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Inteventions not normally funded for 2010/2011

Interim list amended for use by Central London Healthcare Referral Management Centre, pending clarification from North West London Public Health Network.

 

1.1   The Commissioners consider that the efficacy of certain procedures is such that they will not normally be funded without prior approval by the Commissioner.  In addition there are certain procedures that the Commissioners consider should not normally be funded by the NHS.  These ‘low priority procedures’ are set out in the table below:

 

Interventions not normally funded

OPCS 4.5 Codes

1.     Abdominoplasty or Apronectomy

S021, S022

2.     Blepharoplasty

C131, C132, C133, C134

3.     Breast augmentation (breast enlargement)

B312

4.     Breast reduction

B311

5.     Breast prosthesis removal or replacement

B303, B308, B304

6.     Face lift or brow lift

S011, S012, S013, S014, S015, S016

7.     Gynaecomastia - Male Breast reduction

B311

8.     Hair depilation (Replaced by Electrolysis of the hair)

S606

9.     Hair grafting – Male pattern baldness

S331, S332, S333, S338, S339

10.  Hyperhidrosis treatment with Botulinum Toxin

S532

11.  Inverted nipple correction

B356

12.  Liposuction

S621, S622

13.  Mastopexy

B313

14.  Pinnaplasty

D033

15.  Removal of Tattoos

S603

16.  Removal benign skin lesions

S041, S042, S043, S048, S049, S051, S052, S053, S054, S055, S058, S059, S061, S062, S063, S064, S065, S068, S069, S101, S102, S103, S104, S108, S109, S111, S112, S113, S114, S118,S119

17.  Removal of lipomata

Troublesome lipomas can be referred to CLH practices which provide local minor surgery provision.

S601, S602

18.  Repair of lobe of external ear

D062

19.  Resurfacing procedures: dermabrasion, chemical peels and laser

S091, S092, S093, S098, S099, S103, S113

20.  Revision mammoplasty

B314, B302

21.  Rhinoplasty

E023, E024, E025, E026

22.  Thigh lift, buttock lift and arm lift, excision of redundant skin or fat

S031, S032, S033,  S038, S039

23.  Non-Clinical Circumcision

N303

24.  Ganglia

T591, T592, T593, T594, T598, T599, T601, T602, T603, T604, T608, T609

25.  Gender reassignment surgery

X151, X152

26.  Caesarean section for non-clinical reasons

R172,  R178, R179

27.  Dilatation and curettage

Q103, Q108, Q109

28.  Reversal of female sterilisation

Q291, Q292, Q298, Q299, Q361, Q368, Q369

29.  Lasersurgery for short sight

C461

30.  Apicectomy

F121

31.  Dental implants

F115

32.  Orthodontic treatments of essentially cosmetic nature

F141, F142, F143, F144, F145, F148, F149, F151, F152, F154, F155

33.  Therapeutic use of ultrasound

U13.2

34.  Reversal of male sterilisation

N181