Chapter 11 / Abdomen (excluding urinary and reproductive organs)

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.


11.1 - Oesophagus

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



A2781 Laparoscopic vagotomy/seromyotomy Major £550.00 £220.00 Show arrow
G0100 Oesophagectomy/oesophagogastrectomy with anastomosis in chest Complex £1,900.00 £825.00 Show arrow
G0220 Total oesophagectomy and interposition of intestine Complex £1,900.00 £1,100.00 Show arrow
G0300 Sub-total oesophagectomy with anastomosis in neck Complex £1,900.00 £825.00 Show arrow
G0400 Open excision of lesion of oesophagus Major £550.00 £385.00 Show arrow
G0500 Bypass of oesophagus Xmajor £1,000.00 £495.00 Show arrow
G0640 Closure of bypass of oesophagus Major £550.00 £385.00 Show arrow
G0730 Repair of congenital oesophageal atresia (with or without fistula) Complex £1,000.00 £440.00 Show arrow
G0920 Oesophagocardiomyotomy (Heller's operation) Major £550.00 £330.00 Show arrow
G0980 Thorascopic oesophagogastric myotomy Major £600.00 £330.00 Show arrow
G2312 Transthoracic repair of paraoesophageal hiatus hernia Xmajor £800.00 £275.00 Show arrow
G2320 Transthoracic repair of diaphragmatic hernia (acquired) Xmajor £650.00 £275.00 Show arrow
G2330 Transabdominal repair of hiatus hernia Major £600.00 £275.00 Show arrow
G2331 Laparoscopic repair of hiatus hernia with anti-reflux procedure (eg fundoplication) Major £800.00 £440.00 Show arrow
G2340 Transabdominal repair of diaphragmatic hernia Complex £800.00 £495.00 Show arrow
G2400 Transthoracic fundoplication and gastroplasty Xmajor £800.00 £275.00 Show arrow
G2402 Transthoracic fundoplication Xmajor £800.00 £275.00 Show arrow
G2430 Transabdominal anti-reflux operations Complex £800.00 £385.00 Show arrow
G2590 Revision of anti-reflux procedures Complex £1,000.00 £440.00 Show arrow
G4610 Transoral Incisionless Fundoplication (TIF) Major £800.00 £440.00 Show arrow
G1460 Endoscopic mucosal resection of high-grade dysplasia in Barrett's oesophagus Major £440.00 £165.00 Show arrow

11.2 - Stomach

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



A2720 Proximal gastric vagotomy Major £550.00 £220.00 Show arrow
A2730 Highly selective vagotomy Major £550.00 £220.00 Show arrow
A2780 Vagotomy and pyloroplasty Major £600.00 £275.00 Show arrow
G2710 Total gastrectomy and excision of surrounding tissue Complex £1,600.00 £385.00 Show arrow
G2800 Partial gastrectomy Xmajor £700.00 £275.00 Show arrow
G2810 Partial gastrectomy and excision of surrounding tissue Complex £700.00 £275.00 Show arrow
G3100 Laparoscopic biliary gastric bypass Complex £550.00 £220.00 Show arrow
G3210 Gastro–jejunostomy Major £600.00 £220.00 Show arrow
G3220 Revision of gastro–jejunostomy Xmajor £650.00 £220.00 Show arrow
G3400 Gastrostomy Major £500.00 £220.00 Show arrow
G3440 Closure of Gastrostomy Major £450.00 £220.00 Show arrow
G3520 Closure of perforated ulcer of stomach Major £550.00 £220.00 Show arrow
G3580 Laparoscopic closure of peptic ulcer Major £550.00 £220.00 Show arrow
G3610 Gastropexy for reflux Major £550.00 £220.00 Show arrow
G3800 Open operations on stomach not elsewhere classified Major £700.00 £220.00 Show arrow
G4010 Pyloromyotomy Major £550.00 £220.00 Show arrow
G4030 Pyloroplasty Major £550.00 £220.00 Show arrow
G4680 Endoscopic mucosal resection (upper gastrointestinal tract) (EMR) Intermediate £300.00 £150.00 Show arrow
G4690 Endoscopic submucosal dissection of gastric lesions Major £450.00 £165.00 Show arrow
G3490 Endoscopic removal of percutaneous endoscopic gastrostomy (PEG) tube Intermediate £150.00 £110.00 Show arrow

