUMOUR, 0 TO 2.5 CM $180.00
72670 TUMOR - RECTAL - EXCISION - 2.6 TO 5 CM. $203.90
72671 EXCISION OF RECTAL TUMOUR GREATER THAN 5 CM $421.83
72672 TUMOR - RECTAL - MALIGNANT - ELECTRODESICCATION $180.00
72673 TRANSANAL ENDO. MICRO. RESECTION OF RECTAL TUMOUR $900.00
72762 ABDOMINO-PERINEAL RESECTION-SINGLE SURGEON $1,652.98
72763 ABDOMINO-PERINEAL RESECTION-SYNCHRONOUS $1,379.98

Oesophagectomy Without Thoracotomy (Transhiatal)

Code Description Amount
70503 OESOPHAGECTOMY W/O THORACOTOMY - SECONDARY SURGEON $465.00
70504 OESOPHAGECTOMY W/ COLON INTERPOSITION - 2ND SURG $465.00
70533 OESOPHAGECTOMY W/O THORACOTOMY - PRIMARY SURGEON $1,402.95
70534 OESOPHAGECTOMY W/ COLON INTERPOSITION - PRIM. SURG $1,640.97

Anus

Code Description Amount
04401 FISTULA RECTO-VAGINAL REPAIR $478.25
07452 EXTRA-PERITONEAL RECTUM +/- COLOSTOMY - REPAIR $944.23
07666 FISTULA-IN-ANO; SECOND STAGE; DIVISION - SPHINCTER $153.53
07675 FISTULA-IN-ANO - SUBCUTANEOUS OR SUBMUCOUS $148.07
07676 FISTULA-IN-ANO - SUBMUSCULAR $331.22
07677 FISTULA-IN-ANO - MULTIPLE OR HORSESHOE $442.80
07678 INCISION AND DRAINAGE PERIANAL ABSCESS,SUPERFICIAL $89.67
07679 INCISION/DRAIN ABSCESS - ISCHIORECTAL, INTRAMURAL $130.64
07683 HEMORRHOIDECTOMY $262.89
07687 ANAL FISSURE, EXCISION $89.67
07689 ANAL DILATION UNDER GENERAL ANAESTHETIC $89.59
07690 ANOPLASTY FOR IMPERFORATE ANUS $590.91
07691 ANUS IMPERFORATE SIMPLE INCISION $43.47
70665 ANOPLASTY - ADULT $442.80
70666 SPHINCTEROPLASTY - ANAL - ADULT $442.80
70668 GRAFT - RECTAL INCONTINENCE/PROLAPSE: $200.00
70670 SPHINCTEROPLASTY - ANAL - INCONTINENCE $688.99
70671 IMBRICATION - LEVATOR MUSCLE $442.80
70672 IMPLANTATION - ARTIFICIAL SPHINCTER $989.89
70674 DESTRUCTION - ANAL LESION $73.96
70675 ANAL SETON - REMOVAL $28.12
70676 ABSCESS - ISCHIORECTAL/ INTRAMURAL - INCISION $382.45
70680 DESTRUCTION OF ANAL LESION - COMPLICATED $200.00
70683 EUA WITH OR WITHOUT SIGMOIDOSCOPY $150.00
71681 SPHINCTEROTOMY WITH/WITHOUT FISSURECTOMY $200.00
71682 BOTOX INJECTION FOR ANAL FISSURE $114.83
71684 PAPILLECTOMY - SINGLE - EXTRA $66.56
71686 PAPILLECTOMY - MULTIPLE - EXTRA $120.92
71689 HEMMORHOID(S); OFFICE PROCEDURE (EG BAND LIGATION) $79.02
71690 HEMORRHOID(S); OFFICE PROCEDURE-INFRARED PHOTOCOAG $79.02
71700 FISTULA-IN-ANO; CLOSURE OF CONGENITAL ANAL FISTULA $632.74
72673 TRANSANAL ENDO. MICRO. RESECTION OF RECTAL TUMOUR $900.00

Oesophagectomy With Thoracotomy

Code Description Amount
70505 OESOPHAGECTOMY W/ THORACOTOMY - 2ND SURGEON $465.00
70506 OESOPHAGECTOMY W/THORACOTOMY&COLON INTER.-2ND SURG $465.00
70509 PART. OESOPHAGECTOMY W/COLON INTER. - 2ND SURG $465.00
70511 PART.OESOPHAGECTOMY THORACOABDOMINAL - 2ND SURG. $465.00
70535 OESOPHAGECTOMY W/ THORACOTOMY - PRIMARY SURGEON $1,603.39
70536 OESOPHAGECTOMY W/THORACOTOMY&COLON INTER.-1ST SURG $1,828.87
70538 PARTIAL OESOPHAGECTOMY - DISTAL 2/3 $1,603.39
70539 PART. OESOPHAGECTOMY W/COLON INTER. - PRIM. SURG $1,828.87
70540 PART. OESOPHAGECTOMY THORACO-ABDOM. OR ABDOMINAL $1,402.95
70541 PART. OESOPHAGECTOMY THROACOABDOMINAL - 1ST SURG $1,640.97
70542 OESOPHAGECTOMY,TOTAL OR PARTIAL,W/O RECONSTRUCTION $1,052.82
70544 DIVERTICULECTOMY OF HYPOPHARYNX/OESOPHAGUS-THORACI $641.35
70545 DIVERTICULECTOMY OF HYPOPHARYNX/OESOPHAGUS-CERVICA $526.42

Liver

Code Description Amount
07402 HEPATOTAMY - ABSCESS/CYST - SINGLE $425.82
07403 HEPATOTAMY - MULTIPLE, INCLUDING MARSUPIALIZATION $641.35
07404 LIVER MASS - SUBSEGMENTAL EXCISION $526.42
07405 HEPATECTOMY - SEGMENTAL RESECTION - ONE OR MORE $990.10
07406 HEPATECTOMY - TWO OR MORE SEGMENTS $1,162.46
07407 HEPATECTOMY - TOTAL LEFT LOBECTOMY $1,282.71
07408 HEPATECTOMY - TOTAL RIGHT LOBECTOMY $1,282.71
07409 HEPATECTOMY - EXTENDED LEFT LOBECTOMY $1,402.95
07410 HEPATECTOMY - CAUDATE LOBECTOMY $1,443.04
07411 HEPATECTOMY - EXTENDED RIGHT LOBECTOMY $1,608.39
07412 HEPATORRHAPHY - SIMPLE $538.89
07413 HEPATORRHAPHY - WITH PACKING $632.22
07440 LIVER - RESECTIONAL DEBRIDEMENT $990.10
07441 HEPATIC ARTERY LIGATION $931.33
07442 HEPATIC LOBECTOMY FOR TRAUMA $1,264.41
71380 OPEN OR LAPAROSCOPIC LIVER TUMOUR NON-RESECTIONAL $700.00
72794 LAP. NON-ANATOMIC SUB-SEGMENTAL EXCISION-LIVER MAS $900.00
72795 LAP. HEPATECTOMY, SEGMENTAL RESECTION-ONE OR MORE, $1,237.63
72796 LAP. SEG. RESECTION LIVER:2 OR MORE SEGMENTS,BILAT $1,500.00
72797 LAPAROSCOPIC TOTAL LEFT LOBECTOMY $1,603.39
72798 LAPAROSCOPIC TOTAL RIGHT LOBECTOMY $1,603.39

Oesophagus Endoscopy

Code Description Amount
10761 ESOPHAGOGASTRODUODENOSCOPY (EGD) $88.00
10762 RIGID ESOPHAGOSCOPY $73.29
10763 INITIAL ESOPHAGEAL, GASTRIC OR DUODENAL BIOPSY $28.50
10764 MULTIPLE BIOPSIES FOR DIFFERENTIAL DIAGNOSES $42.75

