interactive costing tool (ict) - nihr · 2020. 5. 18. · report use code r1275; (ct scan)...

Interactive Costing Tool (iCT)

Investigation and Intervention Tariff 2020/21

Version 1.2 – 14th April 2020

Contents page

Contents page 2

Section 1 - Description of document 3

Section 2 - General tariffs 5

Section 3 - Audiology tariffs 6

Section 4 - Cardiovascular tariffs 7

Section 5 - Dental tariffs 12

Section 6 - Genetics tariffs 13

Section 7 - Immunology or Virology tariffs 34

Section 8 - Interventional Diagnostics tariffs 40

Section 9 - Microbiology tariffs 55

Section 10 - Nuclear Medicine tariffs 59

Section 11 - Ophthalmology tariffs 63

Section 12 - Radiology tariffs 92

Section 13 - Radiotherapy tariffs 110

Section 14 - Specialist Medicine tariffs 145

Section 1 - Description of document

Document content:

This tariff has been created to assist both Industry and NHS partners to create consistent and

meaningful costings for Industry sponsored research within the NHS.

Values within this tariff do not include the relevant labour time required by research staff to

initiate, carry out or report on the activity described.

All values include an indirect cost and therefore only need the addition of capacity building

and the local PbR MFF from the Industry Costing Tool to produce valid figures.

All entries contain the following:

● Grantplan or NIHR Coding - Codes from the Industry Grantplan software or NIHR coding

(for reference) where Grantplan coding is absent.

● Activity Description - Brief Description of activity taking place

● Specialty - Defined service support specialty that covers the activity (this may vary

from one NHS organisation to another.

● Notes - Whether the activity is a single investigation, an intervention with associated

investigation or a unit cost activity at setup or during the project.

● 2020/21 Costs - The defined unitary cost for the activity including an indirect element

Please note that these are NHS costs only and do not represent costs provided by commercial

or academic units. A degree of consideration will be required in order to cost any of these

items in conjunction with external NHS SLAs contract to either of these entities.

Acknowledgements:

All costs in this document have been collated with the assistance of the following institutions

and have been overseen and ratified by the Commercial Costing Reference Group, hosted by

the NIHR CC.

● The Royal College of Pathologists

● Leeds Teaching Hospitals NHS Trust

● Royal College of Surgeons

● Bradford Opthalmology Research Network

● University College London Hospitals NHS Foundation Trust

● Barts Health NHS Trust

● Queen Mary University of London

● Norfolk and Norwich NHS Foundation Trust

● NHS Health Education East of England

● National Pharmacy Clinical Trials Advisory Group

● The Shelford Group

● ECMC

● Sheffield Teaching Hospitals NHS Foundation Trust

● University Hospitals Bristol NHS Foundation Trust

Usage Disclaimer

All costs included herein are subject to change and amendment.

Recommendations for additions and amendments should be sent to [email protected]

Section 2 - General tariffs

With New

NIHR codes

Activity Description Department 2020/21

NP009 Daily Facility Charge - Per Day

(ADULT)

GENERAL £ 207

NIHR_INV_001 Daily Facility Charge - Per Day

(PAEDIATRIC)

GENERAL £ 597

NP010 Overnight Facility Charge, Simple

(e.g. regular ward room) - Per

Night (ADULT)

GENERAL £ 412

NIHR_INV_002 Overnight Facility Charge, Simple

(e.g. regular ward room) - Per

Night (PAEDIATRIC)

GENERAL £ 838

NP013 Copies of Diagnostic Films,

Simple (e.g. x-rays) - Per Copy

GENERAL £ 54

NP014 Copies of Diagnostic Films,

Complex (e.g. high technology,

video recordings, compact discs,

CDs) - Per Copy

GENERAL £ 54

NIHR_INV_003 Overnight Facility Charge, High

(e.g. high dependancy unit, CCU,

psychiatric medium secure unit) -

Per Night

GENERAL £ 1,724

NP016 Overnight Facility Charge,

Complex (e.g. intensive care unit,

telemetry unit, psychiatric

hospital) - Per Night

GENERAL £ 2,979

OC057 Electronic Lab Data Transfer -

Per Transfer

GENERAL £ 27

OC059 Lab Set-Up Costs, Laboratory

Set-Up Costs - Per Lab

GENERAL £ 266

Section 3 - Audiology tariffs

With New NIHR codes


92552 Pure tone audiometry (threshold); air only

AUDIOLOGY £ 63

92553 Pure tone audiometry (threshold); air and bone

AUDIOLOGY £ 63

92555 Speech audiometry threshold AUDIOLOGY £ 82

92556 Speech audiometry threshold; with speech recognition

AUDIOLOGY £ 82

92557 Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)

AUDIOLOGY £ 117

92567 Tympanometry (impedance testing), tympanogram

AUDIOLOGY £ 42

92579 Visual Reinforcement Audiometry (VRA)

AUDIOLOGY £ 59

92582 Conditioning Play Audiometry (CPA) AUDIOLOGY £ 59

92625 Assessment of tinnitus (includes pitch, loudness matching, and making)

AUDIOLOGY £ 56

Section 4 - Cardiovascular tariffs

With New NIHR codes


71275 CT angiography, chest, without contrast , followed by contrast material and further sections, including image post-processing; MDCT; Multidetector CT: For report use code R1275; (CT Scan)

CARDIOVASCULAR £ 338

72159 Magnetic resonance angiography, spinal canal, spine and contents (MRA), with or without contrast: Reporting code R2159.


75705 Angiography, angiogram, spinal, selective, spine: Reporting code R5705. If applicable please include code 93539

CARDIOVASCULAR £ 1,957

75710 Angiography, angiogram, extremity, unilateral: Reporting code R5710. If applicable please include code 93539


75716 Angiography, angiogram, extremity, bilateral: Reporting code R5716. If applicable please include code 93539


75726 Angiography, visceral, selective or supraselective, (with or without flush aortogram), radiological supervision and interpretation; For Interpretation and Report used code R5726


75736 Angiography, angiogram, pelvic, pelvis, selective or supraselective: Reporting code R5736.


75741 Angiography, angiogram, pulmonary, unilateral, selective: Reporting code R5741.


75743 Angiography, angiogram, pulmonary, bilateral, selective: Reporting code R5743.


76825 Fetal Echocardiography, cardiovascular system; real time with image documentation (2D), with or without M-mode recording: Reporting code R6825.


78445 Non-cardiac vascular flow imaging (ie, angiography,


angiogram, venography): Reporting code R8445.

78453 Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique): Reporting code R8453.


78454 Myocardial perfusion imaging, multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection: Reporting code R8454.


78472 Cardiac blood pool imaging, radionuclide ventriculography, left ventricular ejection fraction (LVEF) (RNV) (MUGA), single study at rest or stress: Reporting code R8472.


78473 Cardiac blood pool imaging, radionuclide ventriculography, left ventricular ejection fraction (LVEF) (RNV) (MUGA), multiple studies at rest and stress: Reporting code R8473.


92230 Fluorescein angioscopy, angiogram; unilateral: Includes interpretation and report


93000 Electrocardiogram, routine ECG (EKG) with at least 12 leads, 12 lead ECG, 12-lead ECG: Includes tracing, interpretation and report


93005 Electrocardiogram, routine ECG (EKG) with at least 12 leads, 12 lead ECG, 12-lead ECG: Tracing only


93010 Electrocardiogram, routine ECG (EKG) with at least 12 leads, 12 lead ECG, 12-lead ECG: Interpretation and report only


93015 Cardiovascular stress test using treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress (ETT); with physician supervision, interpretation and report


93016 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress


93040 Rhythm electrocardiogram, one to three leads (ECG) (EKG); with tracing, interpretation and report


93224 External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, physician review and interpretation


93225 Electrocardiographic monitoring for up to 48 hours by continuous original ECG waveform recording and storage, holter monitoring; recording which includes hook-up, recording, and disconnection


93226 Electrocardiographic monitoring for up to 48 hours by continuous original ECG waveform recording and storage, holter monitoring; scanning analysis with report, up to 48 hours


93227 Electrocardiographic monitoring for up to 48 hours by continuous original ECG waveform recording and storage, holter monitoring; physician review and interpretation only, up to 48 hours


93278 Signal-averaged electrocardiography (SAECG), with or without ECG


93306 Echocardiography, transthoracic, real-time with image documentation (2D) , includes M-mode recording with spectral or color flow Doppler echocardiography: Reporting code R3306


93307 Echocardiography, transthoracic, real-time with image documentation (2D) with or without M-mode recording; complete: Reporting code R3307.


93308 Echocardiography, transthoracic, real-time with image documentation (2D) with or without M-mode recording; follow-up or limited study: Reporting code R3308.


93312 Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement under


sedation, image acquisition, interpretation and report

93320 Doppler echocardiography, pulsed wave and/or continuous wave with spectral display; complete


93321 Doppler echocardiography, pulsed wave and/or continuous wave with spectral display; follow-up or limited study


93325 Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)


93350 Echocardiography, transthoracic, real-time with image documentation (2D, +/- M-mode recording), during rest and cardiovascular stress test , for interpretation and report please use code R3350.


93464 Physiological exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after moderate sedation: Reporting code R3464


93660 Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring with or without pharmacological intervention


93662 Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation ; Reporting code R3662.


94620 Pulmonary stress testing; simple (eg, prolonged exercise test for bronchospasm with pre- and post-spirometry): Reporting code R4620.


94621 Pulmonary stress testing; complex including measurements of CO2 production, O2 uptake and electrocardiographic recordings: Reporting code R4621.


T1206 Electrocardiogram, 12 Lead ECG - Triplicate; Includes tracing, interpretation and report


T1207 Electrocardiogram, 12 Lead ECG - Triplicate; tracing only; Reporting code RT207


T5744 Angiography, angiogram, complete coronary: Reporting code RT744. (Formerly QuintilesIMS code 75744)


NIHR_INV_004 Insertion of Sheath Radial CARDIOVASCULAR £ 930

NIHR_INV_005 Insertion of Sheath (Femoral) - Short


NIHR_INV_006 Insertion of Sheath (Femoral) - Long


NIHR_INV_007 Insertion of PCI wire CARDIOVASCULAR £ 968

NIHR_INV_008 Insertion of OCT Catheter CARDIOVASCULAR £ 1,764

NIHR_INV_009 IVUS CARDIOVASCULAR £ 185

NIHR_INV_010 24 Hour Ambulatory ECG Monitor CARDIOVASCULAR £ 122

NIHR_INV_011 48 Hour Ambulatory ECG Monitor CARDIOVASCULAR £ 100

NIHR_INV_012 Tape Analysis CARDIOVASCULAR £ 235

NIHR_INV_013 24 Hour Blood Pressure Monitor CARDIOVASCULAR £ 59

NIHR_INV_014 Echocardiogram with Doppler CARDIOVASCULAR £ 486

NIHR_INV_015 Metabolic Exercise Test CARDIOVASCULAR £ 445

NIHR_INV_016 Reveal Interrogation CARDIOVASCULAR £ 235

NIHR_INV_018 Pacemaker Check CARDIOVASCULAR £ 128

NIHR_INV_019 ICD Check CARDIOVASCULAR £ 128

NIHR_INV_020 Arjalamine Test CARDIOVASCULAR £ 379

NIHR_INV_022 Stress Echo CARDIOVASCULAR £ 385

NIHR_INV_023 Contrast Echo CARDIOVASCULAR £ 857

NIHR_INV_024 Biventricular Pacemaker Assessments and Optimisations via Echocardiogram


Section 5 - Dental tariffs

With New NIHR codes


NIHR_INV_084 CT Cone Beam Facial Bones DENTAL RADIOLOGY

£ 163

NIHR_INV_085 CT Cone Beam Mandible DENTAL RADIOLOGY

£ 163

NIHR_INV_086 Cone Beam CT Dental DENTAL RADIOLOGY

£ 364

NIHR_INV_087 XR Dental bitewing DENTAL RADIOLOGY

£ 44

NIHR_INV_088 XR Dental mandibular occlusal DENTAL RADIOLOGY

£ 37

NIHR_INV_089 XR Dental oblique lateral Both DENTAL RADIOLOGY

£ 44

NIHR_INV_090 XR Dental oblique lateral Lt DENTAL RADIOLOGY

£ 41

NIHR_INV_091 XR Dental oblique lateral Rt DENTAL RADIOLOGY

£ 41

NIHR_INV_092 XR Dental periapical 5 DENTAL RADIOLOGY

£ 41

NIHR_INV_093 XR Dental periapical 10 DENTAL RADIOLOGY

£ 41

NIHR_INV_094 XR Dental maxillary occlusal DENTAL RADIOLOGY

£ 37

NIHR_INV_095 XR Orthopantomogram full DENTAL RADIOLOGY

£ 41

Section 6 - Genetics tariffs

With New NIHR codes


81161 DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis and duplication analysis, if performed

GENETICS £ 374

81200 ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X)

GENETICS £ 374

81201 APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; full gene sequence

GENETICS £ 374

81202 APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; known familial variants

GENETICS £ 374

81203 APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; duplication/deletion variants

GENETICS £ 374

81205 BCKDHB (branched-chain keto acid dehydrogenase E1,beta polypeptide) (eg, Maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X)

GENETICS £ 374

81206 BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative

GENETICS £ 374

81207 BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative

GENETICS £ 374

81208 BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; other breakpoint, qualitative or quantitative

GENETICS £ 374

81209 BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant

GENETICS £ 374

81210 BRAF (v-raf murine sarcoma viral oncogene homolog B1) (eg, colon cancer), gene analysis, V600E variant

GENETICS £ 374

81211 BRCA1, BRCA2 gene analysis; full sequence analysis and common

GENETICS £ 374

duplication/deletion variants in BRCA1

81212 BRCA1, BRCA2 (breast cancer 1 and 2) (eg, hereditary breast and ovarian cancer) gene analysis;185delAG, 5385insC, 6174delT variants

GENETICS £ 374

81213 BRCA1, BRCA2 (breast cancer 1 and 2) (eg, hereditary breast and ovarian cancer) gene analysis; uncommon duplication/deletion variants

GENETICS £ 374

81214 BRCA1 gene analysis; full sequence analysis and common duplication/deletion variants

GENETICS £ 374

81215 BRCA1 (breast cancer 1) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant

GENETICS £ 374

81216 BRCA2 (breast cancer 2) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis

GENETICS £ 374

81217 BRCA2 (breast cancer 2) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant

GENETICS £ 374

81220 CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)

GENETICS £ 374

81221 CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants

GENETICS £ 374

81222 CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants

GENETICS £ 374

81224 CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility)

GENETICS £ 374

81225 CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)

GENETICS £ 374

81226 CYP2D6 (cytochrome P450, family 2, subfamily D, polypeptide 6) (eg, drug metabolism), gene analysis,

GENETICS £ 374

common variants (eg, *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN)

81227 CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6)

GENETICS £ 374

81228 Cytogenomic constitutional microarray analysis; interrogation of genomic regions for copy number variants

GENETICS £ 374

81229 Cytogenomic constitutional (genome-wide) microarray analysis; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants for chromosomal abnormalities

GENETICS £ 374

81235 EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G749A, G719S, L861Q) (formerly code T0910)

GENETICS £ 374

81241 F5 (coagulation Factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant

GENETICS £ 374

81242 FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4 4A>T)

GENETICS £ 374

81243 FMR1 (Fragile X mental retardation 1) (eg, fragile X mental retardation) gene analysis; evaluation to detect abnormal (eg, expanded) alleles

GENETICS £ 374

81244 FMR1 (Fragile X mental retardation 1) (eg, fragile X mental retardation) gene analysis; characterization of alleles (eg, expanded size and methylation status)

GENETICS £ 374

81251 GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2 1G>A)

GENETICS £ 374

81255 HEXA (hexosaminidase A [alpha polypeptide]) (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421 1G>C, G269S)

GENETICS £ 374

81256 HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)

GENETICS £ 374

81257 HBA1/HBA2 gene analysis, for common deletions or variant

GENETICS £ 374

81261 IGH@ gene rearrangement analysis to detect abnormal clonal populations; amplified methodology

GENETICS £ 374

81262 IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg, Southern blot)

GENETICS £ 374

81263 IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis

GENETICS £ 374

81264 IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)

GENETICS £ 374

81265 Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen

GENETICS £ 374

81266 Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen

GENETICS £ 374

81267 Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection

GENETICS £ 374

81268 Chimerism analysis, post transplantation specimen, includes comparison to previously performed baseline analyses; with cell selection each cell type

GENETICS £ 374

81275 KRAS (v-Ki-ras2 Kirsten rat sarcoma viral oncogene) (eg, carcinoma) gene analysis, variants in codons 12 and 13

GENETICS £ 374

81276 KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)

GENETICS £ 374

81290 MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb)

GENETICS £ 374

81291 MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary

GENETICS £ 374

hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)

81292 MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis

GENETICS £ 374

81293 MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants

GENETICS £ 374

81294 MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants

GENETICS £ 374

81295 MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis

GENETICS £ 374

81296 MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants

GENETICS £ 374

81297 MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants

GENETICS £ 374

81298 MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary nonpolyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis

GENETICS £ 374

81299 MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary nonpolyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants

GENETICS £ 374

81300 MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary nonpolyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants

GENETICS £ 374

81301 Microsatellite instability analysis of markers for mismatch repair deficiency, includes comparison of neoplastic and normal tissue, if performed

GENETICS £ 374

81302 MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis

GENETICS £ 374

81303 MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant

GENETICS £ 374

81304 MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants

GENETICS £ 374

81310 NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants

GENETICS £ 374

81311 NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)

GENETICS £ 374

81313 PCA3/KLK3 (prostate cancer antigen 3 [non-protein coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (eg, prostate cancer)

GENETICS £ 374

81315 PML/RARalpha, (t(15;17)), (promyelocytic leukemia/ retinoic acid receptor alpha) translocation analysis; common breakpoints, qualitative or quantitative

GENETICS £ 374

81316 PML/RARalpha, (t(15;17)), (promyelocytic leukemia/ retinoic acid receptor alpha) translocation analysis; single breakpoint, qualitative or quantitative

GENETICS £ 374

81317 PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis

GENETICS £ 374

81318 PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants

GENETICS £ 374

81319 PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants

GENETICS £ 374

81321 PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis

GENETICS £ 374

81322 PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant

GENETICS £ 374

81323 PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant

GENETICS £ 374

81324 PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis

GENETICS £ 374

81325 PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis

GENETICS £ 374

81326 PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant

GENETICS £ 374

81327 Molecular PathologyRevisions have been made to Molecular Pathology Guidelines including the deletion of three Tier 1 Molecular Pathology CPT codes (81280-81282) and the addition of a new Tier 1 CPT c

GENETICS £ 374

81330 SMPD1(sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330)

GENETICS £ 374

81331 SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis

GENETICS £ 374

81332 SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z)

GENETICS £ 374

81340 TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction)

GENETICS £ 374

81341 TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg, Southern blot)

GENETICS £ 374

81342 TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)

GENETICS £ 374

81350 UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, irinotecan metabolism), gene analysis, common variants (eg, *28, *36, *37)

GENETICS £ 374

81355 VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variants (eg, -1639/3673)

GENETICS £ 374

81370 HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1

GENETICS £ 374

81371 HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1/3/4/5 (eg, verification typing)

GENETICS £ 374

81372 HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C)

GENETICS £ 374

81373 HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each

GENETICS £ 374

81374 HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each

GENETICS £ 374

81375 HLA Class II typing, low resolution (eg, antigen equivalents); HLADRB1/3/4/5 and -DQB1

GENETICS £ 374

81376 HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1 /3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each

GENETICS £ 374

81377 HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each

GENETICS £ 374

81378 HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLAA, -B, -C, and -DRB1

GENETICS £ 374

81379 HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C)

GENETICS £ 374

81380 HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each

GENETICS £ 374

81381 HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each

GENETICS £ 374

81382 HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3, -DRB4, -DRB5, -DQB1, -DQA1, -DPB1, or -DPA1), each

GENETICS £ 374

81383 HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each

GENETICS £ 374

81400 Molecular pathology procedure, Level 1 (eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)

GENETICS £ 374

81400-01 ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD), K304E variant New molecular pathology code benchmarks pending increased market usage.

GENETICS £ 374

81400-02 ACE (angiotensin converting enzyme), insertion/deletion variant. New molecular pathology code benchmarks pending increased market usage.

GENETICS £ 374

81400-03 AGTR1 (angiotensin II receptor, type 1) (eg, essential hypertension),1166A>C variant. New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81400-04 BCKDHA (branched chain keto acid dehydrogenase E1, alpha polypeptide), Y438N variant. New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81400-05 CCR5 (chemokine C-C motif receptor 5), 32-bpdeletion mutation/794 825del32 deletion. New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81400-06 CLRN1 (clarin 1) (eg, Usher syndrome, type 3), N48K variant. New molecular pathology code

GENETICS £ 374

benchmarks pending increased market usage. .

81400-07 DPYD (dihydropyrimidine dehydrogenase), IVS14+1G>A variant. New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81400-08 F2 (coagulation factor 2) (eg, hereditary hypercoagulability), 1199G>Avariant. New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81400-09 F5 (coagulation factor V) (eg, hereditary hypercoagulability), HR2 variant. New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81400-10 F13B (coagulation factor XIII, B polypeptide), V34L variant . New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81400-13 FGFR1 (fibroblast growth factor receptor 1), P252R variant. New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81400-14 FGFR3 (fibroblast growth factor receptor 3) (eg, Muenke syndrome),P250R variant. New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81400-15 FKTN (Fukutin) retrotransposon insertion variant. New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81400-25 IL28B (interleukin 28B [interferon, lambda 3]) (eg, drug response), rs12979860 variant. New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81400-26 IVD (isovaleryl-CoA dehydrogenase) (eg, isovaleric acidemia), A282Vvariant

GENETICS £ 374

81400-28 NEB (nebulin) (eg, nemaline myopathy 2), exon 55 deletion variant

GENETICS £ 374

81400-29 PCDH15 (protocadherin-related 15) (eg, Usher syndrome type 1F), R245X variant. New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81400-30 SERPINE1 (serpine peptidase inhibitor clade E, member 1, plasminogen activator inhibitor -1, PAI-1), 4G variant. New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81400-31 SHOC2 (soc-2 suppressor of clear homolog) (eg, Noonan-like syndromewith loose anagen hair), S2G variant

GENETICS £ 374

81400-32 SLCO1B1 (solute carrier organic anion transporter family, member 1B1), V174A variant. New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81400-33 SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscularatrophy), exon 7 deletion

GENETICS £ 374

81400-34 SRY (sex determining region Y) (eg, 46,XX testicular disorder of sexdevelopment, gonadal dysgenesis), gene analysis

GENETICS £ 374

81400-35 TOR1A (torsin family 1, member A [torsin A])(eg, early-onset primarydystonia [DYT1]), 907_909delGAG (904_906delGAG) variant. New molecular pathology code benchmarks pending increased market usage. .

GENETICS £ 374

81401-01 ABCC8 (ATP-binding cassette, sub-family C CFTR/MRP], member 8) common variants

GENETICS £ 374

81401-03 ACADM (acyl-CoA dehydrogenase, C-4 to C-12 straight chain, MCAD) (eg, medium chain acyl dehydrogenase deficiency), commons variants (eg, K304E, Y42H).

GENETICS £ 374

81401-05 AFF2 (AF4/FMR2 family, member 2 [FMR2]) (eg, fragile X mental retardation 2 [FRAXE]), evaluation to detect abnormal (eg, expanded) alleles

GENETICS £ 374

81401-07 APOE (apolipoprotein E) (eg, hyperlipoproteinemia type III, cardiovascular disease, Alzheimer disease), common variants (eg, *2, *3, *4)

GENETICS £ 374

81401-08 AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation), characterization of alleles (eg, expanded size or methylation status)

GENETICS £ 374

81401-09 ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy),evaluation to detect abnormal (eg, expanded) alleles.

GENETICS £ 374

81401-10 ATXN1 (ataxin 1) (eg, spinocerebellar ataxia), evaluation to detectabnormal (eg, expanded) alleles .

GENETICS £ 374


GENETICS £ 374

81401-12 ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease), evaluation to detect abnormal (eg, expanded) alleles .

GENETICS £ 374


GENETICS £ 374

81401-14 ATXN8OS (ATXN8 opposite strand [non-protein coding]) (eg, spinocerebellar ataxia), evaluation to detect abnormal (eg,expanded) alleles.

GENETICS £ 374


GENETICS £ 374

81401-16 CACNA1A (calcium channel, voltage-dependent, P/Q type, alpha1A subunit) (eg, spinocerebellar ataxia), evaluation to detectabnormal (eg, expanded) alleles .

GENETICS £ 374

81401-17 CBFB/MYH11 (inv(16)) (eg, acute myeloid leukemia), qualitative,and quantitative, if performed.

GENETICS £ 374

81401-18 CBS (cystathionine-beta-synthase) (eg, homocystinuria, cystathioninebeta-synthase deficiency), common variants (eg, I278T, G307S).

GENETICS £ 374

81401-19 CCND1/IGH (BCL1/IgH, t(11;14)) (eg, mantle cell lymphoma)translocation analysis, major breakpoint, qualitative, and quantitative, if performed.

GENETICS £ 374

81401-20 CFH/ARMS2 (complement factor H/age-related maculopathysusceptibility 2) (eg, macular degeneration), common

GENETICS £ 374

variants(eg, Y402H [CFH], A69S [ARMS2]).

81401-21 CNBP (CCHC-type zinc finger, nucleic acid binding protein)(eg, myotonic dystrophy type 2), evaluation to detectabnormal (eg, expanded) alleles .

GENETICS £ 374

81401-22 CSTB (cystatin B [stefin B]) (eg, Unverricht-Lundborg disease),evaluation to detect abnormal (eg, expanded) alleles .

GENETICS £ 374

81401-23 CYP3A4 (cytochrome P450, family 3, subfamily A, polypeptide 4) (eg, drug metabolism), common variants (eg, *2, *3, *4, *5, *6)

GENETICS £ 374

81401-24 CYP3A5 (cytochrome P450, family 3, subfamily A, polypeptide 5) (eg,drug metabolism), common variants (eg, *2, *3, *4, *5, *6).

GENETICS £ 374

81401-26 E2A/PBX1 (t(1;19)) (eg, acute lymphocytic leukemia), translocationanalysis, qualitative, and quantitative, if performed.

GENETICS £ 374

81401-27 EML4/ALK (inv(2)) (eg, non-small cell lung cancer), translocation or inversion analysis.

GENETICS £ 374

81401-28 ETV6/NTRK3 (t(12;15)) (eg, congenital/infantile fibrosarcoma), translocation analysis, qualitative, and quantitative, if performed.

GENETICS £ 374

81401-29 ETV6/RUNX1 (t(12;21)) (eg, acute lymphocytic leukemia), translocation analysis, qualitative, and quantitative, if performed.

GENETICS £ 374

81401-30 EWSR1/ATF1 (t(12;22)) (eg, clear cell sarcoma), translocation analysis, qualitative, and quantitative, if performed.

GENETICS £ 374

81401-31 EWSR1/ERG (t(21;22)) (eg, Ewing sarcoma/peripheral neuroectodermaltumor), translocation analysis, qualitative, and quantitative, if performed.

GENETICS £ 374

81401-32 EWSR1/FLI1 (t(11;22)) (eg, Ewing sarcoma/peripheral neuroectodermaltumor), translocation analysis, qualitative, and quantitative, if performed.

