Orthopaedics_Trauma_2012

OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
OUTPATIENT PROCEDURES                                                        
            0.67 0.50 0.25     3.3 0.67 0.50 0.25         1.35 0.67 0.50 0.25     4 0.67 0.50 0.25
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
11300 Initial Consultation up to 30 minutes     11300   11300 £155         £11,300 £190         11300   11300 £210         11300 £300      
11310 Initial Consultation up to 31 to 75 minutes     11310   11310 £155         £11,310 £190         11310   11310 £210         11310 £600      
12300 Subsequent Consultation up to 30 minutes     12300   12300 £80         £12,300 £95         12300   12300 £110         12300 £300      
12310 Subsequent Consultation up to 31 to 75 minutes     12310   12310 £80         £12,310 £95         12310   12310 £110         12310 £600      
11310 Initial Domiciliary Consultation up to 31 to 75 minutes     11310   11310           £11,310 £380         11310   11310           11310 £600      
12300 Subsequent Domiciliary Consultation up to 30 minutes     12300   12300           £12,300 £190         12300   12300           12300 £300      
T6520 Tendon sheath injection MINOR 5   T6520   T6520           T6520 £150         T6520   T6520           T6520 £250      
W9040 Injection(s) into large joint(s) without x-ray control MINOR 5   W9040   W9040           W9040 £150         W9040   W9040           W9040 £250      
X4810 Change of cast without general anaesthetic: application     X4810   X4810           X4810 £100         X4810   X4810           X4810 £250      
X4810 Change of cast without general anaesthetic: removal     X4810   X4810           X4810 £50         X4810   X4810           X4810 £250      
64040 Biopsy and/or aspiration under image control     64040   64040           £64,040 £150         64040   64040           64040 £250      
S4780 Aspiration of subcutaneous haematoma     S4780   S4780           S4780 £150         S4780   S4780           S4780 £250      
W3630 Diagnostic aspiration of cysts joints cavities     W3630   W3630           W3630 £150         W3630   W3630           W3630 £250      
W9012 Therapeutic local anaesthetic / aspiration large joint single*     W9012   W9012           W9012 £150         W9012   W9012           W9012 £250      
W9013 Therapeutic local anaesthetic / aspiration large joint more than 1 joint*     W9013   W9013           W9013 £225         W9013   W9013           W9013 £250      
W9014 Therapeutic local anaesthetic / aspiration small joint single*     W9014   W9014           W9014 £150         W9014   W9014           W9014 £250      
W9015 Therapeutic local anaesthetic / aspiration small joint more than 1 joint*     W9015   W9015           W9015 £225         W9015   W9015           W9015 £250      
W9016 Therapeutic local anaesthetic / aspiration of joint under imaging control*     W9016   W9016           W9016 £150         W9016   W9016           W9016 £250      
W9018 Percutaneous biopsy / arthrography / aspiration in assessment of total hip replacement     W9018   W9018           W9018 £300         W9018   W9018           W9018 £250      
                                                             
MISCELLANEOUS                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
                                                         
CONNECTIVE TISSUE/TENDON & MUSCLE                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
T5300 Excision of lesion of fascia MINOR 4   T5300   T5300 £204 £136 £102 £51   T5300 £672 £450 £336 £168   T5300   T5300 £275 £184 £137 £69   T5300 £1,100 £737 £550 £275
T5400 Other operations of fascia MINOR 5   T5400   T5400 £204 £136 £102 £51   T5400 £672 £450 £336 £168   T5400   T5400 £275 £184 £137 £69   T5400 £1,100 £737 £550 £275
T5900 Excision of ganglion, including repeat excision INTER 3   T5900   T5900 £223 £150 £112 £56   T5900 £737 £494 £369 £184   T5900   T5900 £302 £202 £151 £75   T5900 £1,206 £808 £603 £302
T6220 Excision of bursa INTER 1   T6220   T6220 £309 £207 £154 £77   T6220 £1,019 £683 £510 £255   T6220   T6220 £417 £279 £208 £104   T6220 £1,668 £1,117 £834 £417
T6400 Transfer of tendon INTER 3   T6400   T6400 £276 £185 £138 £69   T6400 £911 £610 £455 £228   T6400   T6400 £373 £250 £186 £93   T6400 £1,490 £998 £745 £373
T6410 Transfer of multiple tendons MAJOR 5   T6410   T6410 £342 £229 £171 £85   T6410 £1,128 £755 £564 £282   T6410   T6410 £461 £309 £231 £115   T6410 £1,845 £1,236 £923 £461
T6500 Excision of lesion of tendon INTER 1   T6500   T6500 £230 £154 £115 £57   T6500 £759 £508 £379 £190   T6500   T6500 £310 £208 £155 £78   T6500 £1,242 £832 £621 £310
T6800 Secondary repair of tendon (including graft, transfer and/or prosthesis) MAJOR 3   T6800   T6800 £407 £273 £204 £102   T6800 £1,344 £901 £672 £336   T6800   T6800 £550 £368 £275 £137   T6800 £2,200 £1,474 £1,100 £550
T7010 Percutaneous tenotomy MINOR 3   T7010   T7010 £145 £97 £72 £36   T7010 £477 £320 £239 £119   T7010   T7010 £195 £131 £98 £49   T7010 £781 £523 £390 £195
T7050 Lengthening of tendon(s), including tenotomy INTER 4   T7050   T7050 £276 £185 £138 £69   T7050 £911 £610 £455 £228   T7050   T7050 £373 £250 £186 £93   T7050 £1,490 £998 £745 £373
T7110 Tenosynovectomy, including arthroscopic INTER 3   T7110   T7110 £243 £163 £122 £61   T7110 £802 £538 £401 £201   T7110   T7110 £328 £220 £164 £82   T7110 £1,313 £880 £656 £328
T8000 Release of contracture of muscle INTER 4   T8000   T8000 £309 £207 £154 £77   T8000 £1,019 £683 £510 £255   T8000   T8000 £417 £279 £208 £104   T8000 £1,668 £1,117 £834 £417
T8100 Open biopsy of muscle MINOR 5   T8100   T8100 £204 £136 £102 £51   T8100 £672 £450 £336 £168   T8100   T8100 £275 £184 £137 £69   T8100 £1,100 £737 £550 £275
S1510 Percutaneous biopsy (not specified elsewhere) MINOR 1   S1510   S1510 £204 £136 £102 £51   S1510 £672 £450 £336 £168   S1510   S1510 £275 £184 £137 £69   S1510 £1,100 £737 £550 £275
T7900 Excision of lesion of muscle without skin graft MAJOR 1   T7900   T7900 £342 £229 £171 £85   T7900 £1,128 £755 £564 £282   T7900   T7900 £461 £309 £231 £115   T7900 £1,845 £1,236 £923 £461
T8380 Excision of lesion of muscle with skin graft MAJOR 3   T8380   T8380 £480 £321 £240 £120   T8380 £1,583 £1,061 £791 £396   T8380   T8380 £648 £434 £324 £162   T8380 £2,590 £1,735 £1,295 £648
T6000 Repeat excision of ganglion New code   T6000   T6000 £237 £158 £118 £59   T6000 £781 £523 £390 £195   T6000   T6000 £319 £214 £160 £80   T6000 £1,277 £856 £639 £319
                                                         
