| A | B | C | D | E | F | G | H | |
|---|---|---|---|---|---|---|---|---|
1 | ||||||||
2 | Effective: 31 October 2025 | |||||||
3 | Revised: 17 October 2025 | |||||||
4 | ||||||||
5 | ||||||||
6 | Please note that this spreadsheet is revised and updated frequently thus it is recommended that for the most up-to-date information, that the spreadsheet be accessed directly from the Health Council website: https://healthcouncil.bm/research-and-reports#reference-information/ The Health Council does not assume responsibility for any versions of this spreadsheet produced outside of our organization or accessed outside of our website. | |||||||
7 | Full CPT Codes (Medical) - Recommended Fee Schedule | |||||||
8 | 1. The recommended fee for service (outside of Hospital and SHB) is listed per corresponding CPT code. | |||||||
9 | 2. The "Fair" in person price is market driven and calculated based on local health care service utilization and expenditure. | |||||||
10 | 3. The Health Council coversion factor (CF) used to calculate price is: [Sum of claims amount paid/ sum of relative value units (RVU)] x CPT-code corresponding RVU = Recommended Health Council Price | |||||||
11 | 4. The CPT coded in the provided list are updated regularly. | |||||||
12 | 5. The list DOES NOT guarantee reimbursement or level of reimbursement from insurers. Although standardization is preferred and consistency in the system leads to a stronger system, insurance companies do have the right to set reimbursements outside of SHB. | |||||||
13 | 5. CPT codes in the "SHB Fee" column with a "*" indicade the price of service is legislated through SHB rates and can be found at https://healthcouncil.bm/programmes/ | |||||||
14 | ||||||||
15 | ||||||||
16 | CODE | SHB Fee | New/Deleted | Modifier | Full Service Description | Full RVU (Non-Facility) | Health Council "Fair" In-Person Price | Current SHB price |
17 | 00100 | Anesthesia for procedures on salivary glands, including biopsy | 5 | $ - | ||||
18 | 00102 | Anesthesia for procedures involving plastic repair of cleft lip | 6 | $ - | ||||
19 | 00103 | Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery) | 5 | $ - | ||||
20 | 00104 | Anesthesia for electroconvulsive therapy | 4 | $ - | ||||
21 | 00120 | Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specified | 5 | $ - | ||||
22 | 00124 | Anesthesia for procedures on external, middle, and inner ear including biopsy; otoscopy | 4 | $ - | ||||
23 | 00126 | Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy | 4 | $ - | ||||
24 | 00140 | Anesthesia for procedures on eye; not otherwise specified | 5 | $ - | ||||
25 | 00142 | Anesthesia for procedures on eye; lens surgery | 4 | $ - | ||||
26 | 00144 | Anesthesia for procedures on eye; corneal transplant | 6 | $ - | ||||
27 | 00145 | Anesthesia for procedures on eye; vitreoretinal surgery | 6 | $ - | ||||
28 | 00147 | Anesthesia for procedures on eye; iridectomy | 4 | $ - | ||||
29 | 00148 | Anesthesia for procedures on eye; ophthalmoscopy | 4 | $ - | ||||
30 | 00160 | Anesthesia for procedures on nose and accessory sinuses; not otherwise specified | 5 | $ - | ||||
31 | 00162 | Anesthesia for procedures on nose and accessory sinuses; radical surgery | 7 | $ - | ||||
32 | 00164 | Anesthesia for procedures on nose and accessory sinuses; biopsy, soft tissue | 4 | $ - | ||||
33 | 00170 | Anesthesia for intraoral procedures, including biopsy; not otherwise specified | 5 | $ - | ||||
34 | 00172 | Anesthesia for intraoral procedures, including biopsy; repair of cleft palate | 6 | $ - | ||||
35 | 00174 | Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor | 6 | $ - | ||||
36 | 00176 | Anesthesia for intraoral procedures, including biopsy; radical surgery | 7 | $ - | ||||
37 | 00190 | Anesthesia for procedures on facial bones or skull; not otherwise specified | 5 | $ - | ||||
38 | 00192 | Anesthesia for procedures on facial bones or skull; radical surgery (including prognathism) | 7 | $ - | ||||
39 | 00210 | Anesthesia for intracranial procedures; not otherwise specified | 11 | $ - | ||||
40 | 00211 | Anesthesia for intracranial procedures; craniotomy or craniectomy for evacuation of hematoma | 10 | $ - | ||||
41 | 00212 | Anesthesia for intracranial procedures; subdural taps | 5 | $ - | ||||
42 | 00214 | Anesthesia for intