Surgery Clinic

CodeServicePrice, euroPrice, roub
CONSULTATIONS
Initial specialist's consultation
CS3 General surgeon consultation 167 12 271,29
CS16 Coloproctologist consultation 167 12 271,29
Follow up specialist's consultation
FWC2 General surgeon FOLLOW-UP consultation 122 8 964,66
FWC16 Coloproctologist FOLLOW-UP consultation 122 8 964,66
TELECONSULTATIONS
RCS3 General surgeon remote consultation 167 12 271,29
RCS15 Maxillofacial surgeon remote consultation 167 12 271,29
RCS16 Coloproctologist remote consultation 167 12 271,29
PROCTOLOGY / OUT-PATIENT DOCTOR SERVICE & PROCEDURES
Level A
PROC1 Benign lesion electrocoagulation / 1 unit, without anal canal affection 84 6 172,39
PROC2 Benign lesion electrocoagulation / up to 3 units, without anal canal affection 127 9 332,06
PROC8 Primary ligation of hemorroids / up to 2 within 1 procedure 141 10 360,79
PROC9 Ligation of hemorroids, follow-up/ 1 procedure 112 8 229,85
Level В
PROC3 Benign lesions electrocoagulation / 4-10 units 169 12 418,26
PROC4 Benign lesions electrocoagulation / > 10 units 324 23 807,78
PROC10 Liquidation of fecal debris 183 13 446,99
PROC11 Liquidation of fecal debris, the need for bowel irrigation 276 20 280,70
Level С
PROC5 Thrombectomy by acute piles 562 41 296,21
PROC6 Small pyogenic abscesses lancing 562 41 296,21
PROC7 Solitary anal tags removal 562 41 296,21
GENERAL SURGERY
SURG Lancing and drainage abscess/hematoma/cyst 900 66 132,72
SURG1 Benign tissue tumors' up to 3 cm surgical removal (category 1) 1200 88 176,96
SURG2 Laparoscopic removal of non-active adrenal tumor 5000 367 404,00
SURG3 Distal resection of foot 1750 128 591,40
SURG4 Exarticulation of toe (1 category) 750 55 110,60
SURG5 Lower limb amputation at the hip level 3000 220 442,40
SURG6 Relaparotomy, abdomen cavity sanation (category 1) 1000 73 480,80
SURG7 Autodermoplasty 2500 183 702,00
SURG8 Laparoscopic distal tail or corpus pancreas resection 8000 587 846,40
SURG9 Phlegmon drainage up to 100 ml (category 1) 2069 152 031,78
SURG10 Phlegmon drainage from 100 to 500 ml (category 2) 2200 161 657,76
SURG11 Phlegmon drainage more than 500 ml (category 3) 2600 191 050,08
SURG12 Peritoneal port installation 2068 151 958,29
SURG13 Intrapleural port installation 2068 151 958,29
SURG14 Phlegmon drainage with negative pressure wound therapy system's installation (caterory 4) 2800 205 746,24
SURG15 Two toes exarticulation (category 2) 1760 129 326,21
SURG16 Mediastinum tumor's resection 5530 406 348,82
SURG17 Necrectomy of soft tissues more than 5 cm (category 2) 1750 128 591,40
SURG18 Necrectomy of soft tissues for vast or deep wound more than 15 cm (category 3) 3000 220 442,40
SURG19 Necrectomy of soft tissues up to 5 cm (category 1) 1850 135 939,48
SURG20 Dressing and (or) wound revision into operation unit (category 1) 800 58 784,64
SURG21 Dressing and (or) wound revision into operation unit (category 2) 1000 73 480,80
SURG22 Biliopancreatic diversion (BPD) 8000 587 846,40
STHR25 Pleurodesis 6317 464 178,21
STHR26 Thoracoscopic pleurodesis 6317 464 178,21
STHR27 Thoracotomic hemostasis 6300 462 929,04
STHR28 Thoracoscopic hemostasis 6317 464 178,21
STHR29 Thoracoscopic biopsy 6317 464 178,21
SCLN202 Adhesiolysis for adhesive disease (category 1) 5523 405 834,46
SCLN203 Total adhesiolysis for adhesive disease (category 2) 5530 406 348,82
GASTRO-DUODENAL SURGERY
Level В
SGST1 Diagnostic laparotomy 2500 183 702,00
SGST2 Diagnostic laparoscopy 3000 220 442,40
SGST3 Gastrostomy 2500 183 702,00
Level С
SGST4 Perforating gastric and duodenum ulcer open closure (category 1) 3000 220 442,40
SGST5 Laparotomic removal of foreign bodies from stomach/intestins 3000 220 442,40
SGST6 Abdominal laparotomy due to abscess/haematoma/purulent leakage (category 1) 3800 279 227,04
SGST8 Splenectomy (category 1) 3600 264 530,88
SGST16 Perforating gastric and duodenum ulcer laparoscopic closure (category 1) 4600 338 011,68
Level D
SGST9 Suturing of perforating gastric ulcer accompanied with peritonitis 5000 367 404,00
SGST10 Stomach resection 6000 440 884,80
SGST11 Anastomosis creation between stomach and small bowel 4500 330 663,60
SGST12 Laparoscopic suturing of perforating gastric/duodenal ulcer 6000 440 884,80
SGST13 Splenectomy due to trauma (category 2) 4000 293 923,20
SGST14 Laparotomic liver wound suture 6000 440 884,80
