Chapter 12 / Urinary system and male reproductive organs

We assume that the following (when required) are an intrinsic part of all endoscopic therapeutic
procedures of the urethra, prostate, bladder, ureters and kidney. This includes not only procedures such
as resection of bladder tumours and TURP but also insertion and removal of JJ stents, retrograde
pyelography etc.


M4510 Diagnostic endoscopic examination of bladder (including any biopsy)

M7700 Diagnostic endoscopic examination of urethra (as sole procedure)

M3000 Endoscopic examination of ureter (+/- cystoscopy and insertion/removal of stent)


The following procedures are only eligible for benefit where the primary pathology being treated is a
urethral stricture or otherwise in exceptional circumstances. Where the procedure represents gaining
access for a cystoscope or other instrument, additional charges should not be made.


M7920 Dilatation of urethra (including cystoscopy)

M7940 Internal urethrotomy (including cystoscopy)

M5820 Dilatation of outlet of female bladder (with cystoscopy)


Generally we consider that the various procedures for extraction of calculi include cystoscopy, diagnostic
ureteroscopy, retrograde pyelography and insertion of stent where required. We will consider making
additional benefit available for difficult procedures on a case by case basis. This does not apply to
insertion or removal of stent when performed at a different time from the main procedure. Charges
should not be made for anaesthesia with flexible cystoscopy.


12.1 - Kidney/renal pelvic

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



M1091 Robotic assisted pyeloplasty - bilateral Complex £1,500.00 £714.00 Show arrow
M0282 Laparoscopic nephroureterectomy - unilateral Xmajor £800.00 £389.00 Show arrow
M0287 Robotic assisted partial nephrectomy - bilateral Major £975.00 £402.00 Show arrow
M1350 Antegrade pyelogram (including bilateral) Intermediate £250.00 £213.00
N1101 Correction of hydrocele(s) - bilateral Intermediate £375.00 £213.00 Show arrow
M0210 Nephrectomy and excision of perirenal tissue Xmajor £650.00 £499.00 Show arrow
M0220 Nephroureterectomy - unilateral Xmajor £750.00 £357.00 Show arrow
M0221 Nephroureterectomy - bilateral Xmajor £900.00 £499.00 Show arrow
M0250 Nephrectomy - unilateral Major £550.00 £499.00 Show arrow
M0251 Nephrectomy - bilateral Major £750.00 £499.00 Show arrow
M0280 Laparoscopic nephrectomy Major £650.00 £357.00 Show arrow
M0303 Robotic assisted partial nephrectomy - unilateral Major £650.00 £402.00 Show arrow
M0300 Open partial nephrectomy Major £600.00 £357.00 Show arrow
M1120 Diagnostic ureterorenoscopy (+/- cystoscopy) Minor £200.00 £194.00 Show arrow
M1130 Therapeutic ureterorenoscopy (+/- cystoscopy and insertion/removal of stent) Minor £350.00 £213.00 Show arrow
M0302 Laparoscopic partial nephrectomy - unilateral Major £650.00 £402.00 Show arrow
M0380 Laparoscopic upper or lower pole heminephrectomy Complex £1,000.00 £571.00 Show arrow
M0412 De-roofing and aspiration of renal para pelvic cyst Major £450.00 £213.00 Show arrow
M0510 Open pyeloplasty Major £550.00 £285.00 Show arrow
M0550 Repair of kidney wound Xmajor £650.00 £357.00
M0610 Open removal of calculi from kidney Major £650.00 £285.00 Show arrow
M0680 Drainage of pyonephrosis Intermediate £500.00 £357.00 Show arrow
M0800 Other open operations on kidney Major £550.00 £285.00 Show arrow
M0814 Open biopsy of native kidney Major £550.00 £285.00 Show arrow
M0880 Open drainage of perinephric abscess Major £500.00 £285.00 Show arrow
M0910 Endoscopic fragmentation of calculi of kidney (including cystoscopy and insertion/removal of stent) Major £550.00 £285.00 Show arrow
M0940 Percutaneous nephrolithotomy (including cystoscopy and retrograde catheterisation) Complex £1,000.00 £428.00 Show arrow
M0941 Percutaneous nephrolithotomy (including cystoscopy and retrograde catheterisation) (involving two specialties) (we will pay this fee per specialty) Complex £700.00 £493.00 Show arrow
M1000 Therapeutic endoscopic operations on kidney (including cystoscopy and retrograde catheterisation) Major £550.00 £285.00 Show arrow
M1080 Laparoscopic pyeloplasty - unilateral Complex £1,000.00 £714.00 Show arrow
M1090 Robotic assisted pyeloplasty - unilateral Complex £1,000.00 £714.00 Show arrow
M1110 Diagnostic endoscopic examination of kidney (including biopsy) Major £550.00 £285.00 Show arrow
M1310 Percutaneous fine needle biopsy of lesion of kidney Minor £150.00 £194.00 Show arrow
M1360 Percutaneous insertion of nephrostomy tube Intermediate £400.00 £213.00 Show arrow
M1380 Percutaneous tru-cut needle biopsy of lesion of kidney Intermediate £250.00 £213.00 Show arrow
M2890 Push manipulation of stone prior to lithotripsy (as sole procedure) Intermediate £300.00 £213.00
M0286 Robotic assisted nephroureterectomy - bilateral Extra Major £900.00 £499.00 Show arrow