BONE (NON-SPECIFIC)                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
W3650 Trephine biopsy of bone marrow MINOR 5   W3650   W3650 £217 £145 £108 £54   W3650 £716 £479 £358 £179   W3650   W3650 £293 £196 £146 £73   W3650 £966 £647 £483 £242
W3620 Open bone biopsy INTER 1   W3620   W3620 £237 £158 £118 £59   W3620 £781 £523 £390 £195   W3620   W3620 £319 £214 £160 £80   W3620 £1,054 £706 £527 £263
W3510 Introduction of therapeutic substance into bones, eg application of anti-biotic for infected hip replacement as sole procedure MINOR 5   W3510   W3510 £276 £185 £138 £69   W3510 £911 £610 £455 £228   W3510   W3510 £373 £250 £186 £93   W3510 £1,229 £824 £615 £307
W0700 Excision of ectopic bone MINOR 5   W0700   W0700 £204 £136 £102 £51   W0700 £672 £450 £336 £168   W0700   W0700 £275 £184 £137 £69   W0700 £907 £608 £454 £227
W0640 Total excision of sesamoid bone INTER 1   W0640   W0640 £263 £176 £131 £66   W0640 £867 £581 £434 £217   W0640   W0640 £355 £238 £177 £89   W0640 £1,171 £785 £585 £293
W0850 Partial excision of bone (including exostoses) INTER 3   W0850   W0850 £263 £176 £131 £66   W0850 £867 £581 £434 £217   W0850   W0850 £355 £238 £177 £89   W0850 £1,171 £785 £585 £293
W0600 Total excision of bone with or without prosthetic replacement/reconstruction, eg trapezium MAJOR+ 3   W0600   W0600 £611 £409 £306 £153   W0600 £2,017 £1,351 £1,008 £504   W0600   W0600 £825 £553 £412 £206   W0600 £2,722 £1,824 £1,361 £681
W0900 Radical resection of bone tumour MAJOR+ 5   W0900   W0900 £815 £546 £407 £204   W0900 £2,689 £1,802 £1,344 £672   W0900   W0900 £1,100 £737 £550 £275   W0900 £3,630 £2,432 £1,815 £907
W1080 Osteotomy of large bone, with/without fixation, including graft MAJOR 4   W1080   W1080 £513 £343 £256 £128   W1080 £1,691 £1,133 £846 £423   W1080   W1080 £692 £464 £346 £173   W1080 £2,283 £1,530 £1,142 £571
W1800 Drainage/debridement of bone(s), including sequestrectomy for osteomyelitis INTER 5   W1800   W1800 £342 £229 £171 £85   W1800 £1,128 £755 £564 £282   W1800   W1800 £461 £309 £231 £115   W1800 £1,522 £1,020 £761 £381
W2700 Fixation of epiphysis INTER 4   W2700   W2700 £342 £229 £171 £85   W2700 £1,128 £755 £564 £282   W2700   W2700 £461 £309 £231 £115   W2700 £1,522 £1,020 £761 £381
W3110 Osteochondral grafting CMO 1   W3110   W3110 £644 £431 £322 £161   W3110 £2,125 £1,424 £1,063 £531   W3110   W3110 £869 £582 £435 £217   W3110 £2,869 £1,922 £1,434 £717
W8310 Chondral surgery including drilling and subchondral abrasion INTER 4   W8310   W8310 £289 £194 £145 £72   W8310 £954 £639 £477 £239   W8310   W8310 £390 £262 £195 £98   W8310 £1,288 £863 £644 £322
AA609 Peripheral bone density measurement performed by physician New code   AA609   AA609           AA609           AA609   AA609           AA609        
                                                         
FRACTURES                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
W1910 Primary open reduction of fracture of femur and open fixation using pin and plate MAJOR+ 1   W1910   W1910 £545 £365 £273 £136   W1910 £1,800 £1,206 £900 £450   W1910   W1910 £736 £493 £368 £184   W1910 £2,430 £1,628 £1,215 £607
W6630 Primary closed reduction of fracture or dislocation of joint, with or without fixation including plaster of Paris eg Colles' INTER 3   W6630   W6630 £237 £158 £118 £59   W6630 £781 £523 £390 £195   W6630   W6630 £319 £214 £160 £80   W6630 £1,054 £706 £527 £263
W2500 Closed reduction of fracture of long bone and external fixation, including POP and percutaneous K-wires, eg forearm MAJOR 2   W2500   W2500 £480 £321 £240 £120   W2500 £1,583 £1,061 £791 £396   W2500   W2500 £648 £434 £324 £162   W2500 £2,137 £1,432 £1,068 £534
W2580 Closed reduction of fracture of small bone and external fixation, including POP and percutaneous K-wires INTER 2   W2580   W2580 £276 £185 £138 £69   W2580 £911 £610 £455 £228   W2580   W2580 £373 £250 £186 £93   W2580 £1,229 £824 £615 £307
W1920 Primary open reduction of long bone with fixation MAJOR 5   W1920   W1920 £513 £343 £256 £128   W1920 £1,691 £1,133 £846 £423   W1920   W1920 £692 £464 £346 £173   W1920 £2,283 £1,530 £1,142 £571
W6500 Primary open reduction of fracture with / without dislocation of joint MAJOR 3   W6500   W6500 £513 £343 £256 £128   W6500 £1,691 £1,133 £846 £423   W6500   W6500 £692 £464 £346 £173   W6500 £2,283 £1,530 £1,142 £571
W1940 Primary open reduction of small bone with fixation, including intra articular MAJOR 1   W1940   W1940 £342 £229 £171 £85   W1940 £1,128 £755 £564 £282   W1940   W1940 £461 £309 £231 £115   W1940 £1,522 £1,020 £761 £381
W2100 Primary open reduction of intra-articular fracture of long bone eg proximal humerus MAJOR 3   W2100   W2100 £480 £321 £240 £120   W2100 £1,583 £1,061 £791 £396   W2100   W2100 £648 £434 £324 £162   W2100 £2,137 £1,432 £1,068 £534
W2080 Open reduction of fracture of pelvis and internal fixation CMO 1   W2080   W2080 £1,018 £682 £509 £255   W2080 £3,361 £2,252 £1,681 £840   W2080   W2080 £1,375 £921 £687 £344   W2080 £4,537 £3,040 £2,269 £1,134
W2070 Open reduction and internal fixation of complex acetabular pelvic fracture CMO 3   W2070   W2070 £1,354 £907 £677 £338   W2070 £4,467 £2,993 £2,233 £1,117   W2070   W2070 £1,827 £1,224 £914 £457   W2070 £6,030 £4,040 £3,015 £1,508
W6700 Secondary open reduction of dislocation of joint INTER 2   W6700   W6700 £276 £185 £138 £69   W6700 £911 £610 £455 £228   W6700   W6700 £373 £250 £186 £93   W6700 £1,229 £824 £615 £307
W2300 Secondary open reduction of fracture of small bone, including intra-articular INTER 5   W2300   W2300 £342 £229 £171 £85   W2300 £1,128 £755 £564 £282   W2300   W2300 £461 £309 £231 £115   W2300 £1,522 £1,020 £761 £381
W2310 Secondary open reduction of fracture long bone-and intramedullary fixation or internal fixation for non-union / mal union MAJOR 3   W2310   W2310 £578 £387 £289 £145   W2310 £1,908 £1,278 £954 £477   W2310   W2310 £781 £523 £390 £195   W2310 £2,576 £1,726 £1,288 £644
W2380 Locked intramedullary nailing MAJOR+ 5   W2380   W2380 £677 £453 £338 £169   W2380 £2,233 £1,496 £1,117 £558   W2380   W2380 £914 £612 £457 £228   W2380 £3,015 £2,020 £1,508 £754
W2330 Secondary open reduction of intra-articular fracture of bone MAJOR 3   W2330   W2330 £480 £321 £240 £120   W2330 £1,583 £1,061 £791 £396   W2330   W2330 £648 £434 £324 £162   W2330 £2,137 £1,432 £1,068 £534
W3040 Application of IIizarov frame for secondary non-union / mal-union CMO 4   W3040   W3040 £815 £546 £407 £204   W3040 £2,689 £1,802 £1,344 £672   W3040   W3040 £1,100 £737 £550 £275   W3040 £3,630 £2,432 £1,815 £907
W3020 Adjustments to IIizarov frame rings for secondary non-union / mal-union MAJOR 3   W3020   W3020 £342 £229 £171 £85   W3020 £1,128 £755 £564 £282   W3020   W3020 £461 £309 £231 £115   W3020 £1,522 £1,020 £761 £381
W3050 Adjustments to Pin sites secondary for non-union / mal-union INTER 4   W3050   W3050 £204 £136 £102 £51   W3050 £672 £450 £336 £168   W3050   W3050 £275 £184 £137 £69   W3050 £907 £608 £454 £227
W3100 Bone graft (except where part of another procedure) MAJOR 1   W3100   W3100 £342 £229 £171 £85   W3100 £1,128 £755 £564 £282   W3100   W3100 £461 £309 £231 £115   W3100 £1,522 £1,020 £761 £381
W2830 Removal of internal fixation/prosthesis from bone / joint, excluding K-wires INTER 5   W2830   W2830 £276 £185 £138 £69   W2830 £911 £610 £455 £228   W2830   W2830 £373 £250 £186 £93   W2830 £1,229 £824 £615 £307
W3530 Removal of wire from bone, including K-wires MINOR 3   W3530   W3530 £204 £136 £102 £51   W3530 £672 £450 £336 £168   W3530   W3530 £275 £184 £137 £69   W3530 £907 £608 £454 £227
S5730 Surgical toilet to wound under general anaesthetic MINOR 4   S5730   S5730 £204 £136 £102 £51   S5730 £672 £450 £336 £168   S5730   S5730 £275 £184 £137 £69   S5730 £907 £608 £454 £227
                                                         
BLOCKS & NERVES                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
A5210 Lumbar epidural     A5210   A5210 £225         A5210           A5210   A5210 £304         A5210        
A5220 Thoracic epidural     A5220   A5220 £300         A5220           A5220   A5220 £405         A5220        
nojavascript&WT
A7350
Local anaesthetic blockade of major nerve trunk   nojavascript&WT
 