GENETICS £ 374

81401-33 EWSR1/WT1 (t(11;22)) (eg, Ewing sarcoma/peripheral neuroectodermal tumor desmoplastic small round cell tumor), translocation analysis, qualitative, and quantitative, if performed.

GENETICS £ 374

81401-34 F11 (coagulation factor XI) (eg, coagulation disorder), common variants(eg, E117X [Type II], F283L [Type III], IVS14del14, and IVS14+1G>A[Type I]).

GENETICS £ 374

81401-35 FGFR3 (fibroblast growth factor receptor 3) (eg, achondroplasia, hypochondroplasia), common variants (eg, 1138G>A, 1138G>C,1620C>A, 1620C>G).

GENETICS £ 374

81401-36 FIP1L1/PDGFRA (del[4q12]) (eg, imatinib-sensitive chronic eosinophilicleukemia), qualitative, and quantitative, if performed.

GENETICS £ 374

81401-37 FLG (filaggrin) (eg, icthyosis vulgaris), common variants (eg, R501X, 2282del4, R2447X, S3247X, 3702delG).

GENETICS £ 374

81401-38 FOXO1/PAX3 t(12;13)) (eg, alveolar rhabdomyosarcoma), translocation analysis, qualitative, and quantitative, if performed

GENETICS £ 374

81401-39 FOXO1/PAX7 (t(21;13)) (eg, alveolar rhabdomyosarcoma), translocation analysis, qualitative, and quantitative, if performed

GENETICS £ 374

81401-40 FXN (frataxin) (eg, Friedreich ataxia), evaluation to detect abnormal(expanded) alleles.

GENETICS £ 374

81401-41 FUS/DDIT3 (t(12;16)) (eg, myxoid liposarcoma), translocation analysis, qualitative, and quantitative, if performed.

GENETICS £ 374

81401-42 GALC (galactosylceramidase) (eg, Krabbe disease), common variants (eg,c.857G>A, 30-kb deletion)

GENETICS £ 374

81401-43 GALT (galactose-1-phosphate uridylyltransferase) (eg, galactosemia), common variants (eg, Q188R, S135L, K285N, T138M, L195P, Y209C, IVS2-2A>G, P171S, del5kb, N314D, L218L/N314D)

GENETICS £ 374

81401-44 GNAQ (guanine nucleotide-binding protein G[q] subunit alpha)(eg, uveal melanoma), common variants (eg, R183, Q209) .

GENETICS £ 374

81401-45 GALT (galactose-1-phosphate uridylyltransferase) (eg, galactosemia),common variants (eg, Q188R, S135L, K285N, T138M, L195P, Y209C, IVS2-2A>G, P171S, del5kb, N314D, L218L/N314D).

GENETICS £ 374

81401-46 GNAQ (guanine nucleotide-binding protein G[q] subunit alpha)(eg, uveal

GENETICS £ 374

melanoma), common variants (eg, R183, Q209).

81401-47 H19 (imprinted maternally expressed transcript [non-protein coding])(eg, Beckwith-Wiedemann syndrome), methylation analysis.

GENETICS £ 374

81401-48 HBB (hemoglobin, beta) (eg, sickle cell anemia, hemoglobin C,hemoglobin E), common variants (eg, HbS, HbC, HbE)

GENETICS £ 374

81401-49 HTT (huntingtin) (eg, Huntington disease), evaluation to detect abnormal(eg, expanded) alleles

GENETICS £ 374

81401-50 KCNQ1OT1 (KCNQ1 overlapping transcript 1 [non-protein coding]) (eg, Beckwith-Wiedemann syndrome), methylation analysis.

GENETICS £ 374

81401-52 ont. MED12 (mediator complex subunit 12) (eg, FG syndrome type 1, Lujansyndrome), common variants (eg, R961W, N1007S).

GENETICS £ 374

81401-53 MEG3/DLK1 (maternally expressed 3 [non-protein coding]/delta-like 1homolog [Drosophila]) (eg,intrauterine growth retardation), methylation analysis.

GENETICS £ 374

81401-54 MLL/AFF1 (t(4;11)) (eg, acute lymphoblastic leukemia), translocationanalysis, qualitative, and quantitative, if performed.

GENETICS £ 374

81401-55 MLL/MLLT3 (t(9;11)) (eg, acute myeloid leukemia), translocationanalysis, qualitative, and quantitative, if performed.

GENETICS £ 374

81401-56 MT-RNR1 (mitochondrially encoded 12S RNA) (eg, nonsyndromichearing loss), common variants (eg, m.1555A>G, m.1494C>T).

GENETICS £ 374

81401-57 MUTYH (mutY homolog [E. coli]) (eg, MYH-associated polyposis),common variants (eg, Y165C, G382D).

GENETICS £ 374

81401-58 MT-ATP6 (mitochondrially encoded ATP synthase 6) (eg, neuropathy with ataxia and retinitis pigmentosa [NARP], Leigh syndrome), commonvariants (eg, m.8993T>G, m.8993T>C).

GENETICS £ 374

81401-59 MT-ND4, MT-ND6 (mitochondrially encoded NADH dehydrogenase4, mitochondrially encoded NADH dehydrogenase 6) common variants

GENETICS £ 374

81401-60 MT-TK (mitochondrially encoded tRNA lysine) (eg, myoclonic

GENETICS £ 374

epilepsywith ragged-red fibers [MERRF]), common variants (eg, m.8344A>G,m.8356T>C).

81401-61 MT-TL1 (mitochondrially encoded tRNA leucine 1 [UUA/G]) (eg, diabetesand hearing loss), common variants (eg, m.3243A>G, m.14709 T>C).

GENETICS £ 374

81401-62 MT-ND5 (mitochondrially encoded tRNA leucine 1 [UUA/G],mitochondrially encoded NADH dehydrogenase 5) mitochondrial encephalopathy with lactic acidosis and stroke-like episodes [MELAS]),common variants

GENETICS £ 374

81401-63 MT-TS1, MT-RNR1 (mitochondrially encoded tRNA serine 1 [UCN],mitochondrially encoded 12S RNA) ,common variants

GENETICS £ 374

81401-64 NOD2 (nucleotide-binding oligomerization domaincontaining 2) (eg, Crohn’s disease, Blau syndrome),common variants (eg, SNP 8, SNP 12, SNP 13).

GENETICS £ 374

81401-65 NPM1/ALK (t(2;5)) (eg, anaplastic large cell lymphoma),translocation analysis.

GENETICS £ 374

81401-66 PABPN1 (poly[A] binding protein, nuclear 1) (eg, oculopharyngealmuscular dystrophy), evaluation to detect abnormal (eg, expanded) alleles.

GENETICS £ 374

81401-68 PPP2R2B (protein phosphatase 2, regulatory subunit B, beta) (eg,spinocerebellar ataxia), evaluation to detect abnormal(eg, expanded) alleles .

GENETICS £ 374

81401-69 PRSS1 (protease, serine, 1 [trypsin 1]) (eg, hereditary pancreatitis),common variants (eg, N29I, A16V,R122H)

GENETICS £ 374

81401-70 PYGM (phosphorylase, glycogen, muscle) (eg, glycogen storage diseasetype V, McArdle disease), common variants (eg, R50X, G205S).

GENETICS £ 374

81401-71 RUNX1/RUNX1T1 (t(8;21)) (eg, acute myeloid leukemia) translocationanalysis, qualitative, and quantitative, if performed.

GENETICS £ 374

81401-72 SEPT9 (Septin 9) (eg, colon cancer), methylation analysis.

GENETICS £ 374

81401-73 SMN1/SMN2 (survival of motor neuron 1, telomeric/survival of motorneuron 2, centromeric) (eg,spinal muscular atrophy), dosage analysis (eg,carrier testing).

GENETICS £ 374

81401-74 SS18/SSX1 (t(X;18)) (eg, synovial sarcoma), translocation analysis, qualitative, and quantitative, if performed.

GENETICS £ 374

81401-75 SS18/SSX2 (t(X;18)) (eg, synovial sarcoma), translocation analysis, qualitative, and quantitative, if performed.

GENETICS £ 374

81401-76 TBP (TATA box binding protein) (eg, spinocerebellar ataxia), evaluation todetect abnormal (eg, expanded) alleles .

GENETICS £ 374

81401-77 TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), common variants (eg, *2, *3)

GENETICS £ 374

81401-78 TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drugmetabolism), tandem repeat variant.

GENETICS £ 374

81401-79 VWF (von Willebrand factor) (eg, von Willebrand disease type 2N), common variants (eg, T791M, R816W, R854Q)

GENETICS £ 374

81402 Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants immunoglobulin and T-cell receptor gene rearrangements)

GENETICS £ 374

81402-01 Chromosome 18q- (eg, D18S55, D18S58, D18S61, D18S64, and D18S69)(eg, colon cancer), allelic imbalance assessment (ie, loss of heterozygosity). Please reference general code 81402.

GENETICS £ 374

81402-02 COL1A1/PDGFB (t(17;22)) (eg, dermatofibrosarcoma protuberans), translocation analysis, multiple breakpoints, qualitative, and quantitative, if performed. Please reference general code 81402.

GENETICS £ 374

81402-03 CYP21A2 (cytochrome P450, family 21, subfamily A, polypeptide 2), common variants

GENETICS £ 374

81402-05 IGH@/BCL2 (t(14;18)) translocation analysis; major breakpoint region (MBR) and minor cluster region (mcr)breakpoints, qualitative or quantitative. Please reference general code 81402.

GENETICS £ 374

81402-06 KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), common variants (eg, D816V, D816Y, D816F)

GENETICS £ 374

81402-07 MEFV (Mediterranean fever) (eg, familial Mediterranean fever),common variants (eg, E148Q, P369S,F479L, M680I, I692del, M694V, M694I, K695R, V726A, A744S, R761H). Please reference general code 81402.

GENETICS £ 374

81402-08 MPL (myeloproliferative leukemia virus oncogene, thrombopoietin receptor, TPOR) (eg,myeloproliferative disorder), common variants (eg,W515A, W515K, W515L, W515R). Please reference general code 81402.

GENETICS £ 374

81402-09 TRD@ (T cell antigen receptor, delta) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population. Please reference general code 81402.

GENETICS £ 374

81402-10 Uniparental disomy (UPD) (eg, Russell-Silver syndrome, PraderWilli/Angelman syndrome), short tandem repeat (STR) analysis

GENETICS £ 374

81403-03 ARX (aristaless related homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked mental retardation), duplication/deletionanalysis

GENETICS £ 374

81403-05 CEL (carboxyl ester lipase [bile salt-stimulated lipase]), targeted sequence analysis ofexon 11

GENETICS £ 374

81403-06 CTNNB1 (catenin [cadherin-associated protein], beta 1, 88kDa) (eg, desmoid tumors), targeted sequence analysis (eg, exon 3). Please reference general code 81403.

GENETICS £ 374

81403-07 DAZ/SRY (deleted in azoospermia and sex determining region Y)(eg, male infertility), common deletions(eg, AZFa, AZFb, AZFc, AZFd). Please reference general code 81403.

GENETICS £ 374

81403-09 EPCAM (epithelial cell adhesion molecule) (eg, Lynch syndrome), duplication/deletion analysis

GENETICS £ 374

81403-10 F8 (coagulation factor VIII) (eg, hemophilia A), inversion analysis, intron 1and intron 22A

GENETICS £ 374

81403-11 F12 (coagulation factor XII [Hageman factor]) (eg, angioedema, hereditary, type III; factorXII deficiency), targeted sequence analysis of exon 9. Please reference general code 81403.

GENETICS £ 374

81403-12 FGFR3 (fibroblast growth factor receptor 3) (eg, isolated craniosynostosis), targeted sequence analysis (eg, exon 7)

GENETICS £ 374

81403-14 HBB (hemoglobin, beta, beta-globin) (eg, beta thalassemia),duplication/deletion analysis

GENETICS £ 374

81403-15 HRAS (v-Ha-ras Harvey ratsarcoma viral oncogene homolog) (eg,Costello syndrome), exon 2 Sequence. Please reference general code 81403.

GENETICS £ 374

81403-16 IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma),common exon 4 variants (eg, R132H,R132C)

GENETICS £ 374

81403-17 IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma),common exon 4 variants (eg,R140W, R172M). Please reference general code 81403.

GENETICS £ 374

81403-19 KCNC3 (potassium voltage-gated channel, Shaw-related subfamily,member 3) (eg, spinocerebellar ataxia), targeted sequence analysis(eg, exon 2) . Please reference general code 81403.

GENETICS £ 374

81403-22 Killer cell immunoglobulin-like receptor (KIR) genefamily (eg, hematopoietic stem cell transplantation), genotyping of KIR family genes. Please reference general code 81403.

GENETICS £ 374

81403-24 KRAS (v-Ki-ras2 Kirsten ratsarcoma viral oncogene) (eg, carcinoma),gene analysis, variant(s) in exon 3 (eg, codon 61)

GENETICS £ 374

81403-26 MICA (MHC class I polypeptide-related sequence A) (eg, solidorgan transplantation), common variants (eg, *001, *002). Please reference general code 81403.

GENETICS £ 374

81403-27 MPL (myeloproliferative leukemia virus oncogene, thrombopoietin receptor, TPOR)

GENETICS £ 374

(eg,myeloproliferative disorder), exon 10 sequence

81403-30 NDP (Norrie disease [pseudoglioma]) (eg, Norrie disease),duplication/deletion analysis. Please reference general code 81403.

GENETICS £ 374

81403-32 PHOX2B (paired-like homeobox 2b) (eg, congenital central hypoventilation syndrome), duplication/deletionanalysis. Please reference general code 81403.

GENETICS £ 374

81403-34 SH2D1A (SH2 domain containing 1A) (eg, X-linked lymphoproliferativesyndrome), duplication/deletion analysis. Please reference general code 81403.

GENETICS £ 374

81403-35 SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscularatrophy), known familialsequence variant(s). Please reference general code 81403.

GENETICS £ 374

81403-36 TWIST1 (twist homolog 1 [Drosophila]) (eg, Saethre-Chotzen syndrome), duplication/deletion analysis. Please reference general code 81403.

GENETICS £ 374

81403-37 UBA1 (ubiquitin-like modifier activating enzyme 1) (eg, spinal muscularatrophy, X-linked), targeted sequence analysis(eg, exon 15) . Please reference general code 81403.

GENETICS £ 374

81403-38 VHL (von Hippel-Lindau tumor suppressor) (eg, von Hippel-Lindau familial cancer syndrome), deletion/duplication analysis

GENETICS £ 374

81403-39 VWF (von Willebrand factor) (eg, von Willebrand disease types 2A, 2B,2M), targeted sequence analysis (eg, exon 28). Please reference general code 81403.

GENETICS £ 374

81404-01 ACADS (acyl-CoA dehydrogenase, C-2 to C-3 short chain) (eg, short chain acyl-CoA dehydrogenase deficiency), targeted sequence analysis (eg,exons 5 and 6). Please reference general code 81404.

GENETICS £ 374

81404-02 AFF2 (AF4/FMR2 family, member 2 [FMR2]) (eg, fragile X mental retardation 2 [FRAXE]), characterization of alleles (eg, expandedsize and methylation

GENETICS £ 374

status). Please reference general code 81404.

81406-28 COL6A2 (collagen, type VI, alpha 2) (eg, collagen type VI-related disorders), duplication/deletion analysis

GENETICS £ 374

81406-31 CREBBP (CREB binding protein) (eg, Rubinstein-Taybi syndrome),duplication/deletion analysis

GENETICS £ 374

81406-32 Cytogenomic microarray analysis, neoplasia (eg, interrogation of copynumber microarray analysis)

GENETICS £ 374

81406-45 F8 (coagulation factor VIII) (eg, hemophilia A), duplication/deletion analysis

GENETICS £ 374

81406-68 JAG1 (jagged 1) (eg, Alagille syndrome), duplication/deletion analysis

GENETICS £ 374

81406-95 OPA1 (optic atrophy 1) (eg, optic atrophy), duplication/deletion analysis

GENETICS £ 374

Section 7 - Immunology or Virology tariffs

With New NIHR codes


81401 Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [using nonsequencing target variant analysis], or detection of a dynamic mutation disorder)

IMMUNOLOGY or VIROLOGY

£ 46

83516 Immunoassay for analyte other than infectious agent antibody or infectious agent antigen, qualitative or semiquantitative; multiple step method


£ 27

83518 Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)


£ 27

83520 Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative use for all interleukin and cytokine analysis; thromin-Antithrombin Complex; Cystatin C


£ 27

86021 Antibody identification; leukocyte antibodies


£ 27

86022 Antibody identification; platelet antibodies


£ 27

86023 Antibody identification; platelet associated immunoglobulin assay


£ 27

86147 Cardiolipin (phospholipid) antibody, antiphospholipid, each Ig class


£ 27

86200 Cyclic citrullinated peptide (CCP), antibody


£ 27

86215 Deoxyribonuclease, antibody IMMUNOLOGY or VIROLOGY

£ 27

86235 Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SSA, SS-B, SSB, Sm, RNP, Sc170, J01); each antibody


£ 27

86255 Fluorescent noninfectious agent antibody;anti-smooth muscle antibody (SMA) or anti-mitochondrial antibody; each antibody (e.g. anti-neutrophil cytoplasmic antibodies (ANCA))


£ 27

86256 Fluorescent noninfectious agent antibody; titer, each antibody


£ 27

86277 Growth hormone, human (HGH), antibody


£ 27

86341 Islet cell antibody, Anti-islet antibody IMMUNOLOGY or VIROLOGY

£ 27

86352 Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP); (Formerly QuintilesIMS code TM012)


£ 46

86403 Particle agglutination; screen, each antibody


£ 27

86406 Particle agglutination; titer, each antibody


£ 27

86590 Streptokinase, antibody IMMUNOLOGY or VIROLOGY

£ 27

86602 Antibody; actinomyces IMMUNOLOGY or VIROLOGY

£ 27

86603 Antibody; adenovirus IMMUNOLOGY or VIROLOGY

£ 52

86606 Antibody; aspergillus IMMUNOLOGY or VIROLOGY

£ 36

86611 Antibody; bartonella IMMUNOLOGY or VIROLOGY

£ 58

86615 Antibody; bordetella IMMUNOLOGY or VIROLOGY

£ 27

86618 Antibody; borrelia burgdorferi (lyme disease)


£ 27

86619 Antibody; borrelia (relapsing fever) IMMUNOLOGY or VIROLOGY

£ 27

86625 Antibody; Campylobacter IMMUNOLOGY or VIROLOGY

£ 41

86628 Antibody; candida IMMUNOLOGY or VIROLOGY

£ 27

86635 Antibody; coccidioides (coccidiodal) IMMUNOLOGY or VIROLOGY

£ 53

86638 Antibody; coxiella brunetii (Q fever) IMMUNOLOGY or VIROLOGY

£ 27

86641 Antibody; cryptococcus (cryptococcal)


£ 27

86648 Antibody; diphtheria IMMUNOLOGY or VIROLOGY

£ 27

86651 Antibody; encephalitis IMMUNOLOGY or VIROLOGY

£ 27

86658 Antibody; enterovirus (eg, coxsackie, echo, polio)


£ 27

86663 Antibody; Epstein-Barr virus (EB) (EBV)


£ 27

86664 Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)


£ 27

86665 Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)


£ 27

86671 Antibody; fungus, not elsewhere specified


£ 27

86677 Antibody; helicobacter pylori (h Pylori level) (h Pylori IgG antibody)


£ 27

86684 Antibody; hemophilus, haemophilus influenza


£ 27

86687 Antibody; HTLV-I (HTLV I) IMMUNOLOGY or VIROLOGY

£ 27

86688 Antibody; HTLV-II (HTLV II) IMMUNOLOGY or VIROLOGY

£ 27

86689 Antibody; HTLV or HIV, confirmatory test (Western Blot)


£ 12

86692 Antibody; hepatitis, delta agent, hepatitis D


£ 68

86694 Antibody; herpes simplex (HSV serology)


£ 27

86701 Antibody; HIV-1; HIV antibody detection; HTLV-III, elisa (Formerly code 86690)


£ 12

86702 Antibody; HIV-2 IMMUNOLOGY or VIROLOGY

£ 12

86703 Antibody; HIV-1 and HIV-2, single assay


£ 12

86704 Hepatitis B core antibody (HBcAb); total


£ 11

86705 Hepatitis B core antibody (HBcAb); IgM antibody


£ 21

86706 Hepatitis B surface antibody (HBsAb)


£ 11

86707 Hepatitis Be antibody (HBeAb) (HBeAg)


£ 18

86708 Hepatitis A antibody (HAAb) (anti-HAV); total


£ 12

86709 Hepatitis A antibody (HAAb) (anti-HAV); IgM antibody


£ 12

86710 Antibody; influenza virus IMMUNOLOGY or VIROLOGY

£ 27

86713 Antibody; legionella IMMUNOLOGY or VIROLOGY

£ 27

86735 Antibody; mumps IMMUNOLOGY or VIROLOGY

£ 27

86738 Antibody; mycoplasma IMMUNOLOGY or VIROLOGY

£ 27

86741 Antibody; neisseria meningitidis (meningococcal conjugate C)


£ 37

86747 Antibody; parvovirus IMMUNOLOGY or VIROLOGY

£ 27

86750 Antibody; plasmodium (malaria) IMMUNOLOGY or VIROLOGY

£ 27

86756 Antibody; respiratory syncytial virus (RSV anitbody) (RSV titer)


£ 27

86757 Antibody; rickettsia IMMUNOLOGY or VIROLOGY

£ 39

86759 Antibody; rotavirus IMMUNOLOGY or VIROLOGY

£ 27

86762 Antibody; rubella IMMUNOLOGY or VIROLOGY

£ 11

86765 Antibody; rubeola (measles) IMMUNOLOGY or VIROLOGY

£ 27

86774 Antibody; tetanus (PRP-T antibody) IMMUNOLOGY or VIROLOGY

£ 27

86777 Antibody; toxoplasma (toxoplasmosis Ab)


£ 24

86778 Antibody; toxoplasma, IgM (toxoplasmosis Ab)


£ 11

86780 Antibody; treponema pallidum IMMUNOLOGY or VIROLOGY

£ 27

86787 Antibody; varicella zoster virus (VZV) IMMUNOLOGY or VIROLOGY

£ 27

86790 Antibody; virus, viral not elsewhere specified


£ 27

86793 Antibody; Yersinia IMMUNOLOGY or VIROLOGY

£ 45

86800 Antibody; thyroglobulin IMMUNOLOGY or VIROLOGY

£ 27

86803 Hepatitis C antibody (HCVab) (anti-HCV)


£ 27

86804 Hepatitis C antibody; confirmatory test (eg, immunoblot)


£ 27

86807 Serum screening for cytotoxic percent reactive antibody (PRA); standard method


£ 27

86850 Antibody screen, RBC, antibody to specific drug, each serum technique


£ 27

86970 Pretreatment of RBCs for use in RBC antibody detection, identification and/or compatibility testing; incubation with chemical agents or drugs each


£ 46

87267 Infectious agent antigen detection by immunofluorescent technique; enterovirus, direct fluorescent antibody (formerly code 87199)


£ 46

87271 Infectious agent antigen detection by immunofluorescent technique; cytomegalovirus, direct fluorescent antibody (formerly code 87198)


£ 46

87277 Legionella IMMUNOLOGY or VIROLOGY

£ 46

87280 Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus


£ 46

87305 Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; Aspergillus


£ 46

87324 Infectious agent antigen detection by enzyme immunoassay technique qualitative or semiquantitative, multiple step method; Clostridium difficile toxin(s)


£ 12

87328 Cryptosporidium/giardia IMMUNOLOGY or VIROLOGY

£ 46

87335 Escherichia coli 0157 (E coli) IMMUNOLOGY or VIROLOGY

£ 46

87338 Infectious agent antigen detection by enzyme immunoassay technique qualitative or semiquantitative, multiple step method; Helicobacter pylori, stool


£ 46

87340 hepatitis B surface antigen (HBsAg) IMMUNOLOGY or VIROLOGY

£ 11

87350 hepatitis Be antigen (HBeAg) IMMUNOLOGY or VIROLOGY

£ 18

87380 Infectious agent antigen detection by enzyme immunoassay technique qualitative or semiquantitative, multiple step method; hepatitis, delta agent


£ 11

87385 Histoplasma capsulatum IMMUNOLOGY or VIROLOGY

£ 46

87390 HIV-1 IMMUNOLOGY or VIROLOGY

£ 12

87391 HIV-2 IMMUNOLOGY or VIROLOGY

£ 12

87400 Infectious agent antigen detection by enzyme immunoassay technique qualitative or semiquantitative, multiple step method; Influenza, A or B, each


£ 46

87427 Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA])


£ 46

87449 Infectious agent antigen detection by enzyme immunoassay technique qualitative or semiquantitative; multiple step method, not otherwise specified, each organism


£ 46

87490 Chlamydia trachomatis, direct probe technique


£ 11

87804 Influenza IMMUNOLOGY or VIROLOGY

£ 46

87806 HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies


£ 12

87807 Respiratory syncytial virus IMMUNOLOGY or VIROLOGY

£ 46

87808 Trichomonas vaginalis IMMUNOLOGY or VIROLOGY

£ 46

87809 Adenovirus IMMUNOLOGY or VIROLOGY

£ 46

87810 Chlamydia trachomatis IMMUNOLOGY or VIROLOGY

£ 11

87850 Neisseria gonorrhoeae IMMUNOLOGY or VIROLOGY

£ 46

87880 Streptococcus, group A IMMUNOLOGY or VIROLOGY

£ 46

87899 Infectious agent detection by immunoassay with direct optical observation; not otherwise specified


£ 46

88348 Electron microscopy; diagnostic: For interpretation and report please use code R8348


£ 46

89060 Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)


£ 46

91065 Breath hydrogen test, lactose tolerance test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth or orocecal gastrointestinal transit)


£ 46

T0801 Molecular Diagnostics: FLT3 / NPMI Mutation detection


£ 46

T1014 Hemochromatosis Mutation Detection (CY282Y, H63D, S65C), Hereditary , by Polymerase Chain Reaction/Fluorescene Monitoring


£ 46

T1205 NRAS Mutation detection by Pyrosequencing, N-RAS oncogene, Neuroblastoma RAS Viral Oncogene Homolog


£ 46

T6711 Hepatitis A antibody (anti-HAV); IgG antibody (Formerly QuintilesIMS code 86711)


£ 12

Section 8 - Interventional Diagnostics tariffs

With New NIHR codes


0346T Ultrasound, elastography (List separately in addition to code for primary procedure)

INTERVENTIONAL DIAGNOSTICS

£ 132

10022 Fine needle aspiration; with imaging guidance; include code 76942 or 77012 for imaging


£ 648

11100 Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion


£ 507

11101 Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure); each separate/additional lesion (List separately in addition to code for primary procedure)


£ 507

11755 Biopsy of nail unit (eg, plate, bed, matrix hyponychium, proximal and lateral nail folds) (separate procedure)


£ 507

17311 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation; first stage, up to 5 tissue blocks


£ 1,437

17312 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stains, head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; each additional stage after the first stage, up to 5 tissue blocks


£ 1,437

17313 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, histopathologic preparation including


£ 1,437

routine stain(s) (eg, hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; first stage, up to 5 tissue blocks.

17314 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stains, of the trunk, arms, or legs; each additional stage after the first stage, up to 5 tissue blocks


£ 1,437

17315 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stains; each additional block after the first 5 tissue blocks, any stage


£ 1,437

19081 Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance


£ 1,499

19082 Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including stereotactic guidance (List separately in addition to code for primary procedure)


£ 1,499

19083 Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance


£ 1,630

19084 Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately


£ 1,630

in addition to code for primary procedure)

19085 Biopsy, breast, with placement of breast localization device(s) (eg., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance


£ 1,969

19086 Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magentic resonance guidance (List separately in addition to code for primary procedure)


£ 1,969

19100 Biopsy of breast; percutaneous needle core: Includes anesthesia, Excludes preoperative and postoperative care; without imaging guidance


£ 1,045

19101 Biopsy of breast; open, incisional: Includes anesthesia, Excludes preoperative and postoperative care.


£ 1,045

20200 Biopsy of muscle; superficial INTERVENTIONAL DIAGNOSTICS

£ 961

20205 Biopsy of muscle; deep INTERVENTIONAL DIAGNOSTICS

£ 1,563

20206 Biopsy of muscle; percutaneous needle


£ 657

20220 Biopsy of bone; by trocar or needle: Includes preoperative care (including a medical history and physical examination), anesthesia and typical postoperative care; superficial(eg, ilium, sternum, spinous process, ribs)


£ 964

20225 Biopsy of bone; trocar or needle, deep (eg, vertebral body, femur)


£ 964

20245 Biopsy, bone, open; deep (eg. Humerus, ischium, femur)


£ 964

21550 Biopsy of soft tissue of neck or thorax


£ 507

27330 Arthrotomy, knee; with synovial biopsy only


£ 1,045

27331 Arthrotomy, knee; including joint exploration, biopsy or removal of loose or foreign bodies


£ 1,045

29900 Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy


£ 1,499

30100 Biopsy, intranasal: Includes preoperative care (including a medical history and physical examination), anesthesia and typical postoperative care.


£ 1,045

31231 Nasal, sinus endoscopy, rhinoscopy; diagnostic; unilateral or bilateral


£ 633

31237 Nasal, sinus endoscopy, rhinoscopy; surgical, with biopsy, polypectomy or debridement (separate procedures)


£ 770

31510 Laryngoscopy, indirect; with biopsy INTERVENTIONAL DIAGNOSTICS

£ 591

31576 Laryngoscopy, flexible fiberoptic; with biopsy


£ 1,045

31625 Bronchoscopy, rigid or flexible, with or without flouroscopic guidance, with bronchial or endobronchial biopsy(s), single or multiple sites; diagnostic, with or without cell washing (separate procedure); with anesthesia and typical post-operative care; use in conjunction with code 31620


£ 1,596

31628 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe


£ 1,596

31652 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures


£ 2,225

31653 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures


£ 2,225

32096 Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral


£ 1,499

32097 Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral


£ 1,499

32098 Thoracotomy, with biopsy(ies) of pleura


£ 1,499

32405 Biopsy of lung or mediastinum; percutaneous needle: Includes preoperative care (including a medical history and physical examination), anesthesia and typical postoperative care.


£ 1,499

32555 Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (formerly Code 32421)


£ 1,581

32557 Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance, (formerly Code 32421)


£ 1,524

32604 Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy


£ 1,499

32606 Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy


£ 1,499

32607 Thoracoscopy, with diagnostic biopsy(ies) of lung infiltrates(s) (eg, wedge, incisional), unilateral (formerly code 32602)


£ 1,499

32608 Thoracoscopy, with diagnostic biopsy(ies) of lung module(s) or mass(es) (eg, wedges, incisional), unilateral (formerly code 32602)


£ 1,499

32609 Thoracoscopy, with biopsy(ies) of pleura (formerly code 32602)


£ 1,499

36251 Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; unilateral (formerly code 75722)


£ 1,790

36252 Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image post processing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and


£ 1,790

flush aortogram when performed; bilateral (formerly code 75722, 75724)

36253 Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image pos tprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; unilateral (formerly code 75722, 75724)


£ 1,790

36254 Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image post processing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral (formerly code 75722, 75724)


£ 1,790

37200 Transcatheter biopsy INTERVENTIONAL DIAGNOSTICS

£ 1,499

37228 Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty; moderate sedation; please include code 37250 if needed


£ 5,973

37229 Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed; moderate sedation; please include code 37250 if needed


£ 5,973

37230 Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty


£ 5,973

within the same vessel, when performed; moderate sedation; please include code 37250 if needed

37231 Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed; moderate sedation; please include code 37250 if needed


£ 5,973

37233 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (list separately in addition to code for primary procedure); moderate sedation


£ 5,973

37234 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (list separately in addition to code for primary procedure); moderate sedation


£ 5,973

37235 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty with the same vessel, when performed (list separately in addition to code for primary procedure); moderate sedation


£ 5,973

37236 Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial artery (Suggested replacement code for 37205)


£ 5,973

37237 Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each


£ 5,973

additional artery (list separately in addition to code for primary)

37238 Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein (Suggested replacement code for 37205)


£ 5,973

37239 Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)


£ 5,973

37252 Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)


£ 542

37253 Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)


£ 542

43239 Upper gastrointestinal endoscopy including esophagus, oesophagus, stomach, and either the duodenum and/or jejunum as appropriate; with biopsy; single or multiple; moderate sedation


£ 1,224

43242 Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis)


£ 1,189

43246 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube; moderate sedation


£ 180

43254 Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal


£ 180

43605 Biopsy of stomach, gastric biopsy; by laparotomy


£ 1,045

43754 Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis)


£ 648

43755 Gastric intubation and aspiration diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pentagastrin, calcium, secretin), includes drug administration


£ 648

43756 Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg. Bile study for crystals or afferent loop culture)


£ 648

43757 Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes drug administration


£ 648

43775 Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)


£ 1,540

44020 Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s) or foreign body removal


£ 1,045

44100 Biopsy of intestine, colon; by capsule, tube or peroral: Includes preoperative care (including a medical history and physical examination), anesthesia and typical postoperative care.


£ 1,045

44180 Laparoscopy, surgical, enterolysis INTERVENTIONAL DIAGNOSTICS

£ 180

44385 Endoscopic evaluation of small intestinal (abdominal or pelvic) pouch (endoscopy); diagnostic; with or without collection of specimen by brushing or washing; moderate sedation


£ 1,086

44386 Endoscopic evaluation of small intestinal (abdominal or pelvic) pouch (endoscopy); with biopsy; single or multiple; moderate sedation


£ 1,224

44389 Colonoscopy through stoma (endoscopy); with biopsy; single or multiple; moderate sedation


£ 1,224

45305 Proctosigmoidoscopy, rigid; with biopsy, single or multiple


£ 1,045

45330 Sigmoidoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing


£ 180

45331 Sigmoidoscopy, flexible; diagnostic, with biopsy; single or multiple


£ 138

45333 Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps


£ 138

45338 Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique


£ 1,086

45346 Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)


£ 1,540

45380 Colonoscopy, flexible; with biopsy, single or multiple


£ 1,045

45388 Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed); moderate sedation


£ 1,540

45390 Colonoscopy, flexible; with endoscopic mucosal resection


£ 180

46600 Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)


£ 1,086

46604 Anoscopy; with dilation (eg, balloon, guide wire, bougie)


£ 180

46606 Anoscopy; with biopsy, single or multiple


£ 1,045

47562 Laparoscopy, cholecystectomy, excision of gallbladder; surgical


£ 180

47563 Laparoscopy, surgical; cholecystectomy with cholangiography


£ 180

47564 Laparoscopy, surgical; cholecystectomy with exploration of common duct


£ 180

47570 Laparoscopy, surgical; cholecystoenterostomy


£ 180

49320 Laparoscopy, abdomen, peritoneum, and omentum diagnostic with or


£ 1,086

without collection of specimen(s) by brushing or washing (separate procedure)

49418 Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous


£ 848

51798 Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging


£ 542

51992 Laparoscopy, surgical; sling operation for stress incontine (eg, fascia or synthetic)


£ 1,086

52000 Cystourethroscopy (separate procedure)


£ 180

52005 Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;


£ 1,086

52224 Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of lesions


£ 1,086

52332 Cystourethroscopy, with insertion of indwelling ureteral stent (e Gibbons or double-J type)


£ 633

52351 Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic


£ 180

52353 Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lith (ureteral catheterization is included)


£ 1,086

57452 Colposcopy (vaginoscopy) INTERVENTIONAL DIAGNOSTICS

£ 180

57460 Colposcopy (vaginoscopy); with loop electrode excision procedure of the cervix


£ 1,086

58555 Hysteroscopy; diagnostic INTERVENTIONAL DIAGNOSTICS

£ 180

58670 Laparoscopy; surgical, with fulguration of oviducts


£ 180

61140 Burr hole(s) or trephine; with biopsy of brain or intracranial lesion


£ 1,499

61750 Stereotactic biopsy, aspiration, or excision, including burr hole(s) for intracranial lesion;


£ 194

61751 Stereotactic biopsy, aspiration, or excision, including burr hole(s) for


£ 194

intracranial lesion; with computerized axial tomography and/or magnetic resonance guidance

67028 Intravitreal injection of a pharmacologic agent: includes ophthalmoscopy or ultrasound for needle location, post treatment observation and post injection tonometry; unilateral; for sterile room please add code NP009


£ 969

75989 Radiological guidance for percutaneous drainage of abscess or specimen collection (ie, fluoroscopy, ultrasound, or computed axial tomography) with possible placement of indwelling catheter: Includes radiological supervision and interpretation


£ 345

76000 Fluoroscopy; up to one hour physician time (eg, cardiac fluoroscopy)


£ 332

77001 Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position): Reporting code R7001


£ 1,090

77002 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device): Reporting code R7002.


£ 184

77011 Computed tomography guidance for stereotactic localization: Reporting code R7011


£ 163

77012 Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation: Reporting code R7012.


£ 390

77013 Computed tomography guidance for, and monitoring of, parenchymal tissue ablation: Reporting code R7013


£ 163

77014 Computed tomography guidance for placement of radiation therapy fields: Reporting code R7014


£ 163

77021 Magnetic resonance guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation: Reporting code R7021


£ 389

77022 Magnetic resonance guidance for, and monitoring of, parenchymal tissue ablation: Reporting code R7022


£ 389

78647 Cerebrospinal fluid flow, imaging (not including introduction of material) (CSF), tomographic (SPECT): Reporting code R8647.


£ 706

88172 Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site


£ 131

88173 Cytopathology, evaluation of fine needle aspirate; interpretation and report


£ 131

94806 Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement): Reporting code R4806


£ 1,988

95800 Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time: Reporting code R5800


£ 1,988

95801 Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone): Reporting code R5801


£ 1,988

GSCON Gastric and colonic motility scintigraphy study including radiopharmaceutical ingestion followed by images between 0 to 24 hours; HIDA-CCK cholescintigraphy; selenium-75 homotaurocholate (SEHCAT); Reporting code RSCON.


£ 4,166

T0601 Biopsy of Bone with ancillary costs including biopsy handling, supplies, coordinator and physician fee, overnight facility


£ 964

T0602 Biopsy of Liver with ancillary costs including biopsy handling, ultrasonic


£ 1,045

guidance, supplies, coordinator and physician fee, day facility

T0603 Biopsy, intranasal with ancillary costs including biopsy handling, supplies, coordinator and physician fee, day facility


£ 1,045

T0604 Bronchoscopy with biopsy with ancillary costs including biopsy handling, supplies, coordinator and physician fee, overnight facility


£ 1,662

T0605 Biopsy of Lung or Mediastinum; percutaneous needle; with ancillary cost including biopsy handling, supplies, ultrasonic guidance, coordinator and physician fee, overnight facility


£ 1,110

T0606 Bone marrow biopsy by trocar needle with ancillary costs including biopsy handling, supplies, coordinator and physician fee, daily facility


£ 964

T0607 Upper gastrointestinal endoscopy with biopsy with ancillary costs including biopsy handling, supplies, coordinator and physician fee, overnight facility


£ 1,224

T0608 Biopsy of stomach, gastric biopsy by capsule, tube or peroral, with ancillary costs including biopsy handling, supplies, coordinator and physician fee, overnight facility


£ 1,045

T0609 Biopsy of stomach by laparotomy with ancillary costs including biopsy handling, supplies, ultrasonic guidance, coordinator and physician fee, overnight facility


£ 1,045

T0610 Colonoscopy with specimen collection with ancillary costs including biopsy handling, supplies, coordinator and physician fee, day facility


£ 1,045

T0611 Renal biopsy by trocar needle with ancillary costs including biopsy handling, supplies, ultrasonic guidance, coordinator and physician fee, overnight facility fee


£ 1,045

T0612 Renal biopsy by surgical exposure, with ancillary costs including biopsy handling, supplies, coordinator and physician fee, overnight facility


£ 1,045

T0613 Thyroid biopsy with ancillary costs including biopsy handling, supplies, coordinator and physician fee, overnight facility


£ 1,045

T0614 Nerve Biopsy with ancillary costs including biopsy handling, supplies, coordinator and physician fee, day facility


£ 1,045

T0615 Endomyocardial biopsy, myocardial biopsy with ancillary costs including biopsy handling, supplies, ultrasonic guidance, coordinator and physician fee, overnight facility


£ 1,110

T0616 Biopsy of Prostate with ancillary costs, transrectal, including biopsy handling, supplies, ultrasonic needle guidance, coordinator and physician fee, day facility


£ 1,045

T0617 Biopsy of Lymph node, superficial including biopsy handling, supplies, coordinator and physician fee, day facility


£ 1,603

T0618 Breast Biopsy percutaneous needle, with ancillary costs including biopsy handling, supplies, ultrasonic needle guidance, coordinator and physician fee, day facility


£ 1,045

T1402 Transjugular liver biopsy including ancillary costs such as facility fee, supplies, biopsy handling, staff time, anesthesia. This complete code also includes CPT codes 37200,36011 (Selective catheter placement), 75970 (radiological supervision ,without interpretation: Reporting code R5970), 76937 (Ultrasound guidance, without interpretation: Reporting code R6937) If Hepatic venography is required please include code 75889


£ 1,105

Section 9 - Microbiology tariffs

With New NIHR codes


80150 Amikacin MICROBIOLOGY £ 47

80156 Carbamazepine; total MICROBIOLOGY £ 33

80158 Cyclosporine (CyA) (CsA) MICROBIOLOGY £ 33

80162 Digoxin MICROBIOLOGY £ 33

80164 Dipropylacetic acid (valproic acid) MICROBIOLOGY £ 33

80168 Ethosuximide MICROBIOLOGY £ 45

80170 Gentamicin MICROBIOLOGY £ 33

80173 Haloperidol MICROBIOLOGY £ 33

80176 Lidocaine MICROBIOLOGY £ 33

80178 Lithium MICROBIOLOGY £ 33

80184 Phenobarbital MICROBIOLOGY £ 33

80185 Phenytoin; total MICROBIOLOGY £ 33

80186 Phenytoin; total; free MICROBIOLOGY £ 33

80188 Primidone MICROBIOLOGY £ 33

80190 Procainamide MICROBIOLOGY £ 33

80194 Quinidine MICROBIOLOGY £ 33

80197 Tacrolimus; whole blood by IMx analysis

MICROBIOLOGY £ 33

80198 Theophylline MICROBIOLOGY £ 33

80200 Tobramycin MICROBIOLOGY £ 33

80201 Topiramate MICROBIOLOGY £ 33

80202 Vancomycin MICROBIOLOGY £ 33

80299 Quantitation of drug, not elsewhere specified

MICROBIOLOGY £ 33

80305 Drug test(s), presumptive, any number of drug classes, direct optical observation only includes sample validation when performed

MICROBIOLOGY £ 33

80306 Drug test(s), presumptive, any number of drug classes, instrument assisted direct optical observation, includes sample validation when performed

MICROBIOLOGY £ 33

80307 Drug test(s), presumptive, instrument chemistry analyzers chromatography, and mass spectrometry includes sample validation when performed, per date of service

MICROBIOLOGY £ 33

80320 Alcohols MICROBIOLOGY £ 33

80321 Alcohol biomarkers; 1 or 2 MICROBIOLOGY £ 33

80322 Alcohol biomarkers; 3 or more MICROBIOLOGY £ 33

80323 Alkaloids, not otherwise specified MICROBIOLOGY £ 33

80324 Amphetamines; 1 or 2 MICROBIOLOGY £ 33

80325 Amphetamines; 3 or 4 MICROBIOLOGY £ 33

80326 Amphetamines; 5 or more MICROBIOLOGY £ 33

80327 Anabolic steroids; 1 or 2 MICROBIOLOGY £ 33

80328 Anabolic steroids; 3 or more MICROBIOLOGY £ 33

80329 Analgesics, non-opioid; 1 or 2 MICROBIOLOGY £ 33

80330 Analgesics, non-opioid; 3-5 MICROBIOLOGY £ 33

80331 Analgesics, non-opioid; 6 or more MICROBIOLOGY £ 33

80335 Antidepressants, tricyclic and other cyclicals; 1 or 2

MICROBIOLOGY £ 33

80336 Antidepressants, tricyclic and other cyclicals; 3-5

MICROBIOLOGY £ 33

80337 Antidepressants, tricyclic and other cyclicals; 6 or more

MICROBIOLOGY £ 33

80339 Antiepileptics, not otherwise specified; 1-3

MICROBIOLOGY £ 33

80340 Antiepileptics, not otherwise specified; 4-6

MICROBIOLOGY £ 33

80341 Antiepileptics, not otherwise specified; 7 or more

MICROBIOLOGY £ 33

80342 Antipsychotics, not otherwise specified; 1-3

MICROBIOLOGY £ 33

80343 Antipsychotics, not otherwise specified; 4-6

MICROBIOLOGY £ 33

80344 Antipsychotics, not otherwise specified; 7 or more

MICROBIOLOGY £ 33

80345 Barbiturates MICROBIOLOGY £ 33

80346 Benzodiazepines; 0-12 MICROBIOLOGY £ 33

80347 Benzodiazepines; 13 or more MICROBIOLOGY £ 33

80353 Cocaine MICROBIOLOGY £ 33

80358 Methadone MICROBIOLOGY £ 33

80361 Opiates, 1 or more MICROBIOLOGY £ 33

80362 Opioids and opiate analogs; 1 or 2 MICROBIOLOGY £ 33

80363 Opioids and opiate analogs; 3 or 4 MICROBIOLOGY £ 33

80364 Opiods and opiate analogs; 5 or more

MICROBIOLOGY £ 33

80368 Sedative hypnotics (non-benzodiazepines)

MICROBIOLOGY £ 33

80369 Skeletal muscle relaxants; 1 or 2 MICROBIOLOGY £ 33

80370 Skeletal muscle relaxants; 3 or more MICROBIOLOGY £ 33

86060 Antistreptolysin 0 (ASO) (ASLO); titer

MICROBIOLOGY £ 12

86480 Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response (e.g. QFTB: QuantiFeron-TB Gold test)

MICROBIOLOGY £ 41

86481 Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension

MICROBIOLOGY £ 18

86580 Skin test, tuberculosis (TB); intradermal, Mantoux screening test, Tuberculin Sensitivity Test, Pirquet

MICROBIOLOGY £ 18

test, PPD test for Purified Protein Derivative

87040 Culture, bacterial; blood, serum, with isolation and presumptive identification of isolates

MICROBIOLOGY £ 18

87045 Culture, bacterial; feces, fecal, stool, with isolation and presumptive identification of isolates

MICROBIOLOGY £ 18

87046 Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate

MICROBIOLOGY £ 18

87070 Culture, bacterial; any other source except urine, blood, serum, stool or feces, with isolation and presumptive identification of isolates

MICROBIOLOGY £ 11

87071 Culture, bacterial; quantitative, aerobic with isolation an identification of isolates, any source except urine, blood or stool

MICROBIOLOGY £ 11

87075 Culture, bacterial; any anaerobic source, except blood, presumptive identification of isolates

MICROBIOLOGY £ 18

87076 Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolatev

MICROBIOLOGY £ 18

87077 Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate

MICROBIOLOGY £ 18

87081 Culture, pathogenic organisms, presumptive, screening only; including nasal swab

MICROBIOLOGY £ 18

87086 Culture, bacterial; urine, quantitative colony count

MICROBIOLOGY £ 11

87088 Culture, bacterial; urine, with isolation and presumptive identification of isolates

MICROBIOLOGY £ 11

87101 Culture, fungi, fungal (mold or yeast) isolation; skin, hair or nail, with presumptive identification of isolates

MICROBIOLOGY £ 18

87102 Culture, fungi, fungal (mold or yeast) isolation; other source (except blood), with presumptive identification of isolates

MICROBIOLOGY £ 18

87103 Culture, fungi, fungal (mold or yeast) isolation; blood, serum, with presumptive identification of isolates

MICROBIOLOGY £ 18

87106 Culture, fungi, fungal (mold or yeast); definitive identification

MICROBIOLOGY £ 18

87109 Culture, mycoplasma; any source MICROBIOLOGY £ 18

87110 Culture, chlamydia; any source MICROBIOLOGY £ 31

87116 Culture, tubercle or other acid-fast bacilli (eg, TB, AFB); any source

MICROBIOLOGY £ 18

87140 Culture, typing; immunofluorescent method, each antiserum

MICROBIOLOGY £ 18

87143 Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method

MICROBIOLOGY £ 18

87147 Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum

MICROBIOLOGY £ 18

87230 Toxin or antitoxin assay, tissue culture (eg, Clostridium difficile toxin (C-diff))

MICROBIOLOGY £ 12

88230 Tissue culture for non-neoplastic disorders; lymphocyte

MICROBIOLOGY £ 18

88237 Tissue culture for neoplastic disorders; bone marrow, blood cells

MICROBIOLOGY £ 18

88239 Tissue culture for neoplastic disorders; solid tumor

MICROBIOLOGY £ 18

89220 Sputum, obtaining specimen, aerosol induced technique (formerly code 89350)

MICROBIOLOGY £ 18

94640 Nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (e.g. aerosol generator, nebulizer)

MICROBIOLOGY £ 18

T0703 Viral Serology: Hepatitis B, HBsAG, Hepatitis C,HCV, Human immunodeficiency virus, HIV

MICROBIOLOGY £ 12

T0717 Cytogenetics Analysis including tissue culture; molecular cytogenetics with karyotyping and banding

MICROBIOLOGY £ 18

T2964 Glucosaminoglycans (GAG), N-acetyl beta-glucosaminidase (NAG); urine (Formerly QuintilesIMS code 82964)

MICROBIOLOGY £ 11

T6585 Skin test check, tuberculosis (TB); tine test check (Formerly QuintilesIMS code 86585)

MICROBIOLOGY £ 18

T7072 Culture, bacterial; throat or nose, aerobic with definitive identification (Formerly QuintilesIMS code 87072)

MICROBIOLOGY £ 18

Section 10 - Nuclear Medicine tariffs

With New NIHR codes


76073 DEXA (BMD) (DXA) bone density study, spine, vertebrae only: Reporting code R6073.

NUCLEAR MEDICINE

£ 84

77080 DEXA (BMD) (DXA), bone density study, 1 or more sites; axial skeleton: Reporting code R7080

NUCLEAR MEDICINE

£ 84

77081 DEXA (BMD) (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral): Reporting code R7081

NUCLEAR MEDICINE

£ 84

77086 Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA): Reporting code R7086

NUCLEAR MEDICINE

£ 84

78013 Thyroid imaging (including vascular flow, when performed): Reporting code R8013. (formerly code 78000, 78010)

NUCLEAR MEDICINE

£ 517

78014 Thyroid Imaging with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed): Reporting code R8014.

NUCLEAR MEDICINE

£ 693

78195 Lymphatics and lymph nodes imaging: Reporting code R8195

NUCLEAR MEDICINE

£ 1,051

78205 Liver imaging (SPECT): Reporting code R8205.

NUCLEAR MEDICINE

£ 253

78227 Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed. Reporting code R8227

NUCLEAR MEDICINE

£ 800

78230 Salivary gland imaging: Reporting code R8230

NUCLEAR MEDICINE

£ 496

78231 Salivary gland imaging; with serial images: Reporting code R8231.

NUCLEAR MEDICINE

£ 496

78350 Bone density (bone mineral content) study, single photon absorptiometry (SPA), bone densiometry: Reporting code R8350.

NUCLEAR MEDICINE

£ 1,385

78351 Bone density (bone mineral content) study, dual photon absorptiometry (DPA), bone densiometry, one or more sites: Reporting code R8351.

NUCLEAR MEDICINE

£ 1,385

78451 SPECT (including attenuation correction, wall motion, ejection fraction by first pass or gated

NUCLEAR MEDICINE

£ 341

technique, additional quantification, when performed); Reporting code R8452.

78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed): Reporting code R8452.

NUCLEAR MEDICINE

£ 341

78491 Myocardial imaging, positron emission tomography (PET), perfusion; single study at rest or stress: Reporting code R8491.

NUCLEAR MEDICINE

£ 1,484

78492 Myocardial imaging, positron emission tomography (PET), perfusion; multiple studies at rest and/or stress: Reporting code R8492.