Biliary Tract

Code Description Amount
07517 ERCP - PAPILLOTOMY/SPHINCTEROTOMY $438.44
07518 ERCP - STONE EXTRACTION $519.85
07519 ERCP - BILIARY STENTING $425.88
07554 ERCP - BALLOON DILATATION $425.88
07556 ERCP - STONE EXTRACTION REQUIRING LITHOTRIPSY $544.91
07560 NASO-BILIARY DRAINAGE TUBE - INSERTION $101.49
07561 CHOLEDOCHAL STENT - PLACEMENT $169.14
07562 DUODENAL BILIARY STENT - REPLACEMENT $169.14
07698 CHOLECYSTOSTOMY - OPEN $414.08
07699 CHOLECYSTECTOMY - OPEN $519.88
07703 CHOLEDOCHODUODENOSTOMY $814.22
07705 CHOLEDOCHOJEJUNOSTOMY/ANASTOMOSIS OF EXTRA-HEPATIC $901.92
07706 CHOLECYSTOENTEROSTOMY - DIRECT (LOOP) $641.61
07707 CHOLECYSTECTOMY - LAPAROSCOPIC $519.87
07769 DUODENOTOMY AND SPHINCTEROPLASTY $647.89
07776 REPAIR OF CHOLECYSTENTERIC FISTULA $751.58
07780 BILIARY ENDOSCOPY - INTRAOPERATIVE $130.63
07781 BILIARY ENDOSCOPY - PERCUTANEOUS $80.17
07782 BILIARY ENDOSCOPY -STONE REMOVAL $130.63
07783 BILIARY ENDOSCOPY; WITH DILATION OF DUCT STRICTURE $130.63
70694 CHOLEDOCHOTOMY/CHOLEDOCHOSTOMY OPEN $615.00
70695 CHOLEDOCHOTOMY/CHOLEDOCHOSTOMY - LAPAROSCOPIC $615.00
70696 CHOLEDOCHOTOMY/TRANSDUODENAL SPHINCTEROPLASTY $907.81
70698 CHOLECYSTOSTOMY - LAPAROSCOPIC $414.08
70700 CHOLECYSTECTOMY; OPEN PRECEDED BY CHOLECYSTECTOMY $637.36
70701 CHOLECYSTECTOMY - CBD (LAPAROSCOPIC) $900.00
70702 CHOLECYSTECTOMY - CBD (OPEN) $900.00
70703 CHOLECYSTECTOMY/CHOLEDOCHODUODENOSTOMY $1,002.10
70704 CHOLECYSTECTOMY WITH CHOLEDOCHOJEJUNOSTOMY $1,027.17
70705 CHOLECYSTECTOMY/TRANSDUODENAL SPHINCTEROTOMY $1,002.10
70710 ATRESIA - BILE DUCTS - CONGENITAL $432.80
70711 PORTOENTEROSTOMY $1,554.37
70712 TUMOR/STRICTURE - BILE DUCT - LOWER $1,038.18
70713 TUMOR/STRICTURE - BILE DUCT - UPPER $1,554.27
70714 TUMOR/STRICTURE - BILE DUCT - MULTIPLE ANASTOMOSES $1,679.55
70715 CYST - CHOLEDOCHAL $977.08
70716 CYST - CHOLEDOCHAL/DUCTOPLASTY $1,443.04
70717 CYST; CHOLEDOCHAL - EXCISION, MULTIPLE ANASTOMOSES $1,563.30
70720 CHOLECYSTOENTEROSTOMY/GASTROENTEROSTOMY $853.81
70721 CHOLECYSTOENTEROSTOMY/ROUX-EN-Y $800.00
70722 CHOLECYSTOENTEROSTOMY/ROUX-EN-Y/GASTROENTEROSTOMY $978.07
70725 CHOLEDOCHOJEJUNOSTOMY WITH GASTROJEJUNOSTOMY $1,064.76
70726 CHOLEDOCHOJEJUNOSTOMY/ROUX-EN-Y $977.08
70727 CHOLEDOCHOJEJUNOSTOMY/ROUX-EN-Y/GASTROJEJUNOSTOMY $1,190.02
70728 ANASTOMOSIS - INTRA-HEPATIC DUCTS/GI TRACT $1,202.55
70730 U-TUBE HEPATICO ENTEROSTOMY $1,200.00
70731 EXTRA-HEPATIC BILIARY DUCT: PRIMARY REPAIR $1,002.10
71698 CHOLECYSTOSTOMY - PERCUTANEOUS $161.67
70718 PORTAL LYMPHADENECTOMY $750.00

Endoscopy Upper Gastrointestinal System

Code Description Amount
33321 REMOVAL OF FOREIGN MATERIAL CAUSING OBSTRUCTION $99.95
33322 THERAPEUTIC INJECTION(S), SCLEROSIS, BAND LIGATION $114.44
33323 TRANSENDOSCOPIC TUBE, STENT OR CATHETER $99.90
33324 THERMAL COAGULATION - HEATER PROBE AND LASER $41.77
33325 GASTRIC POLYPECTOMY $158.36
33326 PERCUTANEOUS ENDOSCOPICALLY PLACED FEEDING TUBE $72.36
33327 ENDOSCOPIC REPOSITIONING OF GASTRIC FEEDING TUBE $13.97
33328 ESOPHAGEAL DILATION, BLIND BOUGINAGE $56.14
33329 ESOPHAGEAL DILATION OR DILATION OF PATHOLOGICAL $106.92

Endocrine System Thyroid

Code Description Amount
00744 THYROID BIOPSY $64.83
07740 BIOPSY OF THYROID - OPEN $187.90
07741 THYROIDECTOMY; SUBTOTAL UNILATERAL (LOCAL EXCISION $329.17
07743 THYROIDECTOMY - TOTAL OR COMPLETE $812.46
07771 PICKING OPERATION; METASTATIC NECK NODES $400.27
70740 CYST - THYROGLOSSAL - INFECTED $200.00
70742 LOBECTOMY - TOTAL THYROID $576.52
70743 THYROIDECTOMY; TOTAL; UNILATERAL INC'L ISTHMUS $714.02
70745 THYROIDECTOMY - SUBTOTAL - BILATERAL $693.19
70747 THYROID TISSUE - REMAINING - REMOVAL $681.45
70748 SUBSTERNAL THYROID - STERNAL SPLIT $160.33

Oesophagoplasty

Code Description Amount
71530 OESOPHAGOSTOMY - CERVICAL $521.12
71531 REPAIR TRACHEO-OESOPHAGAL FISTULA-CERVICAL APPR. $788.95
71532 OESOPHAGOPLASTY - W/O TRACHEO-OESOPHAGEAL FISTULA $1,100.00
71533 OESOPHAGOPLASTY - W/ TRACHEO-OESOPHAGEAL FISTULA $1,350.00
71534 DIVISION OF TRACHEO-OESOPHAGEAL FISTULA $788.95

Endocrine System Parathyroid

Code Description Amount
07744 PARATHYROIDECTOMY - SUBTOTAL PARATHYROIDECTOMY $721.51
07745 PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROIDS $658.89
71746 PARATHYROIDECTOMY - RE-EXPLORATION $920.00
71747 PARATHYROIDECTOMY - MEDIASTINAL EXPLORATION $939.48
71748 PARATHYROID AUTOTRANSPLANTATION $100.00

Oesophagogastric Fundoplasty (Nissen, Belsey Iv, Hill)

Code Description Amount
71535 OESOPHAGOGASTRIC FUNDOPLASTY - LAPAROSCOPIC $902.93
71536 OESOPHAGOGASTRIC FUNDOPLASTY - OPEN $722.34
71537 OESOPHAGOGASTRIC FUNDOPLASTY WITH FUNDIC PATCH $776.62
71538 OESOPHAGOGASTRIC FUNDOPLASTY - WITH GASTROPLASTY $975.00

Endocrine System Adrenal

Code Description Amount
71703 ADRENALECTOMY FOR PHEOCHROMOCYTOMA - OPEN $999.55
71704 ADRENALECTOMY - UNILATERAL - OPEN $788.95
71705 ADRENALECTOMY - BILATERAL - OPEN $1,082.30
72703 ADRENALECTOMY FOR PHEOCHROMOCYTOMA-LAPAROSCOPIC $1,249.44
72704 ADRENALECTOMY;ANY APPROACH-UNILATERAL-LAPAROSCOPIC $986.19
72705 ADRENALECTOMY; ANY APPROACH-BILATERAL-LAPAROSCOPIC $1,352.88

Plastic Operation For Cardiospasm (Heller)

Code Description Amount
71539 PLASTIC OPERATION: CARDIOSPASM -THORACIC APPROACH $659.62
71540 PLASTIC OPERATION: CARDIOSPASM - LAPAROSCOPIC $824.53
71541 CARDIOSPASM - WITH FUNDOPLICATION - OPEN $921.94
71542 CARDIOSPASM WITH FUNDOPLICATION - LAPAROSCOPIC $1,152.43

Endocrine System Carotid Body

Code Description Amount
71706 CAROTID BODY TUMOR - EXCISION $800.57
71707 CAROTID BODY TUMOR WITH EXCISION OF CAROTID ARTERY $982.07