A7350   nojavascript&WT,nojavascript&WT
A7350
£200         nojavascript&WT,nojavascript&WT
A7350
          nojavascript&WT,nojavascript&WT
A7350
nojavascript&WT,nojavascript&WT
 
A7350 £270       nojavascript&WT,nojavascript&WT,nojavascript&WT
 
A7350        
A5900 Excision of peripheral nerve     A5900   A5900 £342 £229 £171 £85   A5900 £1,128 £755 £564 £282   A5900   A5900 £461 £309 £231 £115   A5900 £1,845 £1,236 £923 £461
A6030 Transection of peripheral nerve     A6030   A6030 £243 £163 £122 £61   A6030 £802 £538 £401 £201   A6030   A6030 £328 £220 £164 £82   A6030 £1,313 £880 £656 £328
A6080 Neurectomy (major nerve)     A6080   A6080 £342 £229 £171 £85   A6080 £1,128 £755 £564 £282   A6080   A6080 £461 £309 £231 £115   A6080 £1,845 £1,236 £923 £461
A6110 Excision of lesion of peripheral nerve     A6110   A6110 £276 £185 £138 £69   A6110 £911 £610 £455 £228   A6110   A6110 £373 £250 £186 £93   A6110 £1,490 £998 £745 £373
A6180 Excision of lesion (major nerve)     A6180   A6180 £342 £229 £171 £85   A6180 £1,128 £755 £564 £282   A6180   A6180 £461 £309 £231 £115   A6180 £1,845 £1,236 £923 £461
A6210 Primary repair of peripheral nerve including microsurgery     A6210   A6210 £677 £453 £338 £169   A6210 £2,233 £1,496 £1,117 £558   A6210   A6210 £914 £612 £457 £228   A6210 £3,655 £2,449 £1,827 £914
A6220 Secondary repair of peripheral nerve including microsurgery     A6220   A6220 £749 £502 £375 £187   A6220 £2,472 £1,656 £1,236 £618   A6220   A6220 £1,011 £678 £506 £253   A6220 £4,045 £2,710 £2,023 £1,011
A6310 Primary graft to peripheral nerve     A6310   A6310 £545 £365 £273 £136   A6310 £1,800 £1,206 £900 £450   A6310   A6310 £736 £493 £368 £184   A6310 £2,945 £1,973 £1,473 £736
A6320 Secondary graft to peripheral nerve     A6320   A6320 £545 £365 £273 £136   A6320 £1,800 £1,206 £900 £450   A6320   A6320 £736 £493 £368 £184   A6320 £2,945 £1,973 £1,473 £736
A6420 Primary repair of peripheral nerve     A6420   A6420 £276 £185 £138 £69   A6420 £911 £610 £455 £228   A6420   A6420 £373 £250 £186 £93   A6420 £1,490 £998 £745 £373
A6430 Secondary repair of peripheral nerve     A6430   A6430 £309 £207 £154 £77   A6430 £1,019 £683 £510 £255   A6430   A6430 £417 £279 £208 £104   A6430 £1,668 £1,117 £834 £417
A6440 Primary repair of nerve trunk     A6440   A6440 £309 £207 £154 £77   A6440 £1,019 £683 £510 £255   A6440   A6440 £417 £279 £208 £104   A6440 £1,668 £1,117 £834 £417
A6480 Secondary repair of nerve trunk     A6480   A6480 £480 £321 £240 £120   A6480 £1,583 £1,061 £791 £396   A6480   A6480 £648 £434 £324 £162   A6480 £2,590 £1,735 £1,295 £648
A6510 Carpal or cubital tunnel release including endoscopic INTER 2   A6510   A6510 £269 £181 £135 £67   A6510 £889 £596 £445 £222   A6510   A6510 £364 £244 £182 £91   A6510 £1,455 £975 £727 £364
A6580 Carpal or cubital tunnel release, including endoscopic-bilateral MAJOR 1   A6580   A6580 £440 £295 £220 £110   A6580 £1,453 £973 £726 £363   A6580   A6580 £594 £398 £297 £149   A6580 £2,377 £1,593 £1,189 £594
A6600 Release of entrapment of deeply placed peripheral nerve, including Anterior/Posterior Interosseous Nerve INTER 2   A6600   A6600 £394 £264 £197 £99   A6600 £1,301 £872 £651 £325   A6600   A6600 £532 £357 £266 £133   A6600 £2,129 £1,426 £1,064 £532
A6810 Anterior transposition of ulna nerve INTER 3   A6810   A6810 £309 £207 £154 £77   A6810 £1,019 £683 £510 £255   A6810   A6810 £417 £279 £208 £104   A6810 £1,668 £1,117 £834 £417
A6830 Submuscular transposition of ulna nerve MAJOR 3   A6830   A6830 £407 £273 £204 £102   A6830 £1,344 £901 £672 £336   A6830   A6830 £550 £368 £275 £137   A6830 £2,200 £1,474 £1,100 £550
A6900 Revision of release of peripheral nerve MAJOR 1   A6900   A6900 £342 £229 £171 £85   A6900 £1,128 £755 £564 £282   A6900   A6900 £461 £309 £231 £115   A6900 £1,845 £1,236 £923 £461
A7310 Exploration/neurolysis/biopsy of peripheral nerve INTER 2   A7310   A7310 £223 £150 £112 £56   A7310 £737 £494 £369 £184   A7310   A7310 £302 £202 £151 £75   A7310 £1,206 £808 £603 £302
                                                         
JOINTS (NOT LISTED ELSEWHERE)                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
W6900 Excision of synovial membrane of joint MAJOR 2   W6900   W6900 £453 £304 £227 £113   W6900 £1,496 £1,002 £748 £374   W6900   W6900 £612 £410 £306 £153   W6900 £2,448 £1,640 £1,224 £612
W7200 Primary prosthetic replacement/reconstruction/repair of ligament, including prosthesis MAJOR 1   W7200   W7200 £375 £251 £187 £94   W7200 £1,236 £828 £618 £309   W7200   W7200 £506 £339 £253 £126   W7200 £2,023 £1,355 £1,011 £506
W7700 Stabilising operations on joint MAJOR 3   W7700   W7700 £375 £251 £187 £94   W7700 £1,236 £828 £618 £309   W7700   W7700 £506 £339 £253 £126   W7700 £2,023 £1,355 £1,011 £506
W7800 Release of contracture of joint INTER 4   W7800   W7800 £309 £207 £154 £77   W7800 £1,019 £683 £510 £255   W7800   W7800 £417 £279 £208 £104   W7800 £1,668 £1,117 £834 £417
W8150 Arthrotomy of large joint, including removal of loose body from joint INTER 4   W8150   W8150 £276 £185 £138 £69   W8150 £911 £610 £455 £228   W8150   W8150 £373 £250 £186 £93   W8150 £1,490 £998 £745 £373
W8180 Arthrotomy of small joint, including removal of loose body from joint MINOR 1   W8180   W8180 £204 £136 £102 £51   W8180 £672 £450 £336 £168   W8180   W8180 £275 £184 £137 £69   W8180 £1,100 £737 £550 £275
W8290 Therapeutic arthroscopic operations - both medial and lateral menisci MAJOR+ 2   W8290   W8290 £493 £330 £246 £123   W8290 £1,626 £1,090 £813 £407   W8290   W8290 £665 £446 £333 £166   W8290 £2,661 £1,783 £1,331 £665
W8300 Therapeutic endoscopic operations on intra-articular cartilage (other than W8200)     W8300   W8300 £407 £273 £204 £102   W8300 £1,344 £901 £672 £336   W8300   W8300 £550 £368 £275 £137   W8300 £2,200 £1,474 £1,100 £550
W8380 Therapeutic endoscopic operations on intra-articular cartilage (other than W8200) - bilateral MAJOR 3   W8380   W8380 £480 £321 £240 £120   W8380 £1,583 £1,061 £791 £396   W8380   W8380 £648 £434 £324 £162   W8380 £2,590 £1,735 £1,295 £648
W8700 Diagnostic endoscopic examination of joint, with or without biopsy INTER 4   W8700   W8700 £263 £176 £131 £66   W8700 £867 £581 £434 £217   W8700   W8700 £355 £238 £177 £89   W8700 £1,419 £951 £710 £355
W8780 Diagnostic endoscopic examination of joint, with or without biopsy - bilateral INTER 5   W8780   W8780 £434 £291 £217 £108   W8780 £1,431 £959 £716 £358   W8780   W8780 £585 £392 £293 £146   W8780 £2,342 £1,569 £1,171 £585
W9030 Injection(s) into large joint(s) under x-ray control MINOR 4   W9030   W9030 £204 £136 £102 £51   W9030 £672 £450 £336 £168   W9030   W9030 £275 £184 £137 £69   W9030 £1,100 £737 £550 £275
W9040 Injection(s) into large joint(s) without x-ray control MINOR 5   W9040   W9040 £204 £136 £102 £51   W9040 £672 £450 £336 £168   W9040   W9040 £275 £184 £137 £69   W9040 £1,100 £737 £550 £275
W9240 Examination of joint under anaesthetic (in isolation) MINOR 1   W9240   W9240 £204 £136 £102 £51   W9240 £672 £450 £336 £168   W9240   W9240 £275 £184 £137 £69   W9240 £1,100 £737 £550 £275
X2380 Manipulation of joint MINOR 3   X2380   X2380 £204 £136 £102 £51   X2380 £672 £450 £336 £168   X2380   X2380 £275 £184 £137 £69   X2380 £1,100 £737 £550 £275
                                                         
