OBSTETRIC & GYNAECOLOGY

PROCEDURE A ( RM 4401 - RM 4800 )

1 Gynaecological procedures Pelvic exenteration

PROCEDURE B ( RM 3601 - RM 4400 )

2 Gynaecological procedures Pelvic exenteration – Anterior

3 Gynaecological procedures Pelvic exenteration – Posterior

PROCEDURE C ( RM 2801 - RM 3600 )

4 Gynaecological procedures Hysterectomy Wertheim's

5 Gynaecological procedures Radical vulvectomy

PROCEDURE D ( RM 2201 - RM 2800 )

6 Gynaecological procedures Reconstruction of vulva with flap

7 Gynaecological procedures Reconstruction vagina with flap
8 Gynaecological procedures Simple vulvectomy
9 Gynaecological procedures Vaginoplasty

PROCEDURE E ( RM 1801 - RM 2200 )

10 Gynaecological procedures Vaginectomy – Partial

11 Gynaecological procedures Vaginectomy – Total

PROCEDURE F ( RM 1501 - RM 1800 )

Gynaecological procedures
12 Hysterectomy – Extended
13 Hysterectomy total – Laparoscopic
14 Total hysterectomy and bilateral salphingoophorectomy (TAHBSO) – Laparoscopic
15 Hysterectomy vaginal – Laparoscopic assisted
16 Myomectomy – Laparoscopic
17 Repair of ureterovaginal fistula
18 Repair of vesicouterine fistula
19 Repair of vesicovaginal fistula
20 Reversal of tubal sterilization
21 Sacrocolpopexy – Endoscopic
22 Sacrocolpopexy – Vagino-abdominal

Obstetrical procedures
23 Caesarean hysterectomy
24 Repair of ruptured uterus

PROCEDURE G ( RM 1001 - RM 1500 )

Gynaecological procedures
25 Burch's colposuspension
26 Burch's colposuspension – with graft
27 Clitoroplasty
28 Colposuspension – Endoscopic
29 Cystectomy – Endoscopic (unilateral/bilateral)
30 Excision of fimbrial cyst – Endoscopic (unilateral/bilateral)
31 Hysterectomy – subtotal
32 Hysterectomy total – abdominal
33 Hysterectomy total and bilateral salphingoophorectomy – abdominal
34 Hysterectomy vaginal
35 Hysterectomy vaginal and bilateral salphingoophorectomy
36 Manchester repair
37 Marshall-Marchetti-Krantz
38 Myomectomy – Hysteroscopic
39 Myomectomy – Laparotomy
40 Reconstruction fallopian tube – Endoscopic (unilateral/bilateral)
41 Repair of enterocoele – Endoscopic
42 Repair of hymen
43 Repair of urethrovaginal fistula
44 Repair of vaginal wall prolapse – Endoscopic
45 Repair of vault of vagina
46 Sacrocolpopexy
47 Sacrocolpopexy – vaginal
48 Sacrospinous fixation of vaginal vault
49 Salphingo-oophorectomy – Endoscopic (unilateral/bilateral)
50 Uterine reconstruction
51 Wide local excision of vulval lesion
52 Colpocleisis
53 Colpoperineorrhaphy
54 Sling operation – urinary bladder neck
55 Uterine ligament operation – Endoscopic
56 Uterine ventrosuspension – Endoscopic
57 Plication of round ligament – Endoscopic
58 Salphingostomy – Endoscopic (unilateral)

Obstetrical procedures
59 Upper segment Caesarean section

PROCEDURE H ( RM 751 - RM 1000 )

Gynaecological procedures
60 Cystectomy – open (unilateral/bilateral)
61 Drainage of fallopian tube – endoscopic (unilateral/bilateral)
62 Drainage of ovary – endoscopic (unilateral/bilateral)
63 Drainage of ovary – open (unilateral/bilateral)
64 Excision of fimbrial cyst – open (unilateral/bilateral)
65 Excision of tubo-ovarian mass (unilateral/bilateral)
66 Exploratory laparotomy
67 Fenton operation
68 Fimbroplasty – endoscopic (unilateral/bilateral)
69 Gamete intrafallopian transfer
70 Laparoscopic adhesiolysis
71 Laparoscopy and ovarian drilling
72 Laparoscopy second look
73 Oophorectomy – endoscopic (unilateral/bilateral)
74 Reconstruction fallopian tube – open (unilateral/bilateral)
75 Repair of enterocoele – abdominal
76 Repair of enterocoele – abdomino-vaginal
77 Repair of enterocoele – vaginal
78 Repair of vaginal wall prolapse – vaginal
79 Salphingectomy – endoscopic (unilateral/bilateral)
80 Salphingo-oophorectomy – open (unilateral/bilateral)
81 Salphingostomy – endoscopic (unilateral)
82 Vaginal repair – anterior mesh

