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Procedures we cover
Our procedures
When you’ve been a member of Benenden Health for six months or more you can ask for our help with a range of procedures.
How does it work?
How do I request this service?
When you’ve been a member of Benenden Health for six months or more you can ask for our help with a range of procedures.
Before you call us, please ensure you've followed the correct process to ensure your request can be handled quickly.
If you're happy this criteria has been met (GP referral and CCSD code have been received) please call our member services team on 0800 414 8100 who'll be happy to help.
How does it work?
We’re a member owned organisation so that means we do things a little differently to traditional health insurance providers.
- Our services are offered on a discretionary basis - therefore although a procedure is listed, this does not constitute a guarantee that we will provide the procedure in every circumstance
- The provision of any treatment is subject to our authorisation and clinical approval by the approved hospital who will provide the procedure you require
- We can change which procedures we will offer from time to time and may do so without providing prior notice. This may include adding or removing procedures
- We cannot fund any item on the list if you - make arrangements before obtaining our authorisation or at a hospital we do not authorise you to use
- Not all procedures are available at every approved hospitals within our network. In some cases additional travel to another facility may be required
- We cannot enter into any discussion about the composition of our procedure list with members, GPs, Consultants or any other person or medical professional
- We cannot provide treatment services where a procedure has taken place on the same body area within the previous two years
Our procedure list is correct as of: 2nd March 2021
Click on a procedure type to see what's included
ENT - surgical specialists who diagnose, evaluate and manage a wide range of diseases of the head and neck, including the ear, nose and throat.
- D1420
- Myringoplasty
- D1510
- Myringotomy and insertion of tube through tympanic membrane (bilateral)
- D1520
- Suction clearance of middle ear (as sole procedure)
- D1530
- Myringotomy (and bilateral)
- D2030
- Removal of ventilation tube (removal of grommets)
- E0230
- Septorhinoplasty +/- graft/implant following trauma or excision of tumour (including attention to turbinates)
- E0310
- Submucous resection of nasal septum
- E0340
- Closure of perforation of septum of nose
- E0360
- Septoplasty of nose
- E0380
- Nasal septum cauterisation (and bilateral)
- E0390
- Extracorporeal septoplasty
- E0412
- Reduction turbinates of nose (laser, diathermy, out fracture etc)
- E0420
- Reduction of turbinates of nose (trim and radical excision)
- E0440
- Division of adhesions of turbinate of nose (and bilateral)
- E0520
- Ligation of artery of internal nose (including endoscopic, as sole procedure)
- E0610
- Packing of cavity of nose (as sole procedure)
- E0810
- Polypectomy of internal nose (and bilateral, including endoscopic)
- E1260
- Image guided endoscopic frontal, sphenoid and/or ethmoid sinus surgery (FESS) and bilateral
- E1310
- Antral puncture and wash out (bilateral)
- E1330
- Intranasal antrostomy (including endoscopic and bilateral)
- E1432
- FESS: excision uncinate process and anterior ethmoid bulla, antrostomy/antral puncture, simple polypectomy and attention to turbinates (bilateral)
- E1460
- Trephining of frontal sinus and bilateral
- E2010
- Adenoidectomy
- F3400
- Tonsillectomy - child (and bilateral)
- F3440
- Tonsillectomy - adult (and bilateral)
- F3480
- Adeno-tonsillectomy (and bilateral)
General Surgery - is a surgical specialty that focuses on the abdomen, including stomach, small bowel, colon and gallbladder.