JOINT REPLACEMENT/RECONSTRUCTION (NOT LISTED ELSEWHERE)                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
W5410 Prosthetic replacement of articulation of bone MAJOR 5   W5410   W5410 £545 £365 £273 £136   W5410 £1,800 £1,206 £900 £450   W5410   W5410 £736 £493 £368 £184   W5410 £2,945 £1,973 £1,473 £736
W5720 Excision reconstruction of joint MAJOR 2   W5720   W5720 £545 £365 £273 £136   W5720 £1,800 £1,206 £900 £450   W5720   W5720 £736 £493 £368 £184   W5720 £2,945 £1,973 £1,473 £736
W7490 Posterior lateral reconstruction MAJOR 1   W7490   W7490 £375 £251 £187 £94   W7490 £1,236 £828 £618 £309   W7490   W7490 £506 £339 £253 £126   W7490 £2,023 £1,355 £1,011 £506
W5540 Debridement of infected total joint replacement New code   W5540   W5540 £815 £546 £407 £204   W5540 £2,689 £1,802 £1,344 £672   W5540   W5540 £1,100 £737 £550 £275   W5540 £4,400 £2,948 £2,200 £1,100
W7482 Scaphoid-lunate ligament reconstruction New code   W7482   W7482 £407 £273 £204 £102   W7482 £1,344 £901 £672 £336   W7482   W7482 £550 £368 £275 £137   W7482 £2,200 £1,474 £1,100 £550
W7483 Triquetro-lunate ligament reconstruction New code   W7483   W7483 £407 £273 £204 £102   W7483 £1,344 £901 £672 £336   W7483   W7483 £550 £368 £275 £137   W7483 £2,200 £1,474 £1,100 £550
W7484 Multiple ligament reconstruction New code   W7484   W7484 £519 £348 £260 £130   W7484 £1,713 £1,148 £857 £428   W7484   W7484 £701 £470 £350 £175   W7484 £2,803 £1,878 £1,402 £701
W7485 Small joint (e.g. interphalangeal / metacarpo-phalangeal joint) ligament reconstruction New code   W7485   W7485 £407 £273 £204 £102   W7485 £1,344 £901 £672 £336   W7485   W7485 £550 £368 £275 £137   W7485 £2,200 £1,474 £1,100 £550
W7486 Carpo-metacarpal joint ligament reconstruction New code   W7486   W7486 £407 £273 £204 £102   W7486 £1,344 £901 £672 £336   W7486   W7486 £550 £368 £275 £137   W7486 £2,200 £1,474 £1,100 £550
W8602 Therapeutic arthroscopy of wrist joint (in isolation) New code   W8602   W8602 £407 £273 £204 £102   W8602 £1,344 £901 £672 £336   W8602   W8602 £550 £368 £275 £137   W8602 £2,200 £1,474 £1,100 £550
W8782 Flexible arthroscopy, +/- biopsy under local anaesthetic (as sole procedure) New code   W8782   W8782           W8782           W8782   W8782           W8782        
W9012 Therapeutic local anaesthetic/aspiration large joint single New code   W9012   W9012           W9012           W9012   W9012           W9012        
W9013 Therapeutic local anaesthetic/aspiration large joint more than 1 joint New code   W9013   W9013           W9013           W9013   W9013           W9013        
W9014 Therapeutic local anaesthetic/aspiration small joint single New code   W9014   W9014           W9014           W9014   W9014           W9014        
W9015 Therapeutic local anaesthetic/aspiration small joint more than 1 joint New code   W9015   W9015           W9015           W9015   W9015           W9015        
W9016 Therapeutic local anaesthetic/aspiration of joint under imaging control New code   W9016   W9016 £204 £136 £102 £51   W9016 £672 £450 £336 £168   W9016   W9016 £275 £184 £137 £69   W9016 £1,100 £737 £550 £275
                                                         
FIXATION/ARTHRODESIS                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
W6010 Primary arthrodesis of large joint and bone graft MAJOR+ 3   W6010   W6010 £480 £321 £240 £120   W6010 £1,583 £1,061 £791 £396   W6010   W6010 £648 £434 £324 £162   W6010 £2,590 £1,735 £1,295 £648
                                                         
HAND                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
T5410 Dupuytren's subcutaneous fasciotomy INTER 1   T5410   T5410 £263 £176 £131 £66   T5410 £867 £581 £434 £217   T5410   T5410 £355 £238 £177 £89   T5410 £1,419 £951 £710 £355
T5200 Dupuytren's fasciectomy - single digit INTER 4   T5200   T5200 £309 £207 £154 £77   T5200 £1,019 £683 £510 £255   T5200   T5200 £417 £279 £208 £104   T5200 £1,668 £1,117 £834 £417
T5210 Dupuytren's fasciectomy for Palm and multiple digits MAJOR 5   T5210   T5210 £407 £273 £204 £102   T5210 £1,344 £901 £672 £336   T5210   T5210 £550 £368 £275 £137   T5210 £2,200 £1,474 £1,100 £550
T5220 Dupuytren's dermofasciectomy and graft, or for recurrent disease MAJOR+ 1   T5220   T5220 £545 £365 £273 £136   T5220 £1,800 £1,206 £900 £450   T5220   T5220 £736 £493 £368 £184   T5220 £2,945 £1,973 £1,473 £736
T6710 Primary repair of extensor of hand INTER 2   T6710   T6710 £276 £185 £138 £69   T6710 £911 £610 £455 £228   T6710   T6710 £373 £250 £186 £93   T6710 £1,490 £998 £745 £373
T6750 Primary repair of flexor of hand, including prosthetic implant MAJOR 2   T6750   T6750 £407 £273 £204 £102   T6750 £1,344 £901 £672 £336   T6750   T6750 £550 £368 £275 £137   T6750 £2,200 £1,474 £1,100 £550
T6830 Secondary or secondary stage repair of flexor of hand (including prosthetic implant) MAJOR 3   T6830   T6830 £480 £321 £240 £120   T6830 £1,583 £1,061 £791 £396   T6830   T6830 £648 £434 £324 £162   T6830 £2,590 £1,735 £1,295 £648
T6850 Secondary repair of tendon of hand/forearm (excluding flexor), without transfer or graft INTER 3   T6850   T6850 £237 £158 £118 £59   T6850 £781 £523 £390 £195   T6850   T6850 £319 £214 £160 £80   T6850 £1,277 £856 £639 £319
T6820 Secondary repair of tendon of hand/forearm (excluding flexor) with graft/transfer MAJOR 2   T6820   T6820 £440 £295 £220 £110   T6820 £1,453 £973 £726 £363   T6820   T6820 £594 £398 £297 £149   T6820 £2,377 £1,593 £1,189 £594
T6580 Tendon graft, as sole procedure INTER 5   T6580   T6580 £342 £229 £171 £85   T6580 £1,128 £755 £564 £282   T6580   T6580 £461 £309 £231 £115   T6580 £1,845 £1,236 £923 £461
T6910 Tenolysis, other than flexor INTER 4   T6910   T6910 £256 £172 £128 £64   T6910 £846 £567 £423 £211   T6910   T6910 £346 £232 £173 £86   T6910 £1,384 £927 £692 £346
T6980 Tenolysis of flexor tendon MAJOR 1   T6980   T6980 £342 £229 £171 £85   T6980 £1,128 £755 £564 £282   T6980   T6980 £461 £309 £231 £115   T6980 £1,845 £1,236 £923 £461
W0120 Pollicisation of finger for thumb reconstruction CMO 2   W0120   W0120 £881 £590 £440 £220   W0120 £2,906 £1,947 £1,453 £726   W0120   W0120 £1,189 £796 £594 £297   W0120 £4,755 £3,186 £2,377 £1,189
W0180 Repair of finger tip injury following avulsion with flap MAJOR 1   W0180   W0180 £375 £251 £187 £94   W0180 £1,236 £828 £618 £309   W0180   W0180 £506 £339 £253 £126   W0180 £2,023 £1,355 £1,011 £506
W0230 Multiple joint procedures on hand including synovectomy MAJOR+ 2   W0230   W0230 £545 £365 £273 £136   W0230 £1,800 £1,206 £900 £450   W0230   W0230 £736 £493 £368 £184   W0230 £2,945 £1,973 £1,473 £736
W5930 Fusion of metacarpo-phalangeal / intercarpal joint INTER 3   W5930   W5930 £309 £207 £154 £77   W5930 £1,019 £683 £510 £255   W5930   W5930 £417 £279 £208 £104   W5930 £1,668 £1,117 £834 £417
W0510 Prosthetic arthroplasty of digital joint(s) MAJOR 5   W0510   W0510 £480 £321 £240 £120   W0510 £1,583 £1,061 £791 £396   W0510   W0510 £648 £434 £324 £162   W0510 £2,590 £1,735 £1,295 £648
W3200 Bone graft to scaphoid with internal fixation, including Herbert screw MAJOR 3   W3200   W3200 £440 £295 £220 £110   W3200 £1,453 £973 £726 £363   W3200   W3200 £594 £398 £297 £149   W3200 £2,377 £1,593 £1,189 £594
X0810 Amputation of hand MAJOR 1   X0810   X0810 £407 £273 £204 £102   X0810 £1,344 £901 £672 £336   X0810   X0810 £550 £368 £275 £137   X0810 £2,200 £1,474 £1,100 £550
X0820 Amputation of digit INTER 3   X0820   X0820 £276 £185 £138 £69   X0820 £911 £610 £455 £228   X0820   X0820 £373 £250 £186 £93   X0820 £1,490 £998 £745 £373
X0880 Amputation through mid-carpal/transmetacarpal INTER 3   X0880   X0880 £237 £158 £118 £59   X0880 £781 £523 £390 £195   X0880   X0880 £319 £214 £160 £80   X0880 £1,277 £856 £639 £319
W6200 Fusion of wrist MAJOR 4   W6200   W6200 £440 £295 £220 £110   W6200 £1,453 £973 £726 £363   W6200   W6200 £594 £398 £297 £149   W6200 £2,377 £1,593 £1,189 £594
W6230 Vascular implantation to carpal bone New code   W6230   W6230           W6230           W6230   W6230           W6230        
                                                         
