Chapter 9 / Vascular system


9.1 - Head and neck

Code Description Hospital Complexity Procedure Fees Fee For General Anaesthesia
Unacceptable Combinations
Additional Information



L2930 Bypass carotid artery from the arch Complex Show arrow
L2950 Carotid endarterectomy Complex Show arrow
L3710 Bypass of subclavian artery from the arch Complex Show arrow
L3711 Bypass of subclavian artery - extra-thoracic Complex Show arrow
L3730 Endarterectomy and patch repair of subclavian artery Complex Show arrow
XR287 Catheter cerebral venography and manometry Intermediate

9.2 - Thoracic vessels

Code Description Hospital Complexity Procedure Fees Fee For General Anaesthesia
Unacceptable Combinations
Additional Information



L1810 Repair of leaking aneurysm of ascending aorta Complex Show arrow
L1880 Repair of leaking aneurysm of arch of aorta Complex Show arrow
L1890 Repair of leaking aneurysm of thoracic aorta Complex Show arrow
L1892 Immediate repair of aortic dissection (ie within two weeks of happening) Complex Show arrow
L1910 Elective repair of aneurysm of ascending aorta Complex Show arrow
L1980 Elective repair of aneurysm of arch of aorta Complex Show arrow
L1990 Elective repair of aneurysm of thoracic aorta Complex Show arrow
L1992 Delayed repair of aortic dissection (ie more than two weeks after happening) Complex Show arrow
L2190 Replacement of graft of thoraco-abdominal aneurysm Complex Show arrow
L2290 Excision of infected aortic graft with bypass Complex Show arrow
L2600 Percutaneous transluminal balloon operations on aorta Major Show arrow

9.3 - Renal vessels

Code Description Hospital Complexity Procedure Fees Fee For General Anaesthesia
Unacceptable Combinations
Additional Information



L4140 Endarterectomy of renal artery Complex Show arrow
L4190 Reconstruction of renal artery(ies) Complex Show arrow
L4300 Transluminal operations on renal artery Major Show arrow

9.4 - Abdominal vessels

Code Description Hospital Complexity Procedure Fees Fee For General Anaesthesia
Unacceptable Combinations
Additional Information



L1620 Axillo-unifemoral bypass Complex Show arrow
L1680 Axillo-bifemoral bypass Complex Show arrow
L1940 Open infrarenal abdominal aortic aneurysm tube graft Complex Show arrow
L1960 Open infrarenal abdominal aortic aneurysm bifurcation graft Complex Show arrow
L2200 Revision of prosthesis of abdominal aorta Complex Show arrow
L2600 Percutaneous transluminal balloon operations on aorta Major Show arrow
L4530 Endarterectomy and patch repair of visceral branch of abdominal aorta Complex Show arrow
L4600 Other open operations on other visceral branch of abdominal aorta Complex Show arrow
L2760 Endovascular insertion of stent graft for aorto- Monoiliac EVAR monoiliac aneurysm with ileo/femfem crossover bypass graft Complex

9.5 - Ileo-femoral vessels

Code Description Hospital Complexity Procedure Fees Fee For General Anaesthesia
Unacceptable Combinations
Additional Information



L5100 Aorto-iliac, aorto-femoral, ilio-femoral bypass Complex Show arrow
L5180 Aorto-bifemoral bypass Complex Show arrow
L5210 Endarterectomy and patch repair of iliac artery Complex Show arrow
L5300 Open operations on iliac artery Complex Show arrow
L5400 transluminal operations on iliac artery Intermediate Show arrow
L5910 Femoro-femoral bypass Complex Show arrow
L5922 Femoro-popliteal bypass using prosthesis Complex Show arrow
L5923 Femoro-popliteal bypass using vein Complex Show arrow
L5924 Femoro-popliteal bypass using vein cuff/patch Complex Show arrow
L5950 Femoro-distal calf bypass using prosthesis +/- vein cuff/patch Complex Show arrow
L5960 Femoro-distal calf bypass using vein Complex Show arrow
L6000 Endarterectomy of femoral artery Complex Show arrow
L6230 Reconstruction/bypass for popliteal aneurysm Complex Show arrow
L6300 Transluminal procedures on femoral artery Major Show arrow
L6530 Revision femoral bypass graft Xmajor Show arrow

