Chapter 8 / Thorax and intra-thoracic organs

It is common practice with a number of intra-thoracic procedures to perform a rigid bronchoscopy. This
should not be separately itemised for billing purposes when this is a routine part of the procedure.


Insertion of a chest drain should not be charged for separately with intra-thoracic surgery.


8.1 - Oesophagus

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


G0100 Oesophagectomy/oesophagogastrectomy with anastomosis in chest Complex £1,900.00 £1,071.00 Show arrow
G0102 Robotic assisted radical Oesophagectomy / Oesophagogastrectomy including dissection of mediastinal lymph nodes Complex £2,500.00 £1,582.00 Show arrow
G0103 Robotic assisted Oesophagectomy/Oesophagogastrectomy with anastomosis in chest Complex £1,900.00 £1,071.00 Show arrow
G1470 Fibreoptic endoscopic photodynamic therapy (PDT) of lesion of oesophagus Intermediate £400.00 £194.00 Show arrow
G0220 Total oesophagectomy and interposition of intestine Complex £1,900.00 £1,429.00 Show arrow
G0260 Endoscopically assisted oesophagectomy Complex £1,900.00 £1,071.00 Show arrow
G0300 Sub-total oesophagectomy with anastomosis in neck Complex £1,900.00 £1,071.00 Show arrow
G0301 Robotic assisted sub-total oesophagectomy with anastomosis in neck Complex £1,900.00 £1,071.00 Show arrow
G0400 Open excision of lesion of oesophagus Major £550.00 £499.00 Show arrow
G0500 Bypass of oesophagus Xmajor £1,000.00 £642.00 Show arrow
G0640 Closure of bypass of oesophagus Major £550.00 £499.00 Show arrow
G0730 Repair of congenital oesophageal atresia (with or without fistula) Complex £1,000.00 £571.00 Show arrow
G0740 Repair of ruptured oesophagus Complex £1,000.00 £571.00 Show arrow
G0920 Oesophagocardiomyotomy (Heller's operation) Major £550.00 £428.00 Show arrow
G0921 Robotic assisted oesophagocardiomyotomy (Heller's) Major £550.00 £428.00 Show arrow
G1400 VATS excision lesion of oesophagus Xmajor £550.00 £499.00 Show arrow
G2312 Transthoracic repair of paraoesophageal hiatus hernia Xmajor £800.00 £357.00 Show arrow
G2320 Transthoracic repair of diaphragmatic hernia (acquired) Xmajor £650.00 £357.00 Show arrow
G2330 Transabdominal repair of hiatus hernia Major £600.00 £357.00 Show arrow
G2593 Robotic assisted revision repair of hiatus hernia with anti-reflux procedure Complex £1,000.00 £572.00 Show arrow
G2340 Transabdominal repair of diagphragmatic hernia (excluding hiatus hernia) Complex £800.00 £642.00 Show arrow
G2400 Transthoracic fundoplication and gastroplasty Xmajor £800.00 £357.00 Show arrow
G2402 Transthoracic fundoplication Xmajor £800.00 £357.00 Show arrow
G2430 Transabdominal anti-reflux operations Complex £800.00 £499.00 Show arrow
G2590 Revision of anti-reflux procedures Complex £1,000.00 £571.00 Show arrow
A2781 Laparoscopic vagotomy/seromyotomy Major £550.00 £285.00 Show arrow
G2591 Revision of anti-reflux operations with laparoscopic insertion of magnetic band (as sole procedure) Complex £1,000.00 £571.00 Show arrow