Gastrointestinal Reconstruction

Code Description Amount
71536 OESOPHAGOGASTRIC FUNDOPLASTY - OPEN $722.34
71543 GASTROINTESTINAL RECONSTRUCTION - WITH STOMACH $1,402.95
71544 GASTROINTESTINAL RECONSTRUCTION - COLON INTERPOSIT $1,640.97
71546 TRANSECTION OF OESOPHAGUS WITH REPAIR $814.22
71547 LIGATION/STAPLING - OESOPHAGEAL PERFORATION $659.62

Endocrine System Pancreas

Code Description Amount
00826 BIOPSY OF PANCREAS - PERCUTANEOUS $80.17
07711 PANCREATIC PSEUDOCYST INTERNAL DRAINAGE $591.73
07714 PANCREATICOJEJUNOSTOMY; SIDE-TO-SIDE ANASTOMOSIS $920.89
07732 PANCREATIC PSEUDOCYST - DRAINAGE, TRANSDUODENAL $722.34
07733 ANASTOMOSIS OF PANCREATIC PSEUDOCYST, ROUX-EN-Y- $751.58
07756 PANCREATIC PSEUDOCYST - OPEN $425.82
07758 PANCREATIC PSEUDOCYST - LAPAROSCOPIC $425.82
71708 PANCREATITIS - ACUTE - DRAINAGE $425.82
71709 RESECTIONAL DEBRIDEMENT - PANCREAS $750.00
71710 BIOPSY - PANCREAS - OPEN $80.17
71712 PANCREATIC LESION - EXCISION - LIMITED $775.00
71713 PANCREATECTOMY - DISTAL SUBTOTAL - OPEN $801.69
71714 PANCREATECTOMY - WITH SPLENIC PRESERVATION - OPEN $1,002.10
71715 PANCREATECTOMY - PANCREATICOJEJUNOSTOMY $1,002.10
71716 PANCREATECTOMY -SPLENIC PRESERVATION/PANCREATIC $1,052.21
71717 PANCREATECTOMY -DISTAL/NEAR TOTAL $1,250.00
71718 AMPULLA OF VATER - EXCISION $1,042.21
71719 PANCREATECTOMY - PROXIMAL/SUBTOTAL $2,400.00
71720 PANCREATECTOMY - PYLORIC SPARING $2,400.00
71721 PANCREATECTOMY - REGIONAL $2,400.00
71722 PANCREATECTOMY - TOTAL $1,440.54
72713 PANCREATECTOMY, DISTAL SUBTOTAL-LAPAROSCOPIC $1,002.11
72714 PANCREATECTOMY, WITH SPLENIC PRESERV-LAPAROSCOPIC $1,252.63

Suture Of Oesophageal Wound Or Injury

Code Description Amount
71548 OESOPHAGEAL WOUND OR INJURY - CERVICAL APPROACH $700.00
71549 OESOPHAGEAL WOUND - TRANSTHORACIC/TRANSABDOMINAL $840.00

Hernia Repair

Code Description Amount
07596 HERNIA; INCISIONAL; REPAIR FOLLOWING LAPAROTOMY $80.17
07610 HERNIA, EPIGASTRIC $243.68
70604 CONGENITAL DIAPHRAGMATIC HERNIA $1,125.00
71600 REPAIR INGUINAL OR FEMORAL HERNIA < 6 MONTHS $375.80
71601 REPAIR INQUINAL OR FEMORAL HERNIA < 6 MONTHS BILAT $501.05
71602 REPAIR INQUINAL OR FEMORAL HERNIA < 6 MONTHS-INCAR $424.65
71603 REPAIR INGUINAL OR FEMORAL HERNIA;AGE 6 MTHS TO 12 $350.00
71604 REPAIR INGUINAL OR FEMORAL HERNIA;AGE 6 MTHS TO 12 $525.00
71605 REPAIR INGUINAL OR FEMORAL HERNIA;AGE 6 MTHS TO 12 $425.00
71606 REPAIR INGUINAL OR FEMORAL HERNIA;> AGE 12 - OPEN $349.07
71607 REPAIR INGUINAL OR FEMORAL HERNIA; > AGE 12-LAPARO $349.07
71608 REPAIR INGUINAL OR FEMORAL HERNIA; > AGE 12 INCARC $403.91
71609 REPAIR RECURRENT INGUINAL OR FEMORAL HERNIA;ANY AG $436.35
71610 REPAIR RECURRENT INGUINAL OR FEMORAL HERNIA;ANY AG $436.35
71611 REPAIR RECURRENT INGUINAL OR FEMORAL HERNIA;ANY AG $504.87
71612 BILATERAL PRIMARY INGUINAL OR FEMORAL HERNIAS > AG $523.60
71613 BILATERAL PRIMARY INGUINAL OR FEMORAL HERNIAS > AG $523.60
71614 HERNIA - INITIAL INCISIONAL - REPAIR - REDUCIBLE $436.00
71615 HERNIA; INITIAL INCISIONAL REPAIR, INCARCERATED $504.19
71616 HERNIA; INITIAL INCISIONAL REPAIR, PROSTHETIC MESH $492.42
71617 HERNIA; REPAIR RECURRENT INCISIONAL, REDUCIBLE $545.01
71618 HERNIA; REPAIR RECURRENT INCISIONAL, INCARCERATED $630.25
71619 HERNIA - UMBILICAL - REPAIR - REDUCIBLE $243.68
71620 HERNIA; REPAIR UMBILICAL INCARCERATED/STRANGULATED $307.84
71621 HERNIA REPAIR WITH RESECTION OF BOWEL $623.80
71622 HERNIA REPAIR, BOWEL RESECTION, SEPARATE INCISION $751.58
71623 HERNIA-LAPAROSCOPIC INITIAL VENTRAL OR INCISION $565.13
71624 HERNIA, LAPAROSCOPIC RECURRENT VENTRAL OR INCISION $719.26
71625 MYOFASCIAL ABDOMINAL WALL ADVANCEMENT FLAPS FOR $850.00

Closure Of Oesophagostomy Or Fistula

Code Description Amount
07528 PLACEMENT GASTROESOPHAGEAL VENOUS COMPRESSION BALL $64.89
71550 OESOPHAGOSTOMY/FISTULA CLOSURE-CERVICAL APPROACH $700.00
71551 OESOPHAGOSTOMY OR FISTULA CLOSURE - TRANSTHORACIC $840.00

Diaphragm Repair

Code Description Amount
70601 REPAIR PARA-OESOPHAGEAL HIATUS HERNIA $745.31
70602 DIAPHRAGMATIC OR OTHER HERNIA - OPEN $745.31
70603 DIAPHRAGMATIC OR OTHER HERNIA - LAPAROSCOPIC $745.31
70604 CONGENITAL DIAPHRAGMATIC HERNIA $1,125.00
70605 REPAIR DIAPHRAGMATIC HERNIA OR LACERATION - ACUTE $788.95
70606 REPAIR DIAPHRAGMATIC HERNIA OR LACERATION -CHRONIC $722.34
70607 IMBRICATION OF DIAPHRAGM FOR EVENTRATION $659.70

Pediatric Procedures

Code Description Amount
07141 Permcath Removal $100.17
07139 BROVIAC CATHETER - INSERTION OF $159.42
07140 CATHETER INSERTION - BROVIAC TYPE, <3 MO OR <3 KG $263.85
07466 ANAL STRICTURE - CHILD $441.82
07552 AORTOPEXY FOR TRACHEOMALACIA $626.33
07571 PENA POSTERIOR SAGITTAL ANAL PROCTOPLASTY $1,127.98
07593 PENA POSTERIOR SAGITTAL ANOPROCTOPLASTY 2ND SURGEO $332.60
07614 OMPHALOCELE OR GASTROSCHESIS - TEMPORARY REPAIR $394.48
07615 OMPHALOCELE OR GASTROSCHESIS - PERMANENT REPAIR $601.27
07630 GASTROSTOMY - OPEN $329.17
07651 VOLVULUS REDUCTION, INTUSSUSCEPTION BY LAPAROTOMY $516.10
07653 ATRESIA; SMALL BOWEL; EXCISION OR BYPASS $722.34
07655 EXCISION OF MECKEL'S DIVERTICULUM $361.47
07690 ANOPLASTY FOR IMPERFORATE ANUS $590.91
07692 REPAIR MAJOR ANO-RECTAL ANOMALIES, SACRAL APPROACH $885.59
07697 SACROCOCCYGEAL TERATOMA- EXCISION $1,033.70
07700 CLOACAL ANOMALIES; PRIMARY SURGEON, TOTAL CORRECT $2,109.12
07702 CLOACAL ANOMALY - TOTAL CORRECTION SECOND SURGEON $386.68
33394 PEG PROCEDURE-ASSISTANT'S FEE $110.30
70604 CONGENITAL DIAPHRAGMATIC HERNIA $1,125.00
70624 PYLOROMYOTOMY, CUTTING OF PYLORIC MUSCLE $394.48
71531 REPAIR TRACHEO-OESOPHAGAL FISTULA-CERVICAL APPR. $788.95
71532 OESOPHAGOPLASTY - W/O TRACHEO-OESOPHAGEAL FISTULA $1,100.00
71533 OESOPHAGOPLASTY - W/ TRACHEO-OESOPHAGEAL FISTULA $1,350.00
71534 DIVISION OF TRACHEO-OESOPHAGEAL FISTULA $788.95
71535 OESOPHAGOGASTRIC FUNDOPLASTY - LAPAROSCOPIC $902.93
71536 OESOPHAGOGASTRIC FUNDOPLASTY - OPEN $722.34
71550 OESOPHAGOSTOMY/FISTULA CLOSURE-CERVICAL APPROACH $700.00
71551 OESOPHAGOSTOMY OR FISTULA CLOSURE - TRANSTHORACIC $840.00
72647 INTESTINAL STRICTUROPLASTY - SINGLE $501.05
72648 INTESTINAL STRICTUROPLASTY - MULTIPLE $688.94
72662 PROCTECTOMY, COMPLETE - SYNCHRONOUS ABDOMINAL $1,266.15
72751 RED OF VOLVULUS, INTUSSUSPECTION; HERNIA(LAP) $645.13