SGST17 Open subtotal gastrectomy with D1 lymph node dyssection (category 1) 8000 587 846,40
SGST18 Open liver surgery (segmental resection, echiococcectomy) 7000 514 365,60
Level E
SGST15 Laparascopic stomach bandage by morbid obesity 1850 135 939,48
SGST19 Laparoscopic gastroplication 2000 146 961,60
SGST20 Laparoscopic gastric bypass 2500 183 702,00
SGST21 Vertical gastrectomy 6000 440 884,80
SGST22 Laparoscopic fundoplication 5000 367 404,00
GALL-BLADDER & BILE DUCTS SURGERY
Level А
SCHOL1 Percutaneous transhepatic biliary drainage 1000 73 480,80
Level B
SCHOL2 Cholecystectomy by non-complicated cholecystitis 3600 264 530,88
SCHOL3 Cholecystectomy 3000 220 442,40
SCHOL4 Puncture cholecystostomy 2109 154 971,01
Level C
SCHOL5 Cholecystectomy by complicated cholecystitis 4000 293 923,20
SCHOL6 Cholecystectomy from mini-access (category 1) 4000 293 923,20
SCHOL7 Laparoscopic cholecystectomy (category 1) 4200 308 619,36
Level D
SCHOL8 Choledochtomy & common bile duct drainage 4500 330 663,60
SCHOL9 Choledochoenterostomy/cholecystoenterostomy 5500 404 144,40
SCHOL10 Pancreatic cyst drainage 5000 367 404,00
SCHOL11 Pancreatojejunostomy 6500 477 625,20
SCHOL12 Open pancreatic cystadenoma removal 6000 440 884,80
SCHOL13 Retroperitoneal phlegmon cut by pancreatonecrosis 8000 587 846,40
SCHOL14 Laparoscopic choledochtomy and common bile duct drainage 5000 367 404,00
SCHOL15 Opening and drainage abscesses of the liver 5000 367 404,00
SCHOL16 Laparoscopic opening and drainage abscesses of the liver 6000 440 884,80
INTESTINAL SURGERY
Level B
SINT1 Appendectomy by acute appendicitis / catarrhal, phlegmonous 3000 220 442,40
SINT2 Appendectomy for acute catarrhal or phlegmonous appendicitis (category 2) 3000 220 442,40
Level C
SINT3 Enterectomy (category 1) 3600 264 530,88
SINT4 Appendectomy for gangrenous appendicitis (category 3) 4000 293 923,20
SINT5 Laparoscopic appendectomy for acute catarrhal, phlegmonous appendicitis (category 2) 3514 258 211,53
SINT6 Surgical cure of small intestinal obstruction without intestinal resection 4000 293 923,20
SINT7 Meckel diverticulum resection 4000 293 923,20
SINT8 Bypass 5000 367 404,00
SINT21 Enterectomy with associated with peritonitis (category 2) 5529 406 275,34
Level D
SINT9 Surgical cure of small intestinal obstruction + intestinal resection 6000 440 884,80
Level E
SINT10 Appendectomy by diffuse peritonitis/gangrenous perforating appendicitis 5000 367 404,00
SINT11 Laparoscopic resection of colon 8000 587 846,40
SINT12 Surgery adhesive disease intestines without resection 6000 440 884,80
SINT13 Laparoscopic appendectomy for diffuse peritonitis / gangrenous-perforated appendicitis (category 5) 6000 440 884,80
SINT14 Laparoscopic small intestine resection 7000 514 365,60
SINT22 Laparoscopic enterectomy (category 1) 5524 405 907,94
SINT23 Laparoscopic enterectomy associated with peritonitis (category 2) 5528 406 201,86
ADRENAL SURGERY
SINT15 Adrenalectomy (category 1) 4911 360 864,21
SINT16 Adrenalectomy with renal resection (category 2) 4400 323 315,52
SINT17 Adrenalectomy with inferior vena cava replacement (category 4) 5600 411 492,48
SINT18 Adrenalectomy with splenectomy (category 5) 6000 440 884,80
SINT19 Laparoscopic adrenalectomy 5000 367 404,00
SINT20 Adrenalectomy with liver resection (category 3) 4800 352 707,84
HERNIAS SURGERY
Level B
SHRN1 Inguinal hernia repair/ 1 side 2600 191 050,08
SHRN2 Umbilical hernia repair 2300 169 005,84
SHRN3 Femoral hernia repair 2600 191 050,08
SHRN4 Abdominal hernia repair with synthetic patch / up to 30 cm2, without patch cost 3000 220 442,40
Level C
SHRN5 Post-operation ventral hernia repair 4500 330 663,60
SHRN6 Spiegel line hernia repair 4500 330 663,60
SHRN7 Plasticity of the abdominal wall by diastase of abdominal rectus muscle 4000 293 923,20
SHRN8 Bilateral inguinal hernia repair 3600 264 530,88
SHRN9 Recurrent inguinal hernia repair/1 side 3000 220 442,40
SHRN10 Recurrent umbilical hernia repair 3000 220 442,40
SHRN11 Strangulated hernia repair without resection of the bowel 3600 264 530,88
SHRN12 Abdominal hernia repair with synthetic patch / > 30 cm2, without patch cost 4000 293 923,20
SHRN16 Laparoscopic abdominal wall with diastasis recti 5000 367 404,00
Level D
SHRN13 Post-operative ventral giant hernia repair 6000 440 884,80
SHRN14 Laparoscopic inguinal/umbilical/crural hernia repair 4000 293 923,20
Level E