SHOULDER                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
T7980 Limited repair of muscle, (ie less than 2cm tear), eg rotator cuff, including arthroscopic INTER 1   T7980   T7980 £480 £321 £240 £120   T7980 £1,583 £1,061 £791 £396   T7980   T7980 £648 £434 £324 £162   T7980 £2,590 £1,735 £1,295 £648
T7910 Extensive repair of muscle (ie greater than 2cm tear), eg rotator cuff, including arthroscopic MAJOR+ 2   T7910   T7910 £480 £321 £240 £120   T7910 £1,583 £1,061 £791 £396   T7910   T7910 £648 £434 £324 £162   T7910 £2,590 £1,735 £1,295 £648
T7990 Revision rotator cuff repair MAJOR 5   T7990   T7990 £480 £321 £240 £120   T7990 £1,583 £1,061 £791 £396   T7990   T7990 £648 £434 £324 £162   T7990 £2,590 £1,735 £1,295 £648
W0810 Acromioplasty MAJOR 1   W0810   W0810 £342 £229 £171 £85   W0810 £1,128 £755 £564 £282   W0810   W0810 £461 £309 £231 £115   W0810 £1,845 £1,236 £923 £461
W0890 Excision distal clavicle, in isolation MAJOR 1   W0890   W0890 £342 £229 £171 £85   W0890 £1,128 £755 £564 £282   W0890   W0890 £461 £309 £231 £115   W0890 £1,845 £1,236 £923 £461
W5500 Prosthetic interposition arthroplasty of joint, eg hip, knee, shoulder MAJOR+ 1   W5500   W5500 £545 £365 £273 £136   W5500 £1,800 £1,206 £900 £450   W5500   W5500 £736 £493 £368 £184   W5500 £2,945 £1,973 £1,473 £736
W5600 Primary repair of rupture of acromioclavicular joint including internal fixation MAJOR+ 5   W5600   W5600 £677 £453 £338 £169   W5600 £2,233 £1,496 £1,117 £558   W5600   W5600 £914 £612 £457 £228   W5600 £3,655 £2,449 £1,827 £914
W5630 Secondary repair of rupture of acromioclavicular joint including internal fixation MAJOR+ 5   W5630   W5630 £677 £453 £338 £169   W5630 £2,233 £1,496 £1,117 £558   W5630   W5630 £914 £612 £457 £228   W5630 £3,655 £2,449 £1,827 £914
W5890 Reconstruction of acromioclavicular joint MAJOR+ 5   W5890   W5890 £677 £453 £338 £169   W5890 £2,233 £1,496 £1,117 £558   W5890   W5890 £914 £612 £457 £228   W5890 £3,655 £2,449 £1,827 £914
W4900 Shoulder hemi-arthroplasty MAJOR+ 1   W4900   W4900 £545 £365 £273 £136   W4900 £1,800 £1,206 £900 £450   W4900   W4900 £736 £493 £368 £184   W4900 £2,945 £1,973 £1,473 £736
W4930 Revision shoulder hemiarthroplasty MAJOR+ 4   W4930   W4930 £677 £453 £338 £169   W4930 £2,233 £1,496 £1,117 £558   W4930   W4930 £914 £612 £457 £228   W4930 £3,655 £2,449 £1,827 £914
W5000 Primary total shoulder replacement CMO 1   W5000   W5000 £611 £409 £306 £153   W5000 £2,017 £1,351 £1,008 £504   W5000   W5000 £825 £553 £412 £206   W5000 £3,300 £2,211 £1,650 £825
W5030 Revision total shoulder replacement CMO 2   W5030   W5030 £881 £590 £440 £220   W5030 £2,906 £1,947 £1,453 £726   W5030   W5030 £1,189 £796 £594 £297   W5030 £4,755 £3,186 £2,377 £1,189
W7710 Stabilisation of shoulder joint, including anterior, posterior or multi-directional, including arthroscopic MAJOR 4   W7710   W7710 £480 £321 £240 £120   W7710 £1,583 £1,061 £791 £396   W7710   W7710 £648 £434 £324 £162   W7710 £2,590 £1,735 £1,295 £648
W7780 Revision stabilisation of shoulder joint MAJOR+ 2   W7780   W7780 £545 £365 £273 £136   W7780 £1,800 £1,206 £900 £450   W7780   W7780 £736 £493 £368 £184   W7780 £2,945 £1,973 £1,473 £736
W7810 Release of shoulder contracture MAJOR 5   W7810   W7810 £407 £273 £204 £102   W7810 £1,344 £901 £672 £336   W7810   W7810 £550 £368 £275 £137   W7810 £2,200 £1,474 £1,100 £550
W2810 Plating and / or bone grafting for non-union of clavicle MAJOR 4   W2810   W2810 £513 £343 £256 £128   W2810 £1,691 £1,133 £846 £423   W2810   W2810 £692 £464 £346 £173   W2810 £2,768 £1,854 £1,384 £692
A7340 Exploration and grafting of brachial plexus CMO 2   A7340   A7340 £309 £207 £154 £77   A7340 £1,019 £683 £510 £255   A7340   A7340 £417 £279 £208 £104   A7340 £1,668 £1,117 £834 £417
W8700 Diagnostic arthroscopic examination of joint with or without biopsy     W8700   W8700           W8700           W8700   W8700           W8700        
W8820 Diagnostic arthroscopic examination of shoulder joint with or without biopsy     W8820   W8820           W8820           W8820   W8820           W8820        
W8193 Sub-acromial decompression as sole procedure MAJOR 3   W8193   W8193 £440 £295 £220 £110   W8193 £1,453 £973 £726 £363   W8193   W8193 £594 £398 £297 £149   W8193 £2,377 £1,593 £1,189 £594
W8190 Sub-acromial decompression, including arthroscopic MAJOR 3   W8190   W8190 £440 £295 £220 £110   W8190 £1,453 £973 £726 £363   W8190   W8190 £594 £398 £297 £149   W8190 £2,377 £1,593 £1,189 £594
W0610 Total excision of cervical or first rib MAJOR 5   W0610   W0610 £545 £365 £273 £136   W0610 £1,800 £1,206 £900 £450   W0610   W0610 £736 £493 £368 £184   W0610 £2,945 £1,973 £1,473 £736
W7760 Arthroscopic Repair of glenoid labrum     W7760   W7760           W7760           W7760   W7760           W7760        
W8194 Arthroscopic sub-acromial decompression and excision of distal clavicle New code   W8194   W8194           W8194           W8194   W8194           W8194        
W8600 Therapeutic arthroscopic operation on cavity of joint New code   W8600   W8600 £480 £321 £240 £120   W8600 £1,583 £1,061 £791 £396   W8600   W8600 £648 £434 £324 £162   W8600 £2,590 £1,735 £1,295 £648
W8603 Therapeutic arthroscopy of shoulder (as sole procedure) New code   W8603   W8603 £480 £321 £240 £120   W8603 £1,583 £1,061 £791 £396   W8603   W8603 £648 £434 £324 £162   W8603 £2,590 £1,735 £1,295 £648
                                                         