- G4440
- Therapeutic oesophago-gastro-duodenoscopy (OGD) with insertion percutaneous endoscopic gastrostomy/percutaneous endoscopic jejunostomy
- G4410
- Therapeutic oesophago-gastro-duodenoscopy (OGD) with insertion of prothesis
- G4430
- Therapeutic oesophago-gastro-duodenoscopy (OGD) with dilatation
- G7900
- Ileoscopy via stoma with therapy
- G8083
- Therapeutic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure)
- H2003
- Therapeutic colonoscopy with snare loop biopsy or excision of lesion
- H3580
- Laparoscopic Rectopexy
- H4130
- Perianal excision of lesion of rectum (including sigmoidoscopy)
- H4480
- Dilation of stricture of rectum
- H4800
- Excision lesion of anus
- H4900
- Destruction of lesion of anus
- H4680
- Repair of faecal fistula
- H5100
- Haemorrhoidectomy (including sigmoidoscopy)
- H5230
- Injection of sclerosing substance into haemorrhoids
- H5240
- Banding of Haemorrhoids
- H5250
- Circular Stapling Haemorrhoidectomy
- H5400
- Anorectal stretch including EUA and sigmoidoscopy
- H5510
- Laying open of low anal fistula (including sigmoidoscopy)
- H5520
- Laying open of high anal fistula (fistulotomy) (including sigmoidoscopy)
- H5620
- Lateral sphincterotomy of anus
- H5640
- Excision of anal fissure
- H5940
- Excision of pilonidal sinus and suture/skin graft
- H6020
- Laying open of pilonidal sinus
- J1800
- Cholecystectomy
- J1830
- Laparoscopic cholecystectomy
- J1880
- Laparoscopic cholecystectomy with peri-operative cholangiogram
- L7032
- Haemorrhoidal Artery Ligation
- L8510
- Ligation/stripping of long or short saphenous vein (including local excision/multiple phlebectomy)
- L8512
- Endovenous laser treatment (EVLT) of single venous trunk +/- phlebectomies - unilateral
- L8513
- Endovenous laser treatment (EVLT) of single venous trunk +/- phlebectomies - bilateral
- L8514
- Endovenous laser treatment (EVLT) of more than one venous trunk +/- phlebectomies – unilateral
- L8515
- Endovenous laser treatment (EVLT) of more than one venous trunk +/- phlebectomies – bilateral
- L8520
- Ligation/stripping of long or short saphenous vein (including local excision/multiple phlebectomy) - bilateral
- L8540
- Radiofrequency ablation of more than one venous trunk +/- phlebectomies - unilateral
- L8541
- Radiofrequency ablation of more than one venous trunk +/- phlebectomies - bilateral
- L8620
- Ultrasound-guided foam sclerotherapy of varicose veins - unilateral
- L8621
- Ultrasound-guided foam sclerotherapy of varicose veins - bilateral
- L8700
- Ligation/stripping long/short saph veins (inc local excision/multiple phlebectomy)
- S6400
- Excision of nail bed (Zadek's) (including anaesthetic)
- S7010
- Wedge excision of evulsion of nail (inc chemical ablation of nail bed)
- T1900
- Simple excision of inguinal hernial sac (herniotomy) - unilateral
- T1910
- Simple excision of inguinal hernial sac (herniotomy) - bilateral
- T2000
- Inguinal hernia (unilateral)
- T2002
- Laparoscopic repair of inguinal hernia unilateral
- T2010
- Inguinal hernia (bilateral)
- T2012
- Laparoscopic repair of inguinal hernia - bilateral
- T2100
- Inguinal hernia (recurrent)
- T2102
- Lap Repair recurrent inguinal hernia - unilateral
- T2110
- Inguinal hernia (recurrent bilateral)
- T2112
- Laparoscopic repair of recurrent inguinal hernia - bilateral
- T2200
- Primary Repair of femoral hernia
- T2300
- Repair of recurrent femoral hernia
- T2400
- Repair umbilical hernia
- T2500
- Open repair of incisional or ventral hernia not requiring mesh
- T2501
- Open repair of incisional or ventral hernia requiring mesh
- T2503
- Laparoscopic repair of incisional or ventral hernia not requiring mesh
- T2600
- Repair of recurrent incisional hernia
- T2720
- Repair of ventral hernia requiring mesh
- T2781
- Repair of Epigastric Hernia
- T4300
- Laparoscopic adhesiolysis (including biopsy)
Gynaecology – is a speciality that focuses on conditions specific to women and girls, especially those affecting the reproductive system.