NUCLEAR MEDICINE

£ 1,484

78607 Brain imaging tomographic (SPECT): Reporting code R8607.

NUCLEAR MEDICINE

£ 341

78608 Brain imaging, positron emission tomography (PET), metabolic evaluation: Reporting code R8608.

NUCLEAR MEDICINE

£ 1,484

78609 Brain imaging, positron emission tomography (PET), perfusion evaluation: Reporting code R8609.

NUCLEAR MEDICINE

£ 1,484

78803 Radiopharmaceutical localization of tumor, tomographic (SPECT): Reporting code R8803.

NUCLEAR MEDICINE

£ 253

78811 Tumor imaging, positron emission tomography (PET), partial body: Reporting code R8811.

NUCLEAR MEDICINE

£ 1,484

78812 Tumor imaging, positron emission tomography (PET), skull base to mid-thigh: Reporting code R8812.

NUCLEAR MEDICINE

£ 1,484

78813 Tumor imaging, positron emission tomography (PET), whole body: Reporting code R8813 (Formerly code FDGPT, 78810)

NUCLEAR MEDICINE

£ 1,535

78814 Tumor imaging, PET with concurrently acquired CT for attenuation correction and anatomical localization; limited area: Reporting code R8814

NUCLEAR MEDICINE

£ 1,484

78815 Tumor imaging, PET with concurrently acquired CT for attenuation correction and anatomical localization; skull base to mid-thigh: Reporting code R8815

NUCLEAR MEDICINE

£ 1,484

78816 Tumor imaging, PET with concurrently acquired CT for attenuation correction and

NUCLEAR MEDICINE

£ 1,484

anatomical localization; whole body: Reporting code R8816

92920 Percutaneous transluminal coronary angioplasty; single major coronary artery or branch use in conjunction with 92921 (formerly codes 92980, 92981, 92984, 92995, 92996)

NUCLEAR MEDICINE

£ 4,613

92921 Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery. (formerly codes 92980, 92981, 92984, 92995, 92996)

NUCLEAR MEDICINE

£ 4,613

T0718 Whole Body Dual X-Ray Absorptiometry (DEXA)(DXA) to Determine Body Composition, Total Lean Body Mass: Reporting code RT718

NUCLEAR MEDICINE

£ 84

T6072 Dual energy x-ray absorptiometry (DEXA) (BMD) (DXA) bone density study, total body, whole body, full body: Reporting code R6072. (Formerly QuintilesIMS code 76072)

NUCLEAR MEDICINE

£ 84

NIHR_INV_053

Brain Imaging (Choline) for Tumour NUCLEAR MEDICINE

£ 815

NIHR_INV_054

Brain Imaging (Thallium) for tumour NUCLEAR MEDICINE

£ 319

NIHR_INV_055

Brain Ioflupane DaTSCAN NUCLEAR MEDICINE

£ 271

NIHR_INV_056

DATScan (Brain dopamine transporter imagin)

NUCLEAR MEDICINE

£ 297

NIHR_INV_057

DMSA Renal Study NUCLEAR MEDICINE

£ 466

NIHR_INV_058

DMSA static Renal scan NUCLEAR MEDICINE

£ 763

NIHR_INV_059

EDTA Renal clearance (GFR) NUCLEAR MEDICINE

£ 3,659

NIHR_INV_060

I131 therapy for Ca thyroid NUCLEAR MEDICINE

£ 407

NIHR_INV_061

I131 therapy for thyrotoxicosis IP NUCLEAR MEDICINE

£ 991

NIHR_INV_062

I131 therapy for thyrotoxicosis OP NUCLEAR MEDICINE

£ 840

NIHR_INV_063

Intestinal absorption (75-Se) NUCLEAR MEDICINE

£ 357

NIHR_INV_064

Lacrimal Scan (Dacroscintigraphy) NUCLEAR MEDICINE

£ 602

NIHR_INV_065

Lymphangiography/Lymphoscintigram

NUCLEAR MEDICINE

£ 1,051

NIHR_INV_066

MAG3 Dynamic Renal Scan NUCLEAR MEDICINE

£ 512

NIHR_INV_067

MAG3 Dynamic Renal Scan + Bladder Emptying

NUCLEAR MEDICINE

£ 1,449

NIHR_INV_068

MAG3 Dynamic Renal Scan + Captopril

NUCLEAR MEDICINE

£ 1,154

NIHR_INV_069

Meckels Scan NUCLEAR MEDICINE

£ 323

NIHR_INV_070

MIBG Imaging NUCLEAR MEDICINE

£ 2,015

Section 11 - Ophthalmology tariffs

With New NIHR codes


92133 Ophthalmic imaging: optical coherence tomography (OCT), posterior segment and/or optic nerve, bilateral (includes codes 92134, T2133 and T2134)

OPTHALMOLOGY £ 123

92136 Ophthalmic biometry: Biometry by partial coherence interferometry with intraocular lens power calculation

OPTHALMOLOGY £ 107

92235 Ophthalmic imaging: Fluorescein angiography

OPTHALMOLOGY £ 128

92240 Ophthalmic imaging: Indocyanine-green (ICG) angiography

OPTHALMOLOGY £ 160

92275 Ocular electrophysiology: Electroretinography (ERG)

OPTHALMOLOGY £ 284

92285 Ophthalmic imaging: External ocular photography (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography)

OPTHALMOLOGY £ 43

92287 Ophthalmic imaging: Anterior segment fluorescein angiography or other specialised imaging

OPTHALMOLOGY £ 160

92541 Ophthalmic examination: Spontaneous nystagmus test, including gaze and fixation nystagmus; with recording

OPTHALMOLOGY £ 170

92542 Ophthalmic examination: Positional nystagmus test, minimum of 4 positions, with recording

OPTHALMOLOGY £ 170

92545 Ophthalmic examination: Oscillating tracking test, with recording

OPTHALMOLOGY £ 170

NIHR_INV_096 Intra-Vitreal Injection OPTHALMOLOGY £ 20

T2282 Ophthalmic examination: Anterior segment only (Slit-lamp examination)

OPTHALMOLOGY £ 47

NIHR_INV_071 Ophthalmology clinics OPTHALMOLOGY £ 150

NIHR_INV_072 Medical / Ophthalmic history OPTHALMOLOGY £ 57

NIHR_INV_073 Visual Acuity Testing: Best-corrected visual acuity incl. refraction

OPTHALMOLOGY £ 105

NIHR_INV_074 Visual Acuity Testing: Contrast sensitivity (without refraction)

OPTHALMOLOGY £ 96

NIHR_INV_075 Visual Acuity Testing: Low luminance acuity (without refraction)

OPTHALMOLOGY £ 37

NIHR_INV_076 Ophthalmic examination: Posterior segment only (Indirect ophthalmoscopy) only

OPTHALMOLOGY £ 43

NIHR_INV_077 Ophthalmic examination: Anterior and posterior segment examination

OPTHALMOLOGY £ 84

NIHR_INV_078 Ophthalmic examination: Intra-ocular pressure

OPTHALMOLOGY £ 21

NIHR_INV_079 Ophthalmic imaging: Autofluorescence Imaging

OPTHALMOLOGY £ 132

NIHR_INV_080 Ophthalmic imaging: Adaptive Optics Imaging

OPTHALMOLOGY £ 100

NIHR_INV_081 Visual field testing: Micro-perimetry

OPTHALMOLOGY £ 264

NIHR_INV_082 Peripheral visual field testing OPTHALMOLOGY £ 96

NIHR_INV_083 Ophthalmic imaging: Fundus photography of disc / macula, incl. stereo photography

OPTHALMOLOGY £ 68

NIHR_INV_097 Visual Acuity Testing: Refraction Only

OPTHALMOLOGY £ 51

NIHR_INV_098 Visual Acuity Testing: Distance or near visual acuity (without refraction)

OPTHALMOLOGY £ 54

NIHR_INV_099 Visual acuity testing: Near visual acuity and reading speed (without refraction)

OPTHALMOLOGY £ 54

NIHR_INV_100 Visual field testing: Peripheral visual field testing (Goldmann visual fields)

OPTHALMOLOGY £ 56

NIHR_INV_101 Visual field testing: Preferential Hyperacuity Perimetry

OPTHALMOLOGY £ 143

NIHR_INV_102 Ophthalmic examination: Orthoptic assessment

OPTHALMOLOGY £ 82

NIHR_INV_103 Ophthalmic examination: Pachymetry

OPTHALMOLOGY £ 31

NIHR_INV_104 Ophthalmic examination: Schirmers test

OPTHALMOLOGY £ 20

NIHR_INV_105 Ophthalmic imaging: OCT-angiography

OPTHALMOLOGY £ 122

NIHR_INV_106 Ophthalmic imaging: Ultra-widefield fundus photography (incl 7 field imaging)

OPTHALMOLOGY £ 122

NIHR_INV_107 Ophthalmic imaging: Ultra-widefeld fluorescein angiography

OPTHALMOLOGY £ 204

NIHR_INV_108 Ophthalmic imaging: Ultra-widefield autofluorescence Imaging

OPTHALMOLOGY £ 98

NIHR_INV_109 Ophthalmic imaging: Corneal topography

OPTHALMOLOGY £ 108

NIHR_INV_110 Ophthalmic imaging: Specular microscopy

OPTHALMOLOGY £ 89

NIHR_INV_111 Ocular electrophysiology: Electroretinography (ERG) and Visual evoked potential (VEP)

OPTHALMOLOGY £ 408

NIHR_INV_112 Intra-vitreal injection OPTHALMOLOGY £ 63

Section 11 - Pathology tariffs

With New NIHR codes


37609 Ligation or biopsy, temporal artery

PATHOLOGY £ 138

38221 Bone marrow biopsy; by trocar or needle

PATHOLOGY £ 56

38500 Biopsy or excision of lymph node(s); open:

PATHOLOGY £ 695

38505 Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)

PATHOLOGY £ 695

38510 Biopsy or excision of lymph node(s); open, deep cervical node(s)

PATHOLOGY £ 695

38525 Biopsy or excision of lymph node(s); open, deep axillary node(s)

PATHOLOGY £ 695

38530 Biopsy or excision of lymph node(s); open, internal mammary node(s)

PATHOLOGY £ 695

40490 Biopsy of lip PATHOLOGY £ 54

40808 Biopsy, vestibule of mouth: Includes preoperative care (including a medical history and physical examination), anesthesia and typical postoperative care.

PATHOLOGY £ 54

41100 Biopsy of tongue; anterior two-thirds

PATHOLOGY £ 54

41108 Biopsy of floor of mouth PATHOLOGY £ 54

42400 Biopsy of salivary gland; needle PATHOLOGY £ 54

42405 Biopsy of salivary gland; incisional

PATHOLOGY £ 54

45100 Rectal biopsy, biopsy of anorectal wall; anal approach

PATHOLOGY £ 138

47000 Biopsy of liver; percutaneous needle: Includes anesthesia, Excludes preoperative and postoperative care.

PATHOLOGY £ 138

47001 Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure)

PATHOLOGY £ 138

48102 Biopsy of pancreas; percutaneous needle

PATHOLOGY £ 138

49180 Biopsy of abdomen, abdominal or retroperitoneal mass; percutaneous needle

PATHOLOGY £ 138

49321 Laparoscopy; surgical, with biopsy; single or multiple

PATHOLOGY £ 1,045

50200 Renal biopsy; by trocar or needle; moderate sedation

PATHOLOGY £ 138

50205 Renal biopsy; by surgical exposure of kidney: Includes anesthesia, Excludes preoperative and postoperative care.

PATHOLOGY £ 1,045

52204 Cystourethroscopy, cystoscopy; with biopsy of bladder

PATHOLOGY £ 138

54500 Biopsy of testis, testicle; needle (separate procedure)

PATHOLOGY £ 138

54505 Biopsy of testis, testical; incisional (separate procedure)

PATHOLOGY £ 138

55700 Biopsy of prostate (TURP); by needle or punch: Includes preoperative care, anesthesia and typical postoperative care; single or multiple, any approach

PATHOLOGY £ 1,045

55705 Biopsy of prostate; incisional PATHOLOGY £ 138

57100 Biopsy of vaginal mucosa; simple PATHOLOGY £ 138

57105 Biopsy of vaginal mucosa; extensive, requiring suture (including cysts)

PATHOLOGY £ 138

57454 Colposcopy (vaginoscopy); with biopsy(s) of the cervix and/or endocervical curettage

PATHOLOGY £ 1,045

57500 Biopsy, cervical, cervix uteri, single or multiple, or local excision of lesion: Includes anesthesia, Excludes preoperative and postoperative care; with or without fulguration

PATHOLOGY £ 1,045

58100 Endometrial biopsy, uterine biopsy: Includes anesthesia, Excludes preoperative and postoperative care; without cervical dilation, any method

PATHOLOGY £ 1,045

58558 Hysteroscopy; surgical, with biopsy of endometrium and/or polypectomy

PATHOLOGY £ 1,045

60100 Biopsy of thyroid; percutaneous core needle: Includes anesthesia, Excludes preoperative and postoperative care.

PATHOLOGY £ 1,045

64795 Biopsy of nerve: Includes preoperative care (including a medical history and physical examination), anesthesia and typical postoperative care.

PATHOLOGY £ 1,045

67346 Biopsy of extraocular muscle; for ultrasound guidance please add code 76942

PATHOLOGY £ 205

68100 Biopsy of conjunctiva PATHOLOGY £ 54

75970 Transcatheter biopsy, radiological supervision and interpretation: Reporting code R5970

PATHOLOGY £ 1,563

76948 Ultrasonic guidance for aspiration of ova (ultrasound) (uls): Includes imaging supervision and interpretation; Reporting code R6948.

PATHOLOGY £ 969

80048 Basic metabolic panel chemistry: Includes Calcium (82310) Carbon dioxide (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)

PATHOLOGY £ 23

80050 General health panel PATHOLOGY £ 23

80051 Electrolyte panel: Includes Carbon dioxide (82374) Chloride (82435) Potassium (84132) Sodium (84295)

PATHOLOGY £ 23

80053 Comprehensive metabolic panel; Includes Albumin, Bilirubin, Calcium, Carbon Dioxide (bicarbonate), Chloride, Creatinine, Glucose, Phosphatase, alkaline, Potassium, Protein, Sodium, Transferase, alanine amino (ALT) (SGPT), aspartate amino (AST) (SGOT), Urea Nitrogen (BUN)

PATHOLOGY £ 23

80061 Lipid Panel I: Includes Total Cholesterol (82465) Lipoprotein, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)

PATHOLOGY £ 23

80069 Renal function panel: Includes Albumin, Calcium, Carbon dioxide (bicarbonate), Chloride, Creatinine, Glucose, Phosphorus inorganic (phosphate), Potassium, Sodium, Urea nitrogen (BUN)

PATHOLOGY £ 23

80074 Acute hepatitis panel: Includes Hepatitis A antibody (HAAb) IgM antibody, Hepatitis B core antibody (HbcAb) IgM antibody, Hepatitis B surface antigen (HbsAg), Hepatitis C antibody

PATHOLOGY £ 23

80076 Hepatic function panel Liver Function Test: Includes Albumin,

PATHOLOGY £ 23

Bilirubin, Phosphatase, alkaline Protein, Transferase, alanine amino (ALT) (SGPT), aspartate amino (AST) (SGOT)

80412 Corticotropic releasing hormone (CRH) stimulation panel: Includes Cortisol (82533) Adrenocorticotropic hormone (ACTH) (82024)

PATHOLOGY £ 23

80426 Gonadotropin releasing hormone stimulation panel (GnRH test): Includes Follicle stimulating hormone (FSH) (83001) Luteinizing hormone (LH) (83002)

PATHOLOGY £ 23

80601 QuintilesIMS code:Two-dimensional gel electrophoresis, staining, digitizing and quantification of known protein

PATHOLOGY £ 17

81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose hemoglobin, ketones, leukocytes, nitrite, specific gravity, urobilinogen (urine analysis) (UA); with microscopy, non-automated

PATHOLOGY £ 19

81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy

PATHOLOGY £ 19

81002 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose hemoglobin, ketones, leukocytes, nitrite gravity, urobilinogen (urine analysis) (UA); without microscopy, non-automated

PATHOLOGY £ 19

81005 Urinalysis (urine analysis) (UA); qualitative or semiquantitative, except immunoassays

PATHOLOGY £ 19

81007 Urinalysis (urine analysis) (UA); bacteriuria screen, except by culture or dipstick

PATHOLOGY £ 19

81015 Urinalysis (urine analysis) (UA); microscopic only

PATHOLOGY £ 19

81025 Urine pregnancy test; by visual color comparison methods

PATHOLOGY £ 9

81240 F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant

PATHOLOGY £ 38

81245 FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia),

PATHOLOGY £ 9

gene analysis, internal tandem duplication (ITD) variants (ie, exons 14, 15)

81250 G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, Type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)

PATHOLOGY £ 6

81252 GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence

PATHOLOGY £ 122

81253 GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants

PATHOLOGY £ 17

81254 GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb [del(GJB6-D13S1830)] and 232kb [del(GJB6-D13S1854)])

PATHOLOGY £ 17

81260 IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507 6T>C, R696P)

PATHOLOGY £ 9

81270 JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant

PATHOLOGY £ 9

81287 MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme), methylation analysis

PATHOLOGY £ 160

81400-11 F7 (coagulation factor VII [serum prothrombin conversion accelerator])(eg, hereditary hypercoagulability), R353Q variant. .

PATHOLOGY £ 20

81400-12 FGB (fibrinogen beta chain) (eg, hereditary ischemic heart disease), -455G>A varian. .

PATHOLOGY £ 8

81400-16 GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosaminekinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy),M712T variant. .

PATHOLOGY £ 9

81400-17 Human Platelet Antigen 1 genotyping (HPA-1), ITGB3

PATHOLOGY £ 17

(integrin, beta 3 [platelet glycoprotein IIIa],antigen CD61 [GPIIIa]), HPA-1a/b (L33P). .

81400-18 Human Platelet Antigen 2 genotyping (HPA-2), GP1BA (glycoprotein Ib [platelet], alpha polypeptide [GPIba]), HPA-2a/b(T145M). .

PATHOLOGY £ 17

81400-19 Human Platelet Antigen 3 genotyping (HPA-3), ITGA2B (integrin, alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex], antigen CD41 [GPIIb]), HPA-3a/b (I843S). .

PATHOLOGY £ 17

81400-20 Human Platelet Antigen 4 genotyping (HPA-4), ITGB3 (integrin, beta 3 [platelet glycoprotein IIIa], antigen CD61 [GPIIIa]), HPA-4a/b (R143Q). .

PATHOLOGY £ 17

81400-21 Human Platelet Antigen 5 genotyping (HPA-5), ITGA2 (integrin, alpha 2 [CD49B, alpha 2 subunit of VLA-2 receptor] [GPIa]), HPA-5a/b (K505E). .

PATHOLOGY £ 17

81400-22 Human Platelet Antigen 6 genotyping (HPA-6w), ITGB3 (integrin, beta 3 [platelet glycoprotein IIIa, antigen CD61] [GPIIIa]), HPA-6a/b (R489Q). .

PATHOLOGY £ 17

81400-23 Human Platelet Antigen 9 genotyping (HPA-9w), ITGA2B (integrin, alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex, antigen CD41] [GPIIb]), HPA-9a/b (V837M). .

PATHOLOGY £ 17

81400-24 Human Platelet Antigen 15 genotyping (HPA-15), CD109 (CD109molecule) (eg, neonatal alloimmune thrombocytopenia [NAIT], posttransfusion purpura), HPA-15a/b (S682Y). .

PATHOLOGY £ 17

81400-27 LCT (lactase-phlorizin hydrolase) (eg, lactose intolerance), 13910 C>Tvariant. .

PATHOLOGY £ 9

81401-02 ABL (c-abl oncogene 1, receptor tyrosine kinase) (eg, acquired imatinib resistance), T315I variant

PATHOLOGY £ 9

81401-04 ADRB2 (adrenergic beta-2 receptor surface) (eg, drug metabolism), common variants (eg, G16R, Q27E)

PATHOLOGY £ 17

81401-06 APOB (apolipoprotein B) (eg, familial hypercholesterolemia type

PATHOLOGY £ 12

B), common variants (eg, R3500Q, R3500W)

81401-25 DMPK (dystrophia myotonica-protein kinase) (eg, myotonic dystrophy,type 1), evaluation to detect abnormal (eg, expanded) alleles.

PATHOLOGY £ 9

81401-51 LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), commonvariants (eg, R1441G, G2019S, I2020T).

PATHOLOGY £ 9

81401-67 PAX8/PPARG (t(2;3) (q13;p25)) (eg, follicular thyroid carcinoma),translocation analysis.

PATHOLOGY £ 31

81402-04 ESR1/PGR (receptor 1/progesterone receptor) ratio (eg, breast cancer). Please reference general code 81402.

PATHOLOGY £ 24

81403 Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis or mutation scanning or duplication/deletion variants of 2-5 exons)

PATHOLOGY £ 247

81403-01 ABL1 (c-abl oncogene 1, receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), variants in the kinase domain. Please reference general code 81403.

PATHOLOGY £ 9

81403-08 DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg, acute myeloid leukemia), targeted sequence analysis (eg, exon 23). Please reference general code 81403.

PATHOLOGY £ 160

81403-18 JAK2 (Janus kinase 2) (eg, myeloproliferative disorder), exon 12sequence and exon 13 sequence, if Performed

PATHOLOGY £ 9

81403-23 Known familial variant not otherwise specified, for gene listed in Tier 1 or Tier 2, DNA sequence analysis, each variant exon. Please reference general code 81403.

PATHOLOGY £ 160

81404 Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons)

PATHOLOGY £ 160

81404-08 C10orf2 (chromosome 10 open reading frame 2) (eg,

PATHOLOGY £ 265

mitochondrial DNAdepletion syndrome), full gene sequence

81404-10 CD40LG (CD40 ligand) (eg, X-linked hyper IgM syndrome), full gene sequence. Please reference general code 81404.

PATHOLOGY £ 122

81404-11 CDKN2A (cyclin-dependent kinase inhibitor 2A)(eg, CDKN2A-related cutaneous malignant melanoma, familial atypicalmole-malignant melanoma syndrome), full gene sequence

PATHOLOGY £ 114

81404-18 DMPK (dystrophia myotonica-protein kinase) (eg, myotonic dystrophytype 1), characterization of abnormal (eg, expanded) alleles. Please reference general code 81404.

PATHOLOGY £ 114

81404-66 RET (ret proto-oncogene) (eg, multiple endocrine neoplasia, type 2B andfamilial medullary thyroid carcinoma), common variants (eg, M918T,2647_2648delinsTT, A883F). Please reference general code 81404.

PATHOLOGY £ 136

81404-75 SLC16A2 (solute carrier family 16, member 2 [thyroid hormonetransporter]) (eg, specific thyroidhormone cell transporter deficiency, Allan-Herndon-Dudley syndrome),duplication/deletion analysis.

PATHOLOGY £ 136

81404-80 STK11 (serine/threonine kinase 11) (eg, Peutz-Jeghers syndrome),duplication/deletion analysis

PATHOLOGY £ 9

81405 Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis)

PATHOLOGY £ 265

81405-107 SLC16A2 (solute carrier family 16, member 2 [thyroid hormonetransporter]) (eg, specific thyroid hormone cell transporterdeficiency, Allan-Herndon-Dudley syndrome), full gene sequence

PATHOLOGY £ 136

81405-11 BMPR2 (bone morphogenetic protein receptor, type II[serine/threonine kinase]) (eg, heritable pulmonary arterial

PATHOLOGY £ 114

hypertension), duplication/deletion analysis

81405-110 SLC2A1 (solute carrier family 2 [facilitated glucose transporter],member 1) (eg, glucose transporter type 1 [GLUT 1] deficiencysyndrome), full gene sequence. Please reference general code 81405.

PATHOLOGY £ 111

81405-117 STK11 (serine/threonine kinase 11) (eg, Peutz-Jeghers syndrome),full gene sequence

PATHOLOGY £ 114

81405-119 TARDBP (TAR DNA binding protein) (eg, amyotrophic lateral sclerosis), full gene sequence

PATHOLOGY £ 265

81405-124 THRB (thyroid hormone receptor, beta) (eg, thyroid hormoneresistance, thyroid hormone beta receptor deficiency), full gene sequence or targeted sequence analysis of >5 exons.

PATHOLOGY £ 136

81405-125 TK2 (thymidine kinase 2, mitochondrial) (eg, mitochondrial DNAdepletion syndrome), full gene sequence

PATHOLOGY £ 168

81405-126 TNNI3 (troponin I, type 3 [cardiac]) (eg, familial hypertrophic cardiomyopathy), full gene sequence

PATHOLOGY £ 126

81405-127 TNNC1 (troponin C type 1 [slow]) (eg, hypertrophic cardiomyopathy or dilated cardiomyopathy), full gene sequence

PATHOLOGY £ 126

81405-131 TYMP (thymidine phosphorylase) (eg, mitochondrial DNA depletionsyndrome), full gene sequence

PATHOLOGY £ 265

81405-14 CDKL5 (cyclin-dependent kinase-like 5) (eg, earlyinfantile epileptic encephalopathy), duplication/deletion analysis. Please reference general code 81405.

PATHOLOGY £ 114

81405-28 DGUOK (deoxyguanosine kinase) (eg, hepatocerebral mitochondrial DNA depletion syndrome), full gene sequence

PATHOLOGY £ 168

81405-29 DHCR7 (7-dehydrocholesterol reductase) (eg, Smith-Lemli-Opitzsyndrome), full gene sequence

PATHOLOGY £ 117

81405-61 MPV17 (MpV17 mitochondrial inner membrane protein)

PATHOLOGY £ 265

(eg,mitochondrial DNA depletion syndrome), full gene sequence

81405-77 OTC (ornithine carbamoyltransferase) (eg, ornithine transcarbamylasedeficiency), full gene sequence

PATHOLOGY £ 114

81405-84 PINK1 (PTEN induced putative kinase 1) (eg, Parkinson disease), full gene sequence

PATHOLOGY £ 114

81405-93 RET (ret proto-oncogene) (eg, multiple endocrine neoplasia, type 2A and familial medullary thyroid carcinoma), targeted sequence analysis (eg,exons 10, 11, 13-16)

PATHOLOGY £ 136

81405-95 RRM2B (ribonucleotide reductase M2 B [TP53 inducible]) (eg,mitochondrial DNA depletion), full gene sequence

PATHOLOGY £ 265

81406 Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis or duplication/deletion variants of 26-50 exons)

PATHOLOGY £ 265

81406-112 POLG (polymerase [DNA directed], gamma) (eg, Alpers-Huttenlochersyndrome, autosomal dominant progressive external ophthalmoplegia), full gene sequence

PATHOLOGY £ 265

81406-116 PRKAG2 (protein kinase, AMP-activated, gamma 2 non-catalytic subunit) full gene sequence

PATHOLOGY £ 114

81406-117 PRKCG (protein kinase C, gamma) (eg, spinocerebellar ataxia), full gene sequence (sodium channel,voltage-gated, type IV, alpha subunit) (eg,hyperkalemic periodic paralysis), full gene sequence

PATHOLOGY £ 114

81406-134 SLC37A4 (solute carrier family 37 [glucose-6-phosphate transporter],member 4) (eg, glycogen storage disease type Ib), full gene sequence

PATHOLOGY £ 111

81406-144 TNNT2 (troponin T, type 2 [cardiac]) (eg, familial hypertrophiccardiomyopathy), full gene sequence

PATHOLOGY £ 126

81406-16 BMPR2 (bone morphogenetic protein receptor, type II [serine/threoninekinase]) (eg,

PATHOLOGY £ 114

heritable pulmonary arterial hypertension), full gene sequence

81406-19 BTK (Bruton agammaglobulinemia tyrosine kinase) (eg, X-linked agammaglobulinemia), full gene sequence

PATHOLOGY £ 114

81406-24 CDKL5 (cyclin-dependent kinase-like 5) (eg, early infantile epilepticencephalopathy), full gene sequence

PATHOLOGY £ 114

81406-25 CLCN1 (chloride channel 1, skeletal muscle) (eg, myotonia congenita), full gene sequence

PATHOLOGY £ 114

81406-26 CLCNKB (chloride channel, voltage-sensitive Kb) (eg, Bartter syndrome 3 and 4b), full gene sequence

PATHOLOGY £ 114

81406-47 FASTKD2 (FAST kinase domains 2) (eg, mitochondrial respiratory chaincomplex IV deficiency), full gene sequence

PATHOLOGY £ 114

81406-56 GCK (glucokinase [hexokinase 4]) (eg, maturity-onset diabetes of theyoung [MODY]), full gene sequence

PATHOLOGY £ 114

81406-58 GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosaminekinase) (eg, inclusion body myopathy 2 [IBM2], Nonaka myopathy), fullgene sequence

PATHOLOGY £ 114

81406-80 MAP2K1 (mitogen-activated protein kinase 1) (eg, cardiofaciocutaneoussyndrome), full gene sequence

PATHOLOGY £ 114

81406-81 MAP2K2 (mitogen-activated protein kinase 2) (eg, cardiofaciocutaneoussyndrome), full gene sequence

PATHOLOGY £ 114

81407 Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA sequence analysis or duplication/deletion variants of >50 exons, sequence analysis of multiple genes on one platform)

PATHOLOGY £ 160

81407-06 CHD7 (chromodomain helicase DNA binding protein 7) (eg, CHARGEsyndrome), full gene sequence

PATHOLOGY £ 265

81407-31 SLC12A1 (solute carrier family 12 [sodium/potassium/chloride transporters], member 1) (eg, Bartter syndrome), full gene

PATHOLOGY £ 114

sequence. Please reference general code 81407.

81407-32 SLC12A3 (solute carrier family 12 [sodium/chloride transporters], member 3) (eg, Gitelman syndrome), full gene sequence

PATHOLOGY £ 114

81408 Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis)

PATHOLOGY £ 265

81408-17 LRRK2 (leucine-rich repeat kinase 2) (eg, Parkinson disease), full gene sequence. Please reference general code 81408.

