Chapter 10 / Endoscopic gastrointestinal procedures

The benefit for endoscopic therapeutic procedures includes an amount for diagnostic endoscopy. This should therefore not be charged for separately.

The benefit for gastroscopy and sigmoidoscopy includes an amount for sedation.

Many pathological processes eg cholecystitis result in the formation of adhesions. Adhesiolysis is therefore part of these procedures. We no longer have a specific code for division of adhesions. When major problems due to adhesions are encountered, we request that a note of explanation is provided and we will give consideration as to whether we will pay additional benefit.

10.1 - Endoscopic gastrointestinal procedures

Code Description Complexity Procedure fees Fee for general anaesthesia
Unacceptable Combinations
Additional Information

G1900 Rigid oesophagoscopy including any biopsy, laser or diathermy destruction of lesions Intermediate £250.00 £165.00 Show arrow
G2110 Oesophageal physiology studies (including pH measurement) Minor £150.00 £110.00 Show arrow
G4410 Therapeutic oesophago-gastro-duodenoscopy (OGD) with insertion of prosthesis Intermediate £300.00 £165.00 Show arrow
G4430 Therapeutic oesophago-gastro-duodenoscopy (OGD) with dilatation Minor £200.00 £165.00 Show arrow
H6260 Proctoscopy (+/- Biopsy) Minor £50.00 £0.00 Show arrow
G2180 Ambulatory 24h pH and impedance monitoring £100.00 £0.00 Show arrow
H2350 Endoscopic mucosal resection (EMR) of colorectal tumour Intermediate £420.00 £165.00 Show arrow
G2120 High resolution oesophageal manometry Minor £150.00 £110.00 Show arrow
G4370 Therapeutic oesophago-gastro-duodenoscopy (OGD) with elective banding of oesophageal varices Minor £200.00 £165.00 Show arrow
G4371 Therapeutic oesophago-gastro-duodenoscopy (OGD) with therapy for acutely bleeding ulcer or varices Minor £250.00 £200.00 Show arrow
G4440 Therapeutic oesophago-gastro-duodenoscopy (OGD) with insertion of percutaneous endoscopic gastrostomy/percutaneous endoscopic jejunostomy Intermediate £200.00 £165.00 Show arrow
G4480 Therapeutic enteroscopy Intermediate £200.00 £110.00 Show arrow
G4520 Diagnostic enteroscopy Intermediate £150.00 £110.00 Show arrow
G4530 Catheterless oesophageal pH monitoring (eg Bravo) Intermediate £200.00 £110.00 Show arrow
G6500 Diagnostic eosophago-gastro-duodenoscopy (OGD) includes forceps biopsy, biopsy urease test and dye spray Minor £150.00 £110.00 Show arrow
G7900 Ileoscopy via stoma with therapy Minor £200.00 £110.00 Show arrow
G8080 Capsule endoscopy including interpretation and evaluation Intermediate £400.00 £0.00 Show arrow
G8082 Diagnostic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) Intermediate £440.00 £165.00 Show arrow
G8083 Therapeutic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) Intermediate £440.00 £165.00 Show arrow
H2001 Double balloon enteroscopy Major £450.00 £165.00 Show arrow
H2002 Diagnostic colonoscopy, includes forceps biopsy of colon and ileum Intermediate £350.00 £165.00 Show arrow
H2003 Therapeutic colonoscopy with snare loop biopsy or excision of lesion Intermediate £350.00 £165.00 Show arrow
H2180 Fibreoptic colonoscopy and recanalisation of tumour Major £450.00 £165.00 Show arrow
H2220 Endoscopic ultrasound for tumour staging, including diagnostic endoscopy Intermediate £450.00 £110.00 Show arrow
H2502 Diagnostic flexible sigmoidoscopy, including forceps biopsy and proctoscopy Minor £200.00 £165.00 Show arrow
H2503 Therapeutic sigmoidoscopy with snare loop biopsy or excision of lesion Minor £200.00 £165.00 Show arrow
H4190 Therapeutic High Resolution Anoscopy (HRA) in symptomatic patients (+/- biopsy or ablation of lesion of anus) Minor £100.00 £0.00 Show arrow
J3900 Therapeutic ERCP with insertion of biliary or pancreatic stent(s), sphincterotomy or stone extraction Major £550.00 £165.00 Show arrow
J4300 Diagnostic ERCP (includes forceps biopsy) Intermediate £360.00 £165.00 Show arrow
J6730 Endoscopic upper gastrointestinal ultrasound, eg for pancreaticobiliary diagnosis/transmucosal biopsy Intermediate £500.00 £165.00 Show arrow
H6840 Flexible pouchoscopy +/- biopsy and/or removal of polyp(s) Minor £200.00 £165.00 Show arrow

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