Stomach Incision

Code Description Amount
70620 GASTROTOMY $394.48
70621 GASTROTOMY WITH SUTURE REPAIR OF BLEEDING ULCER $661.39
70622 GASTROTOMY-SUTURE REPAIR OESOPHAGOGASTRIC LACER. $688.94
70624 PYLOROMYOTOMY, CUTTING OF PYLORIC MUSCLE $394.48

Trauma

Code Description Amount
07412 HEPATORRHAPHY - SIMPLE $538.89
07413 HEPATORRHAPHY - WITH PACKING $632.22
07430 PERITONEAL LAVAGE (CATHETER) - DIAGNOSTIC $100.85
07431 DIAPHRAGMATIC INJURY - REPAIR $788.95
07432 LAPAROTOMY FOR TRAUMA $445.65
07433 LAPAROTOMY AND REMOVAL OF INJURED SPLEEN $632.22
07434 SPLENIC REPAIR, ANY METHOD $732.44
07435 LACERATIONS TO STOMACH - REPAIR $561.69
07436 DUODENUM/PANCREAS - EXPLORATION AND MOBILIZATION $632.22
07437 DUODENUM - REPAIR OF LACERATION TO $841.19
07438 DUODENAL INJURY - RESECTION AND DEBRIDEMENT $1,052.82
07440 LIVER - RESECTIONAL DEBRIDEMENT $990.10
07441 HEPATIC ARTERY LIGATION $931.33
07442 HEPATIC LOBECTOMY FOR TRAUMA $1,264.41
07443 DISTAL PANCREAS - RESECTION FOR TRAUMA $841.19
07444 WHIPPLE PROCEDURE FOR TRAUMA $2,400.00
07445 BOWEL - SMALL - REPAIR OF LACERATIONS $561.69
07446 BOWEL - SMALL - RESECTION OF INJURED $632.22
07447 MESENTERIC INJURY - REPAIR OF $561.69
07448 COLONIC INJURY +/- COLOSTOMY - REPAIR $944.23
07449 RESECTION OF COLONIC INJURY $944.23
07450 COLONIC INJURY- EXTERIORIZATION $590.91
07452 EXTRA-PERITONEAL RECTUM +/- COLOSTOMY - REPAIR $944.23
32031 CLOSED DRAINAGE OF CHEST, OPERATION ONLY. $105.08
77350 SUPRA RENAL AORTIC CROSS-CLAMP $112.02

Stomach Excision

Code Description Amount
70625 LIMITED/WEDGE EXCISION-ULCER OR BENIGN TUM STOMACH $561.19
72626 HEMICOLECTOMY - LEFT - OPEN $860.54
72725 LIMITED/WEDGE EXCISION - ULCER OR BENIGN TUMOUR $701.49
72726 LIMITED/WEDGE EXCISION - MALIGNANT TUMOUR STOMACH $801.69

Vascular

Code Description Amount
07108 STRIPPING LONG SAPHENOUS $251.26
07109 STRIPPING SHORT SAPHENOUS $144.85
07110 LIGATIONS AND STRIPPINGS - 3 TO 5 INCISIONS $108.28
07111 LIGATIONS AND STRIPPINGS - 6 OR MORE INCISIONS $188.11
07112 LIGATION OF 2 OR MORE PERFORATORS $196.20
07116 MULTIPLE LIGATIONS, STRIPPINGS, PERFORATORS $513.33
77045 VARICOSE VEIN INJECTION $13.20
77050 COMPRESSION SCLEROTHERAPY - UNCOMPLICATED $79.26
77055 COMPRESSION SCLEROTHERAPY - COMPLICATED $119.30
77060 COMPRESSION SCLEROTHERAPY - REPEAT $37.14
77065 HIGH LIGATION, LONG SAPHENOUS $218.74
77070 FASCIOTOMY - COMPLETE $313.10
77075 GROIN - RE-EXPLORATION, AND/OR POPLITEAL FOSSA $294.41
77077 ULCER EXCISION AND GRAFTING $117.96
77079 VENOUS CROSSOVER GRAFT FOR ILIAC OBSTRUCTION $598.13
77082 FEMORAL VEIN - LIGATION $145.97
77084 ACUTE VENOUS: LIGATION OF FEMORAL VEIN $485.72
77086 THROMBECTOMY/ACUTE ILIO-FEMORAL THROMBOPHLEBITIS $608.65
77090 SPLENO-RENAL SHUNT $926.84
77092 PORTO-CAVAL SHUNT $926.84
77094 MESOCAVAL GRAFT - SYNTHETIC $926.84
77096 MESOCAVAL GRAFT - AUTOGENOUS $986.83

Stomach Total Gastrectomy

Code Description Amount
70627 GASTRECTOMY - TOTAL - OPEN $1,300.00
70628 GASTRECTOMY - RECONSTRUCTION - ROUX-EN-Y - OPEN $1,300.00
70629 GASTRECTOMY WITH FORMATION/INTESTINAL POUCH - OPEN $1,300.00
72727 GASTRECTOMY,TOTAL:OESOPHAGOENTEROSTOMY-LAPAROSCOP $1,397.63
72728 GASTRECTOMY, TOTAL: WITH ROUX-EN-Y RECONSTRUCTION $1,453.08
72729 GASTRECTOMY, TOTAL: WITH POUCH - LAPAROSCOPIC $1,498.46