12.2 - Ureter

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



M1820 Excision of segment of ureter Major £500.00 £285.00 Show arrow
M1910 Construction of ileal conduit including ureteric implantation Xmajor £650.00 £428.00 Show arrow
M2012 Replantation of ureter into bowel (including bilateral) Xmajor £650.00 £428.00 Show arrow
M2030 Bilateral replantation of ureter into bladder Xmajor £700.00 £357.00 Show arrow
M2080 Unilateral replantation of ureter into bladder (including cystoscopy) Major £550.00 £357.00 Show arrow
M2100 Other connection of ureter Major £600.00 £357.00 Show arrow
M2130 Ileal or colonic replacement of ureter Complex £800.00 £357.00
M2200 Ureterostomy - closure Major £600.00 £285.00
M2202 Ureterostomy - formation Major £600.00 £285.00
M2210 Open correction vesicoureteric reflux-unilateral Major £600.00 £285.00
M2280 Open correction vesicoureteric reflux-bilateral Xmajor £1,000.00 £428.00
M2310 Open ureterolithotomy (including cystoscopy) Major £550.00 £285.00 Show arrow
M2510 Excision of ureterocele (with or without ureteric reimplantation) - unilateral Major £600.00 £571.00
M2511 Excision of ureterocele (with or without ureteric reimplantation) - bilateral Xmajor £750.00 £714.00
M2530 Ureterolysis ? unilateral Major £600.00 £285.00 Show arrow
M2580 Ureterolysis ? bilateral Xmajor £700.00 £571.00 Show arrow
M2600 Therapeutic nephroscopic operations on ureter (including cystoscopy) Major £500.00 £357.00 Show arrow
M2680 Endoscopic removal and insertion of prosthesis into ureter (including cystoscopy) Major £300.00 £213.00 Show arrow
M2730 Ureteroscopic extraction of calculus of ureter (including cystoscopy and insertion/removal of stent) Intermediate £500.00 £213.00 Show arrow
M2920 Endoscopic insertion/removal of prosthesis into ureter (including bilateral and cystoscopy, +/- pyelography) Major £300.00 £213.00 Show arrow
M3111 Holmium Laser Lithotripsy for calculi of ureter (including cystoscopy and insertion/removal of stent) Major £450.00 £285.00 Show arrow
M2930 Removal of prosthesis from ureter (including cystoscopy) Minor £180.00 £194.00 Show arrow
M3000 Endoscopic examination of ureter (+/- cystoscopy and insertion/removal of stent) Intermediate £250.00 £213.00 Show arrow
M3010 Endoscopic retrograde pyelography (including bilateral and cystoscopy) Intermediate £250.00 £213.00 Show arrow
M3202 Operations on ureteric orifice (including endoscopic) Intermediate £200.00 £213.00 Show arrow