- P0310
- Excision of bartholin gland
- P0320
- Marsupialisation of Bartholin's cyst
- P1300
- Operation on female perineum
- P1400
- Incision of introitus of vagina
- P1920
- Excision of septum of vagina
- P2210
- Anterior +/- posterior colporrhaphy and amputation of cervix uteri (including primary repair of enterocele)
- P2230
- Posterior colporrhaphy
- P2310
- Anterior +/- posterior colporrhaphy (including primary repair of enterocele) (including cystoscopy)
- P2340
- Repair of enterocele (+/- posterior colporrhaphy)
- P2380
- Anterior +/- posterior colporrhaphy & vaginal hysterectomy (including primary repair enterocele)
- P2420
- Sacrocolpopexy
- P2450
- Sacrospinous fixation
- Q0740
- Total abdominal hysterectomy (+/- oophorectomy) +/- ureterolysis
- Q0750
- Subtotal abdominal hysterectomy (+/- oophorectomy) +/- ureterolysis
- Q0752
- Robot assisted laparoscopic subtotal hysterectomy (+/- oophorectomy)
- Q0751
- Laparoscopic subtotal hysterectomy (+/- oophorectomy) +/- ureterolysis
- Q0790
- Laparoscopic total hysterectomy (+/- oophorectomy) +/- ureterolysis
- Q0830
- Vaginal hysterectomy with laparoscopic assistance +/- ureterolysis
- Q0890
- Vaginal hysterectomy including salpingo-oophorectomy (including laparoscopically assisted) +/- ureterolysis
- Q0800
- Vaginal hysterectomy without laparoscopic assistance
- Q0930
- Robot assisted laparoscopic myomectomy
- Q0920
- Myomectomy (including laparoscopically)
- Q1030
- Dilatation of cervix uteri and curettage of uterus (including polypectomy and diathermy of cervix)
- Q1700
- Therapeutic hysteroscopic operations on uterus (including endometrial ablation excluding microwave or radiofrequency ablation)
- Q1701
- Laparoscopic excision of endometriosis, +/-ureterolysis
- Q1702
- Microwave endometrial ablation (including hysteroscopy)
- Q1802
- Hysteroscopy with resection of fibroids
- Q1800
- Hysteroscopy (including biopsy, dilatation, +/- cauterisation, curettage and resection of polyp(s) +/- Mirena coil insertion)
- Q2080
- Ventro-suspension of uterus (including laparoscopic)
- Q2081
- Myolysis of uterine fibroids
- Q2230
- Laparoscopic oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) – bilateral
- Q3800
- Laparoscopy and therapeutic procedures (including laser, diathermy and destruction e.g. endometriosis, adhesiolysis, tubal and ovarian surgery, +/-ureterolysis)
- Q3900
- Laparoscopy (including e.g. puncture of ovarian cysts, +/- biopsy, minor endometriosis, +/-ureterolysis)
- Q4400
- Ovarian cystectomy +/- omental biopsy (as sole procedure and including bilateral)
- Q5180
- Laparoscopic ovarian drilling
Ophthalmology – (Cataracts only) – is a speciality that focuses on disorders and diseases of the eye.
- C7122
- Phakoemulsification of cataract, with lens implant - unilateral (including topical or local anaesthetic)
- C7340
- Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy) - unilateral **Please note this procedure is only available where Benenden Health has supported cataract treatment within 12 months of this procedure being required**
- C7100
- Extracapsular cataract extraction without implant - bilateral
- C7110
- Extracapsular cataract extraction without implant - unilateral
- C7123
- Phakoemulsification of cataract, without lens implant - unilateral (including topical or local anaesthetic)
- C7124
- Phakoemulsification of cataracts, without lens implant - bilateral (including topical or local anaesthetic)
- C7125
- Phakoemulsification of cataracts, with lens implant - bilateral (including topical or local anaesthetic)
- C7180
- Extracapsular cataract extraction with implant - unilateral
- C7190
- Extracapsular cataract extraction with implant - unilateral
- C7341
- Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy) - bilateral. **Please note this procedure is only available where Benenden Health has supported cataract treatment within 12 months of this procedure being required**
- C7510
- Secondary insertion of lens implant
- C7530
- Removal of lens implant
Orthopaedic – is a speciality that diagnose and treat a wide range of conditions of the musculoskeletal system. This includes bones, joints, tendons, muscles and nerves.
