Chapter 6 / Face, mouth, salivary and thyroid

Charges for removal of roots should not be made in conjunction with removal of impacted teeth.

When bone grafting is used as part of treatment of a bone cyst, this should not be charged as a separate service. Specifically the code for alveolar bone grafting is not appropriate in these circumstances.

Closure of an oro-antral fistula should not be charged in conjunction with removal of impacted teeth/complex buried roots.


6.1 - Face and jaws

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



V0820 Open reduction and fixation of fractured jaw Intermediate £400.00 £220.00 Show arrow
V0830 Closed reduction and fixation of fractured jaw Intermediate £200.00 £220.00 Show arrow
V0910 Open reduction and fixation of nasal ethmoidal fracture Complex £800.00 £550.00 Show arrow
V0930 Closed reduction of fracture of zygomatic complex of bones Intermediate £300.00 £165.00 Show arrow
V0980 Open reduction of fracture of zygomatic complex of bones Major £450.00 £220.00 Show arrow
V1082 Partial maxillectomy for malignancy Xmajor £700.00 £275.00 Show arrow
V1083 Hemi-maxillectomy for malignancy Xmajor £700.00 £275.00 Show arrow
V1150 Removal of internal fixation and/or inter-maxillary fixation from jaw Minor £200.00 £220.00 Show arrow
V1330 Biopsy of lesion of facial bone Minor £150.00 £150.00 Show arrow
V1400 Excision of mandible Major £550.00 £250.00 Show arrow
V1422 Extensive segmental excision of mandible Xmajor £650.00 £330.00 Show arrow
V1423 Extensive excision of mandible with disarticulation Xmajor £650.00 £330.00 Show arrow
V1440 Excision of lesion of jaw Intermediate £350.00 £165.00 Show arrow
V1730 Extra-oral fixation of mandible Intermediate £300.00 £220.00 Show arrow
V1910 Reconstruction of jaw (non-vascularised reconstruction) Xmajor £750.00 £275.00 Show arrow
V1930 Alveolar bone graft - unilateral Intermediate £400.00 £220.00 Show arrow
V1931 Alveolar bone graft - bilateral Intermediate £600.00 £250.00 Show arrow
V2020 Prosthetic replacement of temporomandibular joint Xmajor £650.00 £220.00 Show arrow
V2030 Arthroplasty of temporomandibular bone joint Major £550.00 £220.00 Show arrow
V2110 Temporomandibular meniscectomy Major £350.00 £165.00 Show arrow
V2120 Reduction of dislocation of temporomandibular joint Intermediate £200.00 £165.00 Show arrow
V2151 Arthrocentesis of temporomandibular joint - unilateral Minor £100.00 £100.00
V2152 Arthrocentesis of temporomandibular joint - bilateral Minor £100.00 £100.00

6.2 - Lips

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



F0110 Excision of vermilion border of lip and advance of mucosa of lip Intermediate £300.00 £165.00 Show arrow
F0200 Excision of lesion of lip Intermediate £250.00 £165.00 Show arrow
F0312 Primary closure of cleft lip - unilateral Major £500.00 £275.00 Show arrow
F0313 Primary closure of cleft lip - bilateral Major £650.00 £330.00 Show arrow
F0314 Primary closure of cleft lip - unilateral including anterior palate Major £500.00 £275.00 Show arrow
F0315 Primary closure of cleft lip - bilateral including anterior palate Major £650.00 £330.00 Show arrow
F0320 Revision of primary closure of cleft lip Major £600.00 £275.00 Show arrow
F0420 Reconstruction of lip using skin flap Major £550.00 £275.00 Show arrow
F0530 Suture of lip Minor £150.00 £150.00 Show arrow

6.3 - Tongue

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



F2210 Total glossectomy Xmajor £700.00 £275.00 Show arrow
F2220 Partial glossectomy for malignancy Major £600.00 £275.00 Show arrow
F2310 Excision/destruction of lesion of tongue Intermediate £250.00 £165.00 Show arrow
F2620 Frenotomy /frenectomy of tongue under general anaesthetic Minor £150.00 £150.00 Show arrow
F2640 Freeing of adhesions of tongue Minor £100.00 £150.00 Show arrow
F2650 Suture of tongue Intermediate £100.00 £100.00 Show arrow
F2660 Tongue flap - first stage and second stage Major £500.00 £275.00 Show arrow
F2621 Frenotomy /frenectomy of tongue under local anaesthetic £150.00 £0.00

6.4 - Palate

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



F2810 Excision/destruction of lesion of palate Intermediate £250.00 £165.00 Show arrow
F2910 Primary repair of cleft palate Xmajor £650.00 £275.00 Show arrow
F3070 Suture of palate Minor £200.00 £165.00 Show arrow
F3240 Operations on uvula Intermediate £200.00 £165.00 Show arrow

