UPFS Code Book 2015
Minor Theatre Procedures
1. The Code Book serves as a guideline and there may be exceptions to the rule in
the application thereof.
2. The UPFS schedule does not prescribe the scope of practice of a particular
health service / category or health care provider.
3. Neither does it confine the performing of procedures or services to the attending
practitioner only etc.
Code:
0209
0211
0233
0234
0235
0237
0241
0242
0243
0244
0245
0246
0251
0252
0255
0259
0301
0302
0303
0307
0308
0310
0317
0351
Description:
Umbilical artery cannulation at birth
Exchange transfusion: First and subsequent (including after-care)
Biopsy Without Suturing First lesion
Subsequent lesions
Maximum for multiple additional lesions
Deep skin biopsy by surgical incision with local anaesthetic and suturing
Treatment Of Benign Skin Lesion By Chemo-cryotherapy First Lesion
Subsequent lesions
Maximum for multiple additional lesions
Repair of nail bed
Removal Of Benign Lesion By Curetting Under Local Or General Anaesthesia
Followed By First Lesion
Subsequent lesions
Removal Of Malignant Lesions By Curetting Under Local Or General
Anaesthetic followed by first lesion
Subsequent lesions
Drainage of subcutaneous abscess onychia, paronychia, pulp space or avulsion
of nail
Removal of foreign body superficial to deep deep fascia (except hands)
Multiple stitching of wound stitched at same session
Deep laceration involving limited muscle damage
Deep laceration involving extensive muscle damage
Excision and repair by direct suture; excision nail fold or other minor
procedures of similar magnitude
Each additional small procedure done at the same time
Radical excision of nailbed
Aspiration of cyst or tumor
Major Burns: Resuscitation (including supervision and intravenous therapy first 48 hours)
1
Ana: Cat:
A
B
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
B
B
A
B
A
B
B
A
A
A
A
B
A
A
A
D
Code:
0541
0547
0549
0551
0552
0553
0555
0556
0557
0571
0713
0714
0730
0731
0735
0739
0742
0865
0867
0873
0874
0889
0922
0923
0969
0971
1018
1024
1037
1045
1054
1067
1077
1106
1108
1118
Description:
Needle Biopsy: Other sites (no after-care)
Dislocations Clavicle: either end
Shoulder
Elbow
Wrist
Perilunar trans-scaphoid fracture dislocation
Lunate
Carpo-metacarpo dislocation
Metacarpo-phalangeal or interphalangeal joints (hand)
Metatarsophalangeal or interphalangeal joints (foot)
Electromyography
Electromyographic neuromuscular junctional study, including edrophonium
response
Limb-brain somatosensory studies (per limb)
Visio and audio – sensory studies
Examinations of sensory nerve conduction by sweep averages (single nerve)
Combined muscle biopsy with end plates and nerve terminal biopsy
Global fee for all muscle studies, including histochemical studies
Initial Non-operative Reduction And Application Of Plastercast One hip
Two hips
Manipulation And Plaster One foot
Ponseti technique assistant
Spica, plaster jacket or hinged cast brace (excluding after-care)
Removal Of Foreign Bodies Requiring Incision Under local anaesthetic
Removal Of Foreign Bodies Requiring Incision Under general or regional
anaesthetic
Skull or skull-femoral traction including two weeks after-care
Halo-splint and POP jacket including two weeks after-care
Flexible nasopharyngolaryngoscope examination
Insertion of silastic obturator into nasal septum perforation
Diathermy To Nose Or Pharynx Exclusive Of Consultation Fee, Uni- Or
Bilateral Under local anaesthetic.
Ligation anterior ethmoidal artery
Antroscopy through the canine fossa (uni- or bilateral)
Proof puncture (unilatetal)
Septum abscess, including after-care
Laser assisted functional reconstruction of palate and uvula
Laser assisted functional reconstruction of palate and uvula: Follow-up
operation performed by the same surgeon
Laryngeal stroboscopy with video capture
2
Ana:
A
A
A
A
A
A
A
A
A
A
A
A
A
B
A
A
A
B
A
A
A
B
B
A
A
Cat:
A
A
A
A
B
B
B
A
A
A
B
A
A
A
A
A
C
B
C
A
A
A
A
A
B
B
A
A
A
B
B
A
A
A
A
B
B
B
A
Code:
1127
1128
1130
1131
1132
1133
1134
1135
1137
1141
1142
1155
1190
1202
1215
1216
1217
1218
1227
1247
1248
1256
1257
1262
1264
1266
1270
1271
1273
1275
1450
1454
1457
1467
1469
1485
1507
Description:
Tracheotomy
Endolaryngeal operations using a laser
Diagnostic laryngoscopy including biopsy (also to be applied when a flexible fibre-optic
laryngoscope was used)
Plus foreign body removal
Diagnostic bronchoscopy
With removal of foreign body
Bronchoscopy with use of laser
With bronchography
Bronchial lavage (only Anaesthetic category)
Insertion of intercostal catheter (under water drainage)
Intra-pleural block.