PATHOLOGY £ 9

81445 Targeted genomic sequence analysis panel, solid organ neoplasm, DNA analysis, 5-50 genes interrogation for sequence variants and copy number variants or rearrangements, if performed

PATHOLOGY £ 160

81528 Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool

PATHOLOGY £ 160

82013 Acetylcholinesterase (Rbc) (AChE)

PATHOLOGY £ 18

82150 Amylase PATHOLOGY £ 9

82232 Beta 2 microglobulin, Beta-2 microglobulin, Alpha 1 microglobulin, Alpha-1 microglobulin; blood, serum, urine

PATHOLOGY £ 17

82247 Bilirubin; total PATHOLOGY £ 12

82248 Bilirubin; direct PATHOLOGY £ 12

82373 Carbohydrate deficient transferrin; CDG transferrin isoelectric focusing

PATHOLOGY £ 17

82374 Carbon dioxide (bicarbonate) (HCO3)

PATHOLOGY £ 12

82378 Carcinoembryonic antigen (CEA) PATHOLOGY £ 12

82435 Chloride, blood PATHOLOGY £ 9

82436 Chloride; urine PATHOLOGY £ 9

82438 Chloride; other source PATHOLOGY £ 9

82465 Cholesterol; total, serum or whole blood

PATHOLOGY £ 12

82550 Creatine kinase (CK) (CPK); total PATHOLOGY £ 9

82552 Creatine kinase (CK) (CPK); isoenzymes

PATHOLOGY £ 9

82553 Creatine kinase (CK) (CPK) (CK-MB); MB fraction only

PATHOLOGY £ 9

82554 Creatine kinase (CK) (CPK); isoforms

PATHOLOGY £ 9

82575 Creatinine clearance; urine, blood, serum

PATHOLOGY £ 12

82585 Cryofibrinogen PATHOLOGY £ 8

82670 Estradiol, oestradiol (Es-1) (Es-2) (E2); blood, serum

PATHOLOGY £ 15

82715 Fat differential, feces, fecal, stool PATHOLOGY £ 8

82759 Galactokinase, RBC PATHOLOGY £ 9

82784 Gammaglobulin; IgA, IgD, IgG, IgM each

PATHOLOGY £ 17

82787 Gammaglobulin; immunoglobulin subclasses, (IgG1, 2, 3 and 4), quantitative immunoglobulin, each

PATHOLOGY £ 17

82945 Glucose; body fluid, other than blood, serum

PATHOLOGY £ 6

82947 Glucose; blood, serum (except reagent strip); quantitative

PATHOLOGY £ 6

82948 Glucose; blood, serum, reagent strip, finger stick test

PATHOLOGY £ 6

82950 Glucose; post glucose dose (includes glucose)

PATHOLOGY £ 6

82951 Glucose tolerance test (GTT) (OGTT); Includes glucose dose, fasting glucose and 3 post dose glucose specimens

PATHOLOGY £ 6

82952 Glucose tolerance test (GTT); each additional beyond three specimens

PATHOLOGY £ 6

82955 Glucose-6-phosphate dehydrogenase (G6PD) (G-6-PD); quantitative; method by methemoglobin reduction (Brewer's test), modified Bishop (ultraviolet), dye reduction, or ascorbic or fluorescent spot test

PATHOLOGY £ 6

82962 Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use

PATHOLOGY £ 6

83001 Gonadotropin; follicle stimulating hormone (FSH)

PATHOLOGY £ 17

83002 Gonadotropin; luteinizing hormone (LH)

PATHOLOGY £ 12

83003 Human growth hormone (HGH) (somatotropin)

PATHOLOGY £ 12

83020 Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S C, and/or F)

PATHOLOGY £ 17

83498 Hydroxyprogesterone, 17-d (17-OH Progesterone)

PATHOLOGY £ 19

83499 Hydroxyprogesterone, 20- PATHOLOGY £ 17

83540 Iron (Fe) PATHOLOGY £ 9

83550 Iron binding capacity (IBC) (TIBC) PATHOLOGY £ 8

83701 Lipoprotein, blood; electrophoretic seperation and quantitation, high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed

PATHOLOGY £ 17

83718 Lipoprotein, direct measurement; high density cholesterol (HDL)

PATHOLOGY £ 12

83719 Lipoprotein, direct measurement; very low density cholesterol (VLDL)

PATHOLOGY £ 12

83721 Lipoprotein, direct measurement; low density cholesterol (LDL)

PATHOLOGY £ 12

83735 Magnesium (Mg) PATHOLOGY £ 9

83873 Myelin basic protein, cerebrospinal fluid (CSF)

PATHOLOGY £ 206

83880 Natriuretic peptide, brain nucleic peptide (BNP), substance P; NT Pro BNP

PATHOLOGY £ 30

83930 Osmolality (Osmolarity); blood, serum

PATHOLOGY £ 9

83935 Osmolality (Osmolarity); urine PATHOLOGY £ 9

83970 Parathormone (parathyroid hormone) (PTH)

PATHOLOGY £ 31

84144 Progesterone PATHOLOGY £ 17

84146 Prolactin (PRL) PATHOLOGY £ 17

84152 Prostate specific antigen (PSA); complexed (direct measurement)

PATHOLOGY £ 17

84153 Prostate specific antigen (PSA); total

PATHOLOGY £ 17

84154 Prostate specific antigen (PSA); free

PATHOLOGY £ 23

84165 Protein electrophoresis, protein electrophoretic fractionation and quantitation (SPEP) (UPEP); blood, serum, urine

PATHOLOGY £ 17

84220 Pyruvate kinase PATHOLOGY £ 9

84234 Receptor assay; progesterone PATHOLOGY £ 17

84235 Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)

PATHOLOGY £ 17

84305 Somatomedin, insulin like growth factor, IGF-1, IGF-2

PATHOLOGY £ 24

84402 Testosterone (T); free PATHOLOGY £ 17

84403 Testosterone (T); total PATHOLOGY £ 17

84436 Thyroxine; total (T-4) (T4) (TT4) PATHOLOGY £ 12

84439 Thyroxine; free (FT4) (FT-4) (Free T-4)

PATHOLOGY £ 12

84443 Thyroid stimulating hormone (TSH)

PATHOLOGY £ 17

84445 Thyroid stimulating immune globulins (TSI)

PATHOLOGY £ 31

84460 Transferase, alanine aminotransferase (ALT) (ALAT) (SGPT)

PATHOLOGY £ 9

84466 Transferrin PATHOLOGY £ 17

84478 Triglycerides (Tg); blood, serum PATHOLOGY £ 9

84479 Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)

PATHOLOGY £ 17

84480 Triiodothyronine; total (T3) (T-3) (TT-3) (TT3)

PATHOLOGY £ 17

84481 Triiodothyronine; free (FT3) (free T-3) (T-3 Uptake)

PATHOLOGY £ 17

84482 Triiodothyronine; reverse (T3) (T-3)

PATHOLOGY £ 17

84484 Troponin, quantitative; Cardiac Troponin I (cTnI), Cardiac Troponin T (cTnT)

PATHOLOGY £ 21

84512 Troponin, qualitative PATHOLOGY £ 21

84520 Urea nitrogen (BUN); blood, serum; quantitative

PATHOLOGY £ 12

84525 Urea nitrogen; semiquantitative (eg, reagent strip test)

PATHOLOGY £ 12

84540 Urea nitrogen; urine PATHOLOGY £ 12

84545 Urea nitrogen; clearance PATHOLOGY £ 12

84550 Uric acid; blood, serum PATHOLOGY £ 9

84560 Uric acid; other source PATHOLOGY £ 9

84702 Serum pregnancy, gonadotropin chorionic (hCG) (BetahCG); quantitative

PATHOLOGY £ 12

84703 Urine pregnancy, gonadotropin chorionic (hCG) (BetahCG); qualitative

PATHOLOGY £ 9

84830 Ovulation tests by visual color comparison methods for human luteinizing hormone (LH) (Ovutest)

PATHOLOGY £ 12

85007 Blood count; manual differential WBC count (includes RBC morphology and platelet estimation)

PATHOLOGY £ 12

85008 Blood count; manual blood smear examination without differential parameters (formerly code 85585)

PATHOLOGY £ 12

85009 Blood count; differential WBC count, buffy coat

PATHOLOGY £ 12

85014 Blood count; hematocrit, haematocrit (Hct) (Ht)

PATHOLOGY £ 12

85018 Blood count; hemoglobin, haemoglobin (Hgb) (Hb)

PATHOLOGY £ 12

85025 Blood count; hemogram and platelet count, automated and automated complete differential WBC count (CBC), haemogram, hematology, haematology

PATHOLOGY £ 12

85027 Blood count; complete (CBC), hemogram, haemogram and platelet count, automated (Formerly codes 85021, 85022, 85023)

PATHOLOGY £ 12

85032 Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each (formerly code 85590)

PATHOLOGY £ 12

85041 Blood count; red blood cell (RBC) only

PATHOLOGY £ 12

85044 Blood count; reticulocyte count, manual

PATHOLOGY £ 12

85045 Blood count; automated, reticulocyte count, flow cytometry

PATHOLOGY £ 12

85046 Blood count; reticulocytes, hemoglobin, haemoglobin concentration; automated, including one or more cellular parameters, immature reticulocyte fraction, reticulocyte volume, direct measurement

PATHOLOGY £ 12

85048 Blood count; white blood cell (WBC), leukocyte count, leucocyte count, neutrophil count; automated

PATHOLOGY £ 12

85049 Blood count; platelet count; thrombocyte count, automated (formerly codes 85595, 85598)

PATHOLOGY £ 12

85055 Reticulated platelet assay PATHOLOGY £ 12

85060 Blood smear; peripheral, interpretation by physician

PATHOLOGY £ 220

85097 Bone marrow, smear interpretation

PATHOLOGY £ 220

85210 Clotting; factor II, prothrombin, specific

PATHOLOGY £ 22

85220 Clotting; factor V, AcG or proaccelerin, labile factor, leiden factor

PATHOLOGY £ 22

85230 Clotting; factor VII, proconvertin, stable factor

PATHOLOGY £ 22

85240 Clotting; factor VIII, AHG PATHOLOGY £ 22

85244 Clotting; factor VIII related antigen

PATHOLOGY £ 22

85245 Clotting; factor VIII, VW factor, Von Willebrand's factor, ristocetin cofactor

PATHOLOGY £ 22

85246 Clotting; factor VIII, VW factor antigen, Von Willebrand's factor antigen

PATHOLOGY £ 22

85247 Clotting; factor VIII, Von Willebrand's factor, multimetric analysis

PATHOLOGY £ 22

85250 Clotting; factor IX, PTC,Christmas PATHOLOGY £ 22

85260 Clotting; factor X, Stuart-Prower PATHOLOGY £ 22

85270 Clotting; factor XI, PTA PATHOLOGY £ 22

85280 Clotting; factor XII, Hageman PATHOLOGY £ 22

85290 Clotting; factor XIII, fibrin stabilizing

PATHOLOGY £ 22

85292 Clotting; prekallikrein assay, Fletcher factor assay

PATHOLOGY £ 20

85293 Clotting; high molecular weight kininogen assay, Fitzgerald factor assay

PATHOLOGY £ 20

85300 Clotting inhibitors or anticoagulants; antithrombin III

PATHOLOGY £ 20

85302 Clotting inhibitors or anticoagulants; protein C, antigen

PATHOLOGY £ 20

85305 Clotting inhibitors or anticoagulants; protein S, total and free

PATHOLOGY £ 20

85378 Fibrin degradation products, D-dimer

PATHOLOGY £ 8

85384 Fibrinogen; activity PATHOLOGY £ 8

85385 Fibrinogen; antigen PATHOLOGY £ 42

85610 Prothrombin time (PT) (Formerly code 85600)

PATHOLOGY £ 20

85651 Sedimentation rate, erythrocyte (ESR) (SED); non-automated

PATHOLOGY £ 8

85670 Thrombin time; plasma (TT) (TCT) (Thrombin clotting time)

PATHOLOGY £ 20

85705 Thromboplastin inhibition; tissue (TTI)

PATHOLOGY £ 20

85730 Thromboplastin time, partial (PTT) (aPTT); plasma or whole blood, serum

PATHOLOGY £ 20

85732 Thromboplastin time, partial (PTT); substitution, plasma fractions, each

PATHOLOGY £ 20

85810 Viscosity, viscosimeter PATHOLOGY £ 20

86140 C-reactive protein (CRP) PATHOLOGY £ 12

86141 C-reactive protein; high sensitivity (hsCRP)

PATHOLOGY £ 12

86146 Beta 2 Glycoprotein I antibody, each

PATHOLOGY £ 18

86225 Deoxyribonucleic acid (DNA) antibody (anti-D Nase-B); anti ds DNA

PATHOLOGY £ 160

86300 Immunoassay for tumor antigen, quantitative; CA 15-3, CA 27-29,

PATHOLOGY £ 17

CA 19-9, CA 125, CA 50, CA 72-4, CA 549, each antigen

86301 Immunoassay for tumor antigen, quantitative; CA 19-9

PATHOLOGY £ 17

86304 Immunoassay for tumor antigen; quantitative, CA 125

PATHOLOGY £ 17

86316 Immunoassay for tumor antigen, tumor markers, quantitative; (eg, CA 15-3, CA 19-9, CA 50, CA 72-4, CA 125, CA 195, CA 242, CA 549)

PATHOLOGY £ 17

86320 Immunoelectrophoresis; blood, serum

PATHOLOGY £ 17

86325 Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid (CSF)) with concentration

PATHOLOGY £ 122

86334 Immunofixation electrophoresis PATHOLOGY £ 32

86335 Immunofixation electrophoresis; serum; other fluids with concentration (eg, urine, CSF); or 24-hour urine; including monoclonal protein, M-protein

PATHOLOGY £ 122

86340 Intrinsic factor antibodies (anti-IgF-I antibodies)

PATHOLOGY £ 17

86359 T cells; total count PATHOLOGY £ 20

86360 T cells; absolute CD4 and CD8 count, including ratio

PATHOLOGY £ 95

86361 T cells; absolute CD4 count (CD 4) (CD-4)

PATHOLOGY £ 95

86367 Stem cells ( ie, CD34, CD 34, CD-34), total count using the different ways of writing CD34 (formerly code 86364)

PATHOLOGY £ 95

86376 Microsomal antibodies (eg, thyroid or liver-kidney); each antibody (e.g. antimicrosomal, anti-liver-kidney microsomal (LKM))

PATHOLOGY £ 31

86631 Antibody; chlamydia, IgG, IgA PATHOLOGY £ 11

86632 Antibody; chlamydia, IgM PATHOLOGY £ 11

86644 Antibody; cytomegalovirus, IgG (CMV)

PATHOLOGY £ 85

86645 Antibody; cytomegalovirus, IgM (CMV)

PATHOLOGY £ 85

86880 Antihuman globulin test (Coombs test); direct

PATHOLOGY £ 10

86885 Antihuman globulin test (Coombs test); indirect

PATHOLOGY £ 10

87149 Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed

PATHOLOGY £ 160

87153 Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene)

PATHOLOGY £ 160

87177 Ova and parasites, direct smears; concentration and identification

PATHOLOGY £ 220

87181 Susceptibility/sensitivity studies, antibiotic; agar dilution method, agar diffusion method, per agent (eg, antibiotic gradient strip)

PATHOLOGY £ 27

87184 Susceptibility/sensitivity studies, antibiotic; disk method, disc method, per plate (12 or fewer agents)

PATHOLOGY £ 27

87186 Susceptibility/sensitivity studies, antibiotic; microdilution or agar dilution (minimum inhibitory concentration (MIC) or breakpoint), each multi-antimicrobial, per plate

PATHOLOGY £ 27

87187 Susceptibility/sensitivity studies, antibiotic; microdilution or agar dilution, minimum lethal concentration (MLC), each plate

PATHOLOGY £ 27

87188 Susceptibility/sensitivity studies, antibiotic; macrobroth dilution method, each agent

PATHOLOGY £ 27

87205 Smear, primary source with interpretation; Gram Stain or Gi bacteria, fungi, or cell types

PATHOLOGY £ 220

87206 Smear, primary source with interpretation; fluorescent stain for bacteria, fungi, parasites, viruses or cell types

PATHOLOGY £ 220

87207 Smear, primary source with interpretation; special stain bodies or intracellular parasites (eg, malaria, coccidia microsporidia, cytomegalovirus, herpes viruses)

PATHOLOGY £ 220

87210 Smear, primary source with interpretation; wet mount agents (eg, saline, India ink, KOH preps)

PATHOLOGY £ 220

87495 Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus (CMV), direct probe technique

PATHOLOGY £ 46

87497 Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus (CMV), quantification

PATHOLOGY £ 46

87506 Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and

PATHOLOGY £ 46

Bartonella Quintana, direct probe technique ; gastrointestinal pathogen, includes multiplex reverse transcription.

87510 Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique

PATHOLOGY £ 46

87516 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique

PATHOLOGY £ 46

87517 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification

PATHOLOGY £ 46

87521 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C amplified probe technique

PATHOLOGY £ 46

87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C quantification; HCV RNA, quantification

PATHOLOGY £ 46

87528 Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique

PATHOLOGY £ 46

87534 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique

PATHOLOGY £ 46

87535 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, uncludes reverse transcription when performed

PATHOLOGY £ 46

87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed

PATHOLOGY £ 46

87537 Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique

PATHOLOGY £ 46

87555 Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique

PATHOLOGY £ 46

87556 Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique

PATHOLOGY £ 46

87557 Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification

PATHOLOGY £ 46

87623 Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44)

PATHOLOGY £ 46

87624 Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68 )

PATHOLOGY £ 46

87625 Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed

PATHOLOGY £ 46

87631 Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus multiplex reverse transcription and amplified probe technique, multiple types or subtypes, 3-5 targets

PATHOLOGY £ 46

87632 Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus multiplex reverse transcription and amplified probe technique, multiple types or subtypes, 6-11 targets

PATHOLOGY £ 46

87633 Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus, multiplex reverse transcription and amplified probe technique, multiple types or subtypes, 12-25 targets

PATHOLOGY £ 46

87641 Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique

PATHOLOGY £ 46

87798 Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism (e.g. PCR BK virus, PCR JC virus); urine, plasma, or serum; quantitative

PATHOLOGY £ 46

87901 Infectious agent genotype analysis by nucleic acid (DNA or RNA) HIV 1; reverse transcriptase and protease

PATHOLOGY £ 160

87902 Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus

PATHOLOGY £ 160

87903 Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first 10 drugs tested

PATHOLOGY £ 160

87912 Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus

PATHOLOGY £ 160

88108 Cytopathology, concentration technique, smears and interpretation (Saccomanno technique)

PATHOLOGY £ 220

88141 Cytopathology, cervical or vaginal, PAP smear: Includes interpretation

PATHOLOGY £ 220

88160 Cytopathology, smears excluding cervical or vaginal, any other source; screening and interpretation.

PATHOLOGY £ 220

88182 Flow cytometry; cytoplasmic or nuclear marker; cell cycle or DNA analysis (Formerly code 88180)

PATHOLOGY £ 160

88271 Molecular cytogenetics; DNA probe (eg, FISH)

PATHOLOGY £ 160

88313 Special stains;Group II, all other, except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry. Reporting code R8313

PATHOLOGY £ 22

88342 Immunohistochemistry separately identifiable antibody per block, cytologic preparation, or hematologic smear; first separately identifiable antibody per slide: Reporting code R8342.

PATHOLOGY £ 220

88399 Unlisted surgical pathology procedure (e.g. tumor biopsy)

PATHOLOGY £ 138

88720 Bilirubin, total, transcutaneous PATHOLOGY £ 12

89051 Cell count, miscellaneous body fluids (eg, cerebrospinal fluid (CSF), joint fluid), except blood, serum; with differential count

PATHOLOGY £ 8

89190 Eosinophil smear, eosinophil count; nasal, sputum, urine

PATHOLOGY £ 220

93268 Auto activated electrocardiographic rhythm event recording with symptom-related memory loop with remote download capability up to 30 days; includes transmission, physician review and interpretation

PATHOLOGY £ 292

93270 External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days. 24-hour attended monitoring; recording (includes connection, recording, and disconnection)

PATHOLOGY £ 292

93271 External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days. 24-hour attended monitoring; transmission download and analysis

PATHOLOGY £ 292

93272 External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days. 24-hour attended monitoring; physician review and interpretation

PATHOLOGY £ 292

93505 Endomyocardial biopsy, myocardial biopsy

PATHOLOGY £ 205

95250 Ambulatory glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for 72 hours; placement, calibration, training, removal and recording. Use 95251 for interpretation and report

PATHOLOGY £ 133

95251 Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; interpretation and report

PATHOLOGY £ 133

INR International Normalized Ratio (INR)

PATHOLOGY £ 11

T0060 Thyroid panel, thyroid function tests - Includes triiodothyronine, T3 (84480) thyroxine, T4 (84436) thyroid stimulating hormone, TSH (84443) (Formerly QuintilesIMS code 80060)

PATHOLOGY £ 23

T0065 Lipid Panel II: Includes Total Cholesterol, Lipoprotein, high density cholesterol (HDL cholesterol), low density

PATHOLOGY £ 23

cholesterol (LDL Cholesterol), Triglycerides, Apolipoprotein (Apo A-1) (Apo B) (Apo E)

T0073 Hepatitis panel - Includes hepatitis B and C only (Formerly QuintilesIMS code 80073)

PATHOLOGY £ 11

T0090 TORCH antibody panel: Includes Antibody, cytomegalovirus (CMV) (86644) Antibody, herpes simplex, non-specific type test (86694) Antibody, rubella (86762) Antibody, toxoplasma (86777)

PATHOLOGY £ 11

T0095 Endocrine panel - Includes cortisol (82533) human growth hormone, HGH (83003) prolactin, PRL (84146) adrenocorticotropic hormone, ACTH (82024) (Formerly QuintilesIMS code 80095)

PATHOLOGY £ 37

T0217 Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; needle biopsy of thyroid

PATHOLOGY £ 1,045

T0719 Cardiac Telemetry; continuous electronic monitoring of heart rhythm and heart rate, with or without blood pressure monitoring; 0-6 hours

PATHOLOGY £ 106

T0720 Cardiac Telemetry; continuous electronic monitoring of heart rhythm and heart rate, with or without blood pressure monitoring; up to 24 hours: Includes interpretation and report

PATHOLOGY £ 106

T0908 Cystic Fibrosis Screen by PCR; Oligonucleotide Ligation: ACOG Panel

PATHOLOGY £ 88

T0911 Anemia Profile Panel including reticulocyte count, Iron with TIBC, Vitamin B12, CBC with differential, Ferritin, Folate, Folic Acid

PATHOLOGY £ 23

T1013 Comprehensive Anemia Profile, Anaemia Panel including: reticulocyt count, Iron with TIBC, Vitamin B12, CBC with differential, ferritin, folate, folic acid.

PATHOLOGY £ 23

T1103 Autoimmune Panel, up to five indicators

PATHOLOGY £ 23

T1104 Autoimmune Panel, up to 10 indicators

PATHOLOGY £ 45

T1105 Autoimmune Panel, up to 15 indicators

PATHOLOGY £ 68

T1201 KRAS gene, 7 mutation panel, Tumor ; c-K-ras2 protein; c-K-ras protein; KI-RAS; Kirsten rat sarcoma-2 viral (v-Ki-ras2) oncogene homolog: For interpretation and report use RT201

PATHOLOGY £ 23

T1203 Jak2 (V617F) Mutation by PCR PATHOLOGY £ 88

T1208 Two-dimensional gel electrophoresis, staining, digitizing and quantification of known protein

PATHOLOGY £ 17

T4186 IgF binding protein 1 (IGFBP-1) (IGFBP1) (IGFBP 1) (Formerly QuintilesIMS code 84186)

PATHOLOGY £ 17

T4187 IgF binding protein 3 (IGFBP-3) (IGFBP3) (IGFBP 3) (Formerly QuintilesIMS code 84187)

PATHOLOGY £ 17

T5209 Clotting; factor I, fibrinogen (Formerly QuintilesIMS code 85209)

PATHOLOGY £ 26

T6362 T cells; absolute CD8 count (CD 8) (CD-8) (Formerly QuintilesIMS code 86362)

PATHOLOGY £ 20

T6363 CD18, CD 18, CD-18 (Formerly QuintilesIMS code 86363)

PATHOLOGY £ 20

T6365 Earliest B cells CD19, CD 19, CD-19 (Formerly QuintilesIMS code 86365)

PATHOLOGY £ 20

T9013 Biopsy; Staining and preparation of the slides including shipping and handling (Formerly QuintilesIMS code 99013)

PATHOLOGY £ 52

T9999 Unlisted laboratory panel, safety labs, routine laboratory tests; chemistry, chemistries, smac, hemogram, hematology, CBC, urinalysis, urine analysis (Formerly QuintilesIMS code 89999)

PATHOLOGY £ 23

TM030 Biomarker, Intercellular adhesion molecule 1 (ICAM-1) (sICAM-1) (CD54) (CD 54) (CD-54) (Formerly QuintilesIMS code BM030)

PATHOLOGY £ 20

TM035 Biomarker, Dipeptidyl peptidase-IV, dipeptidyl peptidase 4 (DPP-IV) (DPP IV) (CD26) (CD 26) (CD-26) (Formerly QuintilesIMS code BM035)

PATHOLOGY £ 20

TM038 Biomarker, Prothrombin fragments 1 and 2, Prot 1+2 (Formerly QuintilesIMS code BM038)

PATHOLOGY £ 20

TM039 Biomarker, Tumor block immunohistochemistry (IHC), oncology marker (Formerly QuintilesIMS code BM039)

PATHOLOGY £ 77

TM040 Biomarker, Tumor block immunohistochemistry (IHC), oncology marker with imaging (Formerly QuintilesIMS code BM040)

PATHOLOGY £ 77

NIHR_INV_025 Skin Scrape PATHOLOGY £ 648

NIHR_INV_026 Brochial wash PATHOLOGY £ 612

NIHR_INV_027 Paraprotein Measurement (Densitometry)

PATHOLOGY £ 17

Section 12 - Radiology tariffs

With New NIHR codes


70200 Radiologic examination, orbits (Xray) (X Ray) (X-Ray): Reporting code R0200.

RADIOLOGY £ 42

70220 Radiologic examination, sinuses, paranasal (Xray) (X Ray) (X-Ray); minimum three views: Reporting code R0220;

RADIOLOGY £ 42

70250 Radiologic examination, skull, head (Xray) (X Ray) (X-Ray): Reporting code R0250.

RADIOLOGY £ 42

70300 Radiologic examination, teeth (Xray) (X Ray) (X-Ray); single view: Reporting code R0300.

RADIOLOGY £ 42

70320 Radiologic examination, teeth (Xray) (X Ray) (X-Ray); complete, full mouth: Reporting code R0320.

RADIOLOGY £ 42

70350 Cephalogram, orthodontic, radiograph of the head: Reporting code R0350.

RADIOLOGY £ 42

70360 Radiologic examination, soft tissue of neck (Xray) (X Ray) (X-Ray): Reporting code R0360.

RADIOLOGY £ 56

70450 Computerized axial tomography, head, skull or brain (Cat Scan) (CT Scan); without contrast material: Reporting code R0450.

RADIOLOGY £ 163

70460 Computerized axial tomography, head, skull or brain (Cat Scan) (CT Scan); with contrast material(s): Reporting code R0460.

RADIOLOGY £ 247

70470 Computed axial tomography, head or brain (Cat Scan) (CT Scan); without contrast material and again followed by contrast material: Reporting code R0470

RADIOLOGY £ 247

70486 Computerized axial tomography, maxillofacial area (Cat Scan) (CT Scan); without contrast material: Reporting code R0486.