9.6 - Non-specific

Code Description Hospital Complexity Procedure Fees Fee For General Anaesthesia
Unacceptable Combinations
Additional Information



L6710 Biopsy of artery (including temporal) (as sole procedure) Minor Show arrow
L6800 Repair of limb artery Xmajor Show arrow
L6840 Repair of limb artery using vein graft Xmajor Show arrow
L7010 Open embolectomy of artery Xmajor Show arrow
L7110 Percutaneous transluminal angioplasty of artery, +/- insertion of stent Intermediate Show arrow
L7260 Intravascular ultrasound of non-coronary arteries and veins (as sole procedure, not otherwise specified) Major
L7410 Creation of arteriovenous shunt (synthetic graft) Major Show arrow
L7420 Creation of arteriovenous fistula (including subsequent closure) Intermediate Show arrow
L7422 Creation of arteriovenous fistula for dialysis Intermediate Show arrow
L7423 Ligation of arteriovenous fistula for dialysis Intermediate Show arrow
L7520 Repair of acquired arteriovenous fistula Complex Show arrow
L7580 Repair arteriovenous fistula Complex Show arrow
L8110 Creation of peritoneovenous shunt (Levine/Denver) Intermediate Show arrow
L9000 Open removal of thrombus from vein Major Show arrow
L9110 Insertion of tunnelled central venous catheter (Hickman Line) Intermediate Show arrow
L9112 Surgical insertion of central venous dialysis line Intermediate Show arrow
L9113 Percutaneous insertion of central venous dialysis line Intermediate Show arrow
L9114 Removal of central venous dialysis line Minor Show arrow
L9115 Implantation of port device (PowerPort) Intermediate Show arrow
L9180 Insertion of implantable central venous port (portacath) e.g Port-a-Cath under image guidance Intermediate Show arrow
L7511 Excision of arteriovenous malformation from peripheral vessel Intermediate Show arrow
L9181 Removal of Portacath/vasoport unit Minor Show arrow
L9350 Basilic vein transposition Major Show arrow
L9730 Isolated limb perfusion Xmajor
X4110 Open insertion of Tenckhoff catheter Intermediate Show arrow
X4112 Percutaneous insertion of Tenckhoff catheter Minor Show arrow
X4120 Removal of Tenckhoff catheter Minor Show arrow
XR916 Surgical removal of cuffed central venous catheter - tunnelled (X-ray guided) Minor Show arrow
L9132 Removal of tunnelled central venous catheter (Hickman line) MInor
L9980 Sclerotherapy of Lymphatic or Peripheral venous malformation Intermediate

9.7 - Varicose veins

Code Description Hospital Complexity Procedure Fees Fee For General Anaesthesia
Unacceptable Combinations
Additional Information