11.3 - Duodenum

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



G5000 Open excision of lesion of duodenum Xmajor £650.00 £275.00 Show arrow
G5010 Open excision of congenital lesion of duodenum including malrotation Complex £650.00 £275.00 Show arrow
G5050 Endoscopic submucosal dissection of duodenal lesions Major £450.00 £165.00 Show arrow
G5100 Bypass of duodenum Major £550.00 £275.00 Show arrow
G5320 Closure of perforated ulcer of duodenum Major £550.00 £330.00 Show arrow

11.4 - Small intestine

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



G4020 Surgery for correction of congenital intestinal atresias Xmajor £450.00 £220.00 Show arrow
G5810 Excision of jejunum Major £600.00 £275.00 Show arrow
G6000 Open formation of jejunostomy Major £500.00 £220.00 Show arrow
G6080 Laparoscopically assisted resection of small intestine Major £700.00 £220.00 Show arrow
G6082 Open resectionof small intestine tumour Major £600.00 £220.00 Show arrow
G6100 Bypass of jejunum Major £700.00 £220.00 Show arrow
G6710 Intubation of jejunum for decompression of intestine (without laparotomy) Major £550.00 £220.00 Show arrow
G7100 Bypass of ileum Major £550.00 £220.00 Show arrow
G7250 Ileoanal anastomosis and creation of pouch Complex £1,600.00 £495.00 Show arrow
G7402 Open formation of ileostomy Major £550.00 £220.00 Show arrow
G7403 Laparoscopic ileostomy Major £550.00 £220.00 Show arrow
G7512 Revision of ileostomy - local Major £450.00 £220.00 Show arrow
G7513 Revision of ileostomy - laparotomy Major £450.00 £220.00 Show arrow
G7530 Closure of ileostomy (as sole procedure) Intermediate £450.00 £220.00 Show arrow

11.5 - Large intestine

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



H0210 Appendicectomy Major £450.00 £220.00 Show arrow
H0280 Laparoscopic appendicectomy Major £450.00 £220.00 Show arrow
H0310 Drainage of abscess of appendix or drainage of intra-abdominal abscess Major £450.00 £220.00 Show arrow
H0510 Total excision of colon and ileorectal anastomosis Complex £1,000.00 £440.00 Show arrow
H0610 Extended excision of right hemicolon Xmajor £700.00 £330.00 Show arrow
H0700 Right hemicolectomy Xmajor £700.00 £330.00 Show arrow
H0750 Laparoscopically assisted right hemicolectomy Xmajor £700.00 £330.00 Show arrow
H0800 Excision of transverse colon Xmajor £700.00 £330.00 Show arrow
H0900 Excision of left hemicolon Xmajor £700.00 £330.00 Show arrow
H1000 Excision of sigmoid colon Xmajor £800.00 £330.00 Show arrow
H1200 Excision of lesion of colon (transabdominal) Major £700.00 £330.00 Show arrow
H1300 Bypass of colon Major £550.00 £275.00 Show arrow
H1542 Closure of colostomy Major £550.00 £275.00 Show arrow
H1581 Laparoscopic colostomy and stoma formation (including revision) Major £550.00 £275.00 Show arrow
H1590 Open formation of colostomy Major £550.00 £275.00 Show arrow
H1700 Intra abdominal manipulation of colon for intussusception (as sole procedure) Major £550.00 £220.00 Show arrow
H1880 Laparoscopically assisted left colon resection Xmajor £700.00 £275.00 Show arrow