8.2 - Chest wall

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


E4722 Thoracotomy and closure of broncho-pleural fistula Xmajor £800.00 £571.00 Show arrow
T0110 Thoracoplasty Xmajor £750.00 £428.00 Show arrow
T0132 Excision of chest wall tumour - with chest wall reconstruction Xmajor £650.00 £357.00 Show arrow
T0133 Excision of chest wall tumour - without chest wall reconstruction Xmajor £650.00 £357.00 Show arrow
T0212 Secondary correction of scolios-related chest wall deformity (posterior costoplasty) (as sole procedure) Complex £800.00 £357.00 Show arrow
T0320 Exploratory thoracotomy Major £550.00 £357.00 Show arrow
T0810 Resection of rib and open drainage of pleural cavity Major £450.00 £357.00 Show arrow
T1500 Repair of rupture of diaphragm complex £800.00 £499.00 Show arrow
T1620 Plication of paralysed diaphragm Xmajor £650.00 £428.00 Show arrow
T1640 Repair of congenital diaphragmatic hernia Xmajor £750.00 £642.00 Show arrow
T2781 Repair of epigastric hernia Intermediate £400.00 £213.00 Show arrow
T0214 Minimally invasive pectus bar placement for pectus excavatum (including bilateral) extra major £850.00 £357.00
T0215 Open surgical correction of pectus deformity of chest wall (or other congenital defect thereof) Complex £850.00 £357.00
T0213 Removal of pectus bar (including bilateral) Intermediate £400.00 £259.00
V6070 Thoracic outlet decompression surgery (as sole procedure) Major £500.00 £324.00

8.3 - Trachea

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


E3900 Partial excision of trachea with reconstruction Complex £1,000.00 £857.00 Show arrow
E4030 Tracheoplasty Major £1,000.00 £285.00 Show arrow
E4032 Tracheoplasty for congenital conditions Complex £1,000.00 £285.00 Show arrow
E4100 Insertion of voice prosthesis (TOF) Major £500.00 £357.00 Show arrow
E4210 Tracheostomy Intermediate £300.00 £285.00 Show arrow
E4230 Mini-tracheostomy (percutaneous) Minor £200.00 £213.00 Show arrow

8.4 - Fibreoptic endoscopic procedures (GA or LA)

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


E4510 Fibreoptic examination of trachea including biopsy/removal of foreign body Minor £200.00 £213.00 Show arrow
E4800 Therapeutic bronchoscopy (including laser, cryotherapy, lavage, snare, dilatation of stricture, insertion of stent) Minor £250.00 £213.00 Show arrow
E4840 Dilatation of tracheal stricture including insertion of stent Intermediate £250.00 £213.00 Show arrow
E4850 Therapeutic bronchoscopy for removal of foreign body Minor £200.00 £213.00 Show arrow
E5180 Diagnostic bronchoscopy +/- biopsy Minor £320.00 £213.00 Show arrow
E5435 Robotic Assisted Navigation Bronchoscopy +/- Biopsy Major £500.00 £213.00 Show arrow

