Chapter 12 / Urinary system and male reproductive organs

We assume that the following (when required) are an intrinsic part of all endoscopic therapeutic procedures of the urethra, prostate, bladder, ureters and kidney. This includes not only procedures such as resection of bladder tumours and TURP but also insertion and removal of JJ stents, retrograde pyelography etc.

M4510 Diagnostic endoscopic examination of bladder (including any biopsy)
M7700 Diagnostic endoscopic examination of urethra (as sole procedure)
M3000 Endoscopic examination of ureter (+/- cystoscopy and insertion/removal of stent)

The following procedures are only eligible for benefit where the primary pathology being treated is a urethral stricture or otherwise in exceptional circumstances. Where the procedure represents gaining access for a cystoscope or other instrument, additional charges should not be made.

M7920 Dilatation of urethra (including cystoscopy)
M7940 Internal urethrotomy (including cystoscopy)
M5820 Dilatation of outlet of female bladder (with cystoscopy)

Generally we consider that the various procedures for extraction of calculi include cystoscopy, diagnostic ureteroscopy, retrograde pyelography and insertion of stent where required. We will consider making additional benefit available for difficult procedures on a case by case basis. This does not apply to insertion or removal of stent when performed at a different time from the main procedure. Charges should not be made for anaesthesia with flexible cystoscopy.


12.1 - Kidney/renal pelvic

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



J5481 Pancreatic with kidney transplant (simultaneous pancreas SPK) Complex £2,200.00 £1,100.00 Show arrow
M0102 Transplantation of kidney - 1st and 2nd transplant Xmajor £900.00 £385.00 Show arrow
M0103 Transplantation of kidney - 3rd transplant Xmajor £900.00 £385.00 Show arrow
M0282 Laparoscopic nephroureterectomy Xmajor £800.00 £300.00 Show arrow
M1350 Antegrade pyelogram (including bilateral) Intermediate £250.00 £165.00
N1101 Correction of hydrocele(s) - bilateral Intermediate £375.00 £165.00 Show arrow
M0104 Transplantation of kidney into patient with abnormal, augmented or absent bladder Xmajor £1,500.00 £385.00 Show arrow
M0210 Nephrectomy and excision of perirenal tissue Xmajor £650.00 £385.00 Show arrow
M0220 Nephroureterectomy - unilateral Xmajor £750.00 £275.00 Show arrow
M0221 Nephroureterectomy - bilateral Xmajor £900.00 £385.00 Show arrow
M0222 Nephroureterectomy for live donor transplantation Xmajor £750.00 £275.00 Show arrow
M0250 Nephrectomy - unilateral Major £550.00 £385.00 Show arrow
M0251 Nephrectomy - bilateral Major £750.00 £385.00 Show arrow
M0260 Transplant nephrectomy Major £550.00 £275.00 Show arrow
M0280 Laparoscopic nephrectomy Major £650.00 £275.00 Show arrow
M0303 Robotic assisted laparoscopic partial nephrectomy Major £650.00 £310.00 Show arrow
M0300 Open partial nephrectomy Major £600.00 £275.00 Show arrow
M1120 Diagnostic ureterorenoscopy (+/- cystoscopy) Minor £200.00 £150.00 Show arrow
M1130 Therapeutic ureterorenoscopy (+/- cystoscopy and insertion/removal of stent) Minor £350.00 £165.00 Show arrow
M0302 Laparoscopic partial nephrectomy Major £650.00 £310.00 Show arrow
M0380 Laparoscopic upper or lower pole heminephrectomy Complex £1,000.00 £440.00 Show arrow
M0412 De-roofing and aspiration of renal para pelvic cyst Major £450.00 £165.00 Show arrow
M0510 Open pyeloplasty Major £550.00 £220.00 Show arrow
M0550 Repair of kidney wound Xmajor £650.00 £275.00
M0610 Open removal of calculi from kidney Major £650.00 £220.00 Show arrow
M0680 Drainage of pyonephrosis Intermediate £500.00 £275.00 Show arrow
M0800 Other open operations on kidney Major £550.00 £220.00 Show arrow
M0812 Open biopsy of renal transplant Intermediate £550.00 £220.00
M0813 Percutaneous biopsy of renal transplant Minor £150.00 £150.00
M0814 Open biopsy of native kidney Major £550.00 £220.00 Show arrow
M0840 Exploration of renal transplant for bleeding Intermediate £550.00 £220.00
M0880 Open drainage of perinephric abscess Major £500.00 £220.00 Show arrow
M0910 Endoscopic fragmentation of calculi of kidney (including cystoscopy and insertion/removal of stent) Major £550.00 £220.00 Show arrow
M0940 Percutaneous nephrolithotomy (including cystoscopy and retrograde catheterisation) Complex £1,000.00 £330.00 Show arrow
M0941 Percutaneous nephrolithotomy (including cystoscopy and retrograde catheterisation) (involving two specialties) (we will pay this fee per specialty) Complex £700.00 £380.00 Show arrow
M1000 Therapeutic endoscopic operations on kidney (including cystoscopy and retrograde catheterisation) Major £550.00 £220.00 Show arrow
M1080 Laparoscopic pyeloplasty Complex £1,000.00 £550.00 Show arrow
M1090 Robotic assisted laparoscopic pyeloplasty Complex £1,000.00 £550.00 Show arrow
M1110 Diagnostic endoscopic examination of kidney (including biopsy) Major £550.00 £220.00 Show arrow
M1310 Percutaneous fine needle biopsy of lesion of kidney Minor £150.00 £150.00 Show arrow
M1360 Percutaneous insertion of nephrostomy tube Intermediate £400.00 £165.00 Show arrow
M1380 Percutaneous tru-cut needle biopsy of lesion of kidney Intermediate £250.00 £165.00 Show arrow
M2890 Push manipulation of stone prior to lithotripsy (as sole procedure) Intermediate £300.00 £165.00