RADIOLOGY £ 163

70487 Computerized axial tomography, maxillofacial area (Cat Scan) (CT Scan); with contrast material(s): Reporting code R0487.

RADIOLOGY £ 247

70490 Computerized axial tomography, soft tissue of neck (Cat Scan) (CT Scan); without contrast material: Reporting code R0490.

RADIOLOGY £ 163

70491 Computerized axial tomography, soft tissue of neck (Cat Scan) (CT Scan); with contrast material(s): Reporting code R0491.

RADIOLOGY £ 247

70492 Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections: Reporting code R0492

RADIOLOGY £ 247

70540 Magnetic resonance imaging, orbit, face and neck (MRI); without contrast material (eg, proton): Reporting code R0540.

RADIOLOGY £ 389

70542 Magnetic resonance imaging, orbit, face and neck (MRI); with contrast material(s) (eg, proton): Reporting code R0542.

RADIOLOGY £ 472

70543 Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences: Reporting code R0543

RADIOLOGY £ 389

70544 Magnetic resonance angiography, head (MRA); without contrast material(s): Reporting code R0544.

RADIOLOGY £ 389

70545 Magnetic resonance angiography, head (MRA); with contrast material(s): Reporting code R0545.

RADIOLOGY £ 389

70547 Magnetic resonance angiography, neck (MRA); without contrast material(s): Reporting code R0547.

RADIOLOGY £ 472

70548 Magnetic resonance angiography, neck (MRA); with contrast material(s): Reporting code R0548.

RADIOLOGY £ 389

70551 Magnetic resonance imaging, brain including brain stem (MRI); without contrast material (eg, proton): Reporting code R0551.

RADIOLOGY £ 389

70552 Magnetic resonance imaging, brain including brain stem (MRI); with contrast material(s) (eg, proton): Reporting code R0552.

RADIOLOGY £ 472

70553 Magnetic resonance imaging, brain including brain stem (MRI); without contrast material, followed by contrast material(s) and further sequences (eg, proton): ): Reporting code R0553

RADIOLOGY £ 389

70554 Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist

RADIOLOGY £ 472

administration: Reporting code R0554

70555 Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional: Reporting code R0555

RADIOLOGY £ 1,379

71010 Radiologic examination, chest, thorax, thoracic (CXR) (Chest Xray) (Chest X Ray) (Chest X-Ray); single view, frontal: Reporting code R1010.

RADIOLOGY £ 42

71020 Radiologic examination, chest, thorax, thoracic (CXR) (Chest Xray) (Chest X Ray) (Chest X-Ray); two views, frontal and lateral: Reporting code R1020.

RADIOLOGY £ 52

71023 Radiologic examination, chest (Xray) (X Ray) (X-Ray); two views, frontal and lateral, with fluoroscopy; Reporting code R1023

RADIOLOGY £ 234

71100 Radiologic examination, ribs (Xray) (X Ray) (X-Ray); two views, unilateral: Reporting code R1100.

RADIOLOGY £ 52

71120 Radiologic examination, sternum (Xray) (X Ray) (X-Ray); two views minimum: Reporting code R1120.

RADIOLOGY £ 52

71250 Computerized axial tomography, thorax, thoracic, chest (Cat Scan) (CT Scan); without contrast material; can be used for peripheral artery tomography: Reporting code R1250.

RADIOLOGY £ 163

71260 Computerized axial tomography, thorax, thoracic, chest (Cat Scan) (CT Scan); with contrast material(s): Reporting code R1260.

RADIOLOGY £ 247

71270 Computerized axial tomography, thorax, thoracic (Cat Scan) (CT Scan); without contrast material followed by contrast material(s) and further sections; Reporting code R1270.

RADIOLOGY £ 247

71550 Magnetic resonance imaging, chest, thorax, thoracic (MRI); without contrast material(s) (eg, proton): Reporting code R1550.

RADIOLOGY £ 389

71551 Magnetic resonance imaging, chest, thorax, thoracic (MRI); with contrast material(s) (eg, proton): Reporting code R1551.

RADIOLOGY £ 472

71552 Magnetic resonance imaging, chest (MRI); without contrast material(s), followed by contrast material(s) and further sequences (eg, proton): Reporting code R1552.

RADIOLOGY £ 472

71555 Magnetic resonance angiography, chest, thorax, thoracic (excluding myocardium) (MRA); with or without contrast materials: Reporting code R1555.

RADIOLOGY £ 472

72020 Radiologic examination, spine, spinal (Xray) (X Ray) (X-Ray); single view: Reporting code R2020.

RADIOLOGY £ 56

72040 Radiologic examination, spine, spinal, cervical (Xray) (X Ray) (X-Ray); 2 or 3 views: Reporting code R2040.

RADIOLOGY £ 56

72050 Radiologic examination, spine, spinal, cervical; 4 or 5 views: Reporting code R2050

RADIOLOGY £ 56

72052 Radiologic examination, spine, spinal, cervical; 6 or more views: Reporting code R2052

RADIOLOGY £ 56

72070 Radiologic examination, spine, spinal, thoracic (Xray) (X Ray) (X-Ray); two views: Reporting code R2070.

RADIOLOGY £ 56

72081 Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view: Reporting code R2081

RADIOLOGY £ 56

72082 Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views: Reporting code R2082

RADIOLOGY £ 56

72083 Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views: Reporting code R2083

RADIOLOGY £ 56

72084 Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views: Reporting code R2084

RADIOLOGY £ 56

72100 Radiologic examination, spine, spinal, lumbosacral, (Xray) (X Ray) (X-Ray); two or three views: Reporting code R2100.

RADIOLOGY £ 56

72125 CT, cervical spine; without contrast material: Reporting code R2125.

RADIOLOGY £ 163

72126 CT, cervical spine; with contrast material: Reporting code R2126.

RADIOLOGY £ 247

72127 CT, cervical spine; without contrast material, followed by contrast

RADIOLOGY £ 402

material(s) and further sections: Reporting code R2127

72131 Computerized axial tomography, lumbar spine (Cat Scan) (CT Scan); without contrast material; Reporting code R2131

RADIOLOGY £ 163

72132 Computerized axial tomography, lumbar spine; with contrast material; Reporting code R72132

RADIOLOGY £ 247

72133 Computerized axial tomography, lumbar spine; without contrast material followed by contrast material(s) and further sections; Reporting code R72133

RADIOLOGY £ 247

72141 Magnetic resonance imaging, spinal canal, spine and contents, cervical (MRI); without contrast material (eg, proton): Reporting code R2141.

RADIOLOGY £ 389

72142 Magnetic resonance imaging, spinal canal, spine and contents, cervical (MRI); with contrast material(s) (eg, proton): Reporting code R2142.

RADIOLOGY £ 472

72146 Magnetic resonance imaging, spinal canal, spine and contents, thoracic (MRI); without contrast material (eg, proton): Reporting code R2146.

RADIOLOGY £ 389

72147 Magnetic resonance imaging, spinal canal, spine and contents, thoracic (MRI); with contrast material(s) (eg, proton): Reporting code R2147.

RADIOLOGY £ 472

72148 Magnetic resonance imaging, spinal canal, spine and contents, lumbar (MRI); without contrast material (eg, proton): Reporting code R2148.

RADIOLOGY £ 389

72149 Magnetic resonance imaging, spinal canal, spine and contents, lumbar (MRI); with contrast material(s) (eg, proton): Reporting code R2149.

RADIOLOGY £ 472

72170 Radiologic examination, pelvis, pelvic (Xray) (X Ray) (X-Ray): Reporting code R2170.

RADIOLOGY £ 59

72192 Computerized axial tomography, pelvis, pelvic (Cat Scan) (CT Scan); without contrast material: Reporting code R2192.

RADIOLOGY £ 163

72193 Computerized axial tomography, pelvis, pelvic (Cat Scan) (CT Scan); with contrast material(s): Reporting code R2193.

RADIOLOGY £ 247

72194 Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections: Reporting code R2194

RADIOLOGY £ 247

72195 Magnetic resonance imaging, pelvis, pelvic (MRI); without contrast material(s) (eg, proton): Reporting code R2195.

RADIOLOGY £ 389

72196 Magnetic resonance imaging, pelvis, pelvic (MRI); with contrast material(s) (eg, proton): Reporting code R2196.

RADIOLOGY £ 472

72197 Magnetic resonance imaging, pelvis, pelvic (MRI); without contrast material(s), followed by contrast material(s) and further sections (eg, proton): Reporting code R2197

RADIOLOGY £ 389

72198 Magnetic resonance angiography, pelvis, pelvic (MRA): Reporting code R2198.

RADIOLOGY £ 389

72200 Radiologic examination, sacroiliac joints (Xray) (X Ray) (X-Ray); less than three views: Reporting code R2200

RADIOLOGY £ 59

72202 Radiologic examination, sacroiliac joints (Xray) (X Ray) (X-Ray); three or more views: Reporting code R2202

RADIOLOGY £ 59

72240 Myelography, myelogram, cervical: Reporting code R2240.

RADIOLOGY £ 264

72255 Myelography, myelogram, thoracic, thorax, chest: Reporting code R2255.

RADIOLOGY £ 264

72265 Myelography, myelogram, lumbosacral: Reporting code R2265.

RADIOLOGY £ 264

72270 Myelography, myelogram, entire spinal canal: Reporting code R2270.

RADIOLOGY £ 264

72295 Diskography, lumbar, radiological supervision, nucleography

RADIOLOGY £ 174

73000 Radiologic examination, clavicle (Xray) (X Ray) (X-Ray): Reporting code R3000.

RADIOLOGY £ 59

73010 Radiologic examination, scapula (Xray) (X Ray) (X-Ray): Reporting code R3010.

RADIOLOGY £ 59

73020 Radiologic examination, shoulder (Xray) (X Ray) (X-Ray); one view: Reporting code R3020.

RADIOLOGY £ 59

73060 Radiologic examination, humerus (Xray) (X Ray) (X-Ray); two views: Reporting code R3060.

RADIOLOGY £ 59

73070 Radiologic examination, elbow (Xray) (X Ray) (X-Ray); two views: Reporting code R3070.

RADIOLOGY £ 59

73090 Radiologic examination, forearm (Xray) (X Ray) (X-Ray); two views: Reporting code R3090.

RADIOLOGY £ 59

73100 Radiologic examination, wrist (Xray) (X Ray) (X-Ray); two views: Reporting code R3100.

RADIOLOGY £ 59

73120 Radiologic examination, hand (Xray) (X Ray) (X-Ray); two views: Reporting code R3120.

RADIOLOGY £ 59

73200 Computerized axial tomography, upper extremity (Cat Scan) (CT Scan); without contrast material: Reporting code R3200.

RADIOLOGY £ 163

73201 Computerized axial tomography, upper extremity (Cat Scan) (CT Scan); with contrast material(s): Reporting code R3201.

RADIOLOGY £ 247

73218 Magnetic resonance imaging, upper extremity other than joint (MRI); without contrast material(s) (eg, proton): Reporting code R3218.

RADIOLOGY £ 389

73219 Magnetic resonance imaging, upper extremity other than joint (MRI); with contrast material(s) (eg, proton): Reporting code R3219.

RADIOLOGY £ 472

73221 Magnetic resonance imaging, any joint of upper extremity (MRI); without contrast material(s) (eg, proton): Reporting code R3221.

RADIOLOGY £ 389

73222 Magnetic resonance imaging, any joint of upper extremity (MRI); with contrast material(s) (eg, proton): Reporting code R3222.

RADIOLOGY £ 472

73225 Magnetic resonance angiography, upper extremity (MRA): Reporting code R3225.

RADIOLOGY £ 389

73501 Radiologic examination, hip, unilateral, with pelvis when performed; 1 view: Reporting code R3501

RADIOLOGY £ 42

73502 Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views: Reporting code R3502

RADIOLOGY £ 52

73521 Radiologic examination, hips, bilateral, with pelvis when performed; 2 views: Reporting code R3521

RADIOLOGY £ 52

73551 Radiologic examination, femur; 1 view: Reporting code R3551

RADIOLOGY £ 42

73560 Radiologic examination, knee (Xray) (X Ray) (X-Ray); up to two views: Reporting code R3560.

RADIOLOGY £ 59

73562 Radiologic examination, knee (Xray) (X Ray) (X-Ray); three views; For interpretation and report please use code R3562

RADIOLOGY £ 59

73564 Radiologic examination, knee (Xray) (X Ray) (X-Ray); complete, four or more views; For interpretation and report please use code R3564

RADIOLOGY £ 59

73565 Radiologic examination, knee (Xray) (X Ray) (X-Ray); both knees, standing, anteroposterior; For interpretation and report please use code R3565

RADIOLOGY £ 59

73590 Radiologic examination, tibia and fibula (Xray) (X Ray) (X-Ray); two views: Reporting code R3590.

RADIOLOGY £ 59

73600 Radiologic examination, ankle (Xray) (X Ray) (X-Ray); two views: Reporting code R3600.

RADIOLOGY £ 59

73620 Radiologic examination, foot (Xray) (X Ray) (X-Ray); two views: Reporting code R3620.

RADIOLOGY £ 59

73700 Computerized axial tomography, lower extremity (Cat Scan) (CT Scan); without contrast material: Reporting code R3700.

RADIOLOGY £ 163

73701 Computerized axial tomography, lower extremity (Cat Scan) (CT Scan); with contrast material(s): Reporting code R3701.

RADIOLOGY £ 247

73718 Magnetic resonance imaging, lower extremity other than joint (MRI); without contrast material(s) (eg, proton): Reporting code R3718.

RADIOLOGY £ 389

73719 Magnetic resonance imaging, lower extremity other than joint (MRI); with contrast material(s) (eg, proton): Reporting code R3719.

RADIOLOGY £ 472

73721 Magnetic resonance imaging, any joint of lower extremity (MRI); without contrast material (eg, proton): Reporting code R3721.

RADIOLOGY £ 389

73722 Magnetic resonance imaging, any joint of lower extremity (MRI); with contrast material(s) (eg, proton): Reporting code R3722.

RADIOLOGY £ 472

73725 Magnetic resonance angiography, lower extremity (MRA); with or without contrast material(s): Reporting code R3725.

RADIOLOGY £ 389

74000 Radiologic examination, abdomen, abdominal (Xray) (X Ray) (X-Ray); single anteroposterior view: Reporting code R4000.

RADIOLOGY £ 33

74150 Computerized axial tomography, abdomen, abdominal (Cat Scan) (CT Scan); without contrast material: Reporting code R4150.

RADIOLOGY £ 163

74160 Computerized axial tomography, abdomen, abdominal (Cat Scan) (CT Scan); with contrast material(s): Reporting code R4160.

RADIOLOGY £ 247

74170 Computerized axial tomography, abdomen, abdominal (Cat Scan) (CT Scan); without contrast material followed by contrast material(s) and further sections: Reporting code R4170.

RADIOLOGY £ 247

74176 Computed tomography, abdomen and pelvis; without contrast material: Reporting code R4176. Formerly code T1007

RADIOLOGY £ 324

74177 Computed tomography, abdomen and pelvis; with contrast material(s): Reporting code R4177. Formerly code T1008

RADIOLOGY £ 495

74178 Computed tomography, abdomen and pelvis; without contrast material in 1 or both body regions, followed by contrast material(s) and further sections in 1 or both body regions: Reporting code R4178.

RADIOLOGY £ 495

74181 Magnetic resonance imaging, abdomen, abdominal (MRI); without contrast material(s) (eg, proton): Reporting code R4181.

RADIOLOGY £ 389

74182 Magnetic resonance imaging, abdomen, abdominal (MRI); with contrast material(s) (eg, proton): Reporting code R4182.

RADIOLOGY £ 472

74183 Magnetic resonance imaging, abdomen, abdominal (MRI); without contrast material(s) followed by with contrast material(s) and further sequences (eg, proton): Reporting code R4183

RADIOLOGY £ 611

74185 Magnetic resonance angiography, abdomen, abdominal (MRA); with or without contrast: Reporting code R4185.

RADIOLOGY £ 472

74240 Radiologic examination, upper gastrointestinal tract (Xray) (X Ray) (X-Ray); with or without delayed film, without KUB: Reporting code R4240.

RADIOLOGY £ 42

74246 Radiological examination, upper gastrointestinal tract (Xray); air contrast with specific high density barium, effervescent agent, with or without glucagon, without KUB: Reporting code R4246.

RADIOLOGY £ 134

74250 Radiologic examination, small intestine (Xray) (X Ray) (X-Ray): Reporting code R4250.

RADIOLOGY £ 42

74261 Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material: Reporting code R74261

RADIOLOGY £ 163

74262 Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed: Reporting code R74262

RADIOLOGY £ 247

74263 Computed tomographic (CT) colonography, screening, including image postprocessing: Reporting code R74263

RADIOLOGY £ 148

74270 Radiologic examination, colon (Xray) (X Ray) (X-Ray); barium enema, with or without KUB: Reporting code R4270.

RADIOLOGY £ 211

74290 Cholecystography, cholescystography; oral contrast: Reporting code R4290.

RADIOLOGY £ 578

74400 Urography intravenous (pyelography) (IVP) (RPG), with or without KUB, with or without tomography: Reporting code R4400.

RADIOLOGY £ 132

74420 Urography, retrograde, with or without KUB; Reporting code R4420

RADIOLOGY £ 132

74430 Cystography, minimum three views: Reporting code R4430.

RADIOLOGY £ 578

74450 Urethrocystography, retrograde, radiological supervision and interpretation: Reporting code R4450.

RADIOLOGY £ 578

74455 Urethrocystography, voiding, radiological supervision and interpretation: Reporting code R4455.

RADIOLOGY £ 578

75557 Cardiac magnetic resonance imaging for morphology and function without contrast material; Reporting code R5557

RADIOLOGY £ 389

75559 Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging: Reporting code R5559

RADIOLOGY £ 472

75561 Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequence; Reporting code R5561

RADIOLOGY £ 472

75563 Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequence; with stress imaging: Reporting code R5563

RADIOLOGY £ 472

75565 Cardiac magnetic resonance imaging for velocity flow mapping (list separately in addition to code for primary procedure) Reporting code R5565

RADIOLOGY £ 389

75571 Computer tomography, heart, without contrast material, with quantitative evaluation of coronary calcium: Reporting code R5571

RADIOLOGY £ 163

75572 CT heart, with contrast, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment and evaluation of venous structures, if performed) Reporting code R5572

RADIOLOGY £ 247

75635 CT angio, abdominal aorta and bilateral iliofemoral lower extremities and interpretation, followed by contrast material(s) including image post-processing: Reporting code R5635; (CT Scan)

RADIOLOGY £ 338

75820 Venography, extremity (phlebography), unilateral: Reporting code R5820.

RADIOLOGY £ 88

75822 Venography, extremity (phlebography), bilateral: Reporting code R5822.

RADIOLOGY £ 88

76442 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited:Interpretation and Report use code R6642

RADIOLOGY £ 72

76497 Unlisted computed tomography procedure (eg, diagnostic, interventional); Reporting code R6497.

RADIOLOGY £ 402

76498 Unlisted magnetic resonance procedure (eg, diagnostic, interventional); suspicious areas; without contrast: Reporting code R6498.

RADIOLOGY £ 988

76506 Echoencephalography, ultrasound of the skull, head; B-scan and/or real time with image documentation, including A-mode encephalography as secondary component where indicated: Reporting code R6506.

RADIOLOGY £ 61

76510 Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter: Reporting code R6510.

RADIOLOGY £ 61

76511 Ophthalmic, ophthalmology ultrasound (echography) (uls); diagnostic, A-scan only: Reporting code R6511.

RADIOLOGY £ 61

76512 Ophthalmic, ophthalmology ultrasound (echography) (uls); diagnostic, contact B-scan without simultaneous A-scan: Reporting code R6512.

RADIOLOGY £ 61

76513 Ophthalmic, ophthalmology ultrasound (echography) (uls); diagnostic, anterior segm ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy: Reporting code R6513.

RADIOLOGY £ 61

76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid parotid) (echography) (uls); B-scan and/or real time with image documentation: Reporting code R6536.

RADIOLOGY £ 61

76604 Ultrasound, chest, thorax, thoracic (echography) (uls); B-scan, real time with image documentation: Reporting code R6604.

RADIOLOGY £ 61

76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete: Reporting code R6641

RADIOLOGY £ 61

76700 Ultrasound, abdomen, abdominal (echography) (uls), real time and image documentation complete: Reporting code R6700.

RADIOLOGY £ 61

76705 Ultrasound, abdominal (echography) (uls); B-scan and/or real time with limited (eg, single organ, quadrant, follow-up) For interpretation and report please use code R6705

RADIOLOGY £ 132

76770 Ultrasound, retroperitoneal (eg, renal, aorta, kidney, spleen, gallbladder) (echography) (uls); real time with image documentation: Reporting code R6770.

RADIOLOGY £ 88

76775 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited

RADIOLOGY £ 88

76800 Ultrasound, spinal canal and contents (echography) (uls): Reporting code R6800.

RADIOLOGY £ 88

76805 Ultrasound, pregnant uterus (echography) (uls); B-scan and/or real time with documentation: Reporting code R6805.

RADIOLOGY £ 61

76811 Ultrasound, pregnant uterus, real time image, fetal and maternal evaluation plus detailed anatomic examination, transabdominal approach; single or first gestation; Reporting code R6811

RADIOLOGY £ 61

76813 Ultrasound, pregnant uterus, real time image, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation; Reporting code R6813.

RADIOLOGY £ 61

76820 Doppler velocimetry, fetal; umbilical artery; Reporting code R6820

RADIOLOGY £ 61

76821 Doppler velocimetry, fetal; middle cerebral artery; Reporting code R6821

RADIOLOGY £ 61

76830 Ultrasound, transvaginal, vaginal probe ultrasonography (TVUS) (echography) (uls): Reporting code R6830.

RADIOLOGY £ 61

76856 Ultrasound, pelvic, pelvis (nonobstetric) (echography) (uls); B-scan and/or real time with documentation; Complete: Reporting code R6856.

RADIOLOGY £ 61

76870 Ultrasound, scrotum and contents (echography) (uls): Reporting code R6870.

RADIOLOGY £ 61

76872 Ultrasound, transrectal, prostate (echography) (uls): Reporting code R6872.

RADIOLOGY £ 132

76881 Ultrasound, extremity, nonvascular, real-time with image documentation; complete; Reporting code R6881

RADIOLOGY £ 61

76882 Ultrasound, extremity, nonvascular, real-time with image documentation; limited, static (not requiring physician manipulation); Reporting code R6882

RADIOLOGY £ 61

76937 Ultrasound guidance for vascular access requiring ultrasound evaluation, documentation of selected vessel patency, realtime visualization of needle entry and reporting: Reporting code R6937

RADIOLOGY £ 61

76940 Ultrasound guidance for, and monitoring of, parenchymal tissue ablation: Reporting code R6940

RADIOLOGY £ 61

76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration injection, localization device), imaging supervision and interpretation

RADIOLOGY £ 61

76977 Ultrasound bone density measurement and interpretation (echography) (uls); peripheral site(s), any method: Reporting code R6977

RADIOLOGY £ 61

77058 Magnetic resonance imaging, breast, without and/or with contrast material(s); unilateral; Reporting code R7058

RADIOLOGY £ 472

77059 Magnetic resonance imaging, breast, without and/or with contrast material(s); bilateral: For Interpretation and Report please use code R7059.

RADIOLOGY £ 472

77072 Bone age studies, bone age Xray (X Ray) (X-Ray: Reporting code R7072 (formerly code 76020)

RADIOLOGY £ 25

77074 Radiologic examination, skeletal survey, osseous survey (Xray) (X Ray) (X-Ray); limited (eg, for metastases): Reporting code R7074 (formerly code 76061)

RADIOLOGY £ 174

77075 Radiologic examination, osseous survey (Xray) (X Ray) (X-Ray); complete (axial and appendicular skeleton): Reporting code R7075 (formerly code 76062)

RADIOLOGY £ 174

77078 CT, bone mineral density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine); Quantitative CT, QCT : Reporting code R7078 (formerly code 76070); (CT Scan)

RADIOLOGY £ 257

78300 Bone and/or joint imaging, bone scan, bone scintigraphy, limited area: Reporting code R8300.

RADIOLOGY £ 205

78306 Bone and/or joint imaging, bone scan, bone scintigraphy, whole body: Reporting code R8306.

RADIOLOGY £ 306

78320 Bone and/or joint imaging, bone scan, bone scintigraphy, tomographic (SPECT): Reporting code R8320.

RADIOLOGY £ 457

78580 Pulmonary perfusion imaging, lung scintigraphy, VQ scan, particulate: Reporting code R8580.

RADIOLOGY £ 572

91110 Gastrointestinal tract imaging, intraluminal (eg.capsule endoscopy), esophagus through ileum with physician interpretation and report

RADIOLOGY £ 180

93880 Duplex scan of extracranial arteries, carotid arteries; complete bilateral study, Reporting code R3880

RADIOLOGY £ 88

93882 Duplex scan of extracranial arteries, carotid arteries; unilateral or limited study, Reporting code R3882

RADIOLOGY £ 88

93886 Transcranial Doppler study of the intracranial arteries; complete study; Reporting code R3886

RADIOLOGY £ 88

93888 Transcranial Doppler study of the intracranial arteries; limited study; Reporting code R3888

RADIOLOGY £ 88

93925 Duplex scan of lower extremity artery(s) or arterial bypass grafts; complete bilateral study: Reporting code R3925

RADIOLOGY £ 88

93926 Duplex scan of lower extremity artery(s) or arterial bypass grafts; unilateral or limited study: Reporting code R3926

RADIOLOGY £ 88

93930 Duplex scan of upper extremity artery(s) or arterial bypass grafts; complete bilateral study, Reporting code R3930

RADIOLOGY £ 88

93931 Duplex scan of upper extremity artery(s) or arterial bypass grafts; unilateral or limited study, Reporting code R3931

RADIOLOGY £ 88

93965 Non-invasive physiologic studies of extremity veins, complete bilateral study (eg, Doppler waveform analysis, phleborheography, impedance plethysmography)

RADIOLOGY £ 88

93970 Duplex scan of extremity veins; complete bilateral study, Reporting code R3970

RADIOLOGY £ 88

93971 Duplex scan of extremity veins; unilateral or limited study, Reporting code R3971

RADIOLOGY £ 88

93975 Duplex scan of arterial inflow and venous outflow of abdominal, abdomen, pelvic, pelvis, scrotal contents and/or retroperitoneal organs; complete study, Reporting code R3975

RADIOLOGY £ 88

93976 Duplex scan of arterial inflow and venous outflow of abdominal, abdomen, pelvic, pelvis, scrotal contents and/or retroperitoneal organs; limited study, Reporting code R3976

RADIOLOGY £ 88

93978 Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass

RADIOLOGY £ 88

grafts; complete study, Reporting code R3978

93979 Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study, Reporting code R3979

RADIOLOGY £ 88

93980 Duplex scan of arterial inflow and venous outflow of penile vessels; complete study, Reporting code R3980

RADIOLOGY £ 88

93981 Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study, Reporting code R3981

RADIOLOGY £ 88

EBCT Electron beam computed tomography, coronary artery disease (Cat Scan) (CT Scan): Reporting code REBCT.

