Chapter 9 / Vascular system


9.1 - Head and neck

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



L2930 Bypass carotid artery from the arch Complex £1,300.00 £495.00 Show arrow
L2950 Carotid endarterectomy Complex £1,300.00 £495.00 Show arrow
L3710 Bypass of subclavian artery from the arch Complex £1,300.00 £495.00 Show arrow
L3711 Bypass of subclavian artery - extra-thoracic Complex £800.00 £440.00 Show arrow
L3730 Endarterectomy and patch repair of subclavian artery Complex £1,300.00 £495.00 Show arrow

9.2 - Thoracic vessels

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



L1810 Repair of leaking aneurysm of ascending aorta Complex £1,900.00 £1,100.00 Show arrow
L1880 Repair of leaking aneurysm of arch of aorta Complex £1,900.00 £1,100.00 Show arrow
L1890 Repair of leaking aneurysm of thoracic aorta Complex £1,900.00 £1,100.00 Show arrow
L1892 Immediate repair of aortic dissection (ie within two weeks of happening) Complex £1,300.00 £550.00 Show arrow
L1910 Elective repair of aneurysm of ascending aorta Complex £1,900.00 £990.00 Show arrow
L1980 Elective repair of aneurysm of arch of aorta Complex £1,900.00 £1,100.00 Show arrow
L1990 Elective repair of aneurysm of thoracic aorta Complex £1,900.00 £1,100.00 Show arrow
L1992 Delayed repair of aortic dissection (ie more than two weeks after happening) Complex £1,900.00 £1,100.00 Show arrow
L2190 Replacement of graft of thoraco-abdominal aneurysm Complex £1,900.00 £1,100.00 Show arrow
L2290 Excision of infected aortic graft with bypass Complex £1,900.00 £1,100.00 Show arrow
L2600 Percutaneous transluminal balloon operations on aorta Major £500.00 £220.00 Show arrow

9.3 - Renal vessels

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



L4140 Endarterectomy of renal artery Complex £1,300.00 £495.00 Show arrow
L4190 Reconstruction of renal artery(ies) Complex £1,300.00 £495.00 Show arrow
L4292 Reconstruction of transplant renal artery Xmajor £1,000.00 £495.00 Show arrow
L4300 Transluminal operations on renal artery Major £450.00 £220.00 Show arrow

9.4 - Abdominal vessels

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



L1620 Axillo-unifemoral bypass Complex £1,000.00 £495.00 Show arrow
L1680 Axillo-bifemoral bypass Complex £1,000.00 £495.00 Show arrow
L1940 Open infrarenal abdominal aortic aneurysm tube graft Complex £1,300.00 £550.00 Show arrow
L1960 Open infrarenal abdominal aortic aneurysm bifurcation graft Complex £1,600.00 £550.00 Show arrow
L2200 Revision of prosthesis of abdominal aorta Complex £2,000.00 £660.00 Show arrow
L2600 Percutaneous transluminal balloon operations on aorta Major £500.00 £220.00 Show arrow
L4530 Endarterectomy and patch repair of visceral branch of abdominal aorta Complex £1,600.00 £660.00 Show arrow
L4600 Other open operations on other visceral branch of abdominal aorta Complex £1,600.00 £660.00 Show arrow

9.5 - Ileo-femoral vessels

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



L5100 Aorto-iliac, aorto-femoral, ilio-femoral bypass Complex £1,300.00 £495.00 Show arrow
L5180 Aorto-bifemoral bypass Complex £1,300.00 £495.00 Show arrow
L5210 Endarterectomy and patch repair of iliac artery Complex £1,000.00 £495.00 Show arrow
L5300 Open operations on iliac artery Complex £1,000.00 £495.00 Show arrow
L5400 transluminal operations on iliac artery Intermediate £400.00 £165.00 Show arrow
L5910 Femoro-femoral bypass Complex £800.00 £440.00 Show arrow
L5922 Femoro-popliteal bypass using prosthesis Complex £1,000.00 £495.00 Show arrow
L5923 Femoro-popliteal bypass using vein Complex £1,000.00 £495.00 Show arrow
L5924 Femoro-popliteal bypass using vein cuff/patch Complex £1,000.00 £495.00 Show arrow
L5950 Femoro-distal calf bypass using prosthesis +/- vein cuff/patch Complex £1,000.00 £495.00 Show arrow
L5960 Femoro-distal calf bypass using vein Complex £1,000.00 £660.00 Show arrow
L6000 Endarterectomy of femoral artery Complex £800.00 £385.00 Show arrow
L6230 Reconstruction/bypass for popliteal aneurysm Complex £1,000.00 £660.00 Show arrow
L6300 Transluminal procedures on femoral artery Major £450.00 £165.00 Show arrow
L6530 Revision femoral bypass graft Xmajor £750.00 £440.00 Show arrow

