Chapter 2 / Brain, cranium and intracranial organs

Excision of lesion of pituitary gland includes packing of the nose and removal of packs where required.
These should not be charged separately.
Additional charges should not be made for cranioplasty with intracranial procedures. The code for stereotactic ablation of a lesion includes removal/biopsy of the lesion.


2.1 - Brain

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



A0110 Hemispherotomy Complex £2,000.00 £990.00 Show arrow
A0180 Excision of abscess of brain Complex £1,300.00 £605.00 Show arrow
A0200 Excision of lesion of tissue of brain Complex £1,600.00 £825.00 Show arrow
A0280 Awake craniotomy with ablation of lesion of brain with or without cortical mapping/stereotaxy Complex £2,000.00 £990.00 Show arrow
A0300 Stereotactic ablation of tissue of brain Complex £1,300.00 £550.00 Show arrow
A0310 Stereotactic biopsy of lesion or tissue of brain Complex £1,600.00 £825.00 Show arrow
A0380 Stereotactic radiotherapy (SRT) using GammaKnife or similar SRT technology Complex £1,800.00 £550.00 Show arrow
A0400 Biopsy of lesion of tissue of brain (including via a burr hole or stealth guided) Complex £900.00 £470.00 Show arrow
A0900 Implantation of neurostimulator to brain Major £560.00 £240.00 Show arrow
A0980 Deep brain stimulation Complex £2,000.00 £990.00 Show arrow
A1220 Creation of ventriculovascular anastomosis Major £560.00 £240.00 Show arrow
A1240 Creation of ventriculoperitoneal shunt Major £560.00 £240.00 Show arrow
A1250 Creation of subcutaneous cerebrospinal fluid reservoir Major £560.00 £240.00 Show arrow
A1300 Maintenance of cerebroventricular shunt Major £430.00 £195.00 Show arrow
A1430 Removal of cerebroventricular shunt Intermediate £350.00 £140.00 Show arrow
A1440 Irrigation of cerebroventricular shunt Minor £160.00 £180.00 Show arrow
A1700 Therapeutic endoscopic operations on ventricle of brain (including examination and biopsy of lesion) Xmajor £700.00 £240.00 Show arrow
A2080 Ventricular puncture (as sole procedure) Minor £160.00 £140.00 Show arrow
A2220 Puncture of cistern of brain Minor £150.00 £140.00 Show arrow

2.2 - Cranium

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



A4280 Intracranial infection: burr hole Intermediate £550.00 £275.00 Show arrow
V0110 Reconstructive cranioplasty Xmajor £750.00 £440.00 Show arrow
V0130 Surgery for craniostenosis (single suture) Major £550.00 £275.00 Show arrow
V0180 Surgery for craniostenosis (more than one suture) Xmajor £750.00 £495.00 Show arrow
V0310 Exploratory open craniotomy Xmajor £750.00 £440.00 Show arrow
V0330 Exploratory burr hole of cranium Major £450.00 £220.00 Show arrow
V0382 Total petrosectomy (for tumour) Complex £1,000.00 £660.00 Show arrow
V0383 Lateral petrosectomy (for tumour) Complex £1,000.00 £660.00 Show arrow
V0390 Foramen magnum decompression Complex £1,300.00 £495.00 Show arrow
V0510 Excision of lesion of cranium Major £600.00 £275.00 Show arrow
V0530 Elevation of depressed fracture of cranium Major £450.00 £275.00 Show arrow
V0580 Repair of compound fracture of cranium Xmajor £750.00 £440.00 Show arrow

2.3 - Meninges

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



A2210 Drainage of subarachnoid space of brain Major £450.00 £220.00 Show arrow
A3810 Excision of lesion of meninges of brain Complex £1,900.00 £825.00 Show arrow
A3830 Operation for arachnoidal cyst Xmajor £750.00 £330.00 Show arrow
A3900 Repair of dura Complex £1,000.00 £440.00 Show arrow
A4010 Evacuation of extradural haematoma Complex £1,000.00 £440.00 Show arrow
A4110 Evacuation of subdural haematoma or abscess Complex £1,000.00 £440.00 Show arrow
A4180 Subdural haemorrhage – tap Minor £100.00 £150.00 Show arrow

2.4 - Nerves

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



A2500 Intracranial transection of cranial nerve Complex £1,600.00 £990.00 Show arrow
A2600 Other intracranial destruction of cranial nerve Complex £1,600.00 £990.00 Show arrow
A2900 Excision of lesion of cranial nerve (intracranial) Complex £1,900.00 £990.00 Show arrow
A2952 Excison of acoustic neuroma (vestibular schwannoma) - tumours less than 2.5cm (performed by single surgeon) Complex £1,900.00 £990.00 Show arrow
A2953 Excision of acoustic neuroma (vestibular schwannoma) - tumours more than 2.5cm or compressing brain stem (performed by single surgeon) Complex £1,900.00 £990.00 Show arrow
A2954 Excision of acoustic neuroma (vestibular schwannoma) - tumours managed by combined oto-neurosurgical team irrespective of tumour size Complex £1,900.00 £990.00 Show arrow
A3000 Repair of cranial nerve (intracranial) Complex £800.00 £550.00 Show arrow
A3200 Decompression of cranial nerve (craniotomy) Complex £1,600.00 £550.00 Show arrow
A3300 Implantation of neurostimulator to cranial nerve Major £600.00 £275.00 Show arrow
A3330 Removal of neurostimulator from cranial nerve Major £550.00 £165.00 Show arrow
A3680 Excision of cerebello-pontine angle tumour Complex £1,900.00 £990.00 Show arrow

2.5 - Vessels

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



A0260 Excision of arteriovenous malformation from vessels of brain Complex £1,900.00 £660.00 Show arrow
A4080 Craniotomy – post-operative haemorrhage Xmajor £750.00 £440.00 Show arrow
L3320 Clipping of cerebral artery aneurysm Complex £1,600.00 £660.00 Show arrow
L3380 Reinforcement of aneurysm of cerebral artery Complex £1,600.00 £660.00 Show arrow
L3400 Open operations on cerebral artery Complex £1,600.00 £660.00 Show arrow

2.6 - Other

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



A8300 Electro-convulsive therapy Minor £100.00 £100.00
B0100 Open hypophysectomy (including total) Complex £1,600.00 £550.00 Show arrow
B0210 Cryotherapy to pituitary gland Xmajor £700.00 £495.00 Show arrow
B0410 Transsphenoidal hypophysectomy (including total) Complex £1,600.00 £550.00 Show arrow
B0610 Excision of pineal gland Complex £1,900.00 £550.00



Back to chapter list