8.5 - Bronchi/lungs/pleura

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


E4400 Carinal resection +/- pneumonectomy Complex £1,900.00 £1,429.00 Show arrow
E4600 Sleeve resection of bronchus or pulmonary artery with pulmonary resection Complex £1,600.00 £642.00 Show arrow
E4401 Robotic assisted carinal resection +/- pneumonectomy Complex £1,900.00 £1,429.00 Show arrow
E5410 Pneumonectomy Complex £1,300.00 £642.00 Show arrow
E5430 Pulmonary lobectomy including segmental resection Complex £1,600.00 £642.00 Show arrow
E5480 Lung resection with resection of chest wall Complex £1,600.00 £714.00 Show arrow
E5520 Open excision of lesion of lung Complex £800.00 £571.00 Show arrow
E5521 Robotic assisted excision of lesion of lung Major £600.00 £571.00 Show arrow
E5532 Thoracotomy and lung biopsy as sole procedure Intermediate £400.00 £357.00 Show arrow
E5533 Percutaneous radiofrequency ablation of malignant neoplasm of lung Complex £1,900.00 £357.00 Show arrow
E5700 Thoractomy lung volume reduction - bilateral Complex £1,300.00 £857.00 Show arrow
E5702 Thoracotomy lung volume reduction - unilateral Complex £800.00 £571.00 Show arrow
E5703 Thoracotomy bullectomy - bilateral +/- pleurodesis Complex £1,300.00 £857.00 Show arrow
E5704 Thoracotomy bullectomy - unilateral +/- pleurodesis in presence of emphysema Xmajor £800.00 £571.00 Show arrow
E5705 Thoracotomy pleurectomy/pleurodesis +/- ligation of bullae for pneumothorax Xmajor £700.00 £428.00 Show arrow
E5910 Needle biopsy of lung Minor £150.00 £142.00 Show arrow
T0710 Decortication of pleura of lung Complex £1,000.00 £499.00 Show arrow
T0910 Open pleural biopsy as sole procedure Xmajor £750.00 £357.00 Show arrow
E5540 Laser resection of lung metastases Complex £1,000.00 £649.00
T1220 Drainage of pleural cavity Minor £200.00 £142.00 Show arrow
T1240 Insertion of tube drain into pleural cavity Minor £200.00 £142.00 Show arrow
T1300 Introduction of substance into pleural cavity with chest drain Minor £100.00 £129.00 Show arrow
T1410 Needle biopsy of pleura Minor £200.00 £142.00 Show arrow
E5100 Endobronchial ultrasound (as sole procedure) Minor £200.00 £213.00 Show arrow
T1480 Insertion of pleuro-peritoneal shunt Intermediate £350.00 £285.00 Show arrow
E6710 Bronchial thermoplasty (including bronchoscopy) for severe asthma Minor £250.00 £213.00
L1400 Pulmonary endarterectomy Complex £2,500.00 £1,299.00

8.6 - Mediastinum

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


B1690 Mediastinal parathyroidectomy with sternotomy Complex £750.00 £357.00 Show arrow
B1800 Thymectomy for myasthenia gravis/thymoma Major £600.00 £642.00 Show arrow
B1802 Robotic assisted radical thymectomy Major £600.00 £642.00 Show arrow Show arrow
B1803 Robotic assisted subtotal thymectomy Major £600.00 £642.00 Show arrow Show arrow
E6100 Open resection of invasive mediastinal tumour Complex £1,200.00 £1,071.00 Show arrow
E6110 Open Excision Of Mediastinal Tumour (Including Congenital Cysts/Posterior Chest Wall Lesions) +/- Mediastinal Nodes Xmajor £650.00 £714.00 Show arrow
E6300 Diagnostic mediastinoscopy Intermediate £450.00 £213.00 Show arrow
E6310 Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for mediastinal masses Intermediate £500.00 £213.00 Show arrow

8.7 - Video assisted thoracic surgery (VATS)

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


A7560 VATS sympathectomy - unilateral Major £700.00 £357.00 Show arrow
A7561 VATS sympathectomy - bilateral Xmajor £1,000.00 £571.00 Show arrow
E5432 VATS lobectomy Major £600.00 £571.00 Show arrow
E5442 Video-Assisted Thoracoscopic Surgery (Vats) Assisted Wedge Resection Of Lung Major £600.00 £571.00 Show arrow
E5590 Video-Assisted Thoracoscopic Surgery (VATS) Assisted Bullectomy - Unilateral +/- Pleurodesis Major £300.00 £213.00 Show arrow
E5591 Video-Assisted Thoracoscopic Surgery (VATS) Assisted Bullectomy - Bilateral +/- Pleurodesis Complex £450.00 £357.00 Show arrow
E5592 VATS lung volume reduction - unilateral Complex £500.00 £357.00 Show arrow
E5593 VATS lung volume reduction - bilateral Complex £750.00 £357.00 Show arrow
E5594 VATS debridement of empyema Major £500.00 £285.00 Show arrow
E5932 VATS lung biopsy Intermediate £350.00 £213.00 Show arrow
E6200 VATS excision lesion of mediastinum including thymectomy Xmajor £600.00 £213.00 Show arrow
G0922 VATS oesophageal / oesophagogastric myotomy Major £600.00 £428.00 Show arrow
G1400 VATS excision lesion of oesophagus Xmajor £550.00 £499.00 Show arrow
G2331 Laparoscopic repair of hiatus hernia with anti-reflux procedure (eg fundoplication) Major £800.00 £571.00 Show arrow
T1030 Video-assisted thoracoscopic surgery (VATS) assisted pleurodesis / pleurectomy Major £700.00 £428.00 Show arrow
T1032 Thoracoscopy and drainage and chemical pleurodesis Intermediate £350.00 £213.00 Show arrow
T1100 Diagnostic thoracoscopy (+/- biopsy) Minor £350.00 £213.00 Show arrow