Arterial System

Code Description Amount
00722 ARTERIOGRAPHY, OPERATIVE $74.06
77025 SYNCHRONOUS COMBINED BYPASS GRAFT - EXTREMITIES $294.41
77030 SECOND OPERATOR: SYNCHRONOUS COMBINED BYPASS GRAFT $294.41
77100 REMOVAL OF SYNTHETIC GRAFT - WITHOUT REPLACEMENT $1,328.60
77102 REMOVAL OF SYNTHETIC GRAFT, REPLACEMENT SAME SITE $664.30
77104 REMOVAL OF SYNTHETIC GRAFT - WITH REPLACEMENT $996.43
77110 RE-EXPLORATION OF GROIN FOR BLEEDING OR HAEMATOMA $123.06
77112 RE-DISSECTION OF GROIN (AFTER 21 DAYS), EXTRA $129.92
77115 THROMBECTOMY WITH OR WITHOUT ANGIOPLASTY $546.01
77120 EMBOLECTOMY - TRUNK OR EXTREMITIES $608.65
77125 EMBOLECTOMY - ONE SIDE $437.51
77130 CAROTID ARTERIES - BYPASS GRAFT (SYNTHETIC) $952.71
77135 INOMINATE - NECK OR THORACIC - BYPASS GRAFT $764.12
77140 SUBCLAVIAN - NECK OR THORACIC - BYPASS GRAFT $830.19
77145 LIGATION OF CAROTID ARTERY - NECK OR THORACIC $250.46
77150 AORTA AND/OR ILIAC BYPASS GRAFT - UNILATERAL $875.05
77155 AORTA AND/OR ILIAC BYPASS GRAFT - BILATERAL $1,077.39
77160 AORTO-FEMORAL AND ILIO-FEMORAL BYPASS, UNILATERAL $849.70
77165 AORTO-ILIAC, AORTO-FEMORAL, ILIO-FEMORAL BYPASS $1,077.39
77170 ARTERIOVENOUS ANEURYSM $485.72
77175 ABDOMINAL ANEURYSM, WITH GRAFTING $1,199.60
77180 RESECTION OF ABDOMINAL ANEURYSM $121.72
77185 RUPTURED ANEURYSM, WITH GRAFTING $1,328.60
77190 SUPERIOR MESENTERIC BYPASS GRAFT (SYNTHETIC) $875.04
77195 SUPERIOR MESENTERIC BYPASS GRAFT (AUTOGENOUS VEIN) $875.04
77200 RENAL BYPASS GRAFT (SYNTHETIC) $875.04
77205 RENAL BYPASS GRAFT (AUTOGENOUS VEIN) $875.04
77210 AXILLO-FEMORAL BYPASS GRAFT (SYNTHETIC)/UNILATERAL $727.98
77215 AXILLO-FEMORAL BYPASS GRAFT(SYNTHETIC)/BILATERAL $849.70
77220 AXILLO-FEMORAL BYPASS GRAFT (AUTOGENOUS VEIN) $811.12
77230 FEMORO-FEMORAL CROSSOVER BYPASS GRAFT (SYNTHETIC) $765.66
77235 FEMORO-FEMORAL CROSSOVER BYPASS GRAFT/AUTOGENOUS $765.66
77240 FEMORAL BYPASS GRAFT (SYNTHETIC) $485.72
77245 INFRAINGUINAL POPLITEAL (ENDARTERECTOMY) $666.50
77250 INTRAGUINAL - POPLITEAL (SYNTHETIC) $608.58
77255 INTRAGUINAL - ANTERIOR, POST TIBIAL OR PERONEAL $727.98
77260 BYPASS GRAFT (AUTOGENOUS VEIN) - FEMORAL $702.67
77265 BYPASS GRAFT (AUTOGENOUS VEIN) - POPLITEAL $930.08
77270 BYPASS GRAFT/ANTERIOR/POSTERIOR TIBIAL OR PERONEAL $976.70
77275 VEIN GRAFT - IN SITU $252.07
77280 NON-IPSILATERAL LONG SAPHENOUS GRAFT - AUTOGENOUS $249.75
77285 SHORT SAPHENOUS GRAFT $249.75
77290 SUPERFICIAL FEMORAL VEIN GRAFT(EXTRA) $249.75
77295 ARM VEIN GRAFT $249.75
77300 A-V FISTULA WITH BYPASS GRAFT IN LIMB SALVAGE $181.99
77310 PROFUNDOPLASTY BYPASS GRAFT (SYNTHETIC) $542.36
77315 PROFUNDOPLASTY - EXTENDED $736.42
77330 REPAIR OF INJURY OF MAJOR VESSEL IN EXTREMITY - SU $572.50
77335 REPAIR OF INJURY OF MAJOR VESSEL IN EXTREMITY $736.42
77340 REPAIR OF INJURY OF MAJOR VESSEL IN TRUNK - SUTURE $859.34
77345 REPAIR OF INJURY OF MAJOR VESSEL IN TRUNK - GRAFT $1,146.20
77350 SUPRA RENAL AORTIC CROSS-CLAMP $112.02
77360 DECOMPRESSION FASCIOTOMY - SUBCUTANEOUS $328.13
77370 RELEASE OF POPLITEAL ENTRAPMENT SYNDROME $328.13

Stomach Partial Gastrectomy (Distal)

Code Description Amount
07578 VAGOTOMY - HIGHLY SELECTIVE $624.37
07624 GASTRECTOMY EMERGENCY FOR CONTINUED HAEMORRHAGE $984.88
07628 GASTROJEJUNOSTOMY OR PYLOROPLASTY $624.37
70630 GASTRECTOMY PARTIAL/DISTAL WITH GASTRODUODENOSTOMY $962.04
70631 GASTRECTOMY PARTIAL/DISTAL/GASTROJEJUNOSTOMY-OPEN $962.04
70632 GASTRECTOMY PARTIAL/DISTAL RECONSTRUCTION-ROUX-EN $1,002.10
70633 GASTRECTOMY, PARTIAL, DISTAL-INTESTINAL POUCH-OPEN $1,082.30
70634 VAGOTOMY (EXTRA) $62.63
70635 GASTRECTOMY - PROXIMAL - OPEN $1,179.50
72730 GASTRECTOMY,PARTIAL,DISTAL(BILLROTH I)LAPAROSCOPIC $1,202.55
72731 GASTRECTOMY,PARTIAL,DISTAL(BILLROTH II)LAPAROSCOPE $1,202.55
72732 GASTRECTOMY,PARTIAL,DISTAL/ROUX-EN-Y-LAPAROSCOPIC $1,252.63
72733 GASTRECTOMY, PARTIAL, WITH POUCH - LAPAROSCOPIC $1,352.88
72735 PROXIMAL GASTRECTOMY - LAPAROSCOPIC $1,474.38

Renal Access

Code Description Amount
77385 Peritoneal Catheter Removal $130.30
77380 Peritoneal Catheter Insertion $187.85
77395 CREATION OF INTERNAL ARTERIO-VENOUS FISTU $364.00
77396 REVISION OF AV FISTULA $451.93
77402 BRACHIOBASILIC ARTERIOVENOUS FISTULA,VEIN TRANSPOT $613.73
77403 ARM REVASCULARIZATION WITH DRIL $609.62
77405 THROMBECTOMY OF ARTERIO-VENOUS FISTULA $342.29
77400 SYNTHETIC AV GRAFT FOR HEMODIALYSIS $550.00

Stomach – Introduction

Code Description Amount
07630 GASTROSTOMY - OPEN $329.17
33394 PEG PROCEDURE-ASSISTANT'S FEE $110.30
70637 TUBE CHANGE - GASTROSTOMY $30.05

Sympathectomy

Code Description Amount
77420 LUMBAR SYMPATHECTOMY - UNILATERAL $364.00
77422 CERVICAL SYMPATHECTOMY - UNILATERAL $492.21
77424 PREGANGLIONIC SYMPATHECTOMY; UPPER DORSAL REGION $449.56
77426 LUMBO-DORSAL SYMPATHECTOMY & SPLANCHNIC NEURECTOMY $449.56
77428 LUMBAR SYMPATHECTOMY - UNILATERAL (EXTRA) $121.73
77430 LUMBAR SYMPATHECTOMY - BILATERAL (EXTRA) $243.47

Stomach Other Procedures

Code Description Amount
07623 GASTRECTOMY REVISION AFTER PREVIOUS GASTRECTOMY $984.88
07626 PYLOROPLASTY $394.48
07627 GASTROJEJUNOSTOMY - OPEN $425.82
07632 GASTROTOMY, OPEN $448.45
07633 CLOSURE OF GASTROJEJUNOCOLIC FISTULA $1,118.10
70641 GASTROTOMY - LAPAROSCOPIC $525.00
70642 GASTRIC RESTRICTIVE PROCEDURE $771.99
70643 GASTRIC RESTRICTIVE PROCEDURE/BYPASS - OPEN $975.00
70644 GASTRIC RESTRICTIVE PROCEDURE/SMALL BOWEL RECONSTR $911.89
70645 GASTRIC RESTRICT PROCEDURE/REVISION/REVERSAL/OPEN $1,000.00
70646 GASTROSTOMY - CLOSURE - SURGICAL $394.48
70649 FISTULA - GASTROCOLIC $771.63
72723 REVISION GASTRECTOMY/AFTER PRV GASTRECTOMY LAP $1,231.10
72737 GASTROJEJUNOSTOMY - LAPAROSCOPIC $532.28
72739 LAPAROSCOPIC VERTICAL SLEEVE GASTRECTOMY $1,083.78
72743 GASTRIC RESTRICTIVE PROCEDURE - LAPAROSCOPIC $1,036.23
72775 REVISION/REVERSAL OF GASTRIC RESTRICTIVE PROCEDURE $1,033.41

Lymphatic System

Code Description Amount
07360 SPLENECTOMY $632.22
07361 TB GLANDS - RADICAL REMOVAL $263.85
07363 RADICAL FEMORAL, INGUINAL AND ILIAC DISSECTION $526.42
07365 LIMB PERFUSION - ISOLATED $920.89
07366 LAPAROTOMY AND STAGING OF LYMPHOMA $765.44
07368 LAPAROSCOPIC SPLENECTOMY $790.27

Intestines

Code Description Amount
70650 LYSIS OF INTRA-ABDOM ADHESIONS-FIRST 30 MIN EXTRA $150.00
70651 LYSIS OF INTRA-ABDOMINAL ADHESIONS-ADD. 15 MIN $75.00
70660 LYSIS OF INTRA-ABD ADHESIONS-LAP-FIRST 30 MIN EX $150.00
70661 LYSIS OF INTRA-ABD ADHESIONS-LAP-ADD 15MIN EXTRA $75.00