ELBOW                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
W5510 Total prosthetic replacement of elbow CMO 1   W5510   W5510 £611 £409 £306 £153   W5510 £2,017 £1,351 £1,008 £504   W5510   W5510 £825 £553 £412 £206   W5510 £3,300 £2,211 £1,650 £825
W5520 Revision of  prosthetic replacement of elbow CMO 4   W5520   W5520 £881 £590 £440 £220   W5520 £2,906 £1,947 £1,453 £726   W5520   W5520 £1,189 £796 £594 £297   W5520 £4,755 £3,186 £2,377 £1,189
T7230 Release of constriction of sheath of tendon INTER 3   T7230   T7230 £276 £185 £138 £69   T7230 £911 £610 £455 £228   T7230   T7230 £373 £250 £186 £93   T7230 £1,490 £998 £745 £373
W5040 Replacement of elbow and shoulder (single operation) New code   W5040   W5040           W5040           W5040   W5040           W5040        
W5560 OK (Outerbridge and Kashiwagi) procedure New code   W5560   W5560           W5560           W5560   W5560           W5560        
                                                             
                                                             
HIP, PELVIS & COCCYX                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
W0940 Excision of lesion of bone pelvis/hip MAJOR 1   W0940   W0940 £375 £251 £187 £94   W0940 £1,236 £828 £618 £309   W0940   W0940 £506 £339 £253 £126   W0940 £2,023 £1,355 £1,011 £506
W1320 Osteotomy of hip with fixation MAJOR+ 4   W1320   W1320 £578 £387 £289 £145   W1320 £1,908 £1,278 £954 £477   W1320   W1320 £781 £523 £390 £195   W1320 £3,122 £2,092 £1,561 £781
W1640 Pelvic osteotomy with fixation CMO 2   W1640   W1640 £815 £546 £407 £204   W1640 £2,689 £1,802 £1,344 £672   W1640   W1640 £1,100 £737 £550 £275   W1640 £4,400 £2,948 £2,200 £1,100
W3710 Total prosthetic replacement of hip joint CMO 1   W3710   W3710 £657 £440 £329 £164   W3710 £2,168 £1,453 £1,084 £542   W3710   W3710 £887 £594 £444 £222   W3710 £3,548 £2,377 £1,774 £887
W3730 Revision of total prosthetic replacement of hip joint CMO 4   W3730   W3730 £1,084 £726 £542 £271   W3730 £3,578 £2,397 £1,789 £894   W3730   W3730 £1,464 £981 £732 £366   W3730 £5,855 £3,923 £2,927 £1,464
W3780 Total prosthetic replacement of hip joint-bilateral CMO 4   W3780   W3780 £1,097 £735 £549 £274   W3780 £3,621 £2,426 £1,811 £905   W3780   W3780 £1,481 £993 £741 £370   W3780 £5,926 £3,970 £2,963 £1,481
W4600 Prosthetic replacement of head of femur MAJOR 5   W4600   W4600 £611 £409 £306 £153   W4600 £2,017 £1,351 £1,008 £504   W4600   W4600 £825 £553 £412 £206   W4600 £3,300 £2,211 £1,650 £825
T5540 Release fasciotomy of anterior/posterior compartment of leg MAJOR 2   T5540   T5540 £407 £273 £204 £102   T5540 £1,344 £901 £672 £336   T5540   T5540 £550 £368 £275 £137   T5540 £2,200 £1,474 £1,100 £550
X0930 Amputation of leg/foot MAJOR 4   X0930   X0930 £342 £229 £171 £85   X0930 £1,128 £755 £564 £282   X0930   X0930 £461 £309 £231 £115   X0930 £1,845 £1,236 £923 £461
X2280 Manipulation and plaster of Paris for hip MINOR 5   X2280   X2280 £204 £136 £102 £51   X2280 £672 £450 £336 £168   X2280   X2280 £275 £184 £137 £69   X2280 £1,100 £737 £550 £275
W8620 Therapeutic arthroscopy of hip, eg removal of loose bodies MAJOR+ 4   W8620   W8620 £545 £365 £273 £136   W8620 £1,800 £1,206 £900 £450   W8620   W8620 £736 £493 £368 £184   W8620 £2,945 £1,973 £1,473 £736
W8800 Diagnostic arthroscopy of hip MAJOR+ 3   W8800   W8800 £545 £365 £273 £136   W8800 £1,800 £1,206 £900 £450   W8800   W8800 £736 £493 £368 £184   W8800 £2,945 £1,973 £1,473 £736
W1700 Shelf augmentation of acetabulum, e.g. Wainwright or Trillat New code   W1700   W1700           W1700           W1700   W1700           W1700        
W1913 Pinning for bilateral slipped upper femoral epiphysis New code   W1913   W1913           W1913           W1913   W1913           W1913        
W3715 Metal on metal hip resurfacing arthroplasty New code   W3715   W3715 £677 £453 £338 £169   W3715 £2,233 £1,496 £1,117 £558   W3715   W3715 £914 £612 £457 £228   W3715 £3,655 £2,449 £1,827 £914
W3942 Removal of total hip replacement and creating a pseudarthrosis New code   W3942   W3942 £677 £453 £338 £169   W3942 £2,233 £1,496 £1,117 £558   W3942   W3942 £914 £612 £457 £228   W3942 £3,655 £2,449 £1,827 £914
W6540 Open reduction of dislocated hip prosthesis New code   W6540   W6540           W6540           W6540   W6540           W6540        
X2260 Open reduction and Frog POP for congenital dislocation of hip (including traction and innominate/femoral osteotomy) New code   X2260   X2260           X2260           X2260   X2260           X2260        
X2262 Complex open reduction for congenital dislocation of hip ie pelvic & femoral or Pemberton osteotomy or revision open reduction New code   X2262   X2262           X2262           X2262   X2262           X2262        
W0660 Coccygectomy     W0660   W0660 £300 £201 £150 £75   W0660 £990 £663 £495 £248   W0660   W0660 £405 £271 £203 £101   W0660 £1,620 £1,085 £810 £405
                                                         