8.8 - Heart – cardiac surgery

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


We will provide benefit for surgeon and anaesthetist standby during coronary angioplasty provided the surgeon and anaesthetist are physically present and have no other obligations at that time. There is a code AA588 for this purpose. Please note, however, should surgery become necessary we will not also reimburse a charge for standby.

The benefit for therapeutic interventional procedures such as angioplasty with stenting or ablation includes an amount for any diagnostic procedure performed on the same day. Transoesophageal echocardiography should not be charged as an addition with valve procedures.

We will not pay additional amounts for supervision of post-operative care by cardiologists. In exceptional circumstances we will consider charges but these must be justified and agreed with us before they are invoiced.

We acknowledge that the procedure K3580 - Trans catheter aortic valve implantation (TAVI) requires a multidisciplinary approach from a cardiologist and a cardio-thoracic surgeon. The fee we publish for K3580 is payable to the team so invoices may either be submitted by one specialist for the full amount or by both specialists for 50% of the published fee. The fee of £2300 is not claimable by both specialists.

K0400 Correction of tetralogy of Fallot Complex £1,900.00 £1,429.00 Show arrow
K0500 Atrial inversion for transposition of great vessels Complex £1,900.00 £1,429.00
K0530 Double switch procedure (atrial and arterial) Complex £1,900.00 £1,429.00
K4610 Minimally invasive direct coronary artery bypass (MIDCAB) including harvesting of graft Complex £2,300.00 £1,429.00 Show arrow
K0700 Correction of total anomalous pulmonary venous connection Complex £1,900.00 £1,429.00
K0900 Repair of complete atrioventricular septal defect Complex £1,900.00 £1,429.00 Show arrow
K0930 Closure of partial atrioventricular septal defect Complex £1,900.00 £1,429.00 Show arrow
K1000 Closure of defect of interatrial septum (secundum Atrial Septal Defect or Patent Foramen Ovale) Complex £1,900.00 £1,285.00 Show arrow
K1100 Closure of defect of interventricular septum Complex £1,900.00 £1,285.00
K1180 Endovascular closure of perimembranous ventricular septal defect Complex £800.00 £990.00 Show arrow
K1200 Norwood stage 1 procedure Complex £1,900.00 £1,429.00
K1600 Therapeutic transluminal operations on atrial septum of heart Complex £800.00 £990.00 Show arrow
K1680 Transluminal closure of atrial septal defect / patent foramen ovale Complex £800.00 £642.00 Show arrow
K1800 Placement of valve to cardiac conduit Complex £1,900.00 £1,429.00 Show arrow
K1850 Revision placement of valve to cardiac conduit Complex £1,900.00 £1,429.00 Show arrow
K2310 Excision of cardiac tumour Complex £1,900.00 £1,429.00 Show arrow
K2540 Replacement of mitral valve with sub-valve preservation (including biopsies) Complex £2,000.00 £1,285.00 Show arrow
K2542 Revision replacement of mitral valve Complex £2,000.00 £1,285.00 Show arrow
K2580 Repair of mitral valve Complex £2,000.00 £1,285.00 Show arrow
K2600 Replacement or repair of aortic valve Complex £1,900.00 £1,285.00 Show arrow
K2602 Minimally invasive replacement of aortic valve Complex £1,900.00 £1,285.00 Show arrow
K2610 Ross procedure Complex £1,900.00 £1,429.00 Show arrow
K2612 Replacement of aortic valve with homograft or stentless porcine Complex £1,900.00 £1,285.00 Show arrow Show arrow
K2613 Revision of aortic valve replacement Complex £1,900.00 £1,285.00 Show arrow