Needle biopsy lung: (no after-care)
Determination of resistance to airflow in paediatric patients, impulse
oscilimetry
Insertion of central veneous catheter via peripheral vein in neonates
Insertion of arterial pressure cannula
Insertion of Swan Ganz catheter for haemodynamic monitoring
Insertion of central venous line via peripheral vein
Insertion of central venous line via subclavian or jugular veins
Global Adult / Neonatal resuscitation fee
Cardioversion for arrhythmias (any method) with doctor in attendance
Paracentesis of pericardium
Electrophysiological Study Ventricular stimulation study
Full electrophysiological study
Electrophysiological mapping
Test for implantable transvenous defibrillator
Resiting pacemaker generator
Programming of atrio-ventricular sequential pacemaker
Cardiological supervision of Dobutamine magnetic resonance stress testing
Insertion of temporary pacemaker
Termination of arrhythmia - programmed stimulation and lead insertion of
temporary pacer
Cryopreservation of bone marrow or peripheral blood stem cells
Plasma/cell separation using designated cell separator equipment
Bone Marrow Biopsy By trephine
Drainage of intra-oral abscess
Local excision of mucosal lesion of oral cavity
Local excision of benign lesion of lip
Local excision of lesion of tongue
3
Ana:
B
B
B
Cat:
B
B
A
B
B
B
B
B
B
A
B
B
A
B
B
B
B
B
B
A
A
A
A
B
A
B
B
A
B
B
B
B
B
A
B
B
A
A
A
A
A
C
B
A
C
D
D
B
B
A
A
B
C
B
B
A
A
A
A
A
A
A
A
A
A
A
A
B
Code:
1544
1545
1547
1549
1550
1551
1552
1553
1554
1557
1587
1588
1589
1591
1627
1629
1631
1643
1653
1654
1656
1676
1677
1678
1679
1681
1683
1685
1707
1748
1780
1800
1945
1947
1949
1951
Description:
Ludwig's Angina: Drainage
Oesophagoscopy with rigid instrument: First and subsequent
Oesophagoscopy with Oesophageal acid perfusion test
Oesophagoscopy with dilatation of stricture
With removal of foreign body
With insertion of indwelling oesophageal tube
Injection of oesophageal varices (endoscopy inclusive)
Subsequent injection of oesophageal varices (endoscopy inclusive)
Per–oral small biopsy
Oesophageal dilatation
Upper gastro-intestinal fibre-optic endoscopy
Plus polypectomy
Endoscopic control of gatrointestinal haemorrhage from upper gastrointestinal
tact, intestines or large bowel by injection of vasoconstrictors and/or schleroses
(endoscopic haemostasis)
Upper gastro-intestinal endoscopy with removal of foreign bodies (stomach)
Duodenal intubation (under X-ray screening)
Duodenal intubation with billiary drainage after gall bladder stimulation
Duodenal intubation: Under three years
Gastrointestinal tract imaging, intraluminal (e.g. video capsule endoscopy),
Oesophagus through ileum: Doctor interpretation and report
Total Fibre-optic Colonoscopy (including biopsy)
Fibre-optic colonoscopy with removal of polyps
Left sided fibre-optic colonoscopy
Fibre-optic sigmoidoscopy (rectum and anus)
Sigmoidoscopy: First and subsequent, with or without biopsy
Fibre-optic sigmoidoscopy, plus polypectomy
Sigmoidoscopy with removal of polyps, first and subsequent
Proctoscopy With Removal Of Polyps First time
Subsequent times
Endoscopic fulguration of tumor
Drainage of submucous abscess
Body composition measured by bio-electrical impedance
Gastric and duodenal intubation
Peritoneal lavage
Instillation of radio-opaque material for cystography or urethrocystography
Instillation of anti-carcinogenic agent including retention time, but not cost of
material or hydrodilatation of bladder
Cystoscopy
And retrograde pyelography or retrograde ureteral catheterisation: Unilateral or
bilateral
4
Ana: Cat:
B
A
B
A
A
B
B
B
B
B
B
B
B
B
B
B
A
B
A
B
B
B
C
B
B
B
A
B
B
B
B
A
A
A
A
A
A
B
A
A
B
A
A
A
B
A
A
B
C
B
B
A
B
A
A
A
A
A
A
A
A
A
A
A
B
A
A
Code:
1952
1953
1954
1955
1957
1959
1961
1963
1975
1995
1999
2015
2049
2069
2088
2125
2127
2129
2131
2132
2133
2137
2139
2169
2312
2314
2322
2389
2392
2415
2433
2506
2605
2607
2609
2611
2703
Description:
J J Stent catheter
With hydrodilatation of the bladder for interstitial cystitis
Urethroscopy
And bilateral ureteric catheterisation with differential function studies requiring
additional attention time
With dilatation of the ureter or ureters
With manipulation of ureteral calculus
With removal of foreign body or calculus from urethra or bladder
With fulguration or treatment of minor lesions, with or without biopsy
Ultraviolet cystoscopy for bladder tumor
Percutaneous aspiration of bladder
Percutaneous cystostomy
Suprapubic cystostomy
Evacuation Of Clots From Bladder: Other than post-operative
Dilatation of female urethra