9.6 - Non-specific

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



L6710 Biopsy of artery (including temporal) (as sole procedure) Minor £200.00 £110.00 Show arrow
L6800 Repair of limb artery Xmajor £650.00 £220.00 Show arrow
L6840 Repair of limb artery using vein graft Xmajor £750.00 £275.00 Show arrow
L7010 Open embolectomy of artery Xmajor £700.00 £275.00 Show arrow
L7110 Percutaneous transluminal angioplasty of artery, +/- insertion of stent Intermediate £400.00 £220.00 Show arrow
L7410 Creation of arteriovenous shunt (synthetic graft) Major £500.00 £220.00 Show arrow
L7420 Creation of arteriovenous fistula (including subsequent closure) Intermediate £400.00 £275.00 Show arrow
L7422 Creation of arteriovenous fistula for dialysis Intermediate £200.00 £165.00 Show arrow
L7423 Ligation of arteriovenous fistula for dialysis Intermediate £200.00 £165.00 Show arrow
L7520 Repair of acquired arteriovenous fistula Complex £800.00 £330.00 Show arrow
L7580 Repair arteriovenous fistula Complex £800.00 £385.00 Show arrow
L8110 Creation of peritoneovenous shunt (Levine/Denver) Intermediate £400.00 £165.00 Show arrow
L9000 Open removal of thrombus from vein Major £600.00 £220.00 Show arrow
L9110 Insertion of tunnelled central venous catheter (Hickman Line) Intermediate £200.00 £165.00 Show arrow
L9112 Surgical insertion of central venous dialysis line Intermediate £200.00 £110.00 Show arrow
L9113 Percutaneous insertion of central venous dialysis line Intermediate £200.00 £110.00 Show arrow
L9114 Removal of central venous dialysis line Minor £100.00 £100.00 Show arrow
L9115 Implantation of port device (PowerPort) Intermediate £200.00 £110.00 Show arrow
L9180 Insertion of implantable central venous port (portacath) e.g Port-a-Cath under image guidance Intermediate £400.00 £165.00 Show arrow
L7511 Excision of arteriovenous malformation from peripheral vessel Intermediate £250.00 £100.00
L9181 Removal of Portacath/vasoport unit Minor £350.00 £55.00
L9350 Basilic vein transposition Major £550.00 £385.00 Show arrow
L9730 Isolated limb perfusion Xmajor £750.00 £440.00
X4110 Open insertion of Tenckhoff catheter Intermediate £200.00 £110.00 Show arrow
X4112 Percutaneous insertion of Tenckhoff catheter Minor £200.00 £110.00 Show arrow
X4120 Removal of Tenckhoff catheter Minor £100.00 £100.00 Show arrow
XR916* Surgical removal of cuffed central venous catheter - tunnelled (X-ray guided) Minor £200.00 £100.00 Show arrow