K2700 Replacement of tricuspid valve (including valvuloplasty) Complex £1,900.00 £1,429.00 Show arrow
K2780 Repair of tricuspid valve, eg for Ebstein's disease Complex £1,900.00 £1,285.00 Show arrow
K2800 Replacement of pulmonary valve (including valvuloplasty/valvotomy) Complex £1,900.00 £1,285.00 Show arrow
K2810 Percutaneous replacement/implantation of pulmonary valve Complex £2,300.00 £1,143.00 Show arrow
K3100 Open valvotomy Complex £1,900.00 £1,285.00 Show arrow
K3210 Closed mitral valvotomy Complex £1,300.00 £1,071.00 Show arrow
K3500 Therapeutic transluminal operation(s) on valve of heart Xmajor £750.00 £857.00 Show arrow Show arrow
K3580 Trans catheter aortic valve implantation (TAVI) without percutaneous insertion of a cerebral protection device Complex £2,300.00 £1,143.00 Show arrow
K4100 Bypass for coronary artery(ies) including harvesting of grafts and endarterectomy Complex £1,900.00 £1,429.00 Show arrow
L2720 Endovascular aneurysm repair (EVAR) of suprarenal aorta, with insertion of fenestrated graft (up to two orifices) Complex £1,300.00 £642.00 Show arrow
L2780 Endovascular aneurysm repair (EVAR) of suprarenal aorta, with insertion of fenestrated graft (three to four orifices) Complex £1,500.00 £642.00
L2710 Endovascular aneurysm repair (EVAR) of infrarenal aorta Complex £1,300.00 £642.00 Show arrow
K4410 Revision bypass for coronary artery(ies) (including harvesting of grafts) Complex £2,000.00 £1,429.00 Show arrow
K4600 Off-pump coronary artery bypass (OPCAB) (including harvesting of grafts) Complex £1,900.00 £1,429.00 Show arrow
K4880 Correction of anomalous coronary arteries Complex £1,900.00 £1,429.00
K5120 Intravascular ultrasound of coronary arteries (as sole procedure) Major £400.00 £324.00 Show arrow
K5283 Complex Cox lesion set maze operation Complex £1,900.00 £1,429.00 Show arrow
K5330 Repair of post infarction ventricular septal defect Complex £1,900.00 £1,429.00 Show arrow
K5380 Repair of ventricular aneurysm Complex £1,900.00 £1,285.00 Show arrow
K6700 Pericardiectomy Complex £1,000.00 £499.00 Show arrow
K6810 Decompression of cardiac tamponade or re-exploration for bleeding Xmajor £650.00 £428.00
L0110 Correction of truncus arteriosus Complex £1,300.00 £1,265.00
L0610 Formation of atriopulmonary connection (or any modification of Fontan type procedure) Complex £1,600.00 £857.00
L2360 Repair of interrupted aortic arch Complex £1,900.00 £1,429.00
L2382 Aortic root replacement with valve conduit or homograft and/or remodelling Complex £1,900.00 £714.00 Show arrow Show arrow
L2560 Percutaneous or open placement of intra-aortic balloon (including subsequent removal) Intermediate £500.00 £285.00 Show arrow
K0960 Minimally invasive endoscopic repair of atrial septal defects (ASD) via mini-thoracotomy Complext £2,300.00 £1,429.00
K2281 Closure of left atrial appendage (other than percutaneous) in association with other cardiac surgery Minor £50.00 £0.00 Show arrow
A7070 Percutaneous electrical nerve stimulation (PENS) Intermediate £200.00 £0.00
K2601 Sutureless aortic valve replacement for aortic stenosis Complex £1,900.00 £1,285.00 Show arrow
K2581 Minimally Invasive Mitral Valve Repair Complex £2,000.00 £1,285.00 Show arrow Show arrow
K0970 Percutaneous covered stent correction of sinus venosus atrial septal defect Complex £1,520.00 £1,285.00
K0980 Septal myectomy Complex £1,900.00 £1,285.00
K5121 Intravascular ultrasound with peripheral angioplasty +/- stent intermediate £400.00 £285.00
L2361 Thoracotomy and division of aberrant subclavian artery and re-implantation with interposition graft Complex £1,900.00 £1,429.00 Show arrow