Obstetrical procedures
83 Cervical cerclage – abdominal
84 Correction of uterine inversion – surgical
85 Extraperitoneal caesarean section
86 Hysterostomy
87 Lower segment caesarean section
88 Placental ablation
89 Postmortem caesarean section

PROCEDURE I ( RM 601 - RM 750 )

Gynaecological procedures
90 Amputation of cervix
91 Aspiration of ovary – endoscopic (unilateral/bilateral)
92 Aspiration of ovary – open (unilateral/bilateral)
93 Biopsy of ovary (unilateral/bilateral)
94 Bisection of ovary – endoscopic (unilateral/bilateral)
95 Bisection of ovary – open (unilateral/bilateral)
96 Colporrhaphy
97 Endometrial ablation – microwave
98 Endometrial ablation – thermal
99 Excision of fimbria – endoscopic (unilateral/bilateral)
100 Excision of fimbria – open (unilateral/bilateral)
101 Excision of vaginal adhesions
102 Excision of vaginal lesion
103 Falloposcopy
104 Fimbroplasty – open (unilateral/bilateral)
105 Hysteroscopic (diagnostic and therapeutic)
106 Laparoscopic sterilisation
107 Laparoscopy and dye insufflation
108 Diagnostic laparoscopy
109 Oophorectomy – open (unilateral/bilateral)
110 Plication of round ligament – open
111 Repair of urinary bladder
112 Repair of burst abdomen
113 Repair of uterine perforation
114 Salpingectomy – open (unilateral/bilateral)
115 Salpingostomy – open (unilateral)
116 Sling operation – Tension free vaginal tape (TVT)
117 Transvaginal tape
118 Uterine ligament operation – open
119 Uterine ventrosuspension – open

Obstetrical procedures
120 Cervical cerclage – Shirodkar's
121 Chorionic villous sampling
122 Chorionic villous sampling (procedure only)
123 Forceps delivery – high and low
124 Forceps delivery – rotational
125 Forceps delivery – mid-cavity
126 Multiple delivery
127 Repair of genital tract tear
128 Surgical control of postpartum haemorrhage – internal iliac ligation
129 Vacuum delivery
130 Vaginal breech delivery

PROCEDURE J ( RM 401 - RM 600 )

Gynaecological procedures
131 Aspiration of ovary – percutaneous (unilateral/bilateral)
132 Cone biopsy
133 Cryotherapy of lesion of vagina
134 Dilatation and curettage – diagnostic
135 Dilatation and curettage – Evacuation retained products of conception (ERPOC)
136 Endometrial sampling – transorifice intraluminal – endoscopic
137 Excision of Bartholin gland (unilateral/bilateral)
138 Excision of excess labial majora tissue (unilateral/bilateral)
139 Excision of female periurethral tissue
140 Hysteroscopy (diagnostic)
141 Intradermal steroid injection of the vulva
142 Marsupialisation of Bartholin's abscess (unilateral/bilateral)
143 Marsupialisation of Bartholin's cyst (unilateral/bilateral)
144 Mini laparotomy tubal ligation
145 Repair of perineal tear
146 Sclerosing injection into vulval vein
147 Suction curettage

Obstetrical procedures
148 Correction of uterine inversion – hydrostatic
149 Obstetrical procedures Curettage of delivered uterus
150 Foetoscopic biopsy of foetus
151 Foetoscopic examination of foetus
152 Intracardiac puncture
153 Foetal transfusion – Intra uterine
154 Percutaneous aspiration of foetal ascites
155 Percutaneous aspiration of foetal urinary bladder
156 Percutaneous aspiration of foetal lesion
157 Percutaneous aspiration of foetal pericardial effusion
158 Percutaneous aspiration of foetal pleural effusion
159 Percutaneous biopsy of foetus
160 Percutaneous foetal blood sampling
161 Percutaneous insertion of foetal shunt
162 Percutaneous insertion of peritoneal-amniotic shunt
163 Percutaneous insertion of pleuroamniotic shunt
164 Percutaneous insertion of ventriculoamniotic shunt
165 Percutaneous insertion of vesicoamniotic shunt
166 Percutaneous intraperitoneal foetal blood transfusion
167 Sampling of foetal blood – percutaneous
168 Spontaneous vertex delivery
169 Surgical control of postpartum haemorrhage – brace suture (B-lynch)
170 Termination of pregnancy