12.2 - Ureter

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



M1820 Excision of segment of ureter Major £500.00 £220.00 Show arrow
M1910 Construction of ileal conduit including ureteric implantation Xmajor £650.00 £330.00
M2012 Replantation of ureter into bowel (including bilateral) Xmajor £650.00 £330.00 Show arrow
M2030 Bilateral replantation of ureter into bladder Xmajor £700.00 £275.00 Show arrow
M2080 Unilateral replantation of ureter into bladder (including cystoscopy) Major £550.00 £275.00 Show arrow
M2100 Other connection of ureter Major £600.00 £275.00 Show arrow
M2130 Ileal or colonic replacement of ureter Complex £800.00 £275.00
M2160 Reconstruction of transplant ureter Xmajor £600.00 £275.00
M2200 Ureterostomy - closure Major £600.00 £220.00
M2202 Ureterostomy - formation Major £600.00 £220.00
M2210 Open correction vesicoureteric reflux-unilateral Major £600.00 £220.00
M2280 Open correction vesicoureteric reflux-bilateral Xmajor £1,000.00 £330.00
M2310 Open ureterolithotomy (including cystoscopy) Major £550.00 £220.00 Show arrow
M2510 Excision of ureterocele (with or without ureteric reimplantation) - unilateral Major £600.00 £440.00
M2511 Excision of ureterocele (with or without ureteric reimplantation) - bilateral Xmajor £750.00 £550.00
M2530 Ureterolysis – unilateral Major £600.00 £220.00 Show arrow
M2580 Ureterolysis – bilateral Xmajor £700.00 £440.00 Show arrow
M2600 Therapeutic nephroscopic operations on ureter (including cystoscopy) Major £500.00 £275.00 Show arrow
M2680 Endoscopic removal and insertion of prosthesis into ureter (including cystoscopy) Major £300.00 £165.00 Show arrow
M2730 Ureteroscopic extraction of calculus of ureter (including cystoscopy and insertion/removal of stent) Intermediate £500.00 £165.00 Show arrow
M2920 Endoscopic insertion/removal of prosthesis into ureter (including bilateral and cystoscopy, +/- pyelography) Major £300.00 £165.00 Show arrow
M3111 Holmium Laser Lithotripsy for calculi of ureter (including cystoscopy and insertion/removal of stent) Major £450.00 £220.00 Show arrow
M2930* Removal of prosthesis from ureter (including cystoscopy) Minor £150.00 £150.00 Show arrow
M2932 Cystoscopy and removal of transplant stent Minor £150.00 £150.00 Show arrow
M3000 Endoscopic examination of ureter (+/- cystoscopy and insertion/removal of stent) Intermediate £250.00 £165.00 Show arrow
M3010 Endoscopic retrograde pyelography (including bilateral and cystoscopy) Intermediate £250.00 £165.00 Show arrow
M3202 Operations on ureteric orifice (including endoscopic) Intermediate £200.00 £165.00 Show arrow