KNEE                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
W4210 Total prosthetic replacement of knee joint CMO 1   W4210   W4210 £657 £440 £329 £164   W4210 £2,168 £1,453 £1,084 £542   W4210   W4210 £887 £594 £444 £222   W4210 3548 2377 1774 887
W4230 Revision of total replacement of knee joint CMO 4   W4230   W4230 £1,084 £726 £542 £271   W4230 £3,578 £2,397 £1,789 £894   W4230   W4230 £1,464 £981 £732 £366   W4230 5855 3923 2927 1464
W4280 Total prosthetic replacement of knee joint: bilateral CMO 4   W4280   W4280 £1,097 £735 £549 £274   W4280 £3,621 £2,426 £1,811 £905   W4280   W4280 £1,481 £993 £741 £370   W4280 5926 3970 2963 1481
W5200 Uni-compartmental knee replacement MAJOR+ 5   W5200   W5200 £624 £418 £312 £156   W5200 £2,060 £1,380 £1,030 £515   W5200   W5200 £843 £565 £421 £211   W5200 3371 2258 1685 843
W7420 Autograft reconstruction of cruciate ligament, including arthroscopic MAJOR+ 5   W7420   W7420 £578 £387 £289 £145   W7420 £1,908 £1,278 £954 £477   W7420   W7420 £781 £523 £390 £195   W7420 3122 2092 1561 781
W7470 Revision of anterior cruciate ligament reconstruction CMO 1   W7470   W7470 £782 £524 £391 £195   W7470 £2,580 £1,729 £1,290 £645   W7470   W7470 £1,056 £707 £528 £264   W7470 4222 2829 2111 1056
W7480 Posterior cruciate ligament reconstruction (including arthroscopic) MAJOR+ 4   W7480   W7480 £578 £387 £289 £145   W7480 £1,908 £1,278 £954 £477   W7480   W7480 £781 £523 £390 £195   W7480 3122 2092 1561 781
W7580 Stabilisation of patella MAJOR+ 3   W7580   W7580 £545 £365 £273 £136   W7580 £1,800 £1,206 £900 £450   W7580   W7580 £736 £493 £368 £184   W7580 2945 1973 1473 736
W8200 Therapeutic arthroscopic operations of semi lunar cartilage MAJOR 3   W8200   W8200 £407 £273 £204 £102   W8200 £1,344 £901 £672 £336   W8200   W8200 £550 £368 £275 £137   W8200 2200 1474 1100 550
W8280 Therapeutic arthroscopic operations of semi lunar cartilage: bilateral CMO 1   W8280   W8280 £677 £453 £338 £169   W8280 £2,233 £1,496 £1,117 £558   W8280   W8280 £914 £612 £457 £228   W8280 3655 2449 1827 914
W8290 Therapeutic arthroscopic operations medial and lateral meniscus     W8290   W8290 £677 £453 £338 £169   W8290 £2,233 £1,496 £1,117 £558   W8290   W8290 £914 £612 £457 £228   W8290 3655 2449 1827 914
W8300 Therapeutic arthroscopic operations on intra-articular cartilage (other than W8200)     W8300   W8300 £407 £273 £204 £102   W8300 £1,344 £901 £672 £336   W8300   W8300 £550 £368 £275 £137   W8300 2200 1474 1100 550
W8380 Therapeutic arthroscopic operations on intra-articular cartilage: bilateral (other than W8280) CMO 1   W8380   W8380 £677 £453 £338 £169   W8380 £2,233 £1,496 £1,117 £558   W8380   W8380 £914 £612 £457 £228   W8380 3655 2449 1827 914
W3110 Mosaicplasty chondral surgery New code   W3110   W3110 £651 £436 £325 £163   W3110 £2,147 £1,438 £1,073 £537   W3110   W3110 £878 £588 £439 £220   W3110 3513 2354 1756 878
  Autologous chondrocyte implantation New code   0   0 £0         0           0   0       £0   0 0 0 0 0
W8310 Chondral surgery including drilling and subchondral abrasion New code   W8310   W8310 £309 £207 £154 £77   W8310 £1,019 £683 £510 £255   W8310   W8310 £417 £279 £208 £104   W8310 1668 1117 834 417
W8400 Simple repair of knee ligaments MAJOR 3   W8400   W8400 £407 £273 £204 £102   W8400 £1,344 £901 £672 £336   W8400   W8400 £550 £368 £275 £137   W8400 2200 1474 1100 550
W8500 Therapeutic arthroscopic operations on cavity of knee MAJOR 3   W8500   W8500 £407 £273 £204 £102   W8500 £1,344 £901 £672 £336   W8500   W8500 £550 £368 £275 £137   W8500 2200 1474 1100 550
W8580 Therapeutic arthroscopic operations on cavity of knee: bilateral CMO 1   W8580   W8580 £677 £453 £338 £169   W8580 £2,233 £1,496 £1,117 £558   W8580   W8580 £914 £612 £457 £228   W8580 3655 2449 1827 914
W8600 Therapeutic arthroscopic operations of cavity of joint MAJOR 3   W8600   W8600 £407 £273 £204 £102   W8600 £1,344 £901 £672 £336   W8600   W8600 £550 £368 £275 £137   W8600 2200 1474 1100 550
W8680 Therapeutic endoscopic operations on cavity of joint: bilateral CMO 1   W8680   W8680 £677 £453 £338 £169   W8680 £2,233 £1,496 £1,117 £558   W8680   W8680 £914 £612 £457 £228   W8680 3655 2449 1827 914
W8700 Diagnostic arthroscopic examination of joint, with or without biopsy INTER 2   W8700   W8700 £263 £176 £131 £66   W8700 £867 £581 £434 £217   W8700   W8700 £355 £238 £177 £89   W8700 1419 951 710 355
W8230 Meniscal repair New code   W8230   W8230 £559 £374 £279 £140   W8230 £1,843 £1,235 £922 £461   W8230   W8230 £754 £505 £377 £189   W8230 3016 2021 1508 754
                                                         
FOOT                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
T6760 Primary repair of tendon of foot MINOR 4   T6760   T6760 £237 £158 £118 £59   T6760 £781 £523 £390 £195   T6760   T6760 £319 £214 £160 £80   T6760 1277 856 639 319
T6780 Primary repair of Achilles tendon INTER 5   T6780   T6780 £480 £321 £240 £120   T6780 £1,583 £1,061 £791 £396   T6780   T6780 £648 £434 £324 £162   T6780 2590 1735 1295 648
T6810 Secondary repair of Achilles tendon MAJOR+ 2   T6810   T6810 £545 £365 £273 £136   T6810 £1,800 £1,206 £900 £450   T6810   T6810 £736 £493 £368 £184   T6810 2945 1973 1473 736
T6860 Secondary repair of tendon of foot INTER 1   T6860   T6860 £276 £185 £138 £69   T6860 £911 £610 £455 £228   T6860   T6860 £373 £250 £186 £93   T6860 1490 998 745 373
W0300 Multiple joint procedures on forefoot MAJOR+ 2   W0300   W0300 £578 £387 £289 £145   W0300 £1,908 £1,278 £954 £477   W0300   W0300 £781 £523 £390 £195   W0300 3122 2092 1561 781
W0310 Multiple joint procedures on forefoot: bilateral CMO 2   W0310   W0310 £966 £647 £483 £241   W0310 £3,188 £2,136 £1,594 £797   W0310   W0310 £1,304 £874 £652 £326   W0310 5216 3495 2608 1304
W1510 Osteotomy of metatarsal (eg Akin, McNab, etc) INTER 2   W1510   W1510 £237 £158 £118 £59   W1510 £781 £523 £390 £195   W1510   W1510 £319 £214 £160 £80   W1510 1277 856 639 319
W0330 Fusion of first metatarso-phalangeal joint MAJOR 1   W0330   W0330 £407 £273 £204 £102   W0330 £1,344 £901 £672 £336   W0330   W0330 £550 £368 £275 £137   W0330 2200 1474 1100 550
W0380 Fusion of first metatarso-phalangeal joint: bilateral MAJOR+ 2   W0380   W0380 £677 £453 £338 £169   W0380 £2,233 £1,496 £1,117 £558   W0380   W0380 £914 £612 £457 £228   W0380 3655 2449 1827 914
W0860 Metatarso-phalangeal cheilectomy MAJOR 1   W0860   W0860 £309 £207 £154 £77   W0860 £1,019 £683 £510 £255   W0860   W0860 £417 £279 £208 £104   W0860 1668 1117 834 417
W0420 Triple fusion of joints of hindfoot MAJOR+ 2   W0420   W0420 £644 £431 £322 £161   W0420 £2,125 £1,424 £1,063 £531   W0420   W0420 £869 £582 £435 £217   W0420 3477 2330 1739 869
W1580 Osteotomy for pes cavus MAJOR 3   W1580   W1580 £407 £273 £204 £102   W1580 £1,344 £901 £672 £336   W1580   W1580 £550 £368 £275 £137   W1580 2200 1474 1100 550
X2700 Correction of minor congenital deformity of foot MAJOR 1   X2700   X2700 £342 £229 £171 £85   X2700 £1,128 £755 £564 £282   X2700   X2700 £461 £309 £231 £115   X2700 1845 1236 923 461
X2780 Correction of minor congenital deformity of foot: bilateral MAJOR+ 3   X2780   X2780 £565 £379 £283 £141   X2780 £1,865 £1,249 £932 £466   X2780   X2780 £763 £511 £381 £191   X2780 3052 2045 1526 763
W4410 Total prosthetic replacement of ankle joint MAJOR+ 5   W4410   W4410 £611 £409 £306 £153   W4410 £2,017 £1,351 £1,008 £504   W4410   W4410 £825 £553 £412 £206   W4410 3300 2211 1650 825
W4430 Revision of total prosthetic replacement of ankle joint CMO 2   W4430   W4430 £881 £590 £440 £220   W4430 £2,906 £1,947 £1,453 £726   W4430   W4430 £1,189 £796 £594 £297   W4430 4755 3186 2377 1189
W0450 Closing wedge osteotomy/translation of calcaneal spur, including internal fixation MAJOR 2   W0450   W0450 £407 £273 £204 £102   W0450 £1,344 £901 £672 £336   W0450   W0450 £550 £368 £275 £137   W0450 2200 1474 1100 550
W5700 Excision arthroplasty of first metatarso-phalangeal joint with prosthetic implantation MAJOR 2   W5700   W5700 £407 £273 £204 £102   W5700 £1,344 £901 £672 £336   W5700   W5700 £550 £368 £275 £137   W5700 2200 1474 1100 550
W5710 Excision arthroplasty of first metatarso-phalangeal joint, including Keller's INTER 4   W5710   W5710 £276 £185 £138 £69   W5710 £911 £610 £455 £228   W5710   W5710 £373 £250 £186 £93   W5710 1490 998 745 373
W5780 Excision arthroplasty of first metatarso-phalangeal joint, including Keller's: bilateral MAJOR 3   W5780   W5780 £480 £321 £240 £120   W5780 £1,583 £1,061 £791 £396   W5780   W5780 £648 £434 £324 £162   W5780 2590 1735 1295 648
W5940 Fusion of interphalangeal joint(s) of toe INTER 3   W5940   W5940 £237 £158 £118 £59   W5940 £781 £523 £390 £195   W5940   W5940 £319 £214 £160 £80   W5940 1277 856 639 319
W1590 Correction of retracted/dislocated metatarso-phalangeal joint(s) incl tendon transfer, division/realignment & int. fixation. MAJOR 3   W1590   W1590 £440 £295 £220 £110   W1590 £1,453 £973 £726 £363   W1590   W1590 £594 £398 £297 £149   W1590 2377 1593 1189 594
W5980 Fusion of interphalangeal joint(s) of toe: bilateral MAJOR 2   W5980   W5980 £407 £273 £204 £102   W5980 £1,344 £901 £672 £336   W5980   W5980 £550 £368 £275 £137   W5980 2200 1474 1100 550
W6210 Primary arthrodesis and internal fixation, (hand/foot), including bone graft INTER 5   W6210   W6210 £348 £233 £174 £87   W6210 £1,149 £770 £575 £287   W6210   W6210 £470 £315 £235 £118   W6210 1881 1260 940 470
W7900 Simple bunionectomy INTER 1   W7900   W7900 £191 £128 £95 £48   W7900 £629 £421 £314 £157   W7900   W7900 £257 £172 £129 £64   W7900 1029 689 515 257
W7920 Simple bunionectomy: bilateral INTER 4   W7920   W7920 £322 £216 £161 £80   W7920 £1,063 £712 £531 £266   W7920   W7920 £435 £291 £217 £109   W7920 1739 1165 869 435
W7910 Metatarsal osteotomy for hallux valgus INTER 5   W7910   W7910 £407 £273 £204 £102   W7910 £1,344 £901 £672 £336   W7910   W7910 £550 £368 £275 £137   W7910 2200 1474 1100 550
W7980 Metatarsal osteotomy for hallux valgus: bilateral MAJOR 5   W7980   W7980 £677 £453 £338 £169   W7980 £2,233 £1,496 £1,117 £558   W7980   W7980 £914 £612 £457 £228   W7980 3655 2449 1827 914
W7930 Metatarsal osteotomy for hallux valgus, with internal fixation and soft tissue correction MAJOR 3   W7930   W7930 £407 £273 £204 £102   W7930 £1,344 £901 £672 £336   W7930   W7930 £550 £368 £275 £137   W7930 2200 1474 1100 550
W7950 Metatarsal osteotomy for hallux valgus, with internal fixation and soft tissue correction: bilateral CMO 1   W7950   W7950 £677 £453 £338 £169   W7950 £2,233 £1,496 £1,117 £558   W7950   W7950 £914 £612 £457 £228   W7950 3655 2449 1827 914
X1110 Amputation of toe(s) INTER 3   X1110   X1110 £263 £176 £131 £66   X1110 £867 £581 £434 £217   X1110   X1110 £355 £238 £177 £89   X1110 1419 951 710 355
X0500 Radical excision of bone tumour with implantation of prosthesis for limb CMO 3   X0500   X0500 £953 £638 £476 £238   X0500 £3,144 £2,107 £1,572 £786   X0500   X0500 £1,286 £862 £643 £322   X0500 5145 3447 2573 1286
W7430 Reconstruction of lateral collateral ligament complex New code   W7430   W7430 £407 £273 £204 £102   W7430 £1,344 £901 £672 £336   W7430   W7430 £550 £368 £275 £137   W7430 2200 1474 1100 550
W8630 Simple therapeutic arthroscopy of ankle with either soft tissue procedures or bony +/or joint surface procedures as sole proc New code   W8630   W8630 £407 £273 £204 £102   W8630 £1,344 £901 £672 £336   W8630   W8630 £550 £368 £275 £137   W8630 2200 1474 1100 550
W8640 Complex therapeutic arthroscopy of ankle with multiple bony joint surface and soft tissue procedures (as sole procedure) New code   W8640   W8640 £519 £348 £260 £130   W8640 £1,713 £1,148 £857 £428   W8640   W8640 £701 £470 £350 £175   W8640 2803 1878 1402 701
W8650 Therapeutic subtalar arthroscopy additional to synovectomy to gain vision New code   W8650   W8650 £407 £273 £204 £102   W8650 £1,344 £901 £672 £336   W8650   W8650 £550 £368 £275 £137   W8650 2200 1474 1100 550
W8850 Diagnostic subtalar arthroscopy including synovectomy to gain vision (as sole procedure) New code   W8850   W8850 £513 £343 £256 £128   W8850 £1,691 £1,133 £846 £423   W8850   W8850 £692 £464 £346 £173   W8850 2768 1854 1384 692
                                                         