11.6 - Rectum/anus

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



G7250 Ileoanal anastomosis and creation of pouch Complex £1,600.00 £495.00 Show arrow
H0410 Panproctocolectomy and ileostomy Complex £1,300.00 £550.00 Show arrow
H0480 Abdominal revision of restorative proctocolectomy Complex £1,300.00 £550.00 Show arrow
H1550 Abdominal operation for Hirschprung's disease (eg Duhamel, Söave and Surcuson operations) Complex £750.00 £495.00 Show arrow
H3310 Abdominoperineal pull through resection with colo-anal anastomosis +/- colonic pouch and associated stoma Complex £1,300.00 £550.00 Show arrow
H3320 Abdominoperineal resection of rectum and anus Complex £1,300.00 £550.00 Show arrow
H3322 Laparoscopic abdominoperineal resection Complex £1,300.00 £550.00 Show arrow
H3332 Anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) Complex £1,300.00 £550.00 Show arrow
H3334 Anterior resection - low (ie colorectal anastomosis at or below the peritoneal reflection Complex £1,300.00 £550.00 Show arrow
H3362 Hartmann's procedure Xmajor £750.00 £495.00 Show arrow
H3363 Colectomy and colostomy and preservation of rectum Xmajor £750.00 £495.00 Show arrow
H3364 Laparoscopic anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) Complex £1,300.00 £495.00 Show arrow
H3365 Laparascopic anterior resection - low (ie colorectal anastomosis at or below the peritoneal reflection) Complex £1,300.00 £495.00 Show arrow
H3380 Partial excision of rectum and sigmoid colon for prolapse Xmajor £750.00 £385.00 Show arrow
H3390 Reversal of Hartmann's procedure Complex £1,000.00 £495.00 Show arrow
H3400 Open excision of lesion of rectum and colon Major £600.00 £275.00 Show arrow
H3500 Fixation of rectum for prolapse Major £600.00 £275.00 Show arrow
H3580 Laparoscopic rectopexy Major £600.00 £275.00 Show arrow
H3590 Stapled transanal rectal resection (STARR) for obstructed defaecation syndrome Major £600.00 £275.00 Show arrow
H4000 Transanal resection of rectal cancer Major £550.00 £220.00 Show arrow
H4080 Injection of bulking agents for faecal incontinence Intermediate £300.00 £0.00 Show arrow
H4122 Transanal endoscopic mircosurgery Xmajor £600.00 £220.00 Show arrow
H4130 Perianal excision of lesion of rectum (including sigmoidoscopy) Intermediate £400.00 £220.00 Show arrow
H4180 Full or partial thickness rectal biopsy Minor £150.00 £110.00 Show arrow
H4200 Perineal repair of prolapse of rectum Major £500.00 £220.00 Show arrow
H4430 Examination of rectum under anaesthetic (as sole procedure) Minor £100.00 £100.00 Show arrow
H4480 Dilation of stricture of rectum Minor £100.00 £100.00 Show arrow
H4680 Repair of faecal fistula Intermediate £550.00 £220.00 Show arrow
H4800 Excision of lesion of anus Minor £150.00 £110.00 Show arrow
H4900 Destruction of lesion of anus Minor £100.00 £100.00 Show arrow
H5020 Repair of anal sphincter (including sigmoidoscopy) Major £450.00 £220.00 Show arrow
H5042 Primary repair of high/intermediate congenital ano-rectal anomaly Complex £1,600.00 £660.00 Show arrow
H5043 Primary repair of low congenital anorectal anomaly Xmajor £1,000.00 £440.00 Show arrow
H5080 Repair of anal trauma Intermediate £400.00 £220.00 Show arrow
H5100 Haemorrhoidectomy (including sigmoidoscopy) Intermediate £300.00 £165.00 Show arrow
H5101 Laser haemorrhoidectomy (including sigmoidoscopy) Intermediate £350.00 £165.00 Show arrow
H5250 Circular stapling haemorrhoidectomy Intermediate £300.00 £165.00 Show arrow
H5400 Anorectal stretch Minor £100.00 £100.00 Show arrow
H5510 Laying open of low anal fistula (fistulotomy) +/- insertion of stitch (including sigmoidoscopy) Intermediate £250.00 £165.00 Show arrow
H5520 Laying open of high anal fistula (fistulotomy) +/- insertion of stitch (including sigmoidoscopy) Major £450.00 £220.00 Show arrow
H5620 Lateral sphincterotomy of anus Minor £150.00 £150.00 Show arrow
BT251 Planning for insertion and removal of radioactive agent (brachytherapy) into rectal tumour Intermediate £200.00 £0.00
BT252 Insertion and removal of radioactive agent (brachytherapy) into rectal tumour Major £600.00 £200.00
BT253 Low energy contact X ray brachytherapy (the Papillon technique) for early stage rectal cancer Intermediate £200.00 £0.00
H5640 Excision of anal fissure Minor £150.00 £150.00 Show arrow
H5800 Drainage through perineal region (including ischiorectal abscess) (including sigmoidoscopy) Minor £200.00 £165.00 Show arrow
H5940 Excision of pilonidal sinus and suture/skin graft Intermediate £350.00 £220.00 Show arrow
H6020 Laying open of pilonidal sinus Minor £200.00 £110.00 Show arrow
H3381 Total mesorectal excision (TME) Complex £1,700.00 £700.00 Show arrow
L7032 Haemorrhoidal artery ligation operation (including image-guided) +/- recto anal prolapse repair Minor £200.00 £110.00 Show arrow

