OPCS Code	Narrative	OPCS 4.6 Code		2008 Anaesthesia Fees		2008 Surgical Fees		2008 Anaesthesia Fees		2008 Surgical Fees		OPCS 4.6 Code	2008 Base Line	2007 Base Line	2006 Base Line
OUTPATIENT PROCEDURES
				1.043		3.30		1.35		£4			1.043	1.03	1.03
OPCS Code	Narrative	OPCS 4.6 Code		2008 Anaesthesia Fees		2008 Surgical Fees		2008 Anaesthesia Fees		2008 Surgical Fees		OPCS 4.6 Code	2008 Base Line	2007 Base Line	2006 Base Line
11300	Initial Consultation up to 30 minutes	11300		£155				£210		£250		11300	£155	£150	£150
11310	Initial Consultation up to 31 to 75 minutes	11310		£155				£210		£500		11310	£155	£150	£150
12300	Subsequent Consultation up to 30 minutes	12300		£80				£110		£200		12300	£80	£75	£75
12310	Subsequent Consultation up to 31 to 75 minutes	12310		£80				£110		£500		12310	£80	£75	£75
11310	Initial Domiciliary Consultation up to 31 to 75 minutes	11310										11310
12300	Subsequent Domiciliary Consultation up to 30 minutes	12300										12300
T6520	Tendon sheath injection	T6520										T6520
W9040	Injection(s) into large joint(s) without x-ray control	W9040								£200		W9040
X4810	Change of cast without general anaesthetic: application	X4810								£200		X4810
X4810	Change of cast without general anaesthetic: removal	X4810								£200		X4810
64040	Biopsy and/or aspiration under image control	64040										64040
S4780	Aspiration of subcutaneous haematoma	S4780								£200		S4780
W3630	Diagnostic aspiration of cysts joints cavities	W3630										W3630
W9012	Therapeutic local anaesthetic / aspiration large joint single*	W9012										W9012
W9013	Therapeutic local anaesthetic / aspiration large joint more than 1 joint*	W9013										W9013
W9014	Therapeutic local anaesthetic / aspiration small joint single*	W9014										W9014
W9015	Therapeutic local anaesthetic / aspiration small joint more than 1 joint*	W9015										W9015
W9016	Therapeutic local anaesthetic / aspiration of joint under imaging control*	W9016										W9016
W9018	Percutaneous biopsy / arthrography / aspiration in assessment of total hip replacement	W9018										W9018
CONNECTIVE TISSUE/TENDON & MUSCLE
OPCS Code	Narrative	OPCS 4.6 Code		2008 Anaesthesia Fees		2008 Surgical Fees		2008 Anaesthesia Fees		2008 Surgical Fees		OPCS 4.6 Code	2008 Base Line	2007 Base Line	2006 Base Line
T5300	Excision of lesion of fascia	T5300		£162		£533		£218		£873		T5300	£162	£155	£155
T5400	Other operations of fascia	T5400		£162		£533		£218		£873		T5400	£162	£155	£155
T5900	Excision of ganglion, including repeat excision	T5900		£177		£585		£239		£957		T5900	£177	£170	£170
T6220	Excision of bursa	T6220		£245		£809		£331		£1,324		T6220	£245	£235	£232
T6400	Transfer of tendon	T6400		£219		£723		£296		£1,183		T6400	£219	£210	£206
T6410	Transfer of multiple tendons	T6410		£271		£895		£366		£1,464		T6410	£271	£260	£258
T6500	Excision of lesion of tendon	T6500		£183		£602		£246		£986		T6500	£183	£175	£175
T6800	Secondary repair of tendon (including graft, transfer and/or prosthesis)	T6800		£323		£1,067		£436		£1,746		T6800	£323	£310	£309
T7010	Percutaneous tenotomy	T7010		£115		£379		£155		£620		T7010	£115	£110	£108
T7050	Lengthening of tendon(s), including tenotomy	T7050		£219		£723		£296		£1,183		T7050	£219	£210	£206
T7110	Tenosynovectomy, including arthroscopic	T7110		£193		£637		£260		£1,042		T7110	£193	£185	£185
T8000	Release of contracture of muscle	T8000		£245		£809		£331		£1,324		T8000	£245	£235	£232
T8100	Open biopsy of muscle	T8100		£162		£533		£218		£873		T8100	£162	£155	£155
S1510	Percutaneous biopsy (not specified elsewhere)	S1510		£162		£533		£218		£873		S1510	£162	£155	£155
