| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z477 | Biopsy(ies) - when sole procedure - local anaesthetic | $26.85 | N/A | N/A |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | N/A | N/A | |
| Z475 | Biopsy(ies) - when sole procedure - general anaesthetic | $50.90 | 6 | 6 |
| S707 | Biopsy(ies) - when sole procedure - Hymenectomy (with or without perineotomy) or hymenotomy | $92.30 | N/A | N/A |
| S706 | Biopsy(ies) - when sole procedure - Cyst of Bartholin’s gland | $112.00 | 6 | 6 |
| Z733 | Condylomata - single or multiple - Chemical and/or cryosurgery - one or more | $11.05 | N/A | N/A |
| Z736 | Condylomata -Surgical excision or electrodesiccation or CO2 laser - local anaesthetic | $26.85 | N/A | N/A |
| Z769 | Condylomata -Surgical excision or electrodesiccation or CO2 laser - general anaesthetic | $115.10 | 6 | N/A |
| S703 | Vulvectomy - simple | $257.05 | 6 | 6 |
| S704 | Vulvectomy - radical without gland dissection | $431.45 | 6 | 6 |
| Z722 | Biopsy(ies) - when sole procedure - local anaesthetic | $26.85 | N/A | N/A |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | N/A | N/A | |
| Z723 | Biopsy(ies) - when sole procedure -general anaesthetic | $92.30 | N/A | N/A |
| S715 | Biopsy(ies) - Excision of cyst(s), or benign tumour(s) | $123.70 | 6 | 6 |
| S742 | Biopsy(ies) - Colpectomy e.g. for carcinoma | $349.00 | 6 | 6 |
| S702 | Biopsy(ies) - Excision of congenital vaginal septum | $123.70 | 6 | 6 |
| Z720 | Biopsy with or without fulguration | $20.00 | N/A | N/A |
| S765 | Amputation of cervix | $173.55 | 6 | 6 |
| S766 | Cervical stump - abdominal | $321.90 | 6 | 6 |
| S767 | Cervical stump - vaginal | $321.90 | 7 | 6 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| S784 | Ectopic pregnancy - management by any surgical technique | $306.85 | 7 | 6 |
| E852 - with tuboplasty . . . Add | $47.90 | N/A | N/A | |
| E860 - Ectopic pregnancy diagnostic laparoscopy prior to laparotomy . . . Add | $131.45 | N/A | N/A | |
| S738 | Ectopic pregnancy - Salpingectomy or salpingooophorectomy (unior bilateral) | $306.85 | 7 | 6 |
| S741 | Ectopic pregnancy - Tubal occlusion/interruption/removal by any method or approach for the purpose of sterilization | $155.70 | 6 | 6 |
| S735 | Tubal plastic operation - fimbriolysis | $306.85 | 6 | 6 |
| S736 | Tubal plastic operation - salpingostomy | $359.55 | 7 | 6 |
| S739 | Tubal plastic operation - fimbriolysis and salpingostomy | $359.55 | 7 | 6 |
| S743 | Repair of extensive unilateral or bilateral tubal and peritubal disease - laparotomy | $616.60 | 8 | 8 |
| Z737 | Laparoscopy - Laser treatment of extensive pelvic disease | $215.80 | 7 | 6 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z770 | Endometrial sampling | $34.05 | N/A | N/A |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | N/A | N/A | |
| S772 | Endometrial ablation by any method | $218.65 | 6 | N/A |
| S768 | Abortion - spontaneous, incomplete including D&C | $93.00 | 6 | N/A |
| S752 | Abortion - induced by any surgical technique up to and including 14 weeks gestation | $112.40 | 6 | N/A |
| S785 | Abortion - induced by any surgical technique after 14 weeks of gestation | $189.85 | 6 | N/A |
| S756 | Abortion - missed abortion, or evacuation of molar pregnancy, by any surgical technique | $112.40 | 6 | N/A |
| S770 | Abortion - hysterotomy | $245.40 | 7 | 6 |
| S783 | Abortion - hysterotomy with tubal interruption | $257.05 | 6 | 6 |
| S754 | Abortion - Diagnostic curettage (with or without cauterization, biopsy of cervix removal of polyps, or hysterosalpingography) | $92.30 | N/A | N/A |
| S764 | Abortion - Myomectomy | $383.90 | 7 | 6 |
| S757 | Hysterectomy - abdominal total or subtotal | $463.00 | 7 | 6 |
| S816 | Hysterectomy - vaginal | $463.00 | 7 | 6 |
| S758 | Hysterectomy - with anterior and posterior vaginal repair and including enterocoele and/or vault prolapse repair when rendered | $616.60 | 6 | 6 |
| S759 | Hysterectomy - with anterior or posterior vaginal repair and including enterocoele and/or vault prolapse repair when rendered | $523.55 | 7 | 6 |
| E090 - Hysterectomy removal of one or both ovaries with moderate or severe endometrosis, to S757, S758 or S759 . . . Add | $260.80 | N/A | N/A | |
| S710 | Hysterectomy - with omentectomy for malignancy | $680.65 | 6 | 6 |
| S763 | Hysterectomy - radical (Wertheim or Schauta) includes node dissection | $893.55 | 8 | 8 |