SHRN15 Strangulated hernia repair with intestinum resection 5341 392 460,95
COLON SURGERY
SCLN201 Laparotomy for peritonitis of other aetiology 2500 183 702,00
Level D
SCLN1 Right-sided hemicolectomy without limfadenektomii (category 1) 6750 495 995,40
SCLN2 Left-sided hemicolectomy with anus exteriorization 5000 367 404,00
SCLN3 Sigmoid resection with anus exteriorization 4500 330 663,60
SCLN4 Transverse colon resection 6000 440 884,80
SCLN14 Laparoscopic right-sided hemicolectomy 6000 440 884,80
SCLN15 Laparoscopic sigmoid resection 6000 440 884,80
Level E
SCLN5 Urgent colon surgery 7000 514 365,60
SCLN6 Sigmoidectomy with anastomosis 5000 367 404,00
SCLN7 Left-sided hemicolectomy with anastomosis 6000 440 884,80
SCLN8 Laparoscopic resection of the rectum 8000 587 846,40
SCLN9 Laparoscopic resection of the rectum with bringing down 8600 631 934,88
SCLN10 Laparoscopic abdominoperineal excision of the rectum 9000 661 327,20
SCLN11 Rectectomy 7000 514 365,60
SCLN12 Rectectomy with bringing down 8000 587 846,40
SCLN13 Abdominal-perineal extirpation of the rectum 8500 624 586,80
SCLN17 Laparoscopic right-side hemicolectomy without lymphadenectomy (category 1) 6000 440 884,80
SCLN18 Laparoscopic right-side hemicolectomy, D3 lymphadenectomy without in-growth into structures and tissues (category 2) 6600 484 973,28
SCLN19 Laparoscopic right-side hemicolectomy, D3 lymphadenectomy with in-growth into structures or organs not more than 2 (category 3) 7200 529 061,76
SCLN20 Laparoscopic right-side hemicolectomy, D3 lymphadenectomy with in-growth into structures or organs (3 or more) (category 4) 7800 573 150,24
SCLN21 Laparoscopic right-side hemicolectomy, D3 lymphadenectomy with stoma installation 8400 617 238,72
SCLN22 Right-side hemicolectomy, D3 lymphadenectomy without in-growth into structures or organs (category 2) 7500 551 106,00
SCLN23 Right-side hemicolectomy, D3 lymphadenectomy with in-growh into organs or structures (not more than 2) (category 3) 8250 606 216,60
SCLN24 Right-side hemicolectomy, D3 lymphadenectomy with in-growh into organs or structures (3 or more) (category 4) 9000 661 327,20
SCLN25 Laparoscopic left-side hemicolectomy, paraortal lymphadenectomy without in-growth into structures or organs (category 2) 8000 587 846,40
SCLN26 Laparoscopic left-side hemicolectomy, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 8800 646 631,04
SCLN27 Laparoscopic left-side hemicolectomy, paraortal lymphadenectomy with in-growth into structures or organs (more than 3) (category 4) 9600 705 415,68
SCLN28 Open left-side hemicolectomy, paraortal lymphadenectomy without in-growth into structures or organs (category 1) 6300 462 929,04
SCLN29 Open left-side hemicolectomy, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 2) 7000 514 365,60
SCLN30 Open left-side hemicolectomy, paraortal lymphadenectomy with in-growth into structures or organs (3 and more) (category 3) 7700 565 802,16
SCLN31 Open transverse colon resection, hemicolectomy without lymphadenectomy (category 1) 6300 462 929,04
SCLN32 Open transverse colon resection, paraortal lymphadenectomy without in-growth into structures or organs (category 2) 7000 514 365,60
SCLN33 Open transverse colon resection, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 7700 565 802,16
SCLN34 Open transverse colon resection, paraortal lymphadenectomy with in-growth into structures or organs (more than 3) (category 4) 8400 617 238,72
SCLN35 Laparoscopic tranverse colon resection, hemicolectomy without paraortal lymphadenectomy (category 1) 7200 529 061,76
SCLN36 Laparoscopic tranverse colon resection, paraortal lymphadenectomy without in-growth into structures or organs (category 2) 8000 587 846,40
SCLN37 Laparoscopic tranverse colon resection, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 8800 646 631,04
SCLN38 Laparoscopic tranverse colon resection, paraortal lymphadenectomy with in-growth into structures or organs (more than 3) (category 4) 9600 705 415,68
SCLN39 Open colon's left regions resection without in-growth into structures or organs (category 1) 5400 396 796,32
SCLN40 Open colon's left regions resection with in-growth into structures or organs (not more than 2) (category 2) 6838 502 461,71
SCLN41 Open colon's left regions resection with in-growth into structures or organs (3 or more) (category 3) 6854 503 637,40