Lymphoedema Leg

Code Description Amount
06127 LYMPHOEDEMA - ENTIRE LEG $686.56
06128 LYMPHOEDEMA - LOWER LIMB $1,026.42

Inestines Incision

Code Description Amount
07634 ENTEROTOMY OR COLOTOMY (SINGLE); FOR EXPLORATION $477.99
07635 MULTIPLE COLOTOMY WITH OPERATIVE SIGMOIDOSCOPY $627.54
07650 INTESTINAL OBSTRUCTION; RESECTION OF BANDS $492.43
07651 VOLVULUS REDUCTION, INTUSSUSCEPTION BY LAPAROTOMY $516.10
07654 INTESTINAL OBSTRUCTION, PLICATION/INSERTION - TUBE $559.06
70648 TUBE OR NEEDLE CATHETER JEJUNOSTOMY $350.00
71650 HERNIA REPAIR - CORRECTION - MALROTATION $459.78
71651 CORRETION OF MALROTATION - LAPAROSCOPIC $574.73
72650 INTESTINAL OBSTRUCTION, RESECTION OF BANDS-LAP $615.54

Abdominal Surgery Miscellaneous

Code Description Amount
04001 LAPAROSCOPY $187.34
07451 THORACIC EXTENSION OF ABDOMINAL INCISION(EXTRA) $280.18
07597 HAEMORRHAGE; INTRA-ABDOMINAL MANAGEMENT - POST OPE $372.26
07600 LAPAROTOMY TO INCLUDE BIOPSY - EXPLORATORY $339.60
07601 INTRA-ABDOMINAL ABSCESS EXCLUDING INTRAHEPATIC $425.82
07603 ABDOMINAL WOUND EVISCERATION - RESUTURE $263.85
71280 INDWELLING ENTERAL TUBES, REMOVAL - NO ANES $30.05
71281 INDWELLING ENTERAL TUBES,REMOVAL-LOCAL/REGIONAL $61.84
71282 INDWELLING ENTERAL TUBES, REMOVAL- GEN ANAES $200.00
71283 INDWELLING ENTEREAL TUBES, REPLACEMENT - EXTRA $30.05
71290 RESECTION OF SOFT TISSUE TUMOUR 10CM OR GREATER $650.00
71291 RESECTION OF SOFT ISSUE TUMOUR 10CMOR >-ADD 15MIN $75.00
72600 TEMP OR DELAYED ABDOMINAL CLOSURE WITH VAC $369.00
71292 PERITONECTOMY, WITH OR WITHOUT CHEMOTHERAPY $650.00
71293 PERITONECTOMY, WITH/WITHOUT CHEMOTHERAPY ADD 15MIN $50.00

Inestines Excision

Code Description Amount
07565 TAKEDOWN PELVIC POUCH TO INCLUDE ILEOSTOMY - OPEN $810.82
07566 RECTAL MUCOSECTOMY, ILEOANAL ANASTOMOSIS $733.35
07567 PROCTECTOMY WITH RECTAL MUCOSECTOMY - OPEN $1,518.99
07569 COLECTOMY AND HEMIPROCTECTOMY - OPEN $1,067.45
07570 COLO-COLOSTOMY OR ENTERO-COLOSTOMY - OPEN $787.36
07588 COLOSTOMY OR ILEOSTOMY - LOOP - END - OPEN $462.60
07589 TOTAL PROCTOCOLECTOMY SYNCHRONOUS ABDOMINAL PORTIO $1,291.74
07636 SMALL INTESTINE RESECTION/WITH ANASTOMOSIS - OPEN $591.73
07640 COLECTOMY,TOTAL,ABDOMINAL,WITHOUT PROCTECTOMY/OPEN $1,105.53
07641 PROCTOCOLECTOMY TOTAL WITH PERINEAL EXCISION-OPEN $1,614.14
07643 ENTEROENTEROSTOMY $477.99
07645 COLOSTOMY OR ILEOSTOMY - LOOP - OPEN $401.52
07648 REVISION OF COLOSTOMY, ILEOSTOMY - SIMPLE INCISION $220.23
07649 REVISION OF COLOSTOMY, ILEOSTOMY - RADICAL $411.69
07662 ABDOMINO-PERINEAL RESECTION (SINGLE SURGEON)-OPEN $1,322.38
07663 ABDOMINO-PERINEAL RESECTION (SYNCHRONOUS ABDOMINAL $1,103.98
07664 PROCTECTOMY,COMBINED WITH ABDOM RESECTION/PERINEAL $369.49
72620 RESECTION OF SMALL INTESTINE-WITH ENTEROSTOMY/OPEN $798.10
72621 MOBILIZATION - SPLENIC FLEXURE $93.95
72622 RESECTION - COLON - LIMITED - OPEN $772.70
72623 RESECTION - COLON - LIMITED - LAPAROSCOPIC $965.88
72624 HEMICOLECTOMY - RIGHT - OPEN $810.82
72625 HEMICOLECTOMY - RIGHT - LAPAROSCOPIC $1,013.53
72626 HEMICOLECTOMY - LEFT - OPEN $860.54
72631 HEMICOLECTOMY - LEFT - LAPAROSCOPIC $1,075.68
72632 SIGMOID RESECTION - OPEN $895.85
72633 SIGMOID RESECTION - LAPAROSCOPIC $1,119.81
72634 SIGMOID RESECTION/END COLOSTOMY - OPEN $846.47
72635 ANTERIOR RESECTION - RECTOSIGMOID-CARCINOMA - OPEN $1,100.00
72636 PROCTECTOMY - ABDOMINAL/TRANSANAL $1,103.98
72640 PARTIAL RIGHT COLECTOMY (CAECUM) - OPEN $773.34
72641 CAECOSTOMY/TUBE - DECOMPRESSION $296.18
72644 REVISION OF COLOSTOMY, ILEOSTOMY - WITH REPAIR $552.75
72645 CONTINENT ILEOSTOMY - OPEN $984.88
72646 COLOSTOMY OR ILEOSTOMY - MULTIPLE BIOPSIES $131.91
72715 COLOSTOMY OR ILEOSTOMY - LOOP - LAPAROSCOPIC $501.90
72720 RESECTION SMALL INTESTINE/ENTEROSTOMY-LAPAROSCOPIC $997.63
72734 SIGMOID RESECTION-WITH END COLOSTOMY-LAPAROSCOPIC $1,058.09
72736 RESECTION OF SMALL INTESTINE WITH ANASTOMOSIS $739.66
72740 PARTIAL RIGHT COLECTOMY - LAPAROSCOPIC $966.68
72741 TOTAL PROCTOCOLECTOMY-SINGLE SURGEON/LAPAROSCOPIC $2,017.68
72745 CONTINENT ILEOSTOMY (KOCH PROCEDURE) LAPAROSCOPIC $1,231.10
72755 ANTERIOR RESECTION OF RECTOSIGMOID - LAPAROSCOPIC $1,375.00
72760 COLECTOMY - TOTAL, ABDOMINAL - LAPAROSCOPIC $1,381.91
72762 ABDOMINO-PERINEAL RESECTION-SINGLE SURGEON $1,652.98
72763 ABDOMINO-PERINEAL RESECTION-SYNCHRONOUS $1,379.98
72765 TAKE-DOWN OF PELVIC POUCH - LAPAROSCOPIC $1,013.53
72767 PROCTECTOMY WITH RECTAL MUCOSECTOMY-LAPAROSCOPIC $1,898.74
72769 COLECTOMY AND HEMIPROCTECTOMY - LAPAROSCOPIC $1,334.31
72770 COLO-COLOSTOMY OR ENTERO-COLOSTOMY-LAPAROSCOPIC $984.20
72788 COLOSTOMY OF ILEOSTOMY - END - LAPAROSCOPIC $578.25
72789 TOTAL PROCTOCOLOECTOMY - SYN.ABD.PORTION $1,614.68
72601 CAECOSTOMY TUBE FOR DECOMPRESSION-LAP. (EXTRA) $370.23
72721 MOBILIZATION OF SPLENIC FLEXURE - LAP (EXTRA) $117.44

Hyperbaric Chamber

Code Description Amount
00046 HYPERBARIC CHAMBER - ADDITIONAL CHARGE PER HOUR $27.40

Intestinal Stricturoplasty (Enterotomy And Enterorrhaphy)