6.5 - Mouth cavity

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



F1140 Vestibuloplasty Intermediate £350.00 £165.00 Show arrow
F3810 Excision/destruction of lesion of mouth Minor £200.00 £165.00 Show arrow
F4040 Suture of mouth as sole procedure Minor £200.00 £165.00 Show arrow
F4050 Graft of skin or mucosa to mouth Intermediate £300.00 £220.00 Show arrow
F4210 Biopsy of lesion of mouth Minor £100.00 £100.00 Show arrow
F4230 Removal of excess mucosa from mouth Intermediate £250.00 £165.00 Show arrow

6.6 - Salivary glands

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



F4400 Excision of parotid gland (other than F4410/F4430) Major £550.00 £220.00 Show arrow
F4410 Total excision of parotid gland and preservation of facial nerve Xmajor £1,000.00 £330.00 Show arrow
F4430 Partial excision of parotid gland and preservation of facial nerve Xmajor £800.00 £330.00 Show arrow
F4440 Excision of submandibular gland Intermediate £400.00 £220.00 Show arrow
F4450 Excision of sublingual gland Intermediate £300.00 £165.00 Show arrow
F4600 Incisional drainage of abscess or haematoma of salivary glands (ie including submandibular, parotid and sublingual glands) Minor £150.00 £150.00 Show arrow
F4640 Fine needle aspiration of parotid gland Minor £100.00 £100.00 Show arrow
F4810 Open biopsy of lesion of salivary gland Minor £200.00 £165.00 Show arrow
F4830 Therapeutic sialendoscopy Intermediate £250.00 £110.00 Show arrow
F5010 Transposition of parotid duct (including bilateral) Intermediate £350.00 £165.00 Show arrow
F5020 Transposition of submandibular duct (including bilateral) Intermediate £350.00 £165.00 Show arrow
F5110 Open extraction of calculus from parotid duct Intermediate £250.00 £165.00 Show arrow
F5120 Open extraction of calculus from submandibular duct Intermediate £200.00 £165.00 Show arrow
F5510 Dilatation of parotid duct Minor £150.00 £110.00 Show arrow
F5610 Manipulative removal of calculus from parotid duct Intermediate £200.00 £110.00 Show arrow

6.7 - Teeth

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



F0830 Replantation of natural tooth/teeth following trauma Intermediate £250.00 £165.00 Show arrow
F0910* Surgical removal of impacted/buried tooth/teeth Intermediate £200.00 £110.00 Show arrow
F0950* Surgical removal of complicated buried roots Intermediate £200.00 £110.00 Show arrow
F1810 Enucleation of cyst of jaw Intermediate £200.00 £110.00 Show arrow
F0911 Coronectomy Intermediate £150.00 £110.00

6.8 - Neck

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



T8510 Radical dissection of cervical lymph nodes Complex £800.00 £330.00 Show arrow
T8610 Biopsy/sampling of cervical lymph nodes Minor £150.00 £150.00 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
T9400 Operations on branchial cyst Intermediate £400.00 £275.00 Show arrow
T9420 Operations on branchial fistula Major £550.00 £275.00 Show arrow

6.9 - Thyroid and parathyroid glands

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



B0812 Total thyroidectomy/near total thyroidectomy Major £550.00 £275.00 Show arrow
B0813 Total thyroidectomy including block dissection of lymph nodes Major £750.00 £275.00 Show arrow
B0820 Bilateral subtotal thyroidectomy Major £550.00 £275.00 Show arrow
B0830 Total thyroid lobectomy and isthmectomy Major £550.00 £275.00 Show arrow
B1280 Ultrasound guided radiofrequency ablation of benign thyroid nodule Intermediate £250.00 £150.00
B0850 Isthmectomy of thyroid gland Major £550.00 £275.00 Show arrow
B0860 Partial thyroidectomy (not elsewhere classified) Major £550.00 £275.00 Show arrow
BT210 Oral introduction of liquid radioactive agent (brachytherapy) for thyroid tumour ablation Minor £100.00 £0.00
B0900 Operations on aberrant thyroid tissue (including excision/removal of retrosternal goitre) Xmajor £700.00 £275.00 Show arrow
B1012 Excision of thyroglossal cyst/tract Intermediate £400.00 £220.00 Show arrow
B1220 Fine needle aspiration of thyroid gland Minor £100.00 £100.00 Show arrow
B1230 Core biopsy of thyroid gland Minor £200.00 £110.00 Show arrow
B1250 Thyroid: re-operation Complex £550.00 £275.00 Show arrow
B1450 Parathyroidectomy Xmajor £750.00 £275.00 Show arrow
B1680 Parathyroid: re-operation Xmajor £750.00 £330.00 Show arrow
B1690 Mediastinal parathyroidectomy with sternotomy Complex £750.00 £275.00 Show arrow
E3180 Thyroplasty (Isshiki type 1) Major £500.00 £220.00



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