SCLN42 Laparoscopic colon's left regions resection without in-growth into structures or organs (category 1) 6859 504 004,81
SCLN43 Laparoscopic colon's left regions resection with in-growth into structures or organs (not more than 2) (category 2) 7000 514 365,60
SCLN44 Laparoscopic colon's left regions resection with in-growth into structures or organs (3 or more) (category 3) 7700 565 802,16
SCLN45 Open sigmoid colon's resection, hemicolectomy without lymphadenectomy (category 1) 6754 496 289,32
SCLN46 Open sigmoid colon's resection, paraortal lymphadenectomy without in-growth into structures or organs (category 2) 6760 496 730,21
SCLN47 Open sigmoid colon's resection, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 6768.782244031524 497 375,53
SCLN48 Open sigmoid colon's resection, paraortal lymphadenectomy with in-growth into structures or organs (3 or more) (category 4) 7200 529 061,76
SCLN49 Laparoscopic sigmoid colon's resection, hemicolectomy without lymphadenectomy (category 1) 6859 504 004,81
SCLN50 Laparoscopic sigmoid colon's resection, paraortal lymphadenectomy without in-growth into structures or organs (category 2) 7000 514 365,60
SCLN51 Laparoscopic sigmoid colon's resection, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 7700 565 802,16
SCLN52 Laparoscopic subtotal large bowel's resection without in-growth into structures or tissues (category 1) 9000 661 327,20
SCLN53 Laparoscopic sigmoid colon's resection, paraortal lymphadenectomy with in-growth into structures or organs (3 or more) (category 4) 8400 617 238,72
SCLN54 Open subtotal large bowel's resection without in-growth into structures or tissues (category 1) 8100 595 194,48
SCLN55 Open subtotal large bowel's resection with in-growth into structures or organs (not more than 2) (category 2) 9000 661 327,20
SCLN56 Open subtotal large bowel's resection with in-growth into structures or organs (3 or more) (category 4) 9900 727 459,92
SCLN57 Laparoscopic subtotal large bowel's resection with in-growth into structures or organs (not more than 2) (category 2) 10000 734 808,00
SCLN58 Laparoscopic subtotal large bowel's resection with in-growth into structures or organs (3 or more) (category 3) 11000 808 288,80
SCLN59 Laparoscopic anterior rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 8800 646 631,04
SCLN60 Laparoscopic anterior rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (3 or more) (category 4) 9600 705 415,68
SCLN61 Open anterior rectum resection, hemicolectomy without lymphadenectomy (category 1) 6750 495 995,40
SCLN62 Open anterior rectum resection, paraortal lymphadenectomy without in-growth into structures or tissues (category 2) 7500 551 106,00
SCLN63 Open anterior rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 8250 606 216,60
SCLN64 Laparoscopic distal tail or corpus pancreas resection 8000 587 846,40
SCLN65 Open abdominal anal rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 10200 749 504,16
SCLN66 Fistula dissection (category 3 - transsphinteric, intrasphincteric, multiple fistulas dissection) 4000 293 923,20
SCLN67 Laparoscopic reconstuctive rectum operation 11000 808 288,80
SCLN68 Right-side hemicolectomy, D3 lymphadenectomy with in-growh into organs or structures (not more than 2) (category 3) 8250 606 216,60
SCLN69 Open left-side hemicolectomy, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 2) 7000 514 365,60
SCLN70 Open left-side hemicolectomy, paraortal lymphadenectomy with in-growth into structures or organs (3 and more) (category 3) 7700 565 802,16
SCLN71 Open transverse colon resection, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 7700 565 802,16
SCLN72 Open transverse colon resection, paraortal lymphadenectomy with in-growth into structures or organs (more than 3) (category 4) 8400 617 238,72
SCLN73 Laparoscopic tranverse colon resection, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 8800 646 631,04
SCLN74 Laparoscopic anterior rectum resection, hemicolectomy without lymphadenectomy (category 1) 7200 529 061,76
SCLN75 Laparoscopic anterior rectum resection, paraortal lymphadenectomy without in-growth into structures or tissues (category 2) 8000 587 846,40
SCLN76 Laparoscopic anterior rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 8800 646 631,04
SCLN77 Open anterior rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (3 or more) (category 4) 9000 661 327,20
