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.
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: 23rd June 2023
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)
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) *standard monofocal lens only
C7340
Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy) - unilateral **Please note this procedure is only available where Benenden Health has funded the cataract treatment **
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 cataract with lens implant – bilateral (including topical or local anaesthetic) *standard monofocal lens only
C7180
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 funded the cataract treatment **
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)
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
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
T5230
Excision plantar fibroma
T5250
Endoscopic plantar fascia release
T5410
Dupuytren's subcutaneous fasciotomy
T5900
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
T6762
Repair of tendon of foot - flexor
T6770
Peroneal sling/groove reconstruction & replacement of dislocated peroneal tendons
T6780
Primary repair of Achilles tendon
T6782
Repair of distal biceps 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)
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
W0640
Total excision of sesamoid bone
W0860
Metatarso-phalangeal cheilectomy - unilateral
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)
W5710
Excision arthroplasty of first metatarso-phalangeal joint, (e.g Keller, Bonney-Kessel procedures) including cheilectomy
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
W8100
Open excision of calcific deposit (e.g. shoulder, hip)
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
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
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
W8650
Therapeutic subtalar arthroscopy (including synovectomy to gain vision)
W8880
Arthroscopy of elbow (as sole procedure)
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)
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)
M3202
Operations on ureteric orifice (including endoscopic)
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)
M4480
Resection of bladder neck (including cystoscopy)
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)
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)
M6533
Holmium Laser Enucleation of Prostatic Adenoma (HoLEP)
M6620
Endoscopic incision of outlet of male bladder inc cystoscopy (endoscopy)
M6750
Transurethral needle ablation (TUNA)
M6880
Insertion of prostatic urethral lift implants
M7312
Repair of penile/perineal hypospadias
M7314
Repair of distal hypospadias
M7500
Excision of diverticulum of urethra (including cystoscopy)
M7590
Insertion of suburethral tape sling (eg TOT or TVT) +/- administration of local anaesthetic including cystoscopy