AXA Health | Chapter 13 Details

Chapter 13 / Pregnancy and confinement

13.1 - Pregnancy and confinement

Code

Description

Hospital Complexity

Procedure Fees

Fee For General Anaesthesia

Unacceptable Combinations

Additional Information

R1210

Transvaginal cerclage of cervix of gravid uterus

Minor

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Unacceptable Combinations

Code	Description

R1220	Removal of cerclage of cervix of gravid uterus


Additional Information

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R1220

Transvaginal removal of cerclage of cervix of gravid uterus

Minor

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Unacceptable Combinations

Code	Description

R1210	Cerclage of cervix of gravid uterus


Additional Information

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R1820

Caesarean delivery

Major

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Unacceptable Combinations

Code	Description

A5210	Epidural injection (lumbar/caudal)

R1590	Induction of labour for stillbirth

R2510	Caesarean hysterectomy

R2810	Curettage of delivered uterus

S5210	Injection into subcutaneous tissue/painful trigger point under local anaesthetic

Q4400	Ovarian cystectomy +/- omental biopsy (as sole procedure and including bilateral)

Q0790	Laparoscopic total hysterectomy (+/- oophorectomy) +/- ureterolysis

Q0800	Vaginal hysterectomy without laparoscopic assistance

Q0830	Vaginal hysterectomy with laparoscopic assistance +/- ureterolysis

GA517	Hysterectomy +/- Salpingo-Oophorectomy For Gender Affirmation


Additional Information

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R2120

Forceps cephalic delivery

Intermediate

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Unacceptable Combinations

Code	Description

A5210	Epidural injection (lumbar/caudal)

R1590	Induction of labour for stillbirth

S5210	Injection into subcutaneous tissue/painful trigger point under local anaesthetic


Additional Information

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R2510

Caesarean hysterectomy

Xmajor

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Unacceptable Combinations

Code	Description

R1820	Caesarean delivery

Q0790	Laparoscopic total hysterectomy (+/- oophorectomy) +/- ureterolysis

Q0800	Vaginal hysterectomy without laparoscopic assistance

Q0830	Vaginal hysterectomy with laparoscopic assistance +/- ureterolysis

GA517	Hysterectomy +/- Salpingo-Oophorectomy For Gender Affirmation


Additional Information

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R2810

Curettage of delivered uterus

Minor

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Unacceptable Combinations

Code	Description

Q1010	Dilation of cervix uteri and curettage of retained products of conception following spontaneous abortion

Q1800	Hysteroscopy (including biopsy, dilatation, curettage and resection of polyp(s) +/- Mirena coil insertion)

R1820	Caesarean delivery


Additional Information

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13.0 - Pregnancy and confinement

Code

Description

Hospital Complexity

Procedure Fees

Fee For General Anaesthesia

Unacceptable Combinations

Additional Information

R1230

Transabdominal cerclage for cervial incompetence in gravid uterus

Intermediate

R1240

Laparoscopic cerclage for cervial incompetence in gravid uterus

Intermediate

X0920

Disarticulation of hip

Extra Major

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