RADIOLOGY £ 402

T0599 Magnetization transfer ratio imaging, brain including brain stem (MTR MRI): Reporting code R0599. (Formerly QuintilesIMS code 70599)

RADIOLOGY £ 611

T0721 Carotid Intima Media Thickness Ultrasound, IMT, CIMT, C-IMT, measurement of two layers of carotid artery thickness, external ultrasound; including interpretation and report

RADIOLOGY £ 88

T1004 Magnetic resonance imaging, bone, full body (MRI): whole body bone imaging for metastisis; with contrast Reporting code RT004

RADIOLOGY £ 1,111

T1005 Magnetic resonance imaging, full body (MRI): whole body; without contrast: Reporting code RT005

RADIOLOGY £ 988

T1006 Magnetic resonance imaging, full body (MRI): whole body; with contrast: Reporting code RT006

RADIOLOGY £ 1,111

T1009 Computerized axial tomography, thoracic, abdominal and pelvic combined, chest, abdomen, pelvis combined (Cat Scan) (CT Scan); without contrast material: Reporting code RT009

RADIOLOGY £ 485

T1010 Computerized axial tomography, thoracic, abdominal and pelvic combined, chest, abdomen, pelvis combined (Cat Scan) (CT Scan); with contrast material: Reporting code RT010

RADIOLOGY £ 741

T1011 Magnetic resonance imaging, unlisted, suspicious areas (MRI) add with contrast : Reporting code RT011

RADIOLOGY £ 1,111

T1012 Computerized axial tomography, unlisted, suspicious areas (Cat Scan) (CT Scan) with contrast: Reporting code RT012

RADIOLOGY £ 402

T1021 Fibroscan; Fibscan; includes interpretation and report

RADIOLOGY £ 196

T1102 Dermal ultrasound to determine skin thickness. For interpretation and report please use code RT102

RADIOLOGY £ 61

T1255 High Resolution Computed Tomography (HRCT), thorax, chest, lung For interpretation and report use R1255; (CT Scan) (Formerly QuintilesIMS code 71255)

RADIOLOGY £ 402

T2956 Glucose clamp, includes two infusions, 12 blood draws with analysis and ultrasound guidance for vessel location (Formerly QuintilesIMS code 82956)

RADIOLOGY £ 969

T4168 CT abdomen and thorax combined, abdominal and thoracic combined, abdominal and chest combined (CT Scan); without contrast material: Reporting code R4168.

RADIOLOGY £ 324

T4169 CT abdomen and thorax combined, abdominal and thoracic combined, abdominal and chest combined (CT Scan); with contrast material(s): Reporting code R4169.

RADIOLOGY £ 495

T4184 Magnetic resonance imaging, liver, pancreas (MRI); without contrast material(s): Reporting code R4184. (Formerly QuintilesIMS code 74184)

RADIOLOGY £ 503

T6498 Magnetic resonance imaging, unlisted, suspicious areas (MRI) without contrast: Reporting code R6498. (Formerly QuintilesIMS code 76498)

RADIOLOGY £ 1,111

T6899 Ultrasound, peripheral vascular system (echography) (uls): Reporting code R6899. (Formerly QuintilesIMS code 76899)

RADIOLOGY £ 88

T9199 Computerized axial tomography, unlisted, suspicious areas (Cat Scan) (CT Scan) without contrast: Reporting code R9199. (Formerly QuintilesIMS code 79199)

RADIOLOGY £ 485

T9299 Computerized axial tomography, whole body (Cat Scan) (CT Scan); full body, without contrast, screening scan: Reporting code R9299. (Formerly QuintilesIMS code 79299)

RADIOLOGY £ 741

T9398 Magnetic resonance imaging, head, neck, head and neck (MRI) (DCE

RADIOLOGY £ 472

MRI); with dynamic contrast enhancement: Reporting code R9398) (Formerly QuintilesIMS code 79398)

T9399 Magnetic resonance imaging, bone, full body (MRI), whole body bone imaging for metastisis; without contrast: Reporting code R9399. (Formerly QuintilesIMS code 79399)

RADIOLOGY £ 988

Section 13 - Radiotherapy tariffs

With New NIHR codes


77261 Therapeutic radiology treatment planning; simple

RADIOTHERAPY £ 446

77262 Therapeutic radiology treatment planning; intermediate

RADIOTHERAPY £ 674

77263 Therapeutic radiology treatment planning; complex

RADIOTHERAPY £ 2,085

77280 Therapeutic radiology simulation-aided field setting; simple; For Interpretation and Report please use code R7280

RADIOTHERAPY £ 605

77285 Therapeutic radiology simulation-aided field setting; intermediate; For Interpretation and Report please use code R7285


77290 Therapeutic radiology simulation-aided field setting; complex; For Interpretation and Report please use code R7290


77300 Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose


NIHR_INV_032 Deliver a Fraction of Treatment on a Superficial or Orthovoltage Machine

RADIOTHERAPY £ 175

NIHR_INV_033 Deliver a Fraction of Treatment on a Megavoltage Machine

RADIOTHERAPY £ 225

NIHR_INV_034 Deliver a Fraction of Complex Treatment on a Megavoltage Machine

RADIOTHERAPY £ 289

NIHR_INV_035 Deliver a Fraction of Radiotherapy on a Megavoltage Machine using General Anaesthetic

RADIOTHERAPY £ 524

NIHR_INV_036 Deliver a Fraction of Total Body Irradiation

RADIOTHERAPY £ 828

NIHR_INV_037 Deliver a Fraction of Adaptive Radiotherapy on a Megavoltage Machine

RADIOTHERAPY £ 376

NIHR_INV_038 Preparation for Intensity Modulated Radiation Therapy


NIHR_INV_039 Preparation for Intensity Modulated Radiation Therapy, with Technical Support


NIHR_INV_040 Preparation for Total Body Irradiation


NIHR_INV_041 Preparation for Total Body Irradiation, with Technical Support


NIHR_INV_042 Preparation for Hemi Body Irradiation

RADIOTHERAPY £ 645

NIHR_INV_043 Preparation for Simple Radiotherapy with Imaging and Dosimetry

RADIOTHERAPY £ 927

NIHR_INV_044 Preparation for Simple Radiotherapy with Imaging and Dosimetry, with Technical Support


NIHR_INV_045 Preparation for Simple Radiotherapy with Imaging and Simple Calculation

RADIOTHERAPY £ 674

NIHR_INV_046 Preparation for Simple Radiotherapy with Imaging and Simple Calculation, with Technical Support


NIHR_INV_047 Preparation for Superficial Radiotherapy with Simple Calculation

RADIOTHERAPY £ 446

NIHR_INV_048 Preparation for Superficial Radiotherapy with Simple Calculation, with Technical Support

RADIOTHERAPY £ 605

NIHR_INV_049 Preparation for Complex Conformal Radiotherapy


NIHR_INV_050 Preparation for Complex Conformal Radiotherapy, with Technical Support


Section 14 - Reporting tariffs

With New NIHR codes


R0200 Interpretation and Report; Radiologic examination, orbits ( Xray) (X Ray) (X-Ray)

REPORTING £ 113

R0220 Interpretation and Report; Radiologic examination, sinuses, paranasal (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R0250 Interpretation and Report; Radiologic examination, skull, head (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R0300 Interpretation and Report; Radiologic examination, teeth (Xray) (X Ray) (X-Ray); single view

REPORTING £ 113

R0320 Interpretation and Report; Radiologic examination, teeth (Xray) (X Ray) (X-Ray); complete, full mouth

REPORTING £ 113

R0350 Interpretation and Report; Cephalogram, orthodontic, radiograph of the head

REPORTING £ 113

R0360 Interpretation and Report; Radiologic examination, soft tissue of neck (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R0390 Sialography, radiological supervision and interpretation

REPORTING £ 113

R0450 Interpretation and Report; Computerized axial tomography, head, skull or brain (Cat Scan) (CT Scan); without contrast material

REPORTING £ 113

R0460 Interpretation and Report; Computerized axial tomography, head, skull or brain (Cat Scan) (CT Scan); with contrast material(s)

REPORTING £ 113

R0470 Computerized axial tomography, head or brain (Cat Scan) (CT Scan); without contrast material and again followed by contrast material

REPORTING £ 113

R0486 Interpretation and Report; Computerized axial tomography, maxillofacial area (Cat Scan) (CT Scan); without contrast material

REPORTING £ 113

R0487 Interpretation and Report; Computerized axial tomography,

REPORTING £ 113

maxillofacial area (Cat Scan) (CT Scan); with contrast material(s)

R0490 Interpretation and Report; Computerized axial tomography, soft tissue of neck (Cat Scan) (CT Scan); without contrast material

REPORTING £ 113

R0491 Interpretation and Report; Computerized axial tomography, soft tissue of neck (Cat Scan) (CT Scan); with contrast material(s)

REPORTING £ 113

R0492 Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections

REPORTING £ 113

R0540 Interpretation and Report; Magnetic resonance imaging, orbit, face (MRI); without contrast material (eg, proton)

REPORTING £ 113

R0542 Interpretation and Report; Magnetic resonance imaging, orbit, face (MRI); with contrast material(s) (eg, proton)

REPORTING £ 113

R0543 Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences

REPORTING £ 113

R0544 Interpretation and Report; Magnetic resonance angiography, head (MRA); without contrast material(s)

REPORTING £ 113

R0545 Interpretation and Report; Magnetic resonance angiography, head (MRA); with contrast material(s)

REPORTING £ 113

R0547 Interpretation and Report; Magnetic resonance angiography, neck (MRA); without contrast material(s)

REPORTING £ 113

R0548 Interpretation and Report; Magnetic resonance angiography, neck (MRA); with contrast material(s)

REPORTING £ 113

R0551 Interpretation and Report; Magnetic resonance imaging, brain including brain stem (MRI); without contrast material (eg, proton)

REPORTING £ 113

R0552 Interpretation and Report; Magnetic resonance imaging, brain including brain stem (MRI); with contrast material(s) (eg, proton)

REPORTING £ 113

R0553 Interpretation and Report; Magnetic resonance imaging, brain including brain stem (MRI); without contrast material, followed by contrast material(s) and further sequences (eg, proton)

REPORTING £ 113

R0554 MRI brain, including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist administration

REPORTING £ 113

R0555 Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional

REPORTING £ 113

R0598 Interpretation and Report; Diffusion tensor imaging, brain including brain stem (DTI MRI)

REPORTING £ 113

R0599 Interpretation and Report; Magnetization transfer ratio imaging, brain including brain stem (MTR MRI)

REPORTING £ 113

R0718 Interpretation and report; IMS: Whole Body Dual X-Ray Absorptiometry (DEXA)(DXA) to Determine Body Composition, Total Lean Body Mass

REPORTING £ 113

R1010 Interpretation and Report; Radiologic examination, chest, thorax, thoracic (CXR) (Xray) (X Ray) (X-Ray); single view, frontal

REPORTING £ 113

R1020 Interpretation and Report; Radiologic examination, chest, thorax, thoracic (CXR) (Xray) (X Ray) (X-Ray); two views, frontal and lateral

REPORTING £ 113

R1023 Radiologic examination, chest (Xray) (X Ray) (X-Ray); two views, frontal and lateral, with fluoroscopy

REPORTING £ 113

R1100 Interpretation and Report; Radiologic examination, ribs (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R1112 Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report

REPORTING £ 113

R1120 Interpretation and Report; Radiologic examination, sternum (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R1200 Liver elastography, mechanically induced shear wave (eg, vibration), without imaging

REPORTING £ 113

R1207 Interpretation and report; Electrocardiogram, 12 Lead ECG - Triplicate; tracing only

REPORTING £ 113

R1250 Interpretation and Report; Computerized axial tomography, thorax, thoracic, chest (Cat Scan) (CT Scan); without contrast material

REPORTING £ 113

R1255 Interpretation and Report; High Resolution Computed Tomography

REPORTING £ 113

R1260 Interpretation and Report; Computerized axial tomography, thorax, thoracic, chest (Cat Scan) (CT Scan); with contrast material(s)

REPORTING £ 113

R1270 Computerized axial tomography, thorax, thoracic (Cat Scan) (CT Scan); without contrast material followed by contrast material(s) and further sections

REPORTING £ 113

R1275 Interpretation and report; CT angio, chest, without contrast, followed by contrast material(s) and further sections, including image post-processing; MDCT; Multidetector computed tomography

REPORTING £ 113

R1401 Tomosynthesis; 3D mammography

REPORTING £ 113

R1550 Magnetic resonance imaging, chest, thorax, thoracic (MRI); without contrast material(s) (eg, proton)

REPORTING £ 113

R1551 Magnetic resonance imaging, chest, thorax, thoracic (MRI); with contrast material(s) (eg, proton)

REPORTING £ 113

R1552 Magnetic resonance imaging, chest (MRI); without contrast material(s), followed by contrast material(s) and further sequences (eg, proton)

REPORTING £ 113

R1555 Magnetic resonance angiography, chest, thorax, thoracic (excluding myocardium) (MRA)

REPORTING £ 113

R1727 Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), and technique

REPORTING £ 113

R1728 Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique

REPORTING £ 113

R1729 Complex cystometrogram; with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile), any technique

REPORTING £ 113

R2020 Radiologic examination, spine, spinal (Xray) (X Ray) (X-Ray); single view

REPORTING £ 113

R2025 Computerized corneal topography, keratogarphy or videokeratography, unilateral or bilateral; with interpretation and report.

REPORTING £ 113

R2040 Radiologic examination, spine, spinal, cervical (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R2050 Radiologic examination, spine, spinal, cervical; 4 or 5 views

REPORTING £ 113

R2052 Radiological examination, spine cervical; 6 or more views

REPORTING £ 113

R2070 Radiologic examination, spine, spinal, thoracic (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R2081 Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view

REPORTING £ 113

R2082 Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views

REPORTING £ 113

R2083 Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views

REPORTING £ 113

R2084 Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views

REPORTING £ 113

R2100 Radiologic examination, spine, spinal, lumbosacral, (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R2125 Computed tomography, cervical spine; without contrast material

REPORTING £ 113

R2126 Computed tomography, cervical spine; with contrast material

REPORTING £ 113

R2127 Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections

REPORTING £ 113

R2131 Computerized axial tomography, lumbar spine (Cat Scan) (CT Scan); without contrast material

REPORTING £ 113

R2132 Scanning computerized ophthalmic diagnostic imaging, anterior segment, unilateral or bilateral

REPORTING £ 113

R2133 Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; optic nerve

REPORTING £ 113

R2134 Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina

REPORTING £ 113

R2141 Magnetic resonance imaging, spinal canal, spine and contents, cervical (MRI); without contrast material (eg, proton)

REPORTING £ 113

R2142 Magnetic resonance imaging, spinal canal, spine and contents, cervical (MRI); with contrast material(s) (eg, proton)

REPORTING £ 113

R2146 Magnetic resonance imaging, spinal canal, spine and contents, thoracic (MRI); without contrast material (eg, proton)

REPORTING £ 113

R2147 Magnetic resonance imaging, spinal canal, spine and contents, thoracic (MRI); with contrast material(s) (eg, proton)

REPORTING £ 113

R2148 Magnetic resonance imaging, spinal canal, spine and contents, lumbar (MRI); without contrast material (eg, proton)

REPORTING £ 113

R2149 Magnetic resonance imaging, spinal canal, spine and contents, lumbar (MRI); with contrast material(s) (eg, proton)

REPORTING £ 113

R2159 Magnetic resonance angiography, spinal canal, spine and contents (MRA)

REPORTING £ 113

R2170 Radiologic examination, pelvis, pelvic (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R2192 Computerized axial tomography, pelvis, pelvic (Cat Scan) (CT Scan); without contrast material

REPORTING £ 113

R2193 Computerized axial tomography, pelvis, pelvic (Cat Scan) (CT Scan); with contrast material(s)

REPORTING £ 113

R2194 Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections

REPORTING £ 113

R2195 Magnetic resonance imaging, pelvis, pelvic (MRI); without contrast material(s) (eg, proton)

REPORTING £ 113

R2196 Magnetic resonance imaging, pelvis, pelvic (MRI); with contrast material(s) (eg, proton)

REPORTING £ 113

R2197 Magnetic resonance imaging, pelvis, pelvic (MRI); without contrast material(s), followed by contrast material(s) and further sections (eg, proton)

REPORTING £ 113

R2198 Magnetic resonance angiography, pelvis, pelvic (MRA)

REPORTING £ 113

R2200 Radiologic examination, sacroiliac joints (Xray) (X Ray) (X-Ray); less than three views

REPORTING £ 113

R2202 Radiologic examination, sacroiliac joints (Xray) (X Ray) (X-Ray); three or more views

REPORTING £ 113

R2240 Myelography, myelogram, cervical

REPORTING £ 113

R2255 Myelography, myelogram, thoracic, thorax, chest

REPORTING £ 113

R2265 Myelography, myelogram, lumbosacral

REPORTING £ 113

R2270 Myelography, myelogram, entire spinal canal

REPORTING £ 113

R2537 Caloric vestibular test with recording, bilateral; bithermal (i.e., one warm and one cool irrigation in each ear for a total of four irrigations)

REPORTING £ 113

R2538 Caloric vestibular test with recording, bilateral; monothermal (i.e., one irrigation in each ear for a total of two irrigations)

REPORTING £ 113

R2540 Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation,with recording

REPORTING £ 113

R2978 Intravascular ultrasound (coronary vessel or graft) during diagnostic evaluation and/or

REPORTING £ 113

therapeutic intervention including imaging supervision

R2979 Intravascular ultrasound (coronary vessel or graft) during diagnostic evaluation and/or therapeutic intervention including imaging supervision

REPORTING £ 113

R3000 Radiologic examination, clavicle (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R3010 Radiologic examination, scapula (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R3020 Radiologic examination, shoulder (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R3060 Radiologic examination, humerus (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R3070 Radiologic examination, elbow (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R3090 Radiologic examination, forearm (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R3100 Radiologic examination, wrist (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R3120 Radiologic examination, hand (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R3200 Computerized axial tomography, upper extremity (Cat Scan) (CT Scan); without contrast material

REPORTING £ 113

R3201 Computerized axial tomography, upper extremity (Cat Scan) (CT Scan); with contrast material(s)

REPORTING £ 113

R3218 Magnetic resonance imaging, upper extremity other than joint (MRI); without contrast material(s) (eg, proton)

REPORTING £ 113

R3219 Magnetic resonance imaging, upper extremity other than joint (MRI); with contrast material(s) (eg, proton)

REPORTING £ 113

R3221 Magnetic resonance imaging, any joint of upper extremity (MRI); without contrast material(s) (eg, proton)

REPORTING £ 113

R3222 Magnetic resonance imaging, any joint of upper extremity (MRI); with contrast material(s) (eg, proton)

REPORTING £ 113

R3225 Magnetic resonance angiography, upper extremity (MRA)

REPORTING £ 113

R3282 Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values

REPORTING £ 113

with single lead implantable cardioverter-defibrillator system

R3283 Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with dual lead implantable cardioverter-defibrillator system

REPORTING £ 113

R3289 Interrogation device evaluation (in person) with physician analysis, review and report, includes single, dual, or multiple lead implantable cardioverter-defibrillator system, including analysis of heart rhythm derived data elements

REPORTING £ 113

R3292 Interrogation device evaluation (in person) with physician analysis, review and report, includes connection, recording and disconnection per patient encounter; wearable defibrillator system

REPORTING £ 113

R3306 Echocardiography, transthoracic, real-time with image documentation (2D) , includes M-mode recording, spectral Doppler echocardiography, and color flow Doppler echocardiography

REPORTING £ 113

R3307 Echocardiography, transthoracic, real-time with image documentation (2D) with or without M-mode recording; complete

REPORTING £ 113

R3308 Echocardiography, transthoracic, real-time with image documentation (2D) with or without M-mode recording; follow-up or limited study

REPORTING £ 113

R3350 Echocardiography, transthoracic, real-time with image documentation (2D, with or without M-mode recording), stress test using treadmill, bicycle exercise or pharmacologically induced stress

REPORTING £ 113

R3451 Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed; moderate sedation

REPORTING £ 113

R3452 Left heart catheterization including intrprocedural injection(s) for left vetriculography, imaging supervision and interpretation, when performed; moderate sedation

REPORTING £ 113

R3453 Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed; moderate sedation

REPORTING £ 113

R3454 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation

REPORTING £ 113

R3455 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s)

REPORTING £ 113

R3456 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization; moderate sedation

REPORTING £ 113

R3457 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial venous) including intraprocedural injection(s) for bypass graft angiography and right heart catheterization; moderate sedation

REPORTING £ 113

R3458 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for

REPORTING £ 113

coronary angiography, imaging supervision and interpretation; with left heart catheterization; moderate sedation

R3459 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculogrpahy; moderate sedation

REPORTING £ 113

R3460 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left catherterization including intraprocedural injection(s) for left ventriculography, when performed; moderate sedation

REPORTING £ 113

R3461 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left catherterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography; moderate sedation

REPORTING £ 113

R3464 Physiologica exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (list separately in addition to code for primary procedure); moderate sedation

REPORTING £ 113

R3501 Radiologic examination, hip, unilateral, with pelvis when performed; 1 view

REPORTING £ 113

R3502 Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views

REPORTING £ 113

R3521 Radiologic examination, hips, bilateral, with pelvis when performed; 2 views

REPORTING £ 113

R3551 Radiologic examination, femur; 1 view

REPORTING £ 113

R3560 Radiologic examination, knee (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R3562 Radiologic examination, knee (Xray) (X Ray) (X-Ray); three views

REPORTING £ 113

R3564 Radiologic examination, knee (Xray) (X Ray) (X-Ray); complete, four or more views

REPORTING £ 113

R3565 Radiologic examination, knee (Xray) (X Ray) (X-Ray); both knees, standing, anteroposterior

REPORTING £ 113

R3590 Radiologic examination, tibia and fibula (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R3600 Radiologic examination, ankle (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R3620 Radiologic examination, foot (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R3621 Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multi catheters with induction or attempted induction of arrhythmia

REPORTING £ 113

R3622 Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multi catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording

REPORTING £ 113

R3662 Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation separately in addition to code for primary procedure)

REPORTING £ 113

R3700 Computerized axial tomography, lower extremity (Cat Scan) (CT Scan); without contrast material

REPORTING £ 113

R3701 Computerized axial tomography, lower extremity (Cat Scan) (CT Scan); with contrast material(s)

REPORTING £ 113

R3718 Magnetic resonance imaging, lower extremity other than joint (MRI); without contrast material(s) (eg, proton)

REPORTING £ 113

R3719 Magnetic resonance imaging, lower extremity other than joint (MRI); with contrast material(s) (eg, proton)

REPORTING £ 113

R3721 Magnetic resonance imaging, any joint of lower extremity (MRI); without contrast material (eg, proton)

REPORTING £ 113

R3722 Magnetic resonance imaging, any joint of lower extremity (MRI); with contrast material(s) (eg, proton)

REPORTING £ 113

R3725 Magnetic resonance angiography, lower extremity (MRA); with or without contrast material(s)

REPORTING £ 113

R3740 Temperature gradient studies, thermography, thermogram, infrared thermal image

REPORTING £ 113

R3880 Duplex scan of extracranial arteries, carotid arteries; complete bilateral study

REPORTING £ 113

R3882 Duplex scan of extracranial arteries, carotid arteries; unilateral or limited study

REPORTING £ 113

R3886 Transcranial Doppler study of the intracranial arteries; complete study

REPORTING £ 113

R3888 Transcranial Doppler study of the intracranial arteries; limited study

REPORTING £ 113

R3925 Duplex scan of lower extremity artery(s) or arterial bypass grafts; complete bilateral study

REPORTING £ 113

R3926 Duplex scan of lower extremity artery(s) or arterial bypass grafts; unilateral or limited study

REPORTING £ 113

R3930 Duplex scan of upper extremity artery(s) or arterial bypass grafts; complete bilateral study

REPORTING £ 113

R3931 Duplex scan of upper extremity artery(s) or arterial bypass grafts; unilateral or limited study

REPORTING £ 113

R3970 Duplex scan of extremity veins; complete bilateral study

REPORTING £ 113

R3971 Duplex scan of extremity veins; unilateral or limited study

REPORTING £ 113

R3975 Duplex scan of arterial inflow and venous outflow of abdominal, abdomen, pelvic, pelvis, scrotal contents and/or retroperitoneal organs; complete study

REPORTING £ 113

R3976 Duplex scan of arterial inflow and venous outflow of abdominal, abdomen, pelvic, pelvis, scrotal contents and/or retroperitoneal organs; limited study

REPORTING £ 113

R3978 Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study

REPORTING £ 113

R3979 Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study

REPORTING £ 113

R3980 Duplex scan of arterial inflow and venous outflow of penile vessels; complete study

REPORTING £ 113

R3981 Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study

REPORTING £ 113

R4000 Radiologic examination, abdomen, abdominal (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R4010 Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), forced expiratory volume (FEV), with or without maximal voluntary ventilation, pulmonary function test (PFT), lung function test

REPORTING £ 113

R4011 Spirometry with reversibility within 10 minutes, including graphic record, total and timed vital capacity expiratory flow rate measurement(s), forced expiratory volume (FEV), with or without maximal voluntary ventilation (MVV), pulmonary function test (PFT), lung function test

REPORTING £ 113

R4060 Bronchospasm evaluation: spirometry with reversibility, pre- and post-bronchodilator administration (aerosol or parenteral), pulmonary function test (PFT), lung function test

REPORTING £ 113

R4070 Prolonged postexposure evaluation of bronchospasm with multiple spirometric determinations after antigen, cold air, methacholine or other chemical agent, with subsequent spirometrics, spirometry, pulmonary function test (PFT), lung function test

REPORTING £ 113

R4150 Computerized axial tomography, abdomen, abdominal (Cat Scan) (CT Scan); without contrast material

REPORTING £ 113

R4160 Computerized axial tomography, abdomen, abdominal (Cat Scan) (CT Scan); with contrast material(s)

REPORTING £ 113

R4168 Computerized axial tomography, abdomen and thorax combined, abdominal and thoracic combined, abdominal and chest combined (Cat Scan) (CT Scan); without contrast material

REPORTING £ 113

R4169 Computerized axial tomography, abdomen and thorax combined, abdominal and thoracic combined, abdominal and chest combined (Cat Scan) (CT Scan); with contrast material(s)

REPORTING £ 113

R4170 Computerized axial tomography, abdomen, abdominal (Cat Scan) (CT Scan); without contrast material followed by contrast material(s) and further sections

REPORTING £ 113

R4176 Computed tomography, abdomen and pelvis; without contrast material, Formerly code RT007

REPORTING £ 113

R4177 Computed tomography, abdomen and pelvis; with contrast material(s), Formerly code RT008

REPORTING £ 113

R4178 Computed tomography, abdomen and pelvis; without contrast material in 1 or both body regions, followed by contrast material(s) and further sections in 1 or both body regions

REPORTING £ 113

R4181 Magnetic resonance imaging, abdomen, abdominal (MRI); without contrast material(s) (eg, proton)

REPORTING £ 113

R4182 Magnetic resonance imaging, abdomen, abdominal (MRI); with contrast material(s) (eg, proton)

REPORTING £ 113

R4183 Magnetic resonance imaging, abdomen, abdominal (MRI); without contrast material(s) followed by with contrast material(s) and further sequences (eg, proton):

REPORTING £ 113

R4185 Magnetic resonance angiography, abdomen, abdominal (MRA)

REPORTING £ 113

R4240 Radiologic examination, upper gastrointestinal tract (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R4246 Radiological examination, upper gastrointestinal tract (Xray) (X Ray) (X-Ray); air contrast with specific high density barium, effervescent agent, without KUB