EXTERNAL FIXATION/TRACTION                                                        
                                                         
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
W2910 Application of skeletal traction to bone MINOR 5   W2910   W2910 £276 £185 £138 £69   W2910 £911 £610 £455 £228   W2910   W2910 £373 £250 £186 £93   W2910 1490 998 745 373
W2930 Removal of skeletal traction from bone MINOR 3   W2930   W2930 £171 £114 £85 £43   W2930 £564 £378 £282 £141   W2930   W2930 £231 £155 £115 £58   W2930 923 618 461 231
W3010 Application of external fixation to bone MAJOR 2   W3010   W3010 £407 £273 £204 £102   W3010 £1,344 £901 £672 £336   W3010   W3010 £550 £368 £275 £137   W3010 2200 1474 1100 550
W3030 Removal of external fixation from bone MINOR 5   W3030   W3030 £204 £136 £102 £51   W3030 £672 £450 £336 £168   W3030   W3030 £275 £184 £137 £69   W3030 1100 737 550 275
S7010 Wedge excision of nail including chemical ablation of nail bed     S7010   S7010 £269 £181 £135 £67   S7010 £889 £596 £445 £222   S7010   S7010 £364 £244 £182 £91   S7010 1455 975 727 364
                                                             
                                                             
OPCS Code Narrative Procedure Category   OPCS Code   OPCS Code 2012 Anaes Bristol 67% 50% 25%   OPCS Code 2012 Surg Bristol 67% 50% 25%   OPCS Code   OPCS Code 2012 Anaes London 67% 50% 25%   OPCS Code 2012 Surg London 67% 50% 25%
W8200 Therapeutic arthroscopic operations on semi lunar cartilage MAJOR 3   W8200   W8200 £407 £273 £204 £102   W8200 £1,344 £901 £672 £336   W8200   W8200 £550 £368 £275 £137   W8200 2200 1474 1100 550
W8500 Therapeutic arthroscopic operations on cavity of knee MAJOR 3   W8500   W8500 £407 £273 £204 £102   W8500 £1,344 £901 £672 £336   W8500   W8500 £550 £368 £275 £137   W8500 2200 1474 1100 550
W7420 Autograft reconstruction of cruciate ligament, including arthroscopic MAJOR+ 5   W7420   W7420 £578 £387 £289 £145   W7420 £1,908 £1,278 £954 £477   W7420   W7420 £781 £523 £390 £195   W7420 3122 2092 1561 781
W8230 Meniscal Repair W8230   W8230   W8230 £559 £374 £279 £140   W8230 £1,843 £1,235 £922 £461   W8230   W8230 £754 £505 £377 £189   W8230 3016 2021 1508 754
W7580 Stabilisation of patella MAJOR+ 3   W7580   W7580 £545 £365 £273 £136   W7580 £1,800 £1,206 £900 £450   W7580   W7580 £736 £493 £368 £184   W7580 2945 1973 1473 736
W4210 Total prosthetic replacement of knee joint CMO 1   W4210   W4210 £657 £440 £329 £164   W4210 £2,168 £1,453 £1,084 £542   W4210   W4210 £887 £594 £444 £222   W4210 3548 2377 1774 887
W5200 Uni-compartmental knee replacement MAJOR+ 5   W5200   W5200 £624 £418 £312 £156   W5200 £2,060 £1,380 £1,030 £515   W5200   W5200 £843 £565 £421 £211   W5200 3371 2258 1685 843
T5210 Dupuytren's fasciectomy for palm and multiple digits MAJOR 5   T5210   T5210 £407 £273 £204 £102   T5210 £1,344 £901 £672 £336   T5210   T5210 £550 £368 £275 £137   T5210 2200 1474 1100 550
A6510 Carpal or cubital tunnel release including endoscopic INTER 2   A6510   A6510 £269 £181 £135 £67   A6510 £889 £596 £445 £222   A6510   A6510 £364 £244 £182 £91   A6510 1455 975 727 364
A6810 Anterior transposition of ulna nerve INTER 3   A6810   A6810 £309 £207 £154 £77   A6810 £1,019 £683 £510 £255   A6810   A6810 £417 £279 £208 £104   A6810 1668 1117 834 417