| S762 | Hysterectomy - radical trachelectomy excluding node dissection | $0.00 | N/A | N/A |
| S776 | Hysterectomy - Staging pelvic lymphadenectomy for carcinoma (laparoscopic or open) | $431.20 | 6 | 6 |
| S781 | Hysterectomy - Staging Paraaortic lymphadenectomy for carcinoma (laparoscopic or open) (not eligible for payment when rendered with Z578 and/or S776) | $431.20 | 6 | 6 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z766 | Loop Electrosurgical Excision Procedure (LEEP) | $78.00 | N/A | N/A |
| S744 | Cervix cone biopsy any technique, with or without D&C | $173.15 | 6 | 6 |
| Z729 | Cryoconization, electroconization or CO2 laser therapy with or without curettage for premalignant lesion (dysplasia or carcinoma in situ), outpatient procedure | $38.35 | N/A | N/A |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z735 | Examination and/or dilatation (may include insertion and/or removal of IUD) - general anaesthetic as sole procedure | $50.90 | 6 | N/A |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z478 | Vaginoscopy (premenarchal) with or without medication | $50.90 | 6 | N/A |
| Z731 | Initial investigation of abnormal cytology of vulva and/or vagina or cervix under colposcopic technique with or without biopsy(ies) and/or endocervical curetting | $50.90 | N/A | N/A |
| Z787 | Followup colposcopy with biopsy(ies) with or without endocervical curetting | $50.90 | N/A | N/A |
| Z730 | Follow up colposcopy without biopsy with or without endocervical curetting | $25.50 | N/A | N/A |
| Z582 | Hysteroscopy - diagnostic | $105.40 | 6 | N/A |
| Z583 | Hysteroscopy - with uterine biopsy and/or D&C | $131.40 | 6 | N/A |
| Z585 | Hysteroscopy - with cannulization of tube(s), lysis of intrauterine adhesions or embryo transfer | $131.40 | 6 | N/A |
| Z587 | Hysteroscopy - with resection of one or more endometrial polyps, with or without D&C | $200.00 | 6 | N/A |
| Z586 | Hysteroscopy - with lysis of intrauterine adhesions/synechiae requiring a minimum of 60 minutes of surgical time | $349.00 | 7 | N/A |
| E861 - paracervical block payable in addition to endometrial sampling, ablation or curettage by same physician in an office unilateral or bilateral . . . Add | $9.00 | N/A | N/A |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| S708 | Nonobstetrical injury to vulva and/or vagina, and/or perineum | $0.00 | N/A | N/A |
| S701 | Repair of infibulation - resulting from female genital mutilation | $115.00 | 6 | N/A |
| S716 | Anterior or posterior repair | $164.00 | 7 | 6 |
| S774 | Repair of incompetent cervix not associated with pregnancy | $142.50 | 6 | 6 |
| S779 | Hysteroplasty - excision of septum | $349.00 | 6 | 6 |
| S775 | Hysteroplasty - unification of double uterus (Strassman) | $431.45 | 7 | 6 |
| S777 | Hysteroplasty - uterine inversion, operative | $349.00 | 6 | 6 |
| S778 | Hysteroplasty - Presacral neurectomy (with or without ovarian neurectomy) | $349.00 | 6 | 6 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| S780 | Biopsy of ovaries by laparotomy | $257.05 | 7 | 6 |
| S745 | Oophorectomy - and/or oophorocystectomy | $306.85 | 7 | 6 |
| E090 - Hysterectomy removal of one or both ovaries with moderate or severe endometrosis, to S757, S758 or S759 . . . Add | $260.80 | N/A | N/A | |
| S782 | Oophorectomy - with total omentectomy | $410.40 | 6 | 6 |
| S747 | Oophorectomy - Para ovarian cystectomy | $306.85 | 7 | 6 |
| S714 | Oophorectomy - Second look exploratory laparotomy including biopsies, when done as part of chemotherapy protocol for ovarian carcinoma with or without total omentectomy | $431.45 | 6 | 6 |
| S727 | Oophorectomy - Ovarian debulking, for ovarian carcinoma of stage 2C, 3B, 3C, or 4 and may include hysterectomy, omentectomy, bowel resection, one or more biopsies and/or resection of pelvic peritoneum | $884.85 | 8 | 8 |
| E853 - Oophorectomy with resection of diaphragm including reconstruction, to S727 . . . Add | $145.00 | N/A | N/A | |
| S750 | Oophorectomy - Radical resection pelvic and paraaortic nodes for cancer | $797.45 | 8 | 6 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z714 | Abscess of vulva, Bartholin or Skene’s gland - incision and drainage - local anaesthetic | $17.30 | N/A | N/A |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | N/A | N/A | |
| Z715 | Abscess of vulva, Bartholin or Skene’s gland - incision and drainage -general anaesthetic | $50.90 | 6 | 6 |