9.7 - Varicose veins

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



L8510 Ligation/stripping of long or short saphenous vein (including local excision/multiple phlebectomy) Intermediate £400.00 £220.00 Show arrow
L8512 Endovenous laser treatment (EVLT) of single venous trunk +/- phlebectomies - unilateral Intermediate £400.00 £200.00 Show arrow
L8513 Endovenous laser treatment (EVLT) of single venous trunk +/- phlebectomies - bilateral Major £600.00 £300.00 Show arrow
L8514 Endovenous laser treatment (EVLT) of more than one venous trunk +/- phlebectomies - unilateral Major £500.00 £220.00 Show arrow
L8515 Endovenous laser treatment (EVLT) of more than one venous trunk +/-phlebectomies - bilateral Major £600.00 £330.00 Show arrow
L8880 Endovenous mechanochemical ablation for varicose veins - unilateral Intermediate £250.00 £125.00 Show arrow
L8881 Endovenous mechanochemical ablation for varicose veins - bilateral Intermediate £375.00 £190.00 Show arrow
L8520 Ligation/stripping of long or short saphenous vein (including local excision/multiple phlebectomy) - bilateral Major £600.00 £330.00 Show arrow
L8530 Operations for recurrent varicose veins with re-exploration of groin and/or popliteal fossa - unilateral Major £600.00 £275.00 Show arrow
L8532 Operations for recurrent varicose veins without re-exploration of groin or popliteal fossa - unilateral Major £600.00 £275.00 Show arrow
L8540 Radiofrequency ablation of more than one venous trunk +/- phlebectomies - unilateral Intermediate £400.00 £220.00 Show arrow
L8541 Radiofrequency ablation of more than one venous trunk +/- phlebectomies - bilateral Major £600.00 £330.00 Show arrow
L8580 Operations for recurrent varicose veins with re-exploration of groin and/or popliteal fossa - bilateral Xmajor £1,000.00 £385.00 Show arrow
L8582 Operations for recurrent varicose veins without re-exploration of groin or popliteal fossa - bilateral Xmajor £1,000.00 £385.00 Show arrow
L8620 Ultrasound-guided foam Sclerotherapy for varicose vein(s) unilateral Intermediate £200.00 £0.00 Show arrow
L8621 Ultrasound-guided foam Sclerotherapy for varicose vein(s) – bilateral Intermediate £300.00 £0.00 Show arrow
L8542 Radiofrequency ablation of single venous trunk +/- phlebectomies - unilateral Intermediate £400.00 £200.00 Show arrow
L8543 Radiofrequency ablation of single venous trunk +/- phlebectomies - bilateral Major £600.00 £300.00 Show arrow
L8680 Bilateral varicose vein injection sclerotherapy Intermediate £150.00 £0.00 Show arrow
L8700 Ligation/stripping of long and short saphenous veins (including local excision/multiple phlebectomy) Major £600.00 £275.00 Show arrow
L8750 Local excision (multiple phlebectomy) of varicose vein(s) of leg - unilateral Intermediate £200.00 £165.00 Show arrow
L8751 Local excision (multiple phlebectomy) of varicose vein(s) of leg - bilateral Intermediate £350.00 £275.00 Show arrow
L8780 Ligation/stripping of long and short saphenous veins (including local excision/multiple phlebectomy) bilateral Complex £1,000.00 £385.00 Show arrow
L9510 Venography (and bilateral) Minor £150.00 £0.00 Show arrow

9.8 - Lymphatic system

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



T8510 Radical dissection of cervical lymph nodes Complex £800.00 £330.00 Show arrow
T8520 Block dissection of axillary lymph nodes (axillary clearance levels 1-3) Major £550.00 £220.00 Show arrow
T8540 Block dissection of para-aortic lymph nodes Xmajor £700.00 £275.00 Show arrow
T8550 Block dissection of inguinal lymph nodes Major £500.00 £220.00 Show arrow
T8580 Block dissection of pelvic lymph nodes (as sole procedure) Major £550.00 £275.00 Show arrow
T8592 Laparoscopic retroperitoneal lymph node dissection Major £550.00 £275.00 Show arrow
T8594 Laparoscopic para-aortic lymph node dissection Complex £550.00 £275.00 Show arrow
T8610 Biopsy/sampling of cervical lymph nodes Minor £150.00 £150.00 Show arrow
T8620 Sampling of axillary lymph nodes Minor £150.00 £110.00 Show arrow
T9030 Intraoperative sentinel node mapping, using One Step Nucleic Acid Amplification (OSNA), for breast cancer Intermediate £500.00 £165.00 Show arrow
T8640 Sampling of internal mammary lymph nodes Intermediate £200.00 £165.00 Show arrow
T8700 Excision biopsy of lymph node for diagnosis (cervical, inguinal, axillary) Intermediate £200.00 £165.00 Show arrow
T8722 Selective dissection of cervical lymph nodes, levels 1 to 4 Xmajor £800.00 £330.00 Show arrow
T8723 Selective dissection of cervical lymph nodes, levels 1 to 5 (+/- 6) Complex £800.00 £330.00 Show arrow
T9000 Sentinel node mapping and sampling with blue dye or radioactive probe for breast cancer Intermediate £500.00 £165.00 Show arrow
T9020 Sentinel node mapping and sampling with blue dye and radioactive probe for breast cancer Intermediate £500.00 £165.00 Show arrow
T8780 Sentinel node biopsy (except where otherwise listed) Intermediate £300.00 £165.00
T9610 Excision of cystic hygroma Major £450.00 £275.00 Show arrow



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