T7900	Excision of lesion of muscle without skin graft	T7900		£271		£895		£366		£1,464		T7900	£271	£260	£258
T8380	Excision of lesion of muscle with skin graft	T8380		£381		£1,256		£514		£2,056		T8380	£381	£365	£361
T6000	Repeat excision of ganglion	T6000		£188		£620		£253		£1,014		T6000	£188	£180	£180
BONE (NON-SPECIFIC)
OPCS Code	Narrative	OPCS 4.6 Code		2008 Anaesthesia Fees		2008 Surgical Fees		2008 Anaesthesia Fees		2008 Surgical Fees		OPCS 4.6 Code	2008 Base Line	2007 Base Line	2006 Base Line
W3650	Trephine biopsy of bone marrow	W3650		£172		£568		£232		£929		W3650	£172	£165	£165
W3620	Open bone biopsy	W3620		£188		£620		£253		£1,014		W3620	£188	£180	£180
W3510	Introduction of therapeutic substance into bones, eg application of anti-biotic for infected hip replacement as sole procedure	W3510		£219		£723		£296		£1,183		W3510	£219	£210	£206
W0700	Excision of ectopic bone	W0700		£162		£533		£218		£873		W0700	£162	£155	£155
W0640	Total excision of sesamoid bone	W0640		£209		£688		£282		£1,126		W0640	£209	£200	£191
W0850	Partial excision of bone (including exostoses)	W0850		£209		£688		£282		£1,126		W0850	£209	£200	£191
W0600	Total excision of bone with or without prosthetic replacement/reconstruction, eg trapezium	W0600		£485		£1,600		£655		£2,619		W0600	£485	£465	£464
W0900	Radical resection of bone tumour	W0900		£647		£2,134		£873		£3,492		W0900	£647	£620	£618
W1080	Osteotomy of large bone, with/without fixation, including graft	W1080		£407		£1,342		£549		£2,197		W1080	£407	£390	£386
W1800	Drainage/debridement of bone(s), including sequestectomy for osteomyelitis	W1800		£271		£895		£366		£1,464		W1800	£271	£260	£258
W2700	Fixation of epiphysis	W2700		£271		£895		£366		£1,464		W2700	£271	£260	£258
W3110	Osteochrondral grafting	W3110		£511		£1,687		£690		£2,760		W3110	£511	£490	£489
W8310	Chrondral surgery including drilling and subchrondral abrasion	W8310		£229		£757		£310		£1,239		W8310	£229	£220	£216
AA609	Peripheral bone density measurement performed by physician	AA609										AA609
FRACTURES
OPCS Code	Narrative	OPCS 4.6 Code		2008 Anaesthesia Fees		2008 Surgical Fees		2008 Anaesthesia Fees		2008 Surgical Fees		OPCS 4.6 Code	2008 Base Line	2007 Base Line	2006 Base Line
W1910	Primary open reduction of fracture of femur and open fixation using pin and plate	W1910		£433		£1,428		£584		£2,337		W1910	£433	£415	£412
W6630	Primary closed reduction of fracture or dislocation of joint, with or without fixation including plaster of Paris eg Collles	W6630		£188		£620		£253		£1,014		W6630	£188	£180	£180
W2500	Closed reduction of fracture of long bone and external fixation, including POP and percutaneous K-wires, eg forearm	W2500		£381		£1,256		£514		£2,056		W2500	£381	£365	£361
W2580	Closed reduction of fracture of small bone and external fixation, including POP and percutaneous K-wires	W2580		£219		£723		£296		£1,183		W2580	£219	£210	£206
W1920	Primary open reduction of long bone with fixation	W1920		£407		£1,342		£549		£2,197		W1920	£407	£390	£386
W6500	Primary open reduction of fracture with / without dislocation of joint	W6500		£407		£1,342		£549		£2,197		W6500	£407	£390	£386
W1940	Primary open reduction of small bone with fixation, including intra articular	W1940		£271		£895		£366		£1,464		W1940	£271	£260	£258
W2100	Primary open reduction of intra-articular fracture of long bone eg proximal humerus	W2100		£381		£1,256		£514		£2,056		W2100	£381	£365	£361
W2080	Open reduction of fracture of pelvis and internal fixation	W2080		£808		£2,667		£1,091		£4,365		W2080	£808	£775	£773
W2070	Open reduction and internal fixation of complex acetabular pelvic fracture	W2070		£1,074