12.3 - Bladder

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



A7081 Percutaneous posterior tibial nerve stimulation (PTNS) for overactive bladder (OAB) syndrome or faecal incontinence Minor £200.00 £100.00 Show arrow
M2981 Endoscopic vesico-ureteric anti-reflux procedure (and bilateral) (including cystoscopy) Intermediate £400.00 £165.00 Show arrow
M4713 Bladder instillation as sole procedure Minor £100.00 £110.00 Show arrow
M4714 Therapeutic injection into bladder wall (including cystoscopy) Minor £150.00 £110.00 Show arrow
M3400 Open total cystectomy (with construction of intestinal conduit or bladder) Complex £1,600.00 £495.00 Show arrow
M3420 Laparoscopic cystectomy (with construction of intestinal conduit or bladder) (including cystoscopy) Complex £1,600.00 £495.00 Show arrow
M3500 Partial cystectomy (including cystoscopy) Major £650.00 £220.00 Show arrow
M3510 Diverticulectomy of bladder Major £500.00 £220.00
M3600 Enlargement of bladder (including cystoscopy) Complex £800.00 £330.00 Show arrow
M3602 Enterocystoplasty (including cystoscopy) Complex £1,600.00 £495.00 Show arrow
M3640 Repair of bladder exstrophy Complex £600.00 £220.00
M3700 Repair of bladder (including cystoscopy) Major £600.00 £220.00 Show arrow
M3720 Repair of vesicocolic fistula Xmajor £650.00 £275.00
M3780 Repair of cutaneous vesical fistula Intermediate £350.00 £275.00
M3820 Cystostomy and insertion of suprapubic tube into bladder (including cystoscopy) Intermediate £200.00 £200.00 Show arrow
M3880 Stab cystostomy Minor £100.00 £100.00 Show arrow
M3900 Open removal of calculus from bladder (including cystoscopy) Intermediate £400.00 £165.00 Show arrow
M4110 Open excision of lesion from bladder (including cystoscopy) Major £550.00 £220.00 Show arrow
M4210 Endoscopic resection of lesion of bladder (including cystoscopy) Major £550.00 £220.00 Show arrow
M4230 Endoscopic destruction of lesion of bladder (including cystoscopy) Intermediate £250.00 £165.00 Show arrow
M4310 Endoscopic transection of bladder (including cystoscopy) Major £550.00 £220.00 Show arrow
M4320 Endoscopic hydrostatic distention of bladder (including cystoscopy) Minor £200.00 £110.00 Show arrow
M4400 Urethral sphincterotomy (including cystoscopy) Intermediate £350.00 £165.00 Show arrow
M4514 Endoscopic examination of bladder (rigid cystoscopy) including any biopsy Minor £200.00 £165.00 Show arrow
M3412 Laparoscopic cystoprostatectomy (with construction of intestinal conduit or bladder) Complex £1,600.00 £550.00 Show arrow
M4410 Litholapaxy (including cystoscopy) Major £500.00 £220.00 Show arrow
M4420 Endoscopic extraction of calculus of bladder (including cystoscopy) Intermediate £300.00 £165.00 Show arrow
M4430 Endoscopic removal of foreign body from bladder (including cystoscopy) Intermediate £300.00 £165.00 Show arrow
M4480 Resection of bladder neck (including cystoscopy) Intermediate £400.00 £165.00 Show arrow
M4510 Diagnostic endoscopic examination of bladder (flexible cystoscopy) including any biopsy Minor £200.00 £165.00 Show arrow
M4712 Bladder instillation of pharmacologic agent (including cystoscopy) Minor £150.00 £110.00 Show arrow
M4512 Examination of bladder using hexaminolevulinate blue-light fluorescence cystoscopy +/- resection of lesions Minor £200.00 £165.00 Show arrow
M4910 Closure of cystostomy Intermediate £250.00 £165.00
M5100 Combined abdominal and vaginal operations to support outlet of female bladder (including sling procedures) (including cystoscopy) Major £550.00 £275.00 Show arrow
M5180 Revision combined abdominal and vaginal operations to support outlet of female bladder (including sling procedures and cystoscopy) Xmajor £550.00 £275.00 Show arrow
M5220 Retropubic suspension of neck of bladder (including colposuspension)(including cystoscopy) Major £550.00 £220.00 Show arrow
M5222 Laparoscopic colposuspension Major £550.00 £220.00
M5250 Needle suspension of bladder neck (including cystoscopy) Intermediate £550.00 £220.00 Show arrow
M5280 Revision retropubic suspension of neck of bladder (including colposuspension and cystoscopy) Major £550.00 £220.00 Show arrow
M5300 Vaginal operations to support outlet of female bladder (including cystoscopy) Major £550.00 £220.00 Show arrow
M5520 Implantation of artificial urinary sphincter at bladder neck and/or removal (including cystoscopy) Major £600.00 £220.00 Show arrow
M5630 Therapeutic injection into bladder neck for treatment of stress incontinence (periurethral bulking agents), including cystoscopy Intermediate £300.00 £165.00 Show arrow
M5820 Dilatation of outlet of female bladder (with cystoscopy) Minor £200.00 £165.00 Show arrow
M6480 Operation to support outlet of male bladder (including sling procedures) (including cystoscopy) Major £550.00 £275.00 Show arrow
M6620 Endoscopic incision of outlet of male bladder (with cystoscopy) Intermediate £400.00 £165.00 Show arrow
M7590 Insertion of suburethral tape sling (e.g. TOT or TVT) +/- administration of local anaesthetic by operating surgeon (including cystoscopy) Major £550.00 £220.00 Show arrow
P2510 Repair of vesicovaginal fistula (including cystoscopy) Major £600.00 £275.00 Show arrow