- A6030
- Transection of peripheral nerve for neuroma
- A6080
- Neurectomy (major nerve)
- A6180
- Excision of lesion of major nerve
- A6110
- Excision of lesion of peripheral nerve (e.g. neurilemma)
- A6300
- Graft to peripheral nerve
- A6400
- Repair of peripheral nerve
- A6510
- Carpal tunnel release (open)
- A6530
- Carpal tunnel release (endoscopic)
- A6570
- Carpal tunnel release (endoscopic) - bilateral
- A6580
- Carpal tunnel release (open) - bilateral
- A6600
- Release of entrapment of deeply placed peripheral nerve
- A6700
- Release of entrapment of peripheral nerve
- A6710
- Cubital tunnel release (open) (without transposition)
- A6711
- Cubital tunnel release (open) bilateral (without transposition)
- A6740
- Cubital tunnel release (endoscopic) (without transposition)
- A6750
- Cubital tunnel release (endoscopic) bilateral (without transposition)
- A6810
- Neurolysis and transposition of peripheral nerve (excludes carpal tunnel release)
- A6900
- Revision of release of entrapment of peripheral nerve
- T5202
- Dupuytren's fasciectomy palm only
- T5203
- Dupuytren's fasciectomy single digit with prox interphalangeal joint
- T5210
- Dupuytren's fasciectomy multiple digits with proximal interphalangeal joints
- T5222
- Dupuytren's dermofasciectomy and graft, or for recurrent disease - single digit
- T5223
- Dupuytren's dermofasciectomy and graft, or for recurrent disease - multiple digits
- T5230
- Excision plantar fibroma
- T5250
- Endoscopic plantar fascia release
- T5410
- Dupuytren's subcutaneous fasciotomy
- T5900
- Excision of ganglion
- T6000
- Repeat excision of ganglion
- T6213
- Soft tissue operations in the region of the greater trochanter (trochanteric bursitis, snapping hip)
- T6220
- Excision of bursa
- T6402
- Tendon transfer of hand - single
- T6450
- Tenodesis of biceps tendon - sole procedure
- T6460
- Tendon transfer of toe -unilateral
- T6461
- Tendon transfer of toe - bilateral
- T6462
- Excision or partial excision of IP joint of lesser toe with tendon transfer
- T6710
- Primary repair of extensor of hand
- T6720
- Tendo Achilles lengthening percutaneous
- T6722
- Tendo achilles lengthening primary open
- T6723
- Tendo achilles lengthening repeat procedure
- T6762
- Repair of tendon of foot - flexor
- T6763
- Repair of tendon of foot - extensor
- T6770
- Peroneal sling/groove reconstruction & replacement of dislocated peroneal tendons
- T6780
- Primary repair of Achilles tendon
- T6782
- Repair of distal biceps tendon
- T6820
- Secondary repair/reconstruction extensor hand/forearm
- T6810
- Secondary repair of Achilles tendon
- T6910
- Tenolysis of extensor
- T6914
- Tenolysis of extensor tendon of hand
- T6980
- Tenolysis, of flexor tendon (not otherwise specified)
- T6982
- Tenolysis of flexor tendon of hand
- T7010
- Percutaneous tenotomy
- T7050
- Lengthening of tendon or open tenotomy
- T7110
- Tenosynovectomy
- T7231
- Open release of constriction of sheath of tendon (e.g. trigger finger)
- T7232
- Percutaneous release of constriction of sheath of tendon (e.g. trigger finger)
- T7910
- Open sub acromial decompression and extensive, greater than 2cm tear rotator cuff repair with excision of distal clavicle
- T7915
- Arthroscopic rotator cuff repair greater than 2cm (as sole procedure)
- T7982
- Arthroscopic subacromial decompression and limited, less than 2cm tear rotator cuff repair (including arthroscopic procedures in glenohumeral joint)
- T8002
- Minor release of muscle for pain or contracture (involving small joint)
- T8050
- Surgical release of humeral epicondylitis (e g Tennis Elbow)
- W0321