L8510 Ligation/stripping of long or short saphenous vein (including local excision/multiple phlebectomy) Intermediate Show arrow
L8512 Endovenous laser treatment (EVLT) of single venous trunk +/- phlebectomies - unilateral Intermediate Show arrow
L8513 Endovenous laser treatment (EVLT) of single venous trunk +/- phlebectomies - bilateral Major Show arrow
L8514 Endovenous laser treatment (EVLT) of more than one venous trunk +/- phlebectomies - unilateral Major Show arrow
L8515 Endovenous laser treatment (EVLT) of more than one venous trunk +/-phlebectomies - bilateral Major Show arrow
L8880 Endovenous mechanochemical ablation for varicose veins - unilateral Intermediate Show arrow
L8881 Endovenous mechanochemical ablation for varicose veins - bilateral Intermediate Show arrow
L8520 Ligation/stripping of long or short saphenous vein (including local excision/multiple phlebectomy) - bilateral Major Show arrow
L8530 Operations for recurrent varicose veins with re-exploration of groin and/or popliteal fossa - unilateral Major Show arrow
L8532 Operations for recurrent varicose veins without re-exploration of groin or popliteal fossa - unilateral Major Show arrow
L8540 Radiofrequency ablation of more than one venous trunk +/- phlebectomies - unilateral Intermediate Show arrow
L8541 Radiofrequency ablation of more than one venous trunk +/- phlebectomies - bilateral Major Show arrow
L8580 Operations for recurrent varicose veins with re-exploration of groin and/or popliteal fossa - bilateral Xmajor Show arrow
L8582 Operations for recurrent varicose veins without re-exploration of groin or popliteal fossa - bilateral Xmajor Show arrow
L8620 Ultrasound-guided foam Sclerotherapy for varicose vein(s) unilateral Intermediate Show arrow
L8621 Ultrasound-guided foam Sclerotherapy for varicose vein(s) ? bilateral Intermediate Show arrow
L8542 Radiofrequency ablation of single venous trunk +/- phlebectomies - unilateral Intermediate Show arrow
L8543 Radiofrequency ablation of single venous trunk +/- phlebectomies - bilateral Major Show arrow
L8680 Bilateral varicose vein injection sclerotherapy Intermediate Show arrow
L8700 Ligation/stripping of long and short saphenous veins (including local excision/multiple phlebectomy) Major Show arrow
L8750 Local excision (multiple phlebectomy) of varicose vein(s) of leg - unilateral Intermediate Show arrow
L8751 Local excision (multiple phlebectomy) of varicose vein(s) of leg - bilateral Intermediate Show arrow
L8780 Ligation/stripping of long and short saphenous veins (including local excision/multiple phlebectomy) bilateral Complex Show arrow
L9510 Venography (and bilateral) Minor Show arrow
L8550 Bioadhesive Closure Of Varicose Veins Using Cyanoacrylate - Unilateral Intermediate
L8551 Bioadhesive Closure Of Varicose Veins Using Cyanoacrylate - Bilateral Intermediate

9.8 - Lymphatic system

Code Description Hospital Complexity Procedure Fees Fee For General Anaesthesia
Unacceptable Combinations
Additional Information



T8510 Radical dissection of cervical lymph nodes Complex Show arrow
T8520 Block dissection of axillary lymph nodes (axillary clearance levels 1-3) Major Show arrow
T8540 Open block dissection of para-aortic lymph nodes Xmajor Show arrow
T8550 Block dissection of inguinal lymph nodes Major Show arrow
T8580 Block dissection of pelvic lymph nodes (as sole procedure) Major Show arrow
T8592 Laparoscopic retroperitoneal lymph node dissection Major Show arrow
T8594 Laparoscopic para-aortic lymph node dissection Complex Show arrow
T8610 Biopsy/sampling of cervical lymph nodes Minor Show arrow
T8620 Sampling of axillary lymph nodes Minor Show arrow
T9030 Intraoperative sentinel node mapping, using One Step Nucleic Acid Amplification (OSNA), for breast cancer Intermediate Show arrow
T8640 Sampling of internal mammary lymph nodes Intermediate Show arrow
T8700 Excision biopsy of lymph node for diagnosis (cervical, inguinal, axillary) Intermediate Show arrow
T8722 Selective dissection of cervical lymph nodes, levels 1 to 4 Xmajor Show arrow
T8723 Selective dissection of cervical lymph nodes, levels 1 to 5 (+/- 6) Complex Show arrow
T9000 Sentinel node mapping and sampling with blue dye or radioactive probe for breast cancer Intermediate Show arrow
T9020 Sentinel node mapping and sampling with blue dye and radioactive probe for breast cancer Intermediate Show arrow
T8780 Sentinel node biopsy (except where otherwise listed) Intermediate
T9610 Excision of cystic hygroma Major Show arrow
T8562 LAPAROSCOPIC PELVIC LYMPHADENECTOMY (AS SOLE PROCEDURE) Major
T8542 Laparoscopic block dissection of para-aortic lymph nodes Complex



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