Code Description Amount
72647 INTESTINAL STRICTUROPLASTY - SINGLE $501.05
72648 INTESTINAL STRICTUROPLASTY - MULTIPLE $688.94

Organ Transplants

Code Description Amount
77440 IMPLANTATION OF KIDNEY GRAFT - VASCULAR SURGEON $820.35

Closure Of Loop Enterostomy (Large Or Small Intestine)

Code Description Amount
07646 CLOSURE OF LOOP ENTEROSTOMY, LARGE/SMALL INTESTINE $369.49
07647 CLOSURE OF LOOP ENTEROSTOMY WITH RESECTION $552.75
72651 RECONSTRUCTION HARTMANN PROCEDURE - OPEN $810.82
72652 HARTMAN PROCEDURE - RECONSTRUCTION - LAPAROSCOPIC $1,013.53

Diagnostic Procedures Or Endoscopy

Code Description Amount
00710 MEDIASTINOSCOPY OR ANTERIOR MEDIASTINOTOMY $188.84
00716 SIGMOIDOSCOPY; FLEXIBLE; DIAGNOSTIC $62.65
00718 SIGMOIDOSCOPY, FLEXIBLE AND WITH BIOPSY $75.84
00780 DIAGNOSTIC SCHIRMER TEST $12.89
00788 OESOPHAGEAL, MOTILITY TEST - TECHNICAL FEE $72.92
00789 PERITONEAL LAVAGE $84.08
00797 OESOPHAGEAL, MOTILITY TEST $134.58
00798 OESOPHAGEAL, MOTILITY TEST - PROFESSIONAL FEE $61.66
00809 RETROGRADE PANCREATOGRAPHY $212.36
00817 OESOPHAGEAL PH STUDY - TECHNICAL FEE $12.21
00818 OESOPHAGEAL PH STUDY - PROFESSIONAL FEE $40.04
00826 BIOPSY OF PANCREAS - PERCUTANEOUS $80.17
00869 MANOMETRY - ANAL - ADULT $61.66
07710 PANCREATOGRAM W/ OR W/O SPHINCTEROTOMY - EXTRA $65.89
07764 CHOLANGIOGRAPHY; OPERATIVE $64.24
10761 ESOPHAGOGASTRODUODENOSCOPY (EGD) $88.00
10762 RIGID ESOPHAGOSCOPY $73.29
10763 INITIAL ESOPHAGEAL, GASTRIC OR DUODENAL BIOPSY $28.50
10764 MULTIPLE BIOPSIES FOR DIFFERENTIAL DIAGNOSES $42.75
33373 COLONOSCOPY-BIOPSY $230.62
33374 COLONOSCOPY - REMOVAL OF POLYP $344.79

Closure Of Fistula (Enterovesical, Colovesical Or Colovaginal)

Code Description Amount
07455 EMERGENCY RESECTION OF OBSTRUCTED COLON $984.27
07658 EXTERIORIZATION OF BOWEL $590.91
72653 FISTULA - ENTEROVESICAL/COLOVESICAL/COLOVAGINAL $773.34
72654 FISTULA - CLOSURE/BOWEL RESECTION $331.83

Electrodiagnosis

Code Description Amount
00900 ELECTRODIAGNOSIS, EXTENSIVE EXAMINATION (SCHED. A) $119.50
00901 ELECTRODIAGNOSIS, LIMITED EXAMINATION (SCHED. B) $79.92
00902 ELECTRODIAGNOSIS, SHORT EXAMINATION (SCHED C) $39.83
00923 TECHNICAL FEE FOR ELECTRODIAGNOSTIC TESTING $20.00

Meckel's Diverticulum And The Mesentery

Code Description Amount
07447 MESENTERIC INJURY - REPAIR OF $561.69
07655 EXCISION OF MECKEL'S DIVERTICULUM $361.47

Appendix

Code Description Amount
72656 APPENDECTOMY - OPEN $337.23
72657 APPENDECTOMY - PERFORATED $495.57
72658 APPENDECTOMY - LAPAROSCOPIC $337.23
72659 APPENDECTOMY - LAPAROSCOPIC - PERFORATED $495.57
72660 APPENDICEAL ABSCESS - INCISION/DRAINAGE $425.82

Rectum Incision And Excision

Code Description Amount
07660 PELVIC ABSCESS - TRANSRECTAL DRAINAGE $220.09
07662 ABDOMINO-PERINEAL RESECTION (SINGLE SURGEON)-OPEN $1,322.38
07663 ABDOMINO-PERINEAL RESECTION (SYNCHRONOUS ABDOMINAL $1,103.98
07664 PROCTECTOMY,COMBINED WITH ABDOM RESECTION/PERINEAL $369.49
07665 ANORECTAL WALL, BIOPSY - ANAL APPROACH $148.07
72762 ABDOMINO-PERINEAL RESECTION-SINGLE SURGEON $1,652.98
72763 ABDOMINO-PERINEAL RESECTION-SYNCHRONOUS $1,379.98

Rectum Proctectomy, Complete, Abdominal And Perineal Approach

Code Description Amount
07580 RECTAL TUMOR EXCISION BY POSTERIOR PARASACRAL $632.74
07664 PROCTECTOMY,COMBINED WITH ABDOM RESECTION/PERINEAL $369.49
72662 PROCTECTOMY, COMPLETE - SYNCHRONOUS ABDOMINAL $1,266.15
72664 PROCTECTOMY, COMPLETE - SUBTOTAL/TOTAL COLECTOMY $1,614.14
72665 PROCTECTOMY, PARTIAL - WITHOUT ANASTOMOSIS $492.14
72666 ALTEMEIER TRANSPERINEAL EXCISION OF RECTAL PROCIDE $664.22
72667 DIVISION OF STRICTURE OF RECTUM $175.75

Excision Of Rectal Tumour (Transanal Approach)

Code Description Amount
72669 EXCISION OF RECTAL TUMOUR, 0 TO 2.5 CM $180.00
72670 TUMOR - RECTAL - EXCISION - 2.6 TO 5 CM. $203.90
72671 EXCISION OF RECTAL TUMOUR GREATER THAN 5 CM $421.83
72672 TUMOR - RECTAL - MALIGNANT - ELECTRODESICCATION $180.00
72673 TRANSANAL ENDO. MICRO. RESECTION OF RECTAL TUMOUR $900.00

Rectum Repair

Code Description Amount
07672 COMPLETE RECTAL PROLAPSE $685.25

Rectum Endoscopy

Code Description Amount
00715 SIGMOIDOSCOPY WITH BIOPSY $35.56
00716 SIGMOIDOSCOPY; FLEXIBLE; DIAGNOSTIC $62.65
00718 SIGMOIDOSCOPY, FLEXIBLE AND WITH BIOPSY $75.84
07460 SIGMOIDOSCOPY - DECOMPRESSION - VOLVULUS $224.43
07461 SIGMOIDOSCOPY - REMOVAL OF FOREIGN BODY $105.46
07462 SIGMOIDOSCOPY - CONTROL BLEEDING $140.60
07463 SIGMOIDOSCOPY - DECOMPRESSION VOLVULUS, ANY METHOD $224.43
07464 SIGMOIDOSCOPY - POLYP REMOVAL $246.18
07465 SIGMOIDOSCOPY - ABLATION OF TUMOR/OTHER LESION $166.48
10714 PROCTOSIGMOIDOSCOPY, RIGID - DIAGNOSTIC $33.57
10730 COLONOSCOPY,FLEXIBLE-TRANSABDOMINAL VIA COLOTOMY $235.51
10731 COLONOSCOPY - FLEXIBLE - DIAGNOSTIC $227.15
10732 COLONOSCOPY - REMOVAL OF FOREIGN BODY $266.82
10733 COLONOSCOPY - CONTROL BLEEDING $298.14

Anus Repair

Code Description Amount
04401 FISTULA RECTO-VAGINAL REPAIR $478.25
07452 EXTRA-PERITONEAL RECTUM +/- COLOSTOMY - REPAIR $944.23
07689 ANAL DILATION UNDER GENERAL ANAESTHETIC $89.59
07690 ANOPLASTY FOR IMPERFORATE ANUS $590.91
70665 ANOPLASTY - ADULT $442.80
70666 SPHINCTEROPLASTY - ANAL - ADULT $442.80
70668 GRAFT - RECTAL INCONTINENCE/PROLAPSE: $200.00
70670 SPHINCTEROPLASTY - ANAL - INCONTINENCE $688.99
70671 IMBRICATION - LEVATOR MUSCLE $442.80
70672 IMPLANTATION - ARTIFICIAL SPHINCTER $989.89
70674 DESTRUCTION - ANAL LESION $73.96
70680 DESTRUCTION OF ANAL LESION - COMPLICATED $200.00
70683 EUA WITH OR WITHOUT SIGMOIDOSCOPY $150.00
72673 TRANSANAL ENDO. MICRO. RESECTION OF RECTAL TUMOUR $900.00