11.7 - Other organs (mainly digestive)

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



B2222 Adrenalectomy - bilateral (open) Xmajor £1,000.00 £385.00 Show arrow
B2223 Adrenalectomy - bilateral (laparoscopic) Xmajor £1,000.00 £385.00 Show arrow
B2232 Adrenalectomy - unilateral (open) Major £750.00 £275.00 Show arrow
B2233 Adrenalectomy - unilateral (laparoscopic) Major £750.00 £275.00 Show arrow
J0200 Partial hepatectomy Complex £1,300.00 £495.00 Show arrow
J1041* Hepatic venous wedge pressure (HVWP) Intermediate £300.00 £150.00
J0210 Hemihepatectomy Complex £1,900.00 £660.00 Show arrow
J0310 Resection of liver tumour(s) Complex £1,600.00 £330.00 Show arrow
J0312 Microwave ablation for primary or metastatic cancer of the liver Major £825.00 £330.00
J0400 Repair of liver (including therapeutic laparoscopic operations on liver) Major £700.00 £330.00 Show arrow
J0510 Open drainage of liver Intermediate £350.00 £220.00 Show arrow
J0780 Radiofrequency thermocoagulation of liver with scalpel liver resection Complex £1,100.00 £600.00 Show arrow
J0740 Open hepatectomy and ablation Complex £1,900.00 £1,045.00 Show arrow
J0900 Diagnostic laparoscopy (including any biopsy) Intermediate £400.00 £165.00 Show arrow
J1300 Percutaneous biopsy of lesion of liver Minor £150.00 £110.00 Show arrow
J1400 Open puncture of liver Major £450.00 £220.00 Show arrow
J1800 Cholecystectomy (including mini-cholecystectomy) Major £550.00 £385.00 Show arrow
J1820 Cholecystectomy with exploration of common bile duct Major £550.00 £275.00 Show arrow
J1830 Laparoscopic cholecystectomy Xmajor £700.00 £440.00 Show arrow
J1880 Laparoscopic cholecystectomy with perioperative cholangiogram Xmajor £750.00 £495.00 Show arrow
J1900 Anastomosis of gall bladder (to another viscus) Xmajor £700.00 £275.00 Show arrow
J2720 Partial excision of bile duct and anastomosis of bile duct to duodenum/jejunum Xmajor £800.00 £275.00 Show arrow
J2800 Excision of lesion of bile duct Major £600.00 £275.00 Show arrow
J2900 Anastomosis of hepatic duct Complex £1,300.00 £275.00 Show arrow
J3000 Anastomosis of common bile duct Major £800.00 £275.00 Show arrow
J3100 Open introduction of prosthesis into bile duct Major £600.00 £275.00 Show arrow
J3200 Repair of bile duct Xmajor £800.00 £330.00 Show arrow
J3300 Incision of bile duct (including exploration for calculus removal) Major £600.00 £275.00 Show arrow
J3500 Sphincterotomy of bile duct and pancreatic duct using duodenal approach Major £600.00 £275.00 Show arrow
J5000 Percutaneous examination of bile duct Intermediate £300.00 £165.00 Show arrow
J5750 Laparoscopic distal pancreatectomy Xmajor £750.00 £330.00
J5500 Total pancreatectomy and excision of surrounding tissue Complex £1,300.00 £550.00 Show arrow
J5520 Total pancreatectomy Complex £1,300.00 £550.00 Show arrow
J5610 Pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) Complex £1,900.00 £550.00 Show arrow
J5700 Distal pancreatectomy Xmajor £750.00 £330.00 Show arrow
J5800 Excision of lesion of pancreas Major £550.00 £330.00 Show arrow
J5900 Anastomosis of pancreatic duct (to another viscus) Xmajor £750.00 £275.00 Show arrow
J6100 Open drainage of lesion of pancreas Major £550.00 £275.00 Show arrow
J6180 Drainage of pancreatic abscess Major £550.00 £275.00 Show arrow
J6200 Incision of pancreas Major £550.00 £275.00 Show arrow
J6300 Open examination of pancreas Major £550.00 £275.00 Show arrow