12.3 - Bladder

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



A7081 Percutaneous posterior tibial nerve stimulation (PTNS) for overactive bladder (OAB) syndrome or faecal incontinence Minor £200.00 £129.00 Show arrow
M2981 Endoscopic vesico-ureteric anti-reflux procedure (and bilateral) (including cystoscopy) Intermediate £400.00 £213.00 Show arrow
M4713 Bladder instillation as sole procedure Minor £100.00 £142.00 Show arrow
M4714 Therapeutic injection into bladder wall (including cystoscopy) Minor £150.00 £142.00 Show arrow
M3400 Open total cystectomy (with construction of intestinal conduit or bladder) Complex £1,600.00 £642.00 Show arrow
M3410 Robot assisted laparoscopic cystectomy without prostatectomy (with construction of intestinal conduit or bladder) Complex £1,600.00 £642.00 Show arrow
M3420 Laparoscopic cystectomy (with construction of intestinal conduit or bladder) (including cystoscopy) Complex £1,600.00 £642.00 Show arrow
M3500 Partial cystectomy (including cystoscopy) Major £650.00 £285.00 Show arrow
M3501 Robotic assisted partial cystectomy with cystoscopy Major £650.00 £285.00 Show arrow
M3510 Diverticulectomy of bladder Major £500.00 £285.00
M3600 Enlargement of bladder (including cystoscopy) Complex £800.00 £428.00 Show arrow
M3602 Enterocystoplasty (including cystoscopy) Complex £1,600.00 £642.00 Show arrow
M3640 Repair of bladder exstrophy Complex £600.00 £285.00
M3700 Repair of bladder (including cystoscopy) Major £600.00 £285.00 Show arrow
M3720 Repair of vesicocolic fistula Xmajor £650.00 £357.00
M3780 Repair of cutaneous vesical fistula Intermediate £350.00 £357.00
M3820 Cystostomy and insertion of suprapubic tube into bladder (including cystoscopy) Intermediate £200.00 £259.00 Show arrow
M3880 Stab cystostomy Minor £100.00 £129.00 Show arrow
M3900 Open removal of calculus from bladder (including cystoscopy) Intermediate £400.00 £213.00 Show arrow
M4110 Open excision of lesion from bladder (including cystoscopy) Major £550.00 £285.00 Show arrow
M4210 Endoscopic resection of lesion of bladder (including cystoscopy) Major £550.00 £285.00 Show arrow
M4230 Endoscopic destruction of lesion of bladder (including cystoscopy) Intermediate £250.00 £213.00 Show arrow
M4310 Endoscopic transection of bladder (including cystoscopy) Major £550.00 £285.00 Show arrow
M4320 Endoscopic hydrostatic distention of bladder (including cystoscopy) Minor £200.00 £142.00 Show arrow
M4400 Urethral sphincterotomy (including cystoscopy) Intermediate £350.00 £213.00 Show arrow
M3412 Laparoscopic cystoprostatectomy (with construction of intestinal conduit or bladder) Complex £1,600.00 £714.00 Show arrow
M4410 Litholapaxy (including cystoscopy) Major £500.00 £285.00 Show arrow
M4420 Endoscopic extraction of calculus of bladder (including cystoscopy) Intermediate £300.00 £213.00 Show arrow
M4430 Endoscopic removal of foreign body from bladder (including cystoscopy) Intermediate £300.00 £213.00 Show arrow
M4480 Resection of bladder neck (including cystoscopy) Intermediate £400.00 £213.00 Show arrow
M4510 Diagnostic endoscopic examination of bladder (flexible cystoscopy) including any biopsy Minor £200.00 £213.00 Show arrow
M4712 Bladder instillation of pharmacologic agent (including cystoscopy) Minor £150.00 £142.00 Show arrow
M4512 Examination of bladder using hexaminolevulinate blue-light fluorescence cystoscopy +/- resection of lesions Minor £200.00 £213.00 Show arrow
M4910 Closure of cystostomy Intermediate £250.00 £213.00
M5100 Combined abdominal and vaginal operations to support outlet of female bladder (including sling procedures) (including cystoscopy) Major £570.00 £357.00 Show arrow
M5180 Revision combined abdominal and vaginal operations to support outlet of female bladder (including sling procedures and cystoscopy) Xmajor £550.00 £357.00 Show arrow
M5220 Retropubic suspension of neck of bladder (including colposuspension)(including cystoscopy) Major £550.00 £285.00 Show arrow
M5222 Laparoscopic colposuspension Major £550.00 £285.00 Show arrow
M5223 Robotic assisted colposuspension Major £550.00 £285.00
M5250 Needle suspension of bladder neck (including cystoscopy) Intermediate £550.00 £285.00 Show arrow
M5280 Revision retropubic suspension of neck of bladder (including colposuspension and cystoscopy) Major £550.00 £285.00 Show arrow
M5300 Vaginal operations to support outlet of female bladder (including cystoscopy) Major £550.00 £285.00 Show arrow
M5520 Implantation of artificial urinary sphincter at bladder neck and/or removal (including cystoscopy) Major £600.00 £285.00 Show arrow
M5630 Therapeutic injection into bladder neck for treatment of stress incontinence (periurethral bulking agents), including cystoscopy Intermediate £250.00 £213.00 Show arrow
M5820 Dilatation of outlet of female bladder (with cystoscopy) Minor £200.00 £213.00 Show arrow
M6480 Operation to support outlet of male bladder (including sling procedures) (including cystoscopy) Major £550.00 £357.00 Show arrow
M6620 Endoscopic incision of outlet of male bladder (with cystoscopy) Intermediate £400.00 £213.00 Show arrow
M7590 Insertion of suburethral tape sling (e.g. TOT or TVT) +/- administration of local anaesthetic by operating surgeon (including cystoscopy) Major £370.00 £285.00 Show arrow
P2510 Repair of vesicovaginal fistula (including cystoscopy) Major £600.00 £357.00 Show arrow
M4514 Endoscopic Examination of Bladder (Rigid Cystoscopy) Including any Biopsy Minor £200.00 £213.00 Show arrow
M4780 Invasive urodynamic assessment including cystoscopy and pressure/flow measurements Minor £200.00 £0.00 Show arrow
M3411 Robotic assisted cystoprostatectomy (with construction of intestinal conduit or bladder) Complex £1,600.00 £714.00 Show arrow