12.4 - Urethra

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



M5580 Excision of urethral caruncle Minor £100.00 £100.00 Show arrow
M5600 Therapeutic endoscopic operations on outlet of female bladder (including cystoscopy) Intermediate £300.00 £165.00 Show arrow
M7200 Urethrectomy Major £500.00 £220.00 Show arrow
M7280 Urethral valve resection Major £450.00 £165.00 Show arrow
M7312 Repair of penile/perineal hypospadias Major £550.00 £220.00 Show arrow
M7313 Repair of penile shaft hypospadias Major £550.00 £220.00 Show arrow
M7314 Repair of distal hypospadia Major £550.00 £220.00 Show arrow
M7315 Secondary adjustment of penile skin following hypospadias repair Major £550.00 £220.00
M7316 Complex secondary repair of hypospadias Xmajor £550.00 £220.00 Show arrow
M7320 Repair of epispadias Xmajor £700.00 £220.00 Show arrow
M7330 Closure of fistula of urethra (including cystoscopy) Intermediate £250.00 £165.00 Show arrow
M7332 Closure of fistula of urethra after hypospadias Major £250.00 £165.00 Show arrow
M7340 Repair of urethrorectal fistula Major £500.00 £220.00
M7360 Simple urethroplasty, eg primary repair, segment, anterior urethra (including cystoscopy) Major £500.00 £220.00 Show arrow
M7380 Repair of rupture of urethra (including cystoscopy) Major £550.00 £220.00 Show arrow
M7500 Excision of diverticulum of urethra (including cystoscopy) Intermediate £350.00 £165.00 Show arrow
M7620 Removal of foreign body from urethra Minor £150.00 £150.00 Show arrow
M7700 Diagnostic endoscopic examination of urethra (as sole procedure) (including cystoscopy) Minor £150.00 £110.00 Show arrow
M7920 Dilatation of urethra (including cystoscopy) Minor £100.00 £150.00 Show arrow
M7940 Internal urethrotomy (including cystoscopy +/- dilataion) Intermediate £300.00 £165.00 Show arrow