SCLN78 Laparoscopic low anterior rectum resection, hemicolectomy without lymphadenectomy (category 1) 8100 595 194,48
SCLN79 Laparoscopic low anterior rectum resection, paraortal lymphadenectomy without in-growth into structures or tissues (category 2) 9000 661 327,20
SCLN80 Laparoscopic low anterior rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 9900 727 459,92
SCLN81 Laparoscopic low anterior rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (3 or more) (category 4) 10800 793 592,64
SCLN82 Open low anterior rectum resection, hemicolectomy without lymphadenectomy (category 1) 7650 562 128,12
SCLN83 Open low anterior rectum resection, paraortal lymphadenectomy without in-growth into structures or tissues (category 2) 8500 624 586,80
SCLN84 Open low anterior rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 9350 687 045,48
SCLN85 Open low anterior rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (3 or more) (category 4) 10200 749 504,16
SCLN86 Laparoscopic abdominal anal rectum resection, paraortal lymphadenectomy without in-growth into structures or tissues (category 1) 8100 595 194,48
SCLN87 Laparoscopic abdominal anal rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 2) 9000 661 327,20
SCLN88 Laparoscopic abdominal anal rectum resection, with in-growth into structures or organs (3 or more) (category 3) 9900 727 459,92
SCLN89 Laparoscopic abdominal anal rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (3 or more) (category 3) 9900 727 459,92
SCLN90 Laparoscopic abdominal anal rectum resection, hemicolectomy without lymphadenectomy (category 4) 8000 587 846,40
SCLN91 Open abdominal anal rectum resection, hemicolectomy without lymphadenectomy (category 1) 8500 624 586,80
SCLN92 Open abdominal anal rectum resection, paraortal lymphadenectomy without in-growth into structures or tissues (category 2) 9350 687 045,48
SCLN93 Open abdominal anal rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (3 or more) (category 4) 11050 811 962,84
SCLN94 Laparoscopic intersphincter rectum resection, hemicolectomy without lymphadenectomy (category 1) 9500 698 067,60
SCLN95 Laparoscopic intersphincter rectum resection, paraortal lymphadenectomy without in-growth into structures or tissues (category 2) 10450 767 874,36
SCLN96 Laparoscopic intersphincter rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 11400 837 681,12
SCLN97 Laparoscopic intersphincter rectum resection, paraortal lymphadenectomy with in-growth into structures or organs (3 or more) (category 4) 12350 907 487,88
SCLN98 Laparoscopic total coloproctectomy with enteral reservoir formation with in-growth into structures or organs (not more than 2) (category 2) 13200 969 946,56
SCLN99 Laparoscopic total coloproctectomy with enteral reservoir formation with in-growth into structures or organs (3 or more) (category 3) 14400 1 058 123,52
SCLN100 Open total coloproctectomy with enteral reservoir formation without in-growth into structures and tissues (category 1) 10000 734 808,00
SCLN101 pen total coloproctectomy with enteral reservoir formation with in-growth into structures or organs (not more than 2) (category 2) 11000 808 288,80
SCLN102 Open total coloproctectomy with enteral reservoir formation with in-growth into structures or organs (3 or more) (category 3) 12000 881 769,60
SCLN103 Laparoscopic abdominal perineal rectum extirpation with overturn, hemicolectomy without lymphadenectomy (category 1) 12000 881 769,60
SCLN104 Laparoscopic abdominal perineal rectum extirpation with overturn, paraortal lymphadenectomy without in-growth into structures and tissues (category 2) 13200 969 946,56
SCLN105 Laparoscopic abdominal perineal rectum extirpation with overturn, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 14400 1 058 123,52
SCLN106 Laparoscopic abdominal perineal rectum extirpation with overturn, paraortal lymphadenectomy with in-growth into structures or organs (3 or more) (category 4) 15600 1 146 300,48
SCLN107 Open abdominal perineal rectum extirpation with overturn, hemicolectomy without lymphadenectomy (category 1) 11000 808 288,80
SCLN108 Open abdominal perineal rectum extirpation with overturn, paraortal lymphadenectomy without in-growth into structures and tissues (category 2) 12100 889 117,68