- Osteotomy/ies (eg Scarf and Akin) for Hallux Valgus correction with or without internal fixation and soft tissue correction
- W0322
- Osteotomy/ies (eg Scarf and Akin) for Hallux Valgus correction with or without internal fixation and soft tissue correction - bilateral
- W0640
- Total excision of sesamoid bone
- W0700
- Excision ectopic bone
- W0850
- Partial excision of bone inc exostosesPartial excision of bone inc exostoses
- W0860
- Metatarso-phalangeal cheilectomy - unilateral
- W0861
- Metatarso-phalangeal cheilectomy - bilateral
- W1040
- Osteotomy of small bone of foot (excluding hallux valgus and including internal fixation)
- W1641
- Osteotomy of small bone of hand (including fixation and bone grafting)
- W1940
- Primary open reduction of small bone with fixation, inc intra-articular
- W2830
- Removal of internal of fixation from bone/joint excluding k-wires
- W3030
- Removal of external fixation from bone
- W3530
- Removal of percutaneous wire
- W3620
- Open bone biopsy as sole procedure
- W5710
- Excision arthroplasty of first metatarso-phalangeal joint, (e.g Keller, Bonney-Kessel procedures) including cheilectomy
- W5722
- Excision reconstruction of small joint
- W5930
- Fusion of digit joint(s) of hand +/- graft & +/- internal fixation
- W5940
- Fusion of interphalangeal joint(s) of toe (including internal fixation)
- W5980
- Fusion of interphalangeal joint(s) of toe (including internal fixation) - bilateral
- W6912
- Total synovectomy of small joint
- W7492
- Arthroscopic lateral release
- W7713
- Stabilisation of multi-directional instability of shoulder joint
- W7810
- Open arthrolysis of shoulder contracture
- W7872
- Arthroscopic arthrolysis of shoulder contracture
- W7900
- Excision medial eminence 1st or 5th (bunionectomy)
- W7910
- Metatarsal osteotomy (eg Scarf) for Hallux valgus, +/- internal fixation and soft tissue correction
- W7980
- Metatarsal osteotomy (eg Scarf) for hallux valgus, +/- internal fixation and soft tissue correction-bilateral
- W8100
- Open excision of calcific deposit (e.g. shoulder, hip)
- W8110
- Arthroscopic excision of calcific deposits from shoulder
- W8180
- Arthrotomy of small joint including removal of loose body from joint
- W8193
- Arthroscopic subacromial decompression as sole procedure
- W8194
- Arthroscopic subacromial decompression and excision of distal clavicle
- W8200
- Arthroscopic meniscectomy of knee inc debridement
- W8230
- Arthroscopic meniscal repair
- W8280
- Arthroscopic meniscectomy inc debridement (bilateral)
- W8300
- Therapeutic arthroscopic op on articular cartilage (as sole procedure)
- W8380
- Therapeutic arthroscopic operation on artic cartilege bilateral (as sole proc)
- W8500
- Multiple arthroscopic operation on knee
- W8580
- Multiple arthroscopic operation on knee (including meniscectomy, chondroplasty, drilling or microfracture) - bilateral
- W8600
- Therapeutic arthroscopic operation on cavity of joint (sole procedure)
- W8602
- Therapeutic arthroscopy of wrist joint (as sole procedure)
- W8603
- Therapeutic arthroscopy of shoulder as sole procedure
- W8630
- Simple therapeutic arthroscopy of ankle with soft tissue prc +/- or joint surface
- W8640
- Complex therapeutic arthroscopy of ankle with multiple bony, joint surface etc.
- W8650
- Therapeutic subtalar arthroscopy (including synovectomy to gain vision)
- W8880
- Arthroscopy of elbow (as sole procedure)
- X0820
- Partial amputation of digit
Urology – is a speciality that treats problems of the female urinary system and the male genitourinary tract. This includes disorders of the kidneys, ureters, bladder, prostate and male reproductive organs.