8.9 - Heart – cardiology

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


K1690 Non-surgical reduction of myocardial septum (e.g. alcohol septal ablation) Complex £1,000.00 £642.00 Show arrow
K6581 Coronary angioplasty following angiography with fractional flow study on the same day, +/- insertion of stent Complex £1,300.00 £779.00 Show arrow
K5720 Ablation of AV nodal re-entry tachycardia (including mapping) Complex £1,100.00 £642.00 Show arrow
K5770 Ablation of arrhythmia in complex congenital heart disease (including mapping) Complex £1,400.00 £642.00 Show arrow
K5790 Ablation of left atrial tachycardia (including mapping) Complex £1,350.00 £642.00 Show arrow
K2280 Percutaneous occlusion of left atrial appendage Xmajor £800.00 £974.00 Show arrow
K6105 Insertion of dual chamber implantable cardioverter defibrillator (ICD) Complex £1,250.00 £454.00 Show arrow
K6060 Lead replacement for Pacemaker or implantable cardioverter defibrillator (ICD) Major £650.00 £259.00 Show arrow
K6050 Replacement implantable cardioverter defibrillator (ICD), without lead change Intermediate £400.00 £285.00 Show arrow
K6582 Adult cardiac catheterisation - radial access (including coronary arteriography/catheterisation of right/left side of heart/contrast radiology) - with pressure wire (including fractional flow reserve measurement) Intermediate £450.00 £357.00 Show arrow
K6584 Adult cardiac catheterisation - femoral access (including coronary arteriography/catheterisation of right/left side of heart/contrast radiology) - with pressure wire (including fractional flow reserve measurement) Intermediate £450.00 £357.00 Show arrow
K6513 Adult cardiac catheterisation - radial access (including coronary arteriography/ catheterisation of right/left side of heart/contrast radiology) Intermediate £450.00 £357.00 Show arrow
K4900 Percutaneous transluminal angioplasty of coronary artery(ies) (including laser) Complex £900.00 £642.00 Show arrow
K4902 Percutaneous transluminal angioplasty of coronary artery(ies) with intravascular ultrasound (including laser) Complex £900.00 £642.00 Show arrow
K4910 Percutaneous transluminal angioplasty of coronary artery(ies) with stent insertion Complex £1,100.00 £642.00 Show arrow
K4912 Percutaneous transluminal angioplasty of coronary artery(ies) with stent insertion and intravascular ultrasound Complex £1,100.00 £642.00 Show arrow
K5280 Map guided surgery for ventricular arrhythmias (including mapping) Xmajor £1,000.00 £1,071.00 Show arrow
K5710 Ablation of atrio-ventricular junction (including mapping) Xmajor £850.00 £428.00 Show arrow
K5730 Ablation of right atrial arrhythmia (including mapping) Complex £1,100.00 £642.00 Show arrow
K5740 Ablation of ventricular arrhythmia (including mapping) Complex £1,350.00 £428.00 Show arrow
K5750 Internal cardioversion Intermediate £350.00 £142.00 Show arrow
K5760 Ablation of left atrial fibrillation by isolation of the pulmonary veins left/right (RFA/CRYO/Laser) (including mapping) Complex £1,450.00 £584.00 Show arrow
K5761 Pulsed Field Ablation (PFA) of paroxysmal atrial fibrillation (including mapping) Complex £1,450.00 £584.00
K5780 Ablation of accessory pathway or selected modification of AV node (including mapping) Complex £1,100.00 £642.00 Show arrow