SCLN109 Open abdominal perineal rectum extirpation with overturn, paraortal lymphadenectomy with in-growth into structures or organs (not more than 2) (category 3) 13200 969 946,56
SCLN110 Open abdominal perineal rectum extirpation with overturn, paraortal lymphadenectomy with in-growth into structures or organs (3 or more) (category 4) 14300 1 050 775,44
SCLN111 Simple, interfacial, subcutaneous submucosal fistula dissection (category 1) 2528 185 759,46
SCLN112 Fistula dissection (category 2 - blind fistula, intersphincteric, intrasphincter fistula dissection) 2500 183 702,00
SCLN113 Paraproctitis lancing (category 1 - abscess up to 5 cm drain and sanation, perianal area abscess) 2000 146 961,60
SCLN114 Paraproctitis lancing (category 2 - ischiorectal, horseshoe abscess drain and sanation) 3000 220 442,40
SCLN115 Paraproctitis lancing (category 3 - deep, high, supralevator abscess drain and sanation) 4000 293 923,20
SCLN116 Hartmann's operation 5000 367 404,00
SCLN117 Open reconstuctive rectum operation 9500 698 067,60
SCLN118 Paraortal lymphadenectomy 4170 306 414,94
SCLN119 Aortocaval lymphadenectomy 4172 306 561,90
SCLN120 Laparoscopic pelvic lymphadenectomy (one side) 4172 306 561,90
SCLN121 Open pelvic lymphadenectomy (one side) 4170 306 414,94
SCLN122 Open bilateral pelvic lymphadenectomy 4169 306 341,46
SCLN123 Laparoscopic bilateral pelvic lymphadenectomy 6000 440 884,80
SCLN124 Ducuing operation (one side) 4171 306 488,42
SCLN125 Ducuing operation (bilateral) 6000 440 884,80
SCLN126 Open vesicointestinal fistula isolation 6000 440 884,80
SCLN127 Laparoscopic vesicointestinal fistula isolation 6500 477 625,20
SCLN128 Laparoscopic rectovaginal fistula dissection 7000 514 365,60
SCLN129 Open rectovaginal fistula dissection 5000 367 404,00
SCLN130 Hemorrhoidectomy (category 1 - single hemorrhoid removal) 2524 185 465,54
SCLN131 Hemorrhoidectomy (category 2 - combined hemorrhoids removal, more than 3 nodes) 2500 183 702,00
SCLN132 Hemorrhoidectomy (category 3 - circular hemorrhoid nodes dissection with mucous lifting) 3500 257 182,80
SCLN133 Foreign body removal from rectum through perineum (in the operation room) 3000 220 442,40
SCLN134 Foreign body removal from rectum through perineum (in the operation room) 3000 220 442,40
SCLN135 Foreign body removal from rectum (laparotomy) 5000 367 404,00
SCLN136 Relaparotomy, abdomen cavity sanation (with adhesiolysis) category 2 2135 156 881,51
SCLN137 Relaparotomy, abdomen cavity sanation (with adhesiolysis and tissue resection) category 3 2130 156 514,10
SCLN138 Gastrostomy tube's replacement (without materials cost) 3258 239 400,45
SCLN139 Gastrostoma endoscopic installation 3260 239 547,41
SCLN140 Perforating gastric and duodenum ulcer open closure with gastrostomy (category 2) 3300 242 486,64
SCLN141 Perforating gastric and duodenum ulcer open closure with gastrostomy and pyloroplasty (category 3) 3600 264 530,88
SCLN142 Perforating gastric and duodenum ulcer open closure with gastrostomy, pyloroplasty and truncal vagotomy (category 4) 3900 286 575,12
SCLN143 Perforating gastric and duodenum ulcer laparoscopic closure with gastrostomy (category 2) 3300 242 486,64
SCLN144 Perforating gastric and duodenum ulcer laparoscopic closure with gastrostomy and pyloroplasty (category 3) 8157 599 382,89
SCLN145 Perforating gastric and duodenum ulcer laparoscopic closure with gastrostomy, pyloroplasty and truncal vagotomy (category 4) 8181 601 146,42
SCLN146 Laparoscopic foreign bodies removal from stomach/intestins 8182 601 219,91
SCLN147 Abdominal laparotomy with necrectomy due to abscess/haematoma/purulent leakage (category 2) 4180 307 149,74
SCLN148 Abdominal laparotomy with necrectomy and tissue resection due to abscess/haematoma/purulent leakage (category 3) 4560 335 072,45
SCLN149 Open subtotal gastrectomy with D2 lymph node dyssection (category 2) 8800 646 631,04
SCLN150 Open subtotal gastrectomy with D3 lymph node dyssection (category 3) 9600 705 415,68
SCLN151 Laparoscopic subtotal gastrectomy with D1 lymph node dyssection (category 1) 10000 734 808,00
SCLN152 Laparoscopic subtotal gastrectomy with D2 lymph node dyssection (category 2) 11000 808 288,80
SCLN153 Laparoscopic subtotal gastrectomy with D3 lymph node dyssection (category 3) 12000 881 769,60
SCLN154 Open total gastrectomy with D1 lymph node dyssection (category 1) 9000 661 327,20