- M1400
- Extracorporeal fragmentation of calculus of kidney (lithotripsy) - single treatment
- M1000
- Therapeutic endoscopic operations on kidney (include cystoscopy and retrograde catheterisation)
- M1360
- Percutaneous insertion of nephrostomy tube
- M2600
- Therapeutic nephroscopic operations on ureter (including cystoscopy)
- M2890
- Push manipulation of stone prior to lithotripsy (as sole procedure)
- M2920
- Endoscopic insertion/removal of prosthesis into ureter (including bilateral and cystoscopy, +/- pyelography)
- M2930
- Endoscopic examination of ureter (+/- cystoscopy and insertion/removal of stent)
- M3010
- Endoscopic retrograde pyelography
- M3110
- Extracorporeal shockwave lithotripsy of calculus of ureter
- M3202
- Operations on ureteric orifice (including endoscopic)
- M3510
- Diverticulectomy of bladder
- M3820
- Cystostomy and insertion of suprapubic tube into bladder
- M3880
- Stab cystostomy
- M4210
- Endoscopic resection of lesion of bladder
- M4230
- Endoscopic destruction of lesion of bladder (including cystoscopy)
- M4320
- Endoscopic hydrostatic dystention of bladder (inc cystoscopy)
- M4400
- Urethral sphincterotomy (including cystoscopy)
- M4410
- Litholapaxy (including cystoscopy)
- M4420
- Endoscopic extraction of calculus of bladder (inc cystoscopy)
- M4430
- Endoscopic removal of foreign body from bladder (inc cystoscopy)
- M4480
- Resection of bladder neck (including cystoscopy)
- M4910
- Closure of cystostomy
- M4712
- Bladder instillation of pharmacologic agent (including cystoscopy)
- M4714
- Therapeutic injection into bladder wall (including cystoscopy)
- M5300
- Vaginal operations to support outlet of female bladder (including cystoscopy)
- M5220
- Retropubic suspension of neck of bladder (including colposuspension) (including cystoscopy)
- M5250
- Needle suspension of bladder neck (including cystoscopy)
- M5630
- Therapeutic injection into bladder neck for treatment of stress incontinence (peri-urethral bulking agents) (including cystoscopy)
- M5820
- Dilatation of outlet of female bladder (with cystoscopy)
- M6480
- Operation to support outlet of male bladder (including sling procedures) (including cystoscopy)
- M6530
- Endoscopic resection of prostate (TUR) (including cystoscopy)
- M6532
- Holmium laser resection of prostate (HoLRP) (including cystoscopy)
- M6620
- Endoscopic incision of outlet of male bladder inc cystoscopy (endoscopy)
- M6730
- Drainagev of prostatic abscess
- M6750
- Transurethral needle ablation (TUNA)
- M6880
- Insertion of prostatic urethral lift implants
- M7312
- Repair of penile/perineal hypospadias
- M7313
- Repair of penile shaft hypospadias
- M7314
- Repair of distal hypospadias
- M7320
- Repair of epispadias
- M7330
- Closure of fistula of urethra
- M7500
- Excision of diverticulum of urethra (including cystoscopy)
- M7590
- Insertion of suburethral tape sling (eg TOT or TVT) +/- administration of local anaesthetic including cystoscopy
- M7920
- Dilatation of urethra
- M7940
- Internal Urethrotomy (inc cystoscopy)
- M8120
- Meatoplasty
- M8130
- External Meatotomy of uretheral orifice
- N0500
- Bilateral excision of testes
- N0680
- Orchidectomy and excision of spermatic cord (+/- insertion of prosthesis)
- N0630
- Laparoscopic orchidectomy
- N0820
- Orchidopexy (bilat)
- N0920
- Orchidopexy (uni)
- N1100
- Correction of hydrocele(s) – unilateral
- N1101
- Correction of hydrocele(s) - bilateral
- N1380
- Bilateral fixation of testes
- N1320
- Fixation of testis
- N1510
- Bilateral epididymectomy
- N1520
- Unilateral epididymectomy
- N1580
- Excision of epididymal cyst
- N1900
- Operation(s) on varicocele
- N1910
- Laparoscopic varicocelectomy
- N2200
- Operation(s) on seminal vesicle
- XR220
- Seminal vesicle injection
- N2740
- Extracorporeal shockwave therapy for Peyronies disease
- N2781
- Lue's procedure for Peyronie's disease
- N2842
- Frenuloplasty of penis
- N3010
- Preputioplasty
- N3020
- Division of preputial adhesions
- N3030
- Circumcision (adult or child)
- N3031
- Circumcision with Plastibell
- T4300
- Laparoscopic adhesiolysis (inc biopsy)