Anus Incision

Code Description Amount
07678 INCISION AND DRAINAGE PERIANAL ABSCESS,SUPERFICIAL $89.67
07679 INCISION/DRAIN ABSCESS - ISCHIORECTAL, INTRAMURAL $130.64
07691 ANUS IMPERFORATE SIMPLE INCISION $43.47
70675 ANAL SETON - REMOVAL $28.12
70676 ABSCESS - ISCHIORECTAL/ INTRAMURAL - INCISION $382.45

Anus Excision

Code Description Amount
07666 FISTULA-IN-ANO; SECOND STAGE; DIVISION - SPHINCTER $153.53
07675 FISTULA-IN-ANO - SUBCUTANEOUS OR SUBMUCOUS $148.07
07676 FISTULA-IN-ANO - SUBMUSCULAR $331.22
07677 FISTULA-IN-ANO - MULTIPLE OR HORSESHOE $442.80
07683 HEMORRHOIDECTOMY $262.89
07687 ANAL FISSURE, EXCISION $89.67
71681 SPHINCTEROTOMY WITH/WITHOUT FISSURECTOMY $200.00
71682 BOTOX INJECTION FOR ANAL FISSURE $114.83
71684 PAPILLECTOMY - SINGLE - EXTRA $66.56
71686 PAPILLECTOMY - MULTIPLE - EXTRA $120.92
71689 HEMMORHOID(S); OFFICE PROCEDURE (EG BAND LIGATION) $79.02
71690 HEMORRHOID(S); OFFICE PROCEDURE-INFRARED PHOTOCOAG $79.02
71700 FISTULA-IN-ANO; CLOSURE OF CONGENITAL ANAL FISTULA $632.74

Liver Incision

Code Description Amount
07402 HEPATOTAMY - ABSCESS/CYST - SINGLE $425.82
07403 HEPATOTAMY - MULTIPLE, INCLUDING MARSUPIALIZATION $641.35
71380 OPEN OR LAPAROSCOPIC LIVER TUMOUR NON-RESECTIONAL $700.00

Liver Excision

Code Description Amount
07404 LIVER MASS - SUBSEGMENTAL EXCISION $526.42
07405 HEPATECTOMY - SEGMENTAL RESECTION - ONE OR MORE $990.10
07406 HEPATECTOMY - TWO OR MORE SEGMENTS $1,162.46
07407 HEPATECTOMY - TOTAL LEFT LOBECTOMY $1,282.71
07408 HEPATECTOMY - TOTAL RIGHT LOBECTOMY $1,282.71
07409 HEPATECTOMY - EXTENDED LEFT LOBECTOMY $1,402.95
07410 HEPATECTOMY - CAUDATE LOBECTOMY $1,443.04
07411 HEPATECTOMY - EXTENDED RIGHT LOBECTOMY $1,608.39
72794 LAP. NON-ANATOMIC SUB-SEGMENTAL EXCISION-LIVER MAS $900.00
72795 LAP. HEPATECTOMY, SEGMENTAL RESECTION-ONE OR MORE, $1,237.63
72796 LAP. SEG. RESECTION LIVER:2 OR MORE SEGMENTS,BILAT $1,500.00
72797 LAPAROSCOPIC TOTAL LEFT LOBECTOMY $1,603.39
72798 LAPAROSCOPIC TOTAL RIGHT LOBECTOMY $1,603.39

Liver Repair

Code Description Amount
07412 HEPATORRHAPHY - SIMPLE $538.89
07413 HEPATORRHAPHY - WITH PACKING $632.22
07440 LIVER - RESECTIONAL DEBRIDEMENT $990.10
07441 HEPATIC ARTERY LIGATION $931.33
07442 HEPATIC LOBECTOMY FOR TRAUMA $1,264.41

Biliary Tract Incision

Code Description Amount
07698 CHOLECYSTOSTOMY - OPEN $414.08
07769 DUODENOTOMY AND SPHINCTEROPLASTY $647.89
70694 CHOLEDOCHOTOMY/CHOLEDOCHOSTOMY OPEN $615.00
70695 CHOLEDOCHOTOMY/CHOLEDOCHOSTOMY - LAPAROSCOPIC $615.00
70696 CHOLEDOCHOTOMY/TRANSDUODENAL SPHINCTEROPLASTY $907.81
70698 CHOLECYSTOSTOMY - LAPAROSCOPIC $414.08
71698 CHOLECYSTOSTOMY - PERCUTANEOUS $161.67

Biliary Tract – Endoscopy

Code Description Amount
07517 ERCP - PAPILLOTOMY/SPHINCTEROTOMY $438.44
07518 ERCP - STONE EXTRACTION $519.85
07519 ERCP - BILIARY STENTING $425.88
07554 ERCP - BALLOON DILATATION $425.88
07556 ERCP - STONE EXTRACTION REQUIRING LITHOTRIPSY $544.91
07560 NASO-BILIARY DRAINAGE TUBE - INSERTION $101.49
07562 DUODENAL BILIARY STENT - REPLACEMENT $169.14
07780 BILIARY ENDOSCOPY - INTRAOPERATIVE $130.63
07781 BILIARY ENDOSCOPY - PERCUTANEOUS $80.17
07782 BILIARY ENDOSCOPY -STONE REMOVAL $130.63
07783 BILIARY ENDOSCOPY; WITH DILATION OF DUCT STRICTURE $130.63

Biliary Tract Excision

Code Description Amount
07699 CHOLECYSTECTOMY - OPEN $519.88
07707 CHOLECYSTECTOMY - LAPAROSCOPIC $519.87
70700 CHOLECYSTECTOMY; OPEN PRECEDED BY CHOLECYSTECTOMY $637.36
70701 CHOLECYSTECTOMY - CBD (LAPAROSCOPIC) $900.00
70702 CHOLECYSTECTOMY - CBD (OPEN) $900.00
70703 CHOLECYSTECTOMY/CHOLEDOCHODUODENOSTOMY $1,002.10
70704 CHOLECYSTECTOMY WITH CHOLEDOCHOJEJUNOSTOMY $1,027.17
70705 CHOLECYSTECTOMY/TRANSDUODENAL SPHINCTEROTOMY $1,002.10
70710 ATRESIA - BILE DUCTS - CONGENITAL $432.80
70711 PORTOENTEROSTOMY $1,554.37
70712 TUMOR/STRICTURE - BILE DUCT - LOWER $1,038.18
70713 TUMOR/STRICTURE - BILE DUCT - UPPER $1,554.27
70714 TUMOR/STRICTURE - BILE DUCT - MULTIPLE ANASTOMOSES $1,679.55
70715 CYST - CHOLEDOCHAL $977.08
70716 CYST - CHOLEDOCHAL/DUCTOPLASTY $1,443.04
70717 CYST; CHOLEDOCHAL - EXCISION, MULTIPLE ANASTOMOSES $1,563.30
70718 PORTAL LYMPHADENECTOMY $750.00

Biliary Tract Repair

Code Description Amount
07561 CHOLEDOCHAL STENT - PLACEMENT $169.14
07703 CHOLEDOCHODUODENOSTOMY $814.22
07705 CHOLEDOCHOJEJUNOSTOMY/ANASTOMOSIS OF EXTRA-HEPATIC $901.92
07706 CHOLECYSTOENTEROSTOMY - DIRECT (LOOP) $641.61
07776 REPAIR OF CHOLECYSTENTERIC FISTULA $751.58
70720 CHOLECYSTOENTEROSTOMY/GASTROENTEROSTOMY $853.81
70721 CHOLECYSTOENTEROSTOMY/ROUX-EN-Y $800.00
70722 CHOLECYSTOENTEROSTOMY/ROUX-EN-Y/GASTROENTEROSTOMY $978.07
70725 CHOLEDOCHOJEJUNOSTOMY WITH GASTROJEJUNOSTOMY $1,064.76
70726 CHOLEDOCHOJEJUNOSTOMY/ROUX-EN-Y $977.08
70727 CHOLEDOCHOJEJUNOSTOMY/ROUX-EN-Y/GASTROJEJUNOSTOMY $1,190.02
70728 ANASTOMOSIS - INTRA-HEPATIC DUCTS/GI TRACT $1,202.55
70730 U-TUBE HEPATICO ENTEROSTOMY $1,200.00
70731 EXTRA-HEPATIC BILIARY DUCT: PRIMARY REPAIR $1,002.10