SCLN155 Open total gastrectomy with D2 lymph node dyssection (category 2) 11000 808 288,80
SCLN156 Open total gastrectomy with D3 lymph node dyssection (category 3) 10800 793 592,64
SCLN157 Laparoscopic total gastrectomy with D1 lymph node dyssection (category 1) 12100 889 117,68
SCLN158 Laparoscopic total gastrectomy with D2 lymph node dyssection (category 2) 12100 889 117,68
SCLN159 Laparoscopic total gastrectomy with D3 lymph node dyssection (category 3) 13200 969 946,56
SCLN160 Laparoscopic liver surgery (segmental resection, echiococcectomy) 8000 587 846,40
SCLN161 Splenectomy due to tumor (category 3) 4500 330 663,60
SCLN162 Laparoscopic splenectomy (category 1) 5000 367 404,00
SCLN163 Laparoscopic splenectomy due to trauma (category 2) 8155 599 235,92
SCLN164 Laparoscopic splenectomy due to tumor (category 3) 8181 601 146,42
SCLN165 Cholecystotomy under US-control 2958 217 356,21
SCLN166 Cholecystotomy under laparoscopic control 3712 272 760,73
SCLN167 Cholecystectomy (category 1) 4000 293 923,20
SCLN168 Cholecystectomy with destructive cholecystitis (category 2) 4400 323 315,52
SCLN169 Cholecystectomy with destructive cholecystitis with peritonitis (category 3) 4800 352 707,84
SCLN170 Cholecystectomy with choledochotomy and common bile duct drainage (category 4) 5200 382 100,16
SCLN171 Cholecystectomy from mini-access with destructive cholecystitis (category 2) 4400 323 315,52
SCLN172 Cholecystectomy from mini-access with destructive cholecystitis and peritonitis (category 3) 4800 352 707,84
SCLN173 Cholecystectomy from mini-access with choledochotomy and common bile duct drainage (category 4) 5200 382 100,16
SCLN174 Laparoscopic cholecystectomy with destructive cholecystitis (category 2) 4620 339 481,30
SCLN175 Laparoscopic cholecystectomy with destructive cholecystitis with peritonitis (category 3) 5040 370 343,23
SCLN176 Laparoscopic cholecystectomy with choledochotomy and common bile duct drainage (category 4) 5460 401 205,17
SCLN177 Laparoscopic pancreatic cyst drainage 5500 404 144,40
SCLN178 Laparoscopic pancreatic cystadenoma removal 6600 484 973,28
SCLN179 Laparotomy, sequestrectomy for omental sac's pancreonecrosis (category 1) 8000 587 846,40
SCLN180 Laparotomy, sequestrectomy for omental sac's and lateral canals pancreonecrosis (category 2) 8800 646 631,04
SCLN181 Reoperation for pancreonecrosis: sequestrectomy and arrosive hemorrhage hemostasis 4000 293 923,20
SCLN182 Pancreaticoduodenal resection 15000 1 102 212,00
SCLN183 Laparoscopic pancreaticoduodenal resection 16500 1 212 433,20
SCLN184 Distal tail or corpus pancreas resection 7200 529 061,76
SCLN185 Laparoscopic liver wound suture 6600 484 973,28
SCLN186 Atypical liver resection 7000 514 365,60
SCLN187 Laparoscopic atypical liver resection 7700 565 802,16
SCLN188 Liver resection (1 segment) (category 1) 7700 565 802,16
SCLN189 Liver resection (2 segments) (category 2) 8800 646 631,04
SCLN190 Liver resection, hepatectomy (category 3) 9240 678 962,59
SCLN191 Liver resection, extended hepatectomy (category 4) 11000 808 288,80
SCLN192 Laparoscopic liver resection (1 segment) (category 1) 9600 705 415,68
SCLN193 Laparoscopic liver resection (2 segments) (category 2) 12600 925 858,08
SCLN194 Laparoscopic liver resection, hemihepatectomy (category 3) 14000 1 028 731,20
SCLN195 Appendectomy for gangrenous appendicitis with local peritonitis (category 4) 4774 350 797,34
SCLN196 Appendectomy for diffuse peritonitis / gangrenous-perforated appendicitis (category 5) 4770 350 503,42
SCLN197 Laparoscopic appendectomy for chronic appendicitis (category 1) 4770 350 503,42
SCLN198 Laparoscopic appendectomy for gangrenous appendicitis (category 3) 4763 349 989,05
SCLN199 Laparoscopic appendectomy for gangrenous appendicitis with local peritonitis (category 4) 5068 372 400,69
SCLN200 Laparoscopic Meckel diverticulum resection 4775 350 870,82
SCLN204 Nasointestinal small bowel's intubation for obstruction 5529 406 275,34
SCLN205 Laparoscopic anastomosis formation between small bowel's loops 5512 405 026,17
SCLN206 Anastomosis formation between small and large bowel 5531 406 422,30
SCLN207 Laparoscopic anastomosis formation between small and large bowel 5525 405 981,42
SCLN208 Anastomosis formation between large bowel's loops 2750 202 072,20
SCLN209 Laparoscopic anastomosis formation between large bowel's loops 5512 405 026,17