REPORTING £ 113

R4250 Radiologic examination, small intestine (Xray) (X Ray) (X-Ray)

REPORTING £ 113

R4260 Duodenography, hypotonic REPORTING £ 113

R4270 Radiologic examination, colon (Xray) (X Ray) (X-Ray); barium enema

REPORTING £ 113

R4290 Cholecystography, cholescystography; oral contrast

REPORTING £ 113

R4340 Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and films

REPORTING £ 113

R4400 Urography intravenous (pyelography) (IVP) (RPG)

REPORTING £ 113

R4420 Urography, retrograde, with or without KUB

REPORTING £ 113

R4430 Cystography REPORTING £ 113

R4450 Urethrocystography, retrograde, radiological supervision and interpretation

REPORTING £ 113

R4455 Urethrocystography, voiding, radiological supervision and interpretation

REPORTING £ 113

R4620 Pulmonary stress testing; simple (eg, prolonged exercise test for bronchospasm with pre- and post-spirometry)

REPORTING £ 113

R4621 Pulmonary stress testing; complex (including measurements of CO2 production, O2 uptake and electrocardiographic recordings)

REPORTING £ 113

R4726 Plethysmography for determination of lung volumes and, when performed, airway resistance

REPORTING £ 113

R4727 Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes

REPORTING £ 113

R4728 Airway resistance by impulse oscillometry

REPORTING £ 113

R4729 Diffusing capacity (eg, carbon monoxide, membrane)

REPORTING £ 113

R4750 Pulmonary compliance study (eg, plethysmography, volume and pressure measurements)

REPORTING £ 113

R4806 Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)

REPORTING £ 113

R5557 Cardiac magnetic resonance imaging for morphology and function without contrast material

REPORTING £ 113

R5559 Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging

REPORTING £ 113

R5561 Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequence

REPORTING £ 113

R5563 Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequence; with stress imaging

REPORTING £ 113

R5565 Cardiac magnetic resonance imaging for velocity flow mapping (list separately in addition to code for primary procedure)

REPORTING £ 113

R5571 Computer tomography, heart, without contrast material, with quantitative evaluation of coronary calcium

REPORTING £ 113

R5572 CT heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)

REPORTING £ 113

R5600 Aortography, thoracic, thorax, chest; without serialography

REPORTING £ 113

R5605 Aortography, thoracic, thorax, chest; by serialography

REPORTING £ 113

R5625 Aortography, abdominal, abdomen; by serialography

REPORTING £ 113

R5635 CT Angio, abdominal aorta and bilateral iliofemoral lower extremity runoff, radiological supervision and interpretation, without contrast material(s), followed by contrast material(s)

REPORTING £ 113

and further sections, including image post-processing

R5705 Angiography, angiogram, spinal, spine

REPORTING £ 113

R5710 Angiography, angiogram, extremity, unilateral

REPORTING £ 113

R5716 Angiography, angiogram, extremity, bilateral

REPORTING £ 113

R5726 Angiography, visceral, selective or supraselective, (with or without flush aortogram), radiological supervision and interpretation

REPORTING £ 113

R5736 Angiography, angiogram, pelvic, pelvis

REPORTING £ 113

R5741 Angiography, angiogram, pulmonary, unilateral, selective

REPORTING £ 113

R5743 Angiography, angiogram, pulmonary, bilateral, selective

REPORTING £ 113

R5800 Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time

REPORTING £ 113

R5801 Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone)

REPORTING £ 113

R5806 Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)

REPORTING £ 113

R5808 Polysomnography(PSG) REPORTING £ 113

R5812 Electroencephalogram (EEG) extended monitoring; 41-60 minutes of recording

REPORTING £ 113

R5813 Electroencephalogram (EEG) extended monitoring; greater than one hour of recording

REPORTING £ 113

R5816 Electroencephalogram (EEG); 20-40 minutes of recording

REPORTING £ 113

R5819 Interpretation and Report:Electroencephalogram (EEG) including recording awake and asleep (including hyperventilation and/or photic stimulation when appropriate)

REPORTING £ 113

R5820 Venography, extremity (phlebography), unilateral

REPORTING £ 113

R5822 Venography, extremity (phlebography), bilateral

REPORTING £ 113

R5827 Electroencephalogram (EEG); all night sleep only

REPORTING £ 113

R5831 Venography, renal, unilateral, selective radiological supervision and interpretation

REPORTING £ 113

R5833 Venography, renal, bilateral, selective, radiological supervision and interpretation

REPORTING £ 113

R5860 Needle electromyography REPORTING £ 113

R5891 Hepatic venography, wedged or free, without hemodynamic evaluation radiological supervision and interpretation

REPORTING £ 113

R5894 Transcatheter therapy, embolization, any method, radiological supervision and interpretation

REPORTING £ 113

R5907 Nerve conduction studies; 1-2 studies (formerly codes R5900, R5903)

REPORTING £ 113


REPORTING £ 113


REPORTING £ 113


REPORTING £ 113


REPORTING £ 113


REPORTING £ 113

R5913 Nerve conduction studies; 13 studies (formerly codes R5900, R5903)

REPORTING £ 113

R5921 Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including two or more of the following: heart rate response to deep breathing with recorded R-R interval Valsalva ratio, and 30:15 ratio

REPORTING £ 113

R5923 Testing of autonomic nervous system function; sudomotor, including one or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat te, and changes in sympathetic skin potential

REPORTING £ 113

R5925 Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system;

REPORTING £ 113

R5937 Neuromuscular junction testing (repetitive stimulation, paired stimuli) each nerve, any one method

REPORTING £ 113

R5938 Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs

REPORTING £ 113

R5950 Monitoring for identification and lateralization of cerebral seizure focus, electroencephalographic (EEG) recording and interpretation; each 24 hours

REPORTING £ 113

R5951 Monitoring for localization of cerebral seizure focus by cable or radio, combined electroencephalographic (EEG) and video recording and interpretation; each 24 hours

REPORTING £ 113

R5957 Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis)

REPORTING £ 113

R5962 Transluminal balloon angioplasty, peripheral artery, radiological supervision and interpretation

REPORTING £ 113

R5970 Transcatheter biopsy, radiological supervision and interpretation.

REPORTING £ 113

R6072 Dual energy x-ray absorptiometry (DEXA) (BMD) (DXA) bone density study, total body, whole body, full body

REPORTING £ 113

R6153 Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); physician interpretation and report, when required

REPORTING £ 113

R6376 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality; not requiring image postprocessing on an independent workstation; code in addition to primary procedure (or 2D procedure) for total 3D costing

REPORTING £ 113

R6377 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality; requiring image postprocessing on an independent workstation; code in addition to primary procedure (or 2D procedure) for total 3D costing

REPORTING £ 113

R6390 Magnetic resonance spectroscopy

REPORTING £ 113

R6497 Computerized axial tomography, unlisted, suspicious areas (Cat Scan) (CT Scan) without contrast

REPORTING £ 113

R6498 Unlisted magnetic resonance procedure (eg, diagnostic, interventional); suspicious areas; without contrast

REPORTING £ 113

R6506 Echoencephalography, ultrasound of the skull, head (echography) (uls); B-scan and/or real time with image documentation

REPORTING £ 113

R6510 Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter

REPORTING £ 113

R6511 Ophthalmic, ophthalmology ultrasound (echography) (uls); diagnostic, A-scan only

REPORTING £ 113

R6512 Ophthalmic, ophthalmology ultrasound (echography) (uls); diagnostic, contact B-scan without simultaneous A-scan

REPORTING £ 113

R6513 Interpretation and Report;Ophthalmic, ophthalmology ultrasound (echography) (uls); diagnostic, anterior segm ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy

REPORTING £ 113

R6536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid parotid) (echography) (uls); B-scan and/or real time with image documentation

REPORTING £ 113

R6604 Ultrasound, chest, thorax, thoracic (echography) (uls); B-scan

REPORTING £ 113

R6641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete

REPORTING £ 113

R6700 Ultrasound, abdomen, abdominal (echography) (uls)

REPORTING £ 113

R6705 Ultrasound, abdominal (echography) (uls); B-scan and/or real time with limited (eg, single organ, quadrant, follow-up)

REPORTING £ 113

R6770 Ultrasound, retroperitoneal (eg, renal, aorta, kidney, spleen, gallbladder) (echography) (uls); real time with image documentation

REPORTING £ 113

R6800 Ultrasound, spinal canal and contents (echography) (uls)

REPORTING £ 113

R6805 Ultrasound, pregnant uterus (echography) (uls); B-scan and/or real time with documentation

REPORTING £ 113

R6811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation

REPORTING £ 113

R6813 Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation

REPORTING £ 113

R6818 Fetal biophysical profile; with non-stress testing

REPORTING £ 113

R6820 Doppler velocimetry, fetal; umbilical artery

REPORTING £ 113

R6821 Doppler velocimetry, fetal; middle cerebral artery

REPORTING £ 113

R6825 Fetal Echocardiography, cardiovascular system; real time with image documentation (2D)

REPORTING £ 113

R6830 Ultrasound, transvaginal, vaginal probe ultrasonography (echography) (uls)

REPORTING £ 113

R6831 Hysterosonography REPORTING £ 113

R6856 Ultrasound, pelvic, pelvis (nonobstetric) (echography) (uls); B-scan and/or real time with documentation

REPORTING £ 113

R6870 Ultrasound, scrotum and contents (echography) (uls)

REPORTING £ 113

R6872 Ultrasound, transrectal, prostate (echography) (uls)

REPORTING £ 113

R6881 Ultrasound, extremity, nonvascular, real-time with image documentation; complete

REPORTING £ 113

R6882 Ultrasound, extremity, nonvascular, real-time with image

REPORTING £ 113

documentation; Limited, anatomic specific

R6937 Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting

REPORTING £ 113

R6940 Ultrasound guidance for, and monitoring of, parenchymal tissue ablation

REPORTING £ 113

R6948 Ultrasonic guidance for aspiration of ova (ultrasound) (uls)

REPORTING £ 113

R6977 Ultrasound bone density measurement and interpretation, peripheral sites, any method

REPORTING £ 113

R7001 Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position)

REPORTING £ 113

R7002 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device)

REPORTING £ 113

R7011 Computed tomography guidance for stereotactic localization

REPORTING £ 113

R7012 Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation

REPORTING £ 113

R7013 Computed tomography guidance for, and monitoring of, parenchymal tissue ablation

REPORTING £ 113

R7014 Computed tomography guidance for placement of radiation therapy fields

REPORTING £ 113

R7021 Magnetic resonance guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation

REPORTING £ 113

R7022 Magnetic resonance guidance for, and monitoring of, parenchymal tissue ablation

REPORTING £ 113

R7055 Mammography, mammogram; unilateral; includes spot compression, spot magnification, cone compression, magnification views (formerly code R6090)

REPORTING £ 113

R7056 Mammography; bilateral; includes spot compression, spot magnification, cone compression, magnification views

REPORTING £ 113

R7057 Screening mammography, bilateral (2-view film study of each breast) (formerly code R6092)

REPORTING £ 113

R7058 Magnetic resonance imaging, breast, without and/or with contrast material(s); unilateral

REPORTING £ 113

R7059 Magnetic resonance imaging, breast, without and/or with contrast material(s); bilateral

REPORTING £ 113

R7065 Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral

REPORTING £ 113

R7066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral

REPORTING £ 113

R7067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed

REPORTING £ 113

R7072 Bone age studies, bone age Xray (X Ray) (X-Ray) (formerly code R6020)

REPORTING £ 113

R7073 Bone length studies REPORTING £ 113

R7074 Radiologic examination, skeletal survey, osseous survey (Xray) (X Ray) (X-Ray); limited (eg, for metastases) (formerly code R6061)

REPORTING £ 113

R7075 Radiologic examination, osseous survey(Xray) (X Ray) (X-Ray); complete ( axial and appendicular skeleton) (formerly code R6062)

REPORTING £ 113

R7078 Computed tomography, bone mineral density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) (formerly code R6070)

REPORTING £ 113

R7080 Dual-energy X-ray absorptiometry (DEXA) (BMD)(DXA), bone density study, 1 or more sites;

REPORTING £ 113

axial skeleton (eg, hips, pelvis, spine) (Replacement code for R6074)

R7081 Dual-energy X-ray absorptiometry (DEXA) (BMD)(DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) (formerly code R6076)

REPORTING £ 113

R7082 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; Vertebral fracture assessment (Replacement code for R6073)

REPORTING £ 113

R7086 Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)

REPORTING £ 113

R72132 Computerized axial tomography, lumbar spine with contrast material

REPORTING £ 113

R72133 Computerized axial tomography, lumbar spine; without contrast material followed by contrast material(s) and further sections

REPORTING £ 113

R7280 Therapeutic radiology simulation-aided field setting; simple

REPORTING £ 113

R7285 Therapeutic radiology simulation-aided field setting; intermediate

REPORTING £ 113

R7290 Therapeutic radiology simulation-aided field setting; complex

REPORTING £ 113

R7295 Therapeutic radiology simulation-aided field setting; 3-dimensional

REPORTING £ 113

R7338 Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan

REPORTING £ 113

R74261 Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material

REPORTING £ 113

R74262 Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed

REPORTING £ 113

R74263 Computed tomographic (CT) colonography, screening, including image postprocessing

REPORTING £ 113

R7778 Interstitial radiation source application; complex

REPORTING £ 113

R8012 Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when

REPORTING £ 113

performed) (formerly code R8000, R8010)

R8013 Thyroid imaging (including vascular flow, when performed) (formerly code R8000, R8010)

REPORTING £ 113

R8014 Thyroid Imaging with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed). (formerly code R8000, R8010)

REPORTING £ 113

R8195 Lymphatics and lymph nodes imaging

REPORTING £ 113

R8201 Liver imaging; static only REPORTING £ 113

R8202 Liver imaging; with vascular flow REPORTING £ 113

R8205 Liver imaging (SPECT) REPORTING £ 113

R8227 Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed.

REPORTING £ 113

R8230 Salivary gland imaging REPORTING £ 113

R8231 Salivary gland imaging; with serial images

REPORTING £ 113

R8232 Salivary gland function study REPORTING £ 113

R8258 Esophageal, oesophageal motility REPORTING £ 113

R8262 Gastroesophageal reflux study, acid reflux

REPORTING £ 113

R8264 Gastric emptying study REPORTING £ 113

R8278 Acute gastrointestinal blood loss imaging

REPORTING £ 113

R8300 Bone and/or joint imaging, bone scan, bone scintigraphy, limited area

REPORTING £ 113

R8306 Bone and/or joint imaging, bone scan, bone scintigraphy, whole body

REPORTING £ 113

R8311 Decalcification procedure (List separately in addition to code for surgical pathology examination).

REPORTING £ 113

R8312 Special stains; Group I for microorganisms (eg, Gridley, acid fast, methenamine silver).

REPORTING £ 113

R8313 Special stains; Group II, all other,(eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry.

REPORTING £ 113

R8314 Special stains; histochemical staining with frozen section(s) (List separately in addition to

REPORTING £ 113

code for surgical pathology examination).

R8319 Special stain including Group III, for enzyme constituents

REPORTING £ 113

R8320 Bone and/or joint imaging, bone scan, bone scintigraphy, tomographic (SPECT)

REPORTING £ 113

R8342 Immunohistochemistry or immunocytochemistry, each separately identifiable antibody per block, cytologic preparation, or hematologic smear; first separately identifiable antibody per slide

REPORTING £ 113

R8348 Electron microscopy; diagnostic REPORTING £ 113

R8350 Bone density (bone mineral content) study, single photon absorptiometry (SPA)

REPORTING £ 113

R8351 Bone density (bone mineral content) study, dual photon absorptiometry (DPA)

REPORTING £ 113

R8356 Morphometric analysis; nerve REPORTING £ 113

R8358 Morphometric analysis; tumor REPORTING £ 113

R8360 Morphometric analysis, tumor imminohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; manual

REPORTING £ 113

R8361 Morphometric analysis, tumor imminohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, each antibody; using computer-assisted technology

REPORTING £ 113

R8364 In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)

REPORTING £ 113

R8365 In situ hybridization (eg, FISH); each probe

REPORTING £ 113

R8366 In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure

REPORTING £ 113

R8367 Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure

REPORTING £ 113

R8369 Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure

REPORTING £ 113

R8373 Interpretation and Report:Morphometric analysis, in situ hybridization(quantitative or semi-quantitative),using computer-assisted technology, per specimen; each additional single probe stain procedure

REPORTING £ 113

R8374 Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure

REPORTING £ 113

R8381 Microdissection (ie, sample preparation of microscopically identified target); manual

REPORTING £ 113

R8445 Non-cardiac vascular flow imaging (ie, angiography, angiogram, venography)

REPORTING £ 113

R8451 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)

REPORTING £ 113

R8452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest injection

REPORTING £ 113

R8453 Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic).

REPORTING £ 113

R8454 Myocardial perfusion imaging, multiple studies, at rest and/or

REPORTING £ 113

stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection

R8457 Venous thrombosis imaging, venogram, xray of veins, unilateral

REPORTING £ 113

R8458 Venous thrombosis imaging, venogram, xray of veins, bilateral

REPORTING £ 113

R8472 Cardiac blood pool imaging, radionuclide ventriculography, left ventricular ejection faction (LVEF) (RNV) (MUGA), single study at rest or stress

REPORTING £ 113

R8473 Cardiac blood pool imaging, radionuclide ventriculography, left ventricular ejection faction (LVEF) (RNV) (MUGA), multiple studies at rest and stress

REPORTING £ 113

R8491 Myocardial imaging, positron emission tomography (PET), perfusion; single study at rest or stress

REPORTING £ 113

R8492 Myocardial imaging, positron emission tomography (PET), perfusion; multiple studies at rest and/or stress

REPORTING £ 113

R8579 Pulmonary ventilation imaging (eg, aerosol or gas)

REPORTING £ 113

R8580 Pulmonary perfusion imaging, lung scintigraphy, VQ scan, particulate

REPORTING £ 113

R8582 Pulmonary ventilation imaging (eg, aerosol or gas) and perfusion imaging

REPORTING £ 113

R8597 Quantitative differential pulmonary perfusion, including imaging when performed

REPORTING £ 113

R8598 Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed

REPORTING £ 113

R8607 Brain imaging tomographic (SPECT)

REPORTING £ 113

R8608 Brain imaging, positron emission tomography (PET), metabolic evaluation

REPORTING £ 113

R8609 Brain imaging, positron emission tomography (PET), perfusion evaluation

REPORTING £ 113

R8630 Cerebrospinal fluid flow, imaging (not including introduction of material) (CSF), cisternography

REPORTING £ 113

R8635 Cerebrospinal fluid flow, imaging (not including introduction of material) (CSF), ventriculography

REPORTING £ 113

R8647 Cerebrospinal fluid flow, imaging (not including introduction of material) (CSF), tomographic (SPECT)

REPORTING £ 113

R8700 Kidney imaging, static only REPORTING £ 113

R8707 Kidney imaging with vascular flow and function, single study

REPORTING £ 113

R8709 Kidney imaging with vascular flow and function, multiple studies

REPORTING £ 113

R8730 Urinary bladder residual study REPORTING £ 113

R8800 Radiopharmaceutical localization of tumor, limited area

REPORTING £ 113

R8801 Radiopharmaceutical localization of tumor, multiple areas

REPORTING £ 113

R8802 Radiopharmaceutical localization of tumor, whole body

REPORTING £ 113

R8803 Radiopharmaceutical localization of tumor, tomographic (SPECT)

REPORTING £ 113

R8811 Tumor imaging, positron emission tomography (PET), partial body

REPORTING £ 113

R8812 Tumor imaging, positron emission tomography (PET), skull base to mid-thigh

REPORTING £ 113

R8813 Tumor imaging, positron emission tomography (PET), whole body (Formerly code R8810)

REPORTING £ 113

R8814 Tumor imaging, positron emission tomography (PET) with concurrently acquired computed tomography (CT); limited area (eg, chest, head/neck)

REPORTING £ 113

R8815 Tumor imaging, positron emission tomography (PET) with concurrently acquired computed tomography (CT); skull base to mid-thigh

REPORTING £ 113

R8816 Tumor imaging, positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization; whole body

REPORTING £ 113

R9020 Fetal contraction stress test REPORTING £ 113

R9025 Fetal non-stress test REPORTING £ 113

R9101 Interpretation and Report. Radiopharmaceutical therapy, by intravenous administration

REPORTING £ 113

R9199 Computerized axial tomography, unlisted, suspicious areas (Cat Scan) (CT Scan) without contrast

REPORTING £ 113

R9299 Computerized axial tomography, whole body (Cat Scan) (CT Scan); full body, without contrast, screening scan

REPORTING £ 113

R9362 Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multi catheters with induction or attempted induction of arrhythmia;

REPORTING £ 113

R9398 Magnetic resonance imaging, head, neck, head and neck (MRI) (DCE MRI); with dynamic contrast enhancement

REPORTING £ 113

R9399 Magnetic resonance imaging, bone, full body (MRI); whole body bone imaging for metastisis without contrast

REPORTING £ 113

REBCT Electron beam computed tomography, coronary artery disease (Cat Scan) (CT Scan)

REPORTING £ 113

RSCON Gastric and colonic motility scintigraphy study including radiopharmaceutical ingestion followed by images between 0 to 24 hours; HIDA-CCK cholescintigraphy;

REPORTING £ 113

RT004 Magnetic resonance imaging, bone, full body (MRI): whole body bone imaging for metastisis, with contrast

REPORTING £ 113

RT005 Magnetic resonance imaging, full body (MRI): whole body, without contrast

REPORTING £ 113

RT006 Magnetic resonance imaging, full body (MRI)whole body, with contrast

REPORTING £ 113

RT009 Computerized axial tomography, thoracic, abdominal and pelvic combined, chest, abdomen and pelvis(Cat Scan) (CT Scan); without contrast material

REPORTING £ 113

RT010 Computerized axial tomography, thoracic, abdominal and pelvic combined, chest, abdomen and pelvis(Cat Scan) (CT Scan); with contrast material

REPORTING £ 113

RT011 Magnetic resonance imaging, unlisted, suspicious areas (MRI) with contrast

REPORTING £ 113

RT012 Computerized axial tomography, unlisted, suspicious areas (Cat Scan) (CT Scan) with contrast

REPORTING £ 113

RT020 Magnetic Resonance Elastography; MRE

REPORTING £ 113

RT102 Dermal ultrasound to determine skin thickness.

REPORTING £ 113

RT109 BRAF mutation analysis; Serine/threonine-protein kinase B-Raf; B-Raf; proto-oncogene B-Raf ;v-Raf murine sarcoma viral oncogene homolog B1

REPORTING £ 113

RT168 Computerized axial tomography, abdomen and thorax combined, abdominal and thoracic combined, abdominal and chest combined (Cat Scan) (CT Scan); without contrast material (Formerly QuintilesIMS code R4168)

REPORTING £ 113

RT169 Computerized axial tomography, abdomen and thorax combined, abdominal and thoracic combined, abdominal and chest combined (Cat Scan) (CT Scan); with contrast material(s) (Formerly QuintilesIMS code R4169)

REPORTING £ 113

RT184 Magnetic resonance imaging, liver, pancreas (MRI); without contrast material(s) (Formerly QuintilesIMS code R4184)

REPORTING £ 113

RT201 KRAS gene, 7 mutation panel, Tumor ; c-K-ras2 protein; c-K-ras protein; KI-RAS; Kirsten rat sarcoma-2 viral (v-Ki-ras2) oncogene homolog

REPORTING £ 113

RT207 Electrocardiogram, 12 Lead ECG - Triplicate; tracing only (Formerly QuintilesIMS code R1207)

REPORTING £ 113

RT619 Data analysis and report: Functional Magnetic Resonance; fMRI; per hour of imaging (Formerly QuintilesIMS code R0619)

REPORTING £ 113

RT718 QuintilesIMS: Whole Body Dual X-Ray Absorptiometry (DEXA)(DXA) to Determine Body Composition, Total Lean Body Mass (Formerly QuintilesIMS code R0718)

REPORTING £ 113

RT744 Angiography, angiogram, complete coronary (Formerly QuintilesIMS code R5744)

REPORTING £ 113

RT899 Ultrasound, peripheral vascular system (echography) (uls) (Formerly QuintilesIMS code R6899)

REPORTING £ 113

NIHR_INV_051 Recist REPORTING £ 113

NIHR_INV_052 irRecist REPORTING £ 113

Section 15 - Specialist Medicine tariffs

With New NIHR codes


82800 Gases, blood, pH only SPECIALIST MEDICINE

£ 56

82803 Gases, blood, arterial blood gases (any combination of pH, pCO2, pO2, CO2, HCO3)

SPECIALIST MEDICINE

£ 56

82805 Gases, blood, arterial blood gases (any combination of pH, pCO2 calculated O2 saturation); with O2 saturation, by direct measurement except pulse oximetry

SPECIALIST MEDICINE

£ 56

82810 Gases, blood, O2 saturation only; by direct measurement, except pulse oximetry

SPECIALIST MEDICINE

£ 56

92512 Nasal function studies (eg, rhinomanometry, rhinoprobe, nasal CDA)

SPECIALIST MEDICINE

£ 56

94010 Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), forced expiratory volume (FEV), with or without maximal voluntary ventilation (MVV). Reporting code R4010.

SPECIALIST MEDICINE

£ 207

94150 Total vital capacity, pulmonary function test (PFT), lung function test

SPECIALIST MEDICINE

£ 84

95004 Percutaneous tests (scratch, puncture, skin prick) with allergenic extracts, immediate type reaction, specify number of tests; includes interpretation and report

SPECIALIST MEDICINE

£ 55

95070 Inhalation bronchial challenge testing (not including necessary pulmonary function tests); with histamine, methacholine, or similar compounds; The reaction is documented

SPECIALIST MEDICINE

£ 190

95071 Inhalation bronchial challenge testing (not including necessary pulmonary function tests); with antigens or gases, specify

SPECIALIST MEDICINE

£ 56

95806 Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation,

SPECIALIST MEDICINE

£ 628

respiratory airflow, and respiratory effort (eg, thoracoabdominal movement): Reporting code R5806

95808 Polysomnography (PSG); sleep staging with 1-3 additional parameters of sleep, attended by a technologist; Reporting code R5808.

SPECIALIST MEDICINE

£ 1,010

95819 Electroencephalogram (EEG) including recording awake and asleep (including hyperventilation and/or photic stimulation when appropriate): Reporting code R5819

SPECIALIST MEDICINE

£ 628

95827 Electroencephalogram (EEG); all night sleep only: Reporting code R5827

SPECIALIST MEDICINE

£ 628

96002 Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles

SPECIALIST MEDICINE

£ 85

S0823 6 Minute Walk Test (6MWT) (6-MWT)

SPECIALIST MEDICINE

£ 85

S0857 Short Physical Performance Battery, SPPB, assessment of lower extremity function, performance and mobility disability; includes standing and gait

SPECIALIST MEDICINE

£ 85

T5057 Diagnostic photography, global photography (Formerly QuintilesIMS code 95057)

SPECIALIST MEDICINE

£ 266

NIHR_INV_028 Flow Volume Loop SPECIALIST MEDICINE

£ 68

NIHR_INV_029 Body Box Lung Volume SPECIALIST MEDICINE

£ 96

NIHR_INV_030 Gas Transfer/ DLCO/ Transfer Factor

SPECIALIST MEDICINE

£ 68

NIHR_INV_031 Cough Challenge SPECIALIST MEDICINE

£ 190

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interactive costing tool (ict) - nihr · 2020. 5. 18. · report use code r1275; (ct scan)...

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