Peri-urethral teflon injection: Male or female - fee as for cystoscopy
Destruction Of Condylomata: Chemo- Or Cryotherapy: Limited number
Multiple extensive
Electrodesiccation: Limited number
Multiple extensive
Circumcision: Ligation of abnormal venous drainage
Circumcision: Clamp procedure
Circumcision: Surgical excision other than by clamp or dorsal slit
Circumcision: Dorsal slit of prepuce (independent procedure)
Injection procedure for Peyronies disease
Artificial insemination
Intra uterine insemination
Pudendal nerve block
Paracervical nerve block
Cryo- or electro-cauterisation, or Lletz of cervix
Cervix encirclage: Removal items 2409 and 2411 without anaesthetic
Uterus Embryo transfer
Transcervical gamete/embryo intra-fallopian tube transfer (TET/TEST)
Amniocentesis (excluding after-care)
Amnioscopy (excluding after-care)
Intra-uterine transfusion of foetus or cordocentesis
Chorion villus sampling (excluding after-care)
Somatosensory evoked potentials (S.E.P.) single nerve examination to brachialor lumbosacral plexus, spinal cord and Cortex
5
Ana:
B
B
B
B
Cat:
A
A
A
B
B
B
B
B
B
A
A
B
A
A
A
A
A
A
A
A
A
B
A
A
B
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
B
A
A
A
A
A
A
A
A
A
A
A
B
Code:
2707
2713
2714
2717
2718
2724
2730
2733
2734
2800
2801
2802
2804
2809
2849
2851
2970
3022
3023
3024
3026
3028
3031
3036
3074
3090
3092
3114
3118
3124
Description:
Full fee for complete neurological evoked potential evaluation including
neurological A.E.P., bilateral V.E.P., and bilateral median and/or posterior tibial
stimulation
Lumbar puncture and/or intrathecal injections
Cisternal puncture and/or intrathecal injections
Electromyography First
Subsequent
Overnight continuous positive airways pressure (CPAP) titration per 24 hours
Neostigmine Test, the diagnostic test for Myasthenia Gravis under the
supervision of a neurologist ('20') (not to be used with item 0714)
Cortical Stimulation
Sodium Amytal Testing (WADA test)
Plexus nerve block
Epidural injection for pain
Peripheral nerve block
Inserting an indwelling nerve catheter (includes removal of catheter) (not for
bolus technique)
Peripheral nerve section for pain
Sympathetic Block: Other Levels: Unilateral
Sympathetic block other levels: Bilateral
Electro-convulsive treatment (ECT): Each time
Digital fluorescein video angiography
Digital indocyanine video angiography (3023)
Infusion of dye used during Fluorescein Angiography, Indocyanine Green
Video Angiography and Photodynamic therapy. Linked to items 3022, 3023,
3031, 3039
Digital Tomography of optic nerve with Scanning Laser Ophthalmoscope
(SLO). Limited to two exams per annum
Optical Coherent Tomography (OCT) of Optic nerve or macula: Per eye
Fluorescein angiography, for one or both eyes in one sitting (excluding colour
photography)
Corneal topography: For pathological corneas only on special motivation. For
refractive surgery - may be charged once pre-operative and once post-operative
per sitting (for one or both eyes)
Strabismus: Adjustment of sutures if not done at the time of the operation.
Intra vitreal injection drug
External laser treatment for superficial lesions
Wavefront analysis (Aberometry) for customized ablation of pathological
corneas prior to LASIK surgery
Curettage of cornea after removal of foreign body
Removal of corneal stitches under microscope (maximum of 2 procedures)
6
Ana: Cat:
C
A
A
A
B
A
A
B
B
C
B
A
A
B
B
A
A
A
A
A
A
A
B
B
B
A
A
A
A
A
B
B
A
A
A
A
A
A
A
A
A
A
A
A
B
A
A
Code:
3127
3133
3138
3142
3163
3165
3167
3224
3248
3255
3287
3288
3294
3295
3296
3303
6010
6011
Description:
Cauterization of cornea (by chemical, thermal or cryotherapy methods)
Ducts: Probing and/or syringing, per duct
Removal corneal epithelium and chelating agent for band keratopathy
Sealing Punctum with plugs: Per eye
Excision of superficial lid tumour
Repair of skin lacerations of the lid
Diathermy to wart on lid margin
Electroneutrography (ENOG)
Otoacoustic emission performed as a screening test
Caloric test done with electronystagmography
Spinal joint and ligament injection
Epidural injection
Paracervical nerve block
Paravertebral root block – unilateral
Paravertebral root block – bilateral
Electromyography
Electroencephalogram monitoring: Monitoring for localisation of cerebral
seizure pre-operative localisation): Each full 24 hour period
Interpretation of item 6010: Electro-encephalogram monitoring: To be charged
once only for each full 24 hour period of monitoring
7
Ana:
A
A
A
A
B
B
A
B
A
A
Cat:
A
A
B
A
A
A
A
B
A
B
A
A
A
A
A
B
D
C