12.5 - Prostate

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



BT211 Planning for insertion and removal of a radioactive agent (brachytherapy) into prostate tumour Major £500.00 £0.00 Show arrow
BT212 Insertion of low dose radioactive agent (brachytherapy) into prostate tumour Complex £800.00 £440.00 Show arrow
BT222 Insertion and removal of high dose radioactive agent (brachytherapy) into prostate tumour Complex £800.00 £440.00 Show arrow
M7030 Limited/single core transrectal needle biopsy of prostate +/- ultrasound guidance Minor £150.00 £100.00 Show arrow
M6100 Open excision of prostatatic adenoma Major £550.00 £220.00 Show arrow
M6180 Radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy) Complex £1,600.00 £495.00 Show arrow
M6182 Laparoscopic radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy) Complex £1,600.00 £550.00 Show arrow
M6192 Robotic assisted laparoscopic radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy) Complex £1,600.00 £550.00 Show arrow
M6530 Endoscopic resection of prostate (TUR) (including cystoscopy) Major £600.00 £275.00 Show arrow
M6532 Holmium laser resection of prostate (HoLRP) (including cystoscopy) Xmajor £650.00 £275.00 Show arrow
M6533 Holmium Laser Enucleation of Prostatic Adenoma (HoLEP) Major £650.00 £275.00 Show arrow
M6580 Endoscopic biopsy of prostate (including cystoscopy) Intermediate £250.00 £165.00 Show arrow
M6582 Transperineal template-guided biopsies of the prostate under image guidance Intermediate £450.00 £165.00 Show arrow
M6712 Prostatic cryotherapy Complex £1,300.00 £495.00 Show arrow
M6730 Drainage of prostatic abscess Intermediate £400.00 £165.00 Show arrow
M6760 Photoselective vaporisation of prostate (GreenLight/Niagara laser PVP) (including cystoscopy) Xmajor £650.00 £275.00 Show arrow
M6762 Photoselective vaporisation of prostate (KTP Laser PVP) (including cystoscopy) Xmajor £650.00 £275.00 Show arrow
M6770 High intensity focused ultrasound of prostate (including cystoscopy) Complex £1,900.00 £550.00 Show arrow
M6780 Prostatic hyperthermia (up to six courses) Major £450.00 £220.00
M7020 Transrectal sextant needle biopsy of prostate with ultrasound guidance Minor £150.00 £110.00 Show arrow
M7080 Insertion of urethral stent for relief of prostatic obstruction (including cystoscopy) Major £550.00 £220.00 Show arrow

12.6 - Genitalia

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



M8120 Meatoplasty Intermediate £200.00 £165.00 Show arrow
M8130 External meatotomy of urethral orifice Minor £200.00 £110.00 Show arrow
N0500 Bilateral excision of testes Major £500.00 £220.00 Show arrow
N0630 Laparoscopic orchidectomy Intermediate £400.00 £165.00 Show arrow
N0680 Orchidectomy and excision of spermatic cord (+/- insertion of prosthesis) Intermediate £400.00 £165.00 Show arrow
N0700 Excision of lesion of testis Intermediate £200.00 £165.00 Show arrow
N0820 Orchidopexy bilateral Major £500.00 £275.00 Show arrow
N0920 Orchidopexy Intermediate £300.00 £165.00 Show arrow
N1000 Prosthesis of testis (insertion or removal) Intermediate £200.00 £165.00 Show arrow
N1100 Correction of hydrocele(s) – unilateral Intermediate £250.00 £165.00 Show arrow
N1320 Fixation of testis Intermediate £250.00 £165.00 Show arrow
N1340 Biopsy of testis Minor £200.00 £110.00 Show arrow
N1350 Exploration of testis (including biopsy) Intermediate £250.00 £165.00 Show arrow
N1352 Laparoscopy for impalpable testis Intermediate £250.00 £165.00 Show arrow
N1380 Bilateral fixation of testis Intermediate £250.00 £165.00 Show arrow
N1510 Bilateral epididymectomy Intermediate £400.00 £220.00 Show arrow
N1520 Unilateral epididymectomy Minor £250.00 £165.00 Show arrow
N1580 Excision of epididymal cyst Intermediate £250.00 £165.00 Show arrow
N1900 Operation(s) on varicocele Intermediate £250.00 £165.00 Show arrow
N1910 Laparoscopic varicocelectomy Major £600.00 £330.00 Show arrow
N2200 Operation(s) on seminal vesicle Major £450.00 £165.00 Show arrow
N2610 Total amputation of penis Major £600.00 £220.00
N2620 Partial amputation of penis Major £450.00 £220.00 Show arrow
N2710 Excision of lesion of penis Intermediate £200.00 £165.00 Show arrow
N2780 Operation for Peyronie's disease (eg Nesbitt's) Intermediate £550.00 £165.00 Show arrow
N2781 Lue's procedure for Peyronie's disease Intermediate £550.00 £220.00 Show arrow
N3032 Revision of circumcision Intermediate £220.00 £165.00
N2820 Reconstruction of penis Major £500.00 £220.00 Show arrow
N2840 Repair of avulsion of penis Major £600.00 £220.00 Show arrow
N2842 Frenuloplasty of penis Minor £100.00 £100.00 Show arrow
N2880 Repair of injury to penis Intermediate £400.00 £165.00 Show arrow
N3010 Preputioplasty Intermediate £150.00 £110.00 Show arrow
N3020 Division of preputial adhesions Minor £150.00 £110.00 Show arrow
N3030 Circumcision Intermediate £200.00 £165.00 Show arrow
N3210 Biopsy of lesion of penis Minor £150.00 £110.00 Show arrow



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