PROCTOLOGIC SURGERY
Level B
SPRC1 Bipolar electrocoagulation of generalized anal lesions 1406 103 314,00
SPRC2 Anal fissure ablation 1406 103 314,00
SPRC3 Fibrous anal polyp/rectal polyps ablation/electrocoagulation 1406 103 314,00
SPRC4 Thrombectomy by acute hemorrhoid 1406 103 314,00
SPRC5 Singular hemorrhoids removal 1406 103 314,00
SPRC6 Anal tags ablation 1406 103 314,00
SPRC7 Abscess cut & cleaning by acute paraproctitis/pilonidal fistula 1406 103 314,00
SPRC18 Anal condyloma removal /single 1600 117 569,28
SPRC22 Colostomy open creation 2500 183 702,00
SPRC23 Segmental colon resection open for endoscopically irremovable polyp 4500 330 663,60
SPRC24 Colostomy laparoscopic creation 3500 257 182,80
SPRC25 Segmental colon resection laparoscopic for endoscopically irremovable polyp 5500 404 144,40
SPRC26 Ileostomy open creation 2500 183 702,00
SPRC27 Ileostomy laparoscopic creation 3500 257 182,80
SPRC28 Colostomy closure 4000 293 923,20
SPRC29 Ileostomy closure 4000 293 923,20
SPRC30 Vesicointestinal fistula isolation 4500 330 663,60
SPRC31 Vesicointestinal fistula isolation in simultaneous operation 2000 146 961,60
SPRC32 Circular resection mucosal and submucosa of the rectum with the removal of the external and internal hemorrhoids + mucous and submucosa reducing of the rectum 3500 257 182,80
SPRC33 Complicated rectal fistula repair 3500 257 182,80
SPRC34 Pilonidal cyst excision by Karydakis flap 2000 146 961,60
SPRC35 Condyloma, atheroma, another benign lesion perianal excision/ single (1-2) 1200 88 176,96
SPRC36 Transanal endoscopic microsurgical removal of rectal tumors 4000 293 923,20
SPRC37 Laparoscopic total coloproctectomy with enteral reservoir formation without in-growth into structures and tissues (category 1) 12000 881 769,60
Level С
SPRC8 Anal fissure ablation with sphincterotomy 1968 144 610,21
SPRC9 Paraproctitis ablation 1968 144 610,21
SPRC10 Hemorrhoidectomy / Milligan-Morgan operation 1968 144 610,21
SPRC11 Hemorrhoidectomy / Longo operation, materials cost not included 1968 144 610,21
SPRC12 Bipolar hemorrhoid coagulation / Ligashoe, electrode cost not included 1968 144 610,21
SPRC13 Paraproctitis ablation with suturing 1968 144 610,21
SPRC14 Abscess ablation by pyogenic pilonidal fistula 1968 144 610,21
SPRC17 Excision of pilonidal cyst with stitching of wound borders to its bottom 1968 144 610,21
Level D
SPRC15 Paraproctitis ablation with mucous reducing by chronic paraproctitis 2811 206 554,53
SPRC16 Levatoroplasty by rectocele 2811 206 554,53
SPRC19 Anal condyloma removal / multiple ( up to a semicircle) 3500 257 182,80
SPRC20 Removing circular anal condyloma affecting the perianal skin, anal transitional zone and anorectal transition 4300 315 967,44
SPRC21 Removal multiple perianal condyloma with skin plasty 3000 220 442,40
ROBOT-ASSISTED COLON SURGERY
RBSCLN11 Robot-assisted rectectomy 11000 808 288,80
THORACIC SURGERY
STHR21 Lung resection - two segments (category 2) 4340 318 906,67
STHR22 Lung resection, lobectomy (category 3) 4364 320 670,21
STHR23 Lung resection, bilobectomy (category 4) 4340 318 906,67
STHR24 Lung resection, pneumonectomy (category 5) 4361 320 449,77
Level A
STHR1 Thoracocentesis/pleural cavity drainage 703 51 657,00
STHR2 Pericardial puncture 703 51 657,00
STHR3 Lung abscess drainage 703 51 657,00
Level B
STHR4 Diagnostic thoracotomy/rib resection 2109 154 971,01
Level C
STHR5 Thoracoscopic lung resection, atypical or segmentectomy (category 1) 2530 185 906,42
STHR6 Broncho-pleural fistula repair 2530 185 906,42
STHR7 Mediastinoscopy 2530 185 906,42
STHR8 Diagnostic thoracoscopy 2530 185 906,42
STHR17 Thoracoscopic lung resection, two segments (category 2) 4369 321 037,62
STHR18 Thoracoscopic lung resection, lobectomy (category 3) 4363 320 596,73
STHR19 Thoracoscopic lung resection, bilobectomy (category 4) 4363 320 596,73
STHR20 Thoracoscopic lung resection, pneumonectomy (category 5) 4364 320 670,21
Level D
STHR9 Thoracoscopic marginal lung resection 3514 258 211,53
STHR10 Lobectomy/lung segment resection, bi-lobectomy 3514 258 211,53
Level E
STHR11 Pneumonectomy 5341 392 460,95
STHR12 Thoracoscopic removal of mediastinum tumors 4014 294 951,93
STHR13 Thoracoscopic pleurectomy 4014 294 951,93
STHR14 Thoracoscopic lobectomy 4014 294 951,93
STHR15 Removal of mediastinum tumors 3514 258 211,53
STHR16 Pleurectomy 3514 258 211,53