Chapter 17 / Interventional radiology

Many therapeutic procedures necessitate a diagnostic procedure. For example, angioplasty cannot be performed without angiography. We will not reimburse additional charges for these diagnostic procedures unless a separate and distinct procedure took place.

We will not normally reimburse standby fees for these procedures. If it is felt to be clinically necessary to have a surgeon on standby, we request you contact the specialist fees team using the telephone numbers at the front of this Schedule.

The code and narrative for all these procedures includes imaging guidance by one of the following methods: X-ray, CT/MRI, fluoroscopy or ultrasound.

If a vascular procedure is jointly performed by a surgeon and interventional radiologist then the benefit should be split between the two specialists. Separate charges should not be made.


17.1 - Biopsy

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



B2890 Ultrasound guided interstitial laser ablation of breast lesion Intermediate £450.00 £165.00 Show arrow
XR100* Fluoroscopically guided biopsy(ies) Intermediate £200.00 £110.00 Show arrow
XR110* Ultrasound guided biopsy(ies) Intermediate £250.00 £110.00 Show arrow
XR120* CT/MRI guided biopsy(ies) Intermediate £300.00 £110.00 Show arrow
XR121* Unilateral image guided vacuum assisted excision of breast lesion (with biopsy) Intermediate £250.00 £110.00 Show arrow
XR130* Transjugular/transfemoral plugged liver biopsy(ies) Intermediate £400.00 £110.00 Show arrow
XR160 Percutaneous image guided fine needle aspiration (FNA) Minor £100.00 £0.00 Show arrow
XR140* Unilateral stereotactic core biopsy breast Intermediate £250.00 £110.00
XR142 Bilateral stereotactic core biopsy of breasts Intermediate £300.00 £165.00

17.2 - Drainage

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



XR170 Fluoroscopically guided drainage of fluid collection Intermediate £250.00 £110.00 Show arrow
XR180* Ultrasound guided drainage of fluid collection Intermediate £400.00 £110.00 Show arrow
XR190 CT/MRI guided drainage of fluid collection Major £450.00 £110.00 Show arrow

17.3 - Angioplasty

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



XR252 Venoplasty Major £500.00 £0.00 Show arrow
XR254 Angioplasty of other arteries (e.g. sub-clavian, tibial, femoro-popliteal) including peripheral angiogram +/- insertion of stent Major £500.00 £220.00 Show arrow
XR260 Angioplasty with insertion of metallic stent Major £550.00 £275.00 Show arrow
XR270 Angioplasty with insertion of metallic stent-graft Major £550.00 £0.00 Show arrow
XR280 Insertion of aortic metallic stent-graft Complex £1,300.00 £495.00 Show arrow
XR290 Cerebral angioplasty with or without insertion of metallic stent Complex £1,300.00 £385.00 Show arrow
XR430 Renal angioplasty, +/- insertion of stent Major £500.00 £220.00 Show arrow
XR516 Angioplasty of iliac artery, +/- insertion of stent Major £500.00 £220.00 Show arrow

17.4 - Embolisation

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



XR302 Endovascular management of brain arteriovenous malformation (including 2 separate interventions) Complex £1,900.00 £660.00 Show arrow
XR303 Additional management of brain arteriovenous malformation (per additional intervention) Minor £1,900.00 £660.00 Show arrow
XR306 Endovascular treatment of cerebral aneurysm Xmajor £1,600.00 £660.00 Show arrow
XR352 Embolisation of artery/vein Major £550.00 £165.00 Show arrow
XR360 Embolisation of vascular mass (including uterine embolisation) Complex £900.00 £385.00 Show arrow
XR370 Embolisation of bronchial artery Complex £1,000.00 £0.00 Show arrow
XR380 Embolisation of aneurysm Complex £1,100.00 £660.00 Show arrow
XR391 Embolisation of arteriovenous malformation (AVM) e.g. of foot, minor organ Major £550.00 £225.00
XR362 Embolisation of pelvic vein varices Major £500.00 £250.00 Show arrow
XR442 Embolisation of varicocele of gonadal vein Major £550.00 £220.00 Show arrow

17.5 - Thrombolysis

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



XR410* Thrombolysis or aspiration of thrombus under imaging control Intermediate £400.00 £165.00 Show arrow

