Chapter 14 / Female reproductive organs

The benefit for hysteroscopy includes an amount for D&C and insertion of mirena coil. We will not reimburse additional charges for this as a separate service. Similarly where a therapeutic hysteroscopy is performed, we will not reimburse an additional charge for a diagnostic hysteroscopy.

The benefit for hysterectomy for ovarian malignancy includes an amount for removal of omentum and this should not be listed as extra.

Cystoscopy should not be charged as an additional procedure with suspension/uro-gynaecological procedures.

We consider insertion of suprapubic catheter to be an intrinsic part of procedures such as a suprapubic sling or retropubic suspension of bladder neck and will not reimburse these as an additional procedure.

The benefit for colposcopy includes an amount for punch biopsy.

The benefit for therapeutic laparoscopy includes an amount for diagnostic laparoscopy.

The code for insertion of prosthesis into the ureter is designed for use by urologists inserting a stent and not for the circumstances where the ureter is being identified during hysterectomy. We recognise that this does involve some additional work and consider that a small uplift would be reasonable.

The code for division of adhesions is no longer in our Schedule. Adhesions are a part of a large number of gynaecological pathologies and the benefit for treatment includes an amount for division of adhesions. We do however accept that there are some cases where numerous dense adhesions add considerably to the complexity of a procedure and in such cases suggest an enhanced fee is submitted together with a note of explanation.

Postoperative analgesia is part of all surgery. We will not reimburse additional charges by surgeons or anaesthetists for wound infiltration with local anaesthetic.


14.1 - Uterus/adnexa

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



Q2231 Oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) – unilateral Major £550.00 £220.00 Show arrow
Q0710 Radical hysterectomy and lymphadenectomy (Wertheim's) +/- ureterolysis Complex £1,300.00 £495.00 Show arrow
Q0712 Radical trachelectomy including laparoscopic and removal of lymph nodes +/- ureterolysis Complex £1,300.00 £495.00 Show arrow
Q0740 Total abdominal hysterectomy (+/- oophorectomy) +/- ureterolysis Major £650.00 £275.00 Show arrow
Q0890 Vaginal hysterectomy including salpingo-oophorectomy (including laparoscopically assisted) +/- ureterolysis Xmajor £800.00 £275.00 Show arrow
Q0830 Vaginal hysterectomy with laparoscopic assistance +/- ureterolysis Major £650.00 £275.00 Show arrow
Q0750 Subtotal abdominal hysterectomy (+/- oophorectomy) +/- ureterolysis Major £600.00 £275.00 Show arrow
Q0751 Laparoscopic subtotal hysterectomy (+/- oophorectomy) +/- ureterolysis Major £650.00 £275.00 Show arrow
Q2081 Myolysis of uterine fibroids Major £650.00 £275.00 Show arrow
Q0800 Vaginal hysterectomy without laparoscopic assisted Major £650.00 £275.00 Show arrow
Q0790 Laparoscopic total hysterectomy (+/- oophorectomy) +/- ureterolysis Major £650.00 £275.00 Show arrow
Q0880 Hysterectomy with excision / biopsy and/or removal of omentum and uterine adnexa for ovarian malignancy +/- ureterolysis Xmajor £800.00 £275.00 Show arrow
Q0920 Myomectomy (including laparoscopically) +/- ureterolysis Major £650.00 £275.00 Show arrow
Q1281 Removal and/or replacement of an embedded / migrated Mirena coil (as sole procedure) Minor £100.00 £100.00
Q0950 Plastic reconstruction of uterus Major £650.00 £220.00 Show arrow
Q1700 Therapeutic endoscopic operations on uterus (including endometrial ablation excluding microwave or radiofrequency ablation) Major £550.00 £220.00 Show arrow
Q1701 Laparoscopic excision of endometriosis, +/-ureterolysis Major £550.00 £275.00 Show arrow
Q1702 Microwave endometrial ablation including hysteroscopy Major £550.00 £220.00 Show arrow
Q1703 Impedance controlled bipolar radiofrequency ablation for menorrhagia including hysteroscopy Major £550.00 £220.00 Show arrow
Q1800* Hysteroscopy (including biopsy, dilatation, curettage and resection of polyp(s) +/- Mirena coil insertion) Intermediate £250.00 £165.00 Show arrow
Q1802 Hysteroscopy with resection of fibroids +/- insertion on Mirena coil Major £450.00 £220.00 Show arrow
Q2230 Oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) - bilateral Major £550.00 £220.00 Show arrow
Q2330 Salpingectomy (including bilateral) (as sole procedure) Major £550.00 £220.00
Q3110 Removal of products of conception from fallopian tube (ectopic pregnancy) including laparoscopically Major £500.00 £275.00 Show arrow
Q3800 Laparoscopy and therapeutic procedures (including laser, diathermy and destruction e.g. endometriosis, adhesiolysis, tubal and ovarian surgery, +/-ureterolysis) Major £550.00 £275.00 Show arrow
Q3900 Laparoscopy (including e.g. puncture of ovarian cysts, +/- biopsy, minor endometriosis, +/- ureterolysis) Intermediate £400.00 £220.00 Show arrow
Q4400 Ovarian cystectomy +/- omental biopsy (as sole procedure and including bilateral) Major £550.00 £220.00 Show arrow
T8580 Block dissection of pelvic lymph nodes (as sole procedure) Major £550.00 £275.00 Show arrow
X1410 Total exenteration of pelvis Complex £1,600.00 £990.00
X1420 Anterior exenteration of pelvis Complex £1,300.00 £550.00
X1430 Posterior exenteration of pelvis Complex £1,300.00 £550.00