PROCEDURE K ( RM 301 - RM 400 )

Gynaecological procedures
171 Colposcopy of cervix – loop electrosurgical procedure (LEEP)
172 Colposcopy of cervix – large loop excision of transformation zone (LLETZ)
173 Drainage of labial majora abscess (unilateral/bilateral)
174 Drainage of labial minora abscess (unilateral/bilateral)
175 Drainage of vulval abscess (unilateral/bilateral)
176 Excision of excess labial majora tissue (unilateral/bilateral)
177 Excision of vulval polyp (unilateral/bilateral)
178 Repair of vaginal tear
179 Removal of foreign body – vagina

Obstetrical procedures
180 Amnio infusion
181 Cervical cerclage – McDonald's

PROCEDURE L ( RM 201 - RM 300 )

Gynaecological procedures
182 Biopsy of uterus
183 Biopsy of vulva (unilateral/bilateral)
184 Biopsy perineum
185 Cauterisation vulva (unilateral/bilateral)
186 Cryocautery/Cryosurgery – cervix
187 Cryosurgery perineum
188 Cryotherapy of lesion of vulva (unilateral/bilateral)
189 Dilatation of cervix
190 Doppler study – gynaecology
191 Endometrial sampling – transorifice intraluminal
192 Evacuation of vaginal haematoma
193 Examination under anesthesia – staging
194 Exploration of vagina
195 Hymenectomy
196 Labial adhesiolysis
197 Removal of contraceptive implant
198 Removal of foreign body – uterus
199 Removal of foreign body – vagina
200 Repair of cervical tears
201 Repair of genital tract tear
202 Secondary suturing – perineum
203 Secondary suturing – wound break down
204 Sperm retrieval procedure
205 Urodynamic study
206 Vaginal dilatation procedure

Obstetrical procedures
207 Amnio reduction
208 Amniocentesis
209 Amniocentesis (procedure only) – diagnostic /therapeutic
210 Drainage of vulval hematoma
211 Manual removal of placenta
212 Ultrasound – detail scan
213 Uterine exploration

PROCEDURE M ( RM 121 - RM 200 )

214 Gynaecological procedures Cauterisation cervix
215 Gynaecological procedures Colposcopy of cervix – cervical biopsy

PROCEDURE N ( RM 76 - RM 120 )

Gynaecological procedures
216 Biopsy of cervix
217 Colposcopy of cervix
218 Colposcopy of vulva
219 Examination under anesthesia – vagina
220 Insertion of contraceptive implant
221 Intrauterine insemination (IUI)
222 Saline infusion sonography
223 Subcutaneous insertion of hormone implant
224 Transvaginal scan – gynaecology
225 Biopsy of vagina
226 Cauterisation vagina
227 Colposcopy of vagina
228 Cryotherapy of lesion of vagina
229 Polypectomy – cervix
230 Follicular tracking

Obstetrical procedures
231 Removal of cerclage from cervix
232 Ultrasound – Foetal Doppler
233 Ultrasound – Uterine artery Doppler

PROCEDURE O ( RM 51 - RM 75 )

Gynaecological procedures
234 Insertion intrauterine device (IUD)
235 Insertion ring pessary into vagina
236 Vaginal pack procedure

237 Obstetrical procedures

238 External cephalic version
239 Ultrasound – screening

PROCEDURE P ( RM 31 - RM 50 )

PROCEDURE Q ( RM 21 - RM 30 )

240 Obstetrical procedures Cardiotocograph – Antepartum

241 Obstetrical procedures Cervical ripening with device/drug
242 Obstetrical procedures Cervical ripening with sweep and stretch
 PROCEDURE R ( RM 20 )

243 Gynaecological procedures Removal of intrauterine device

244 Gynaecological procedures Removal of ring pessary from vagina