K5810 Diagnostic intracardiac electrophysiological study including characterisation of intracardiac conduction and any testing of anti-arrhythmic drug efficacy by programmed stimulation Major £450.00 £357.00 Show arrow
K6511 Adult cardiac catheterisation - femoral access (including coronary arteriography/ catheterisation of right/left side of heart/contrast radiology) Intermediate £450.00 £357.00 Show arrow
K6115 Insertion of an implantable cardioverter defibrillator with subcutaneous leads (subcutaneous ICD) Complex £1,250.00 £454.00 Show arrow
K5040 Rotoblation of coronary vessel(s) percutaneous transluminal rotational atherectomy (PCRS) +/- insertion of stent Complex £1,100.00 £642.00 Show arrow
K6586 Adult cardiac catheterisation - brachial access (including coronary arteriography/catheterisation of right/left side of heart / contrast radiology) - with pressure wire (including fractional flow reserve measurement) Intermediate £450.00 £357.00 Show arrow
K6111 Insertion of combined biventricular pacemaker and cardioverter defibrillator (CRT-D) Complex £1,250.00 £454.00 Show arrow
K6514 Adult cardiac catheterisation - brachial access (including coronary arteriography/ catheterisation of right/left side of heart/contrast radiology) Intermediate £450.00 £357.00 Show arrow
K4920 Percutaneous transluminal angioplasty of coronary artery(ies) for chronic total occlusions (CTO), +/- insertion of stent Complex £1,500.00 £642.00 Show arrow
K5110 Angioscopy Intermediate £400.00 £0.00
K6000 Cardiac pacemaker system introduced through vein (single chamber) Major £450.00 £357.00 Show arrow
K6010 Cardiac pacemaker system introduced through vein (dual chamber) Major £600.00 £357.00 Show arrow
K6015 Implantation of biventricular pacemaker Complex £900.00 £324.00 Show arrow
K6070 Implant of temporary pacing electrode (as sole procedure) Intermediate £200.00 £0.00
K6020 Resiting of Pacemaker or implantable cardioverter defibrillator (ICD) Intermediate £410.00 £285.00 Show arrow
K6030 Replacement of generator for intravenous cardiac pacemaker system (without lead change) Major £500.00 £357.00 Show arrow
K6040 Removal of pacing system with bypass (excluding leadless) Complex £1,900.00 £1,071.00 Show arrow
K6080 Removal of pacing system without bypass (including leads) Minor £200.00 £357.00 Show arrow
K6082 Removal of pacing system (generator only) Intermediate £250.00 £285.00 Show arrow
K6100 Insertion of single chamber implantable cardioverter defibrillator (ICD) Complex £1,000.00 £357.00 Show arrow
K6120 Insertion of leadless (wireless) pacemaker Major £450.00 £357.00 Show arrow
K5020 Coronary angiography proceeding to angioplasty on the same day, +/- insertion of stent Complex £1,100.00 £642.00 Show arrow
K6590 Coronary angiography including intravascular ultrasound Major £500.00 £285.00 Show arrow
K6520 Paediatric cardiac catheterisation Major £450.00 £357.00 Show arrow
K5830 Endomyocardial biopsy Intermediate £400.00 £343.00
K5050 Coronary angioplasty following angiography with intravascular ultrasound on the same day, +/- insertion of stent Complex £1,150.00 £779.00 Show arrow
K6820 Pericardiocentesis Intermediate £400.00 £285.00
K7510 Coronary intravascular lithotripsy +/- angioplasty +/- insertion of stent Complex £900.00 £642.00
K6121 Percutaneous removal of leadless (wireless) pacemaker Major £450.00 £357.00