14.2 - Suspension

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



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
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
M5630 Therapeutic injection into bladder neck for treatment of stress incontinence (periurethral bulking agents), including cystoscopy Intermediate £300.00 £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
Q5450 Laparoscopic hysteropexy (including sacrohysteropexy) +/- ureterolysis Major £700.00 £275.00 Show arrow
Q2080 Ventrosuspension of uterus (including laparoscopic) Intermediate £400.00 £220.00

14.3 - Cervix uteri

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



BT341 Planning for insertion and removal of a radioactive agent (brachytherapy) into cervix or other female intra-pelvic tissue Intermediate £200.00 £0.00
BT342 Insertion and removal of a radioactive agent (brachytherapy) into cervix or other female intra-pelvic tissue Major £600.00 £200.00 Show arrow
Q0100 Amputation of cervix uteri Intermediate £350.00 £165.00 Show arrow
Q0220 Laser destruction of lesion of cervix uteri (+/- colposcopy or polypectomy) Minor £200.00 £110.00 Show arrow
Q0230 Cauterisation of lesion of cervix uteri (+/- loop diathermy, colposcopy or polypectomy) Minor £100.00 £100.00 Show arrow
Q0330 Cone biopsy of cervix uteri and/or (+/- laser, colposcopy or polypectomy) Intermediate £250.00 £165.00 Show arrow
Q0340 Punch biopsy of cervix uteri Minor £100.00 £100.00 Show arrow
Q1010 Dilation of cervix uteri and curettage of retained products of conception following spontaneous abortion. Intermediate £250.00 £110.00 Show arrow
Q1030 Dilatation of cervix uteri and curettage of uterus including polypectomy and diathermy of cervix Minor £150.00 £110.00 Show arrow

14.4 - Vagina/perineum

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



M3710 Cystourethroplasty (including cystoscopy) Major £500.00 £220.00 Show arrow
M5582 Diathermy of urethral caruncle Minor £100.00 £100.00
P1300 Operations on female perineum Minor £150.00 £110.00 Show arrow
P1400 Incision of introitus of vagina Minor £150.00 £150.00 Show arrow
P1920 Excision of septum of vagina Intermediate £200.00 £165.00 Show arrow
P2000 Excision of lesion of vagina (e.g. warts and cysts) Intermediate £250.00 £165.00 Show arrow
P2100 Reconstruction of vagina Xmajor £750.00 £275.00 Show arrow
P2210 Anterior +/- posterior colporrhaphy and amputation of cervix uteri (including primary repair of enterocele) Major £600.00 £220.00 Show arrow
P2230 Posterior colporrhaphy Intermediate £400.00 £220.00 Show arrow
P2310 Anterior +/- posterior colporrhaphy (including primary repair of enterocele) (including cystoscopy) Major £600.00 £220.00 Show arrow
P2340 Repair of enterocele (+/- posterior repair colporrhaphy) (as sole procedure) Major £500.00 £220.00 Show arrow
P2930 Biopsy of lesion of vagina Minor £100.00 £100.00 Show arrow
P2380 Anterior (+/- posterior) colporrhaphy with vaginal hysterectomy (including primary repair of enterocele and cystoscopy) Xmajor £750.00 £330.00 Show arrow
P2420 Sacrocolpopexy (including laparoscopic) Major £700.00 £275.00 Show arrow
P2450 Sacrospinous fixation Major £600.00 £220.00 Show arrow
P2510 Repair of vesicovaginal fistula (including cystoscopy) Major £600.00 £275.00 Show arrow
P2520 Repair of urethrovaginal fistula (including cystoscopy) Major £550.00 £275.00 Show arrow
P2530 Repair of rectovaginal fistula Xmajor £700.00 £275.00
BT281 Planning for insertion and removal of radioactive agent (brachytherapy) into vaginal tumour Intermediate £200.00 £0.00
BT282 Insertion and removal of radioactive agent (brachytherapy) into vaginal tumour Major £600.00 £200.00 Show arrow
P2120 Total removal of vaginal mesh/tape with reconstruction of vagina and/or uretha, including cysoscopy and/or proctoscopy [fees on application] Complex £0.00 £0.00 Show arrow
P2110 Partial removal of vaginal mesh/tape with reconstruction of vagina and or/uretha, including cystoscopy and/or proctoscopy [fees on application] Complex £0.00 £0.00 Show arrow
P2932 Examination of vagina under anaesthetic as sole procedure Minor £100.00 £100.00 Show arrow

14.5 - Vulva/labia

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



P0310 Excision of Bartholin gland Intermediate £250.00 £165.00 Show arrow
P0320 Marsupialisation of Bartholin cyst Intermediate £250.00 £165.00 Show arrow
P0510 Simple vulvectomy Major £600.00 £275.00 Show arrow
P0580 Radical vulvectomy (including block dissection of inguinal gland) Complex £800.00 £330.00 Show arrow
P0600 Excision of lesion of vulva Minor £200.00 £165.00 Show arrow
P0910 Biopsy of lesion of vulva Minor £100.00 £100.00 Show arrow
P0610 Laser destruction of lesion of vulva Minor £150.00 £0.00



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