Chapter 2 / Brain, cranium and intracranial organs
Excision of lesion of pituitary gland includes packing of the nose and removal of packs where required.
These should not be charged separately.
Additional charges should not be made for cranioplasty with intracranial procedures. The code for stereotactic ablation of a lesion includes removal/biopsy of the lesion.
2.1 - Brain
| Code | Description | Hospital Complexity | Procedure Fees | Fee For General Anaesthesia |
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| A0110 | Hemispherotomy | Complex |
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| A0180 | Excision of abscess of brain | Complex |
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| A0200 | Excision of lesion of tissue of brain | Complex |
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| A0280 | Awake craniotomy with ablation of lesion of brain with or without cortical mapping/stereotaxy | Complex |
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| A0310 | Stereotactic biopsy of lesion or tissue of brain | Complex |
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| A0321 | MRI-GUIDED FOCUSED ULTRASOUND (MRGFUS) THALAMOTOMY FOR ESSENTIAL TREMOR | Intermediate |
| A0400 | Biopsy of lesion of tissue of brain (including via a burr hole or stealth guided) | Complex |
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| A0900 | Implantation of neurostimulator to brain | Major |
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| A0980 | Deep brain stimulation | Complex |
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| A1220 | Creation of ventriculovascular anastomosis | Major |
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| A1240 | Creation of ventriculoperitoneal shunt | Major |
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| A1250 | Creation of subcutaneous cerebrospinal fluid reservoir | Major |
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| A1300 | Maintenance of cerebroventricular shunt | Major |
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| A1430 | Removal of cerebroventricular shunt | Intermediate |
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| A1440 | Irrigation of cerebroventricular shunt | Minor |
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| A1700 | Therapeutic endoscopic operations on ventricle of brain (including examination and biopsy of lesion) | Xmajor |
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| A2080 | Ventricular puncture (as sole procedure) | Minor |
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| A2220 | Puncture of cistern of brain | Minor |
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| A1060 | Fiducial Placement |
2.2 - Cranium
| Code | Description | Hospital Complexity | Procedure Fees | Fee For General Anaesthesia |
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| A4280 | Intracranial infection: burr hole | Intermediate |
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| V0110 | Reconstructive cranioplasty | Xmajor |
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| V0130 | Surgery for craniostenosis (single suture) | Major |
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| V0180 | Surgery for craniostenosis (more than one suture) | Xmajor |
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| V0310 | Exploratory open craniotomy | Xmajor |
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| V0330 | Exploratory burr hole of cranium | Major |
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| V0382 | Total petrosectomy (for tumour) | Complex |
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| V0383 | Lateral petrosectomy (for tumour) | Complex |
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| V0390 | Foramen magnum decompression | Complex |
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| V0510 | Excision of lesion of cranium | Major |
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| V0530 | Elevation of depressed fracture of cranium | Major |
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| V0580 | Repair of compound fracture of cranium | Xmajor |
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2.3 - Meninges
| Code | Description | Hospital Complexity | Procedure Fees | Fee For General Anaesthesia |
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| A2210 | Drainage of subarachnoid space of brain | Major |
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| A3810 | Excision of lesion of meninges of brain | Complex |
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| A3830 | Operation for arachnoidal cyst | Xmajor |
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| A3900 | Repair of dura | Complex |
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| A4010 | Evacuation of extradural haematoma | Complex |
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| A4110 | Evacuation of subdural haematoma or abscess | Complex |
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| A4180 | Subdural haemorrhage – tap | Minor |
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2.4 - Nerves
| Code | Description | Hospital Complexity | Procedure Fees | Fee For General Anaesthesia |
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| A2500 | Intracranial transection of cranial nerve | Complex |
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| A2600 | Other intracranial destruction of cranial nerve | Complex |
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| A2900 | Excision of lesion of cranial nerve (intracranial) | Complex |
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| A2952 | Excison of acoustic neuroma (vestibular schwannoma) - tumours less than 2.5cm (performed by single surgeon) | Complex |
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| A2953 | Excision of acoustic neuroma (vestibular schwannoma) - tumours more than 2.5cm or compressing brain stem (performed by single surgeon) | Complex |
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| A2954 | Excision of acoustic neuroma (vestibular schwannoma) - tumours managed by combined oto-neurosurgical team irrespective of tumour size | Complex |
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| A3000 | Repair of cranial nerve (intracranial) | Complex |
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| A3200 | Decompression of cranial nerve (craniotomy) | Complex |
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| A3300 | Implantation of neurostimulator to cranial nerve | Major |
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| A3330 | Removal of neurostimulator from cranial nerve | Major |
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| A3680 | Excision of cerebello-pontine angle tumour | Complex |
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2.5 - Vessels
| Code | Description | Hospital Complexity | Procedure Fees | Fee For General Anaesthesia |
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| A0260 | Excision of arteriovenous malformation from vessels of brain | Complex |
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| A4080 | Craniotomy – post-operative haemorrhage | Xmajor |
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| L3320 | Clipping of cerebral artery aneurysm | Complex |
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| L3380 | Reinforcement of aneurysm of cerebral artery | Complex |
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| L3400 | Open operations on cerebral artery | Complex |
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| L3330 | Endovascular Insertion Of An Intrasaccular Wire-Mesh Blood-Flow Disruption Device For Intracranial Aneurysms | Extra Major |
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2.6 - Other
| Code | Description | Hospital Complexity | Procedure Fees | Fee For General Anaesthesia |
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| A8300 | Electro-convulsive therapy | Minor |
| B0100 | Open hypophysectomy (including total) | Complex |
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| B0410 | Transsphenoidal hypophysectomy (including total) | Complex |
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| B0610 | Excision of pineal gland | Complex |