12.4 - Urethra

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



M5580 Excision of urethral caruncle Minor £100.00 £129.00 Show arrow
M5600 Therapeutic endoscopic operations on outlet of female bladder (including cystoscopy) Intermediate £300.00 £213.00 Show arrow
M7200 Urethrectomy Major £500.00 £285.00 Show arrow
M7280 Urethral valve resection Major £450.00 £213.00 Show arrow
M7312 Repair of penile/perineal hypospadias Major £550.00 £285.00 Show arrow
M7313 Repair of penile shaft hypospadias Major £550.00 £285.00 Show arrow
M7314 Repair of distal hypospadia Major £550.00 £285.00 Show arrow
M7315 Secondary adjustment of penile skin following hypospadias repair Major £550.00 £285.00
M7316 Complex secondary repair of hypospadias Xmajor £550.00 £285.00 Show arrow
M7320 Repair of epispadias Xmajor £700.00 £285.00 Show arrow
M7330 Closure of fistula of urethra (including cystoscopy) Intermediate £250.00 £213.00 Show arrow
M7332 Closure of fistula of urethra after hypospadias Major £250.00 £213.00 Show arrow
M7340 Repair of urethrorectal fistula Major £500.00 £285.00
M7360 Simple urethroplasty, eg primary repair, segment, anterior urethra (including cystoscopy) Major £500.00 £285.00 Show arrow
M7380 Repair of rupture of urethra (including cystoscopy) Major £550.00 £285.00 Show arrow
M7500 Excision of diverticulum of urethra (including cystoscopy) Intermediate £350.00 £213.00 Show arrow
M7620 Removal of foreign body from urethra Minor £150.00 £194.00 Show arrow
M7700 Diagnostic endoscopic examination of urethra (as sole procedure) (including cystoscopy) Minor £150.00 £142.00 Show arrow
M7920 Dilatation of urethra (including cystoscopy) Minor £100.00 £194.00 Show arrow
M7940 Internal urethrotomy (including cystoscopy +/- dilataion) Intermediate £300.00 £213.00 Show arrow
M7361 Complex Urethroplasty, Eg Revision Surgery of the Anterior Urethra, Segment, Posterior Urethra, +/- Grafting (Including Cystoscopy) Major £550.00 £285.00 Show arrow
M7930 Endoscopic dilation of urethra using drug coated balloon (+/- fluoroscopy) Minor £100.00 £0.00

12.5 - Prostate

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



BT212 Insertion of low dose rate radioactive agent (brachytherapy) into prostate tumour £800.00 £571.00 Show arrow
BT222 Insertion and removal of high dose rate radioactive agent (brachytherapy) into prostate tumour £800.00 £571.00 Show arrow
M7030 Limited/single core transrectal needle biopsy of prostate +/- ultrasound guidance Minor £150.00 £129.00 Show arrow
M6100 Open excision of prostatatic adenoma Major £550.00 £285.00 Show arrow
M6180 Radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy) Complex £1,600.00 £642.00 Show arrow
M6182 Laparoscopic radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy) Complex £1,600.00 £714.00 Show arrow
M6192 Robotic assisted radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy) Complex £1,600.00 £714.00 Show arrow
M6530 Endoscopic resection of prostate (TUR) (including cystoscopy) Major £600.00 £357.00 Show arrow
M6532 Holmium laser resection of prostate (HoLRP) (including cystoscopy) Xmajor £650.00 £357.00 Show arrow
M6533 Holmium Laser Enucleation of Prostatic Adenoma (HoLEP) Major £650.00 £357.00 Show arrow
M6580 Endoscopic biopsy of prostate (including cystoscopy) Intermediate £250.00 £213.00 Show arrow