8.10 - Great Vessels

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


L0200 Closed ligation of patent ductus arteriosus Complex £1,000.00 £857.00 Show arrow
L0230 VATS closure of patent ductus arteriosus Complex £1,000.00 £857.00 Show arrow
L0310 Percutaneous transluminal prosthetic occlusion of patent ductus arteriosus Complex £800.00 £499.00 Show arrow
L0620 Creation of communication between pulmonary artery and aorta Complex £1,600.00 £857.00
L0710 Creation of shunt from subclavian artery to pulmonary artery Complex £1,300.00 £857.00
L0900 Formation of cavo-pulmonary shunt (Glenn) Complex £1,300.00 £571.00
L1080 Open operations/repair of pulmonary artery Complex £1,000.00 £857.00 Show arrow
L1240 Pulmonary embolectomy Complex £1,600.00 £1,429.00 Show arrow
L1300 Transluminal operations on pulmonary artery Xmajor £750.00 £642.00 Show arrow
L1810 Repair of leaking aneurysm of ascending aorta Complex £1,900.00 £1,429.00 Show arrow
L1880 Repair of leaking aneurysm of arch of aorta Complex £1,900.00 £1,429.00 Show arrow
L1890 Repair of leaking aneurysm of thoracic aorta Complex £1,900.00 £1,429.00 Show arrow
L1892 Immediate repair of aortic dissection (ie within two weeks of happening) Complex £1,300.00 £714.00 Show arrow
L1910 Elective repair of aneurysm of ascending aorta Complex £1,900.00 £1,285.00 Show arrow
L1980 Elective repair of aneurysm of arch of aorta Complex £1,900.00 £1,429.00 Show arrow
L1990 Elective repair of aneurysm of thoracic aorta Complex £1,900.00 £1,429.00 Show arrow
L1992 Delayed repair of aortic dissection (ie more than two weeks after happening) Complex £1,900.00 £1,429.00 Show arrow
L2190 Replacement of graft of thoraco-abdominal aneurysm Complex £1,900.00 £1,429.00 Show arrow
L2200 Revision of prosthesis of abdominal aorta Complex £2,000.00 £857.00 Show arrow
L2290 Excision of infected aortic graft with bypass Complex £1,900.00 £1,429.00 Show arrow
L2302 Coarctation repair Complex £1,300.00 £714.00 Show arrow
L2303 Coarctation repair involving prosthetic graft Complex £1,300.00 £714.00 Show arrow
L2350 Revision operation on ascending aorta and proximal descending aorta Complex £2,000.00 £1,429.00 Show arrow
L2600 Percutaneous transluminal balloon operations on aorta Major £500.00 £285.00 Show arrow
L7042 Atrial switch procedure for transposition of great vessels Complex £1,900.00 £1,429.00
W7042 Cannulation or decannulation for ECMO (Extracorporeal membrane oxygenation) Major £650.00 £499.00 Show arrow
L2730 Endovascular insertion of stent graft for thoracic TEVAR Complex £1,300.00 £642.00
L1994 Revision Replacement Of Ascending Aorta And Arch +/- Aortic Root With Frozen Elephant Trunk Procedure Complex £2,000.00 £1,429.00 Show arrow
L1993 Replacement Of Ascending Aorta And Arch +/- Aortic Root With Frozen Elephant Trunk Procedure Complex £1,900.00 £1,285.00 Show arrow

8.11 - Other

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


64302 Transoesophageal echocardiography (including reporting) (as sole procedure) Intermediate £320.00 £213.00 Show arrow
A2720 Proximal gastric vagotomy Major £550.00 £285.00 Show arrow
A2730 Highly selective vagotomy Major £550.00 £285.00 Show arrow
A2780 Vagotomy and pyloroplasty Major £600.00 £357.00 Show arrow
AA588 Coronary angioplasty standby team Minor £150.00 £194.00 Show arrow
X5020 External cardioversion Minor £150.00 £142.00 Show arrow



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