| Z716 | Abscess of vulva, Bartholin or Skene’s gland - Marsupialization of Bartholin’s cyst or abscess | $71.90 | 6 | 6 |
| S717 | Anterior or posterior - repair | $303.40 | 7 | 6 |
| S718 | Anterior or posterior - repair of enterocoele and/or vault prolapse | $349.00 | 7 | 6 |
| S719 | Posterior repair and repair of - enterocoele and/or vault prolapse | $307.80 | 7 | 6 |
| S723 | Posterior repair and repair of - anal sphincter | $272.40 | 6 | 6 |
| S720 | Anterior repair - with or without posterior repair and repair of uterine prolapse (Fothergill or Watkin's interposition) | $349.00 | 7 | 6 |
| S721 | Anterior repair - Anterior, posterior repair with excision of cervical stump | $349.00 | 7 | 6 |
| S722 | Post hysterectomy vault prolapse - repair by vaginal approach, may include enterocoele and/or anterior and posterior repair | $349.00 | 7 | 6 |
| S812 | Post hysterectomy vault prolapse - repeat - repair by vaginal approach, may include enterocoele and/or anterior and posterior repair | $453.70 | 7 | 6 |
| S760 | Abdominal approach to vaginal vault prolapse - vaginal sacropexy | $349.00 | 6 | 6 |
| S813 | Abdominal approach to vaginal vault prolapse - repeat - vaginal sacropexy | $453.70 | 6 | 6 |
| S761 | Abdominal approach to vaginal vault prolapse - Combined abdominal/vaginal approach for vaginal vault prolapse | $431.45 | 7 | 7 |
| S724 | Abdominal approach to vaginal vault prolapse - Perineorrhaphy (not eligible for payment with delivery or other vaginal surgery procedures) | $122.75 | 6 | 6 |
| S725 | Abdominal approach to vaginal vault prolapse - Colpocleisis (LeFort or modification) | $257.05 | 7 | 6 |
| S726 | Abdominal approach to vaginal vault prolapse - Construction of artificial vagina | $0.00 | 6 | 6 |
| S523 | Closure of fistula - Vesicovaginal - vaginal approach | $772.40 | 6 | 6 |
| S231 | Closure of fistula - rectovaginal (any repair) | $338.55 | 7 | 6 |
| S729 | Closure of fistula - Ureterovaginal | $560.95 | 6 | 6 |
| S709 | Closure of fistula - Urethrovaginal | $374.85 | 6 | 6 |
| S549 | Retropubic urethropexy for stress incontinence - primary procedure | $376.70 | 6 | 6 |
| S546 | Retropubic urethropexy for stress incontinence - repeat procedure for failed retropubic or vaginal surgery for stress incontinence | $489.70 | 7 | 6 |
| S815 | Tension free vaginal tape midurethral sling, by any method/approach | $381.60 | 6 | 6 |
| S728 | Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Primary approach - One surgeon | $429.10 | 7 | 7 |
| S730 | Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Primary approach - Two surgeons - vaginal surgeon | $330.50 | 7 | 7 |
| S740 | Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Primary approach - Two surgeons - abdominal surgeon | $330.50 | N/A | 7 |
| S731 | Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Following previous failed procedure - One surgeon | $557.95 | 7 | 7 |
| S732 | Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Following previous failed procedure - Two surgeons - vaginal surgeon | $429.65 | 7 | 7 |
| S733 | Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Following previous failed procedure - Two surgeons - abdominal surgeon | $429.65 | N/A | 7 |
| S748 | Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Following two or more failed procedures - One surgeon | $686.70 | 7 | 7 |
| S749 | Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Following two or more failed procedures - Two surgeons - vaginal surgeon | $528.75 | 7 | 7 |
| S751 | Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Following two or more failed procedures - Two surgeons - abdominal surgeon | $528.75 | 7 | 7 |
| S811 | Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Following two or more failed procedures | $829.40 | 8 | 8 |
| UVC | Repair of lacerations - Removal of sutures only | $0.00 | N/A | N/A |
| E208 - Peritomy (Gunderson conjunctival flap) | $225.00 | 6 | N/A | |
| Z552 | Peritoneoscopy, culdoscopy or laparoscopy - without biopsy | $131.45 | 6 | 6 |
| Z553 | Peritoneoscopy, culdoscopy or laparoscopy - with biopsy and/or lysis of adhesions and/or removal of foreign body and/or cautery of endometrial implants | $173.25 | 6 | 6 |
| E857 - if a D&C is required for abnormal uterine bleeding and rendered with tubal occlusion or with diagnostic laparoscopy, to other procedure . . . Add | $78.45 | N/A | N/A | |
| E855 - Laparoscopy with dye injection . . . Add | $25.85 | N/A | N/A | |
| Z718 | Oocyte retrieval | $174.50 | 6 | 6 |