17.6 - Dilatation

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



XR450* Dilatation of stricture under imaging control Intermediate £350.00 £165.00 Show arrow
XR565 Percutaneous dilatation of biliary stricture under imaging control Xmajor £650.00 £330.00 Show arrow

17.7 - Head and neck

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



XR315 Endoluminal stone extraction from salivary duct under imaging control Intermediate £200.00 £0.00 Show arrow
XR320 Dilatation/stenting of nasolacrimal duct under imaging control Major £550.00 £0.00 Show arrow

17.8 - Spine

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



XR500* Chemonucleolysis Intermediate £350.00 £0.00 Show arrow
XR530 Fluoroscopically guided percutaneous vertebroplasty Major £650.00 £330.00 Show arrow
XR540 CT guided percutaneous vertebroplasty Complex £900.00 £220.00 Show arrow

17.9 - Thorax

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



XR595 Insertion of tracheal/bronchial metallic stent Major £500.00 £275.00 Show arrow
XR600 Insertion of oesophageal metallic stent under imaging control Major £500.00 £110.00

17.10 - Gastrointestinal

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



XR585 Percutaneous gastrostomy Major £500.00 £275.00 Show arrow
XR590 Percutaneous gastrojejunostomy Major £600.00 £0.00 Show arrow

17.11 - Liver

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



XR570 Percutaneous insertion of plastic biliary endoprosthesis Major £500.00 £330.00 Show arrow
XR575 Percutaneous insertion of metallic biliary endoprosthesis Xmajor £750.00 £330.00 Show arrow
XR576 Biliary drainage with occluded stent in place Major £750.00 £110.00 Show arrow
XR580 Percutaneous cholecystostomy Major £550.00 £0.00 Show arrow
XR610 Transjugular intrahepatic portosystemic shunt Complex £900.00 £550.00 Show arrow
XR550 Transarterial chemoembolization (TACE), +/- drug eluting bead (DEB) Major £600.00 £0.00 Show arrow

17.12 - Urinary

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



XR630* Percutaneous nephrostomy Intermediate £400.00 £165.00 Show arrow
XR640 Percutaneous creation of track to kidney for nephrolithotomy +/- insertion of stent Xmajor £800.00 £165.00 Show arrow
XR650 Percutaneous pyelolysis Xmajor £800.00 £0.00 Show arrow
XR660 Insertion of stent into ureters - unilateral Major £400.00 £110.00 Show arrow
XR661 Insertion of stent into ureters - bilateral Major £450.00 £165.00 Show arrow
XR670 Radiofrequency kidney ablation Complex £1,100.00 £660.00

17.13 - Other

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



XR910 Insertion of central venous catheter - non-tunnelled (X-ray guided) Intermediate £200.00 £110.00 Show arrow
XR915 Insertion of central venous catheter-tunnelled (X-ray guided) Intermediate £350.00 £165.00 Show arrow
XR917 Peripherally inserted central venous catheters (PICCs) under X-ray guidance Intermediate £200.00 £0.00 Show arrow
XR920* Cyst ablation under imaging control Intermediate £350.00 £0.00 Show arrow
XR935* Insertion/removal of vena cava filter Intermediate £400.00 £0.00 Show arrow
XR936 Insertion of guidewire and/or marker into breast lesion under imaging control Minor £200.00 £100.00
XR940 Retrieval of foreign body under X-ray guidance Major £450.00 £110.00 Show arrow
XR950 Occlusion of fistula under imaging control Major £700.00 £0.00
XR960 Percutaneous thermal coagulation of mass Complex £1,100.00 £660.00 Show arrow
XR962 Percutaneous chemical ablation of tumour - ultrasound guided Intermediate £1,100.00 £0.00 Show arrow
XR963 Percutaneous chemical ablation of tumour - CT guided Intermediate £1,100.00 £330.00 Show arrow
XR964 Liver Ablation (radiofrequency) Complex £1,100.00 £660.00 Show arrow
XR967 CT guided thermocoagulation of osteoid osteoma Complex £500.00 £220.00
XR968 Colonic stent insertion Major £750.00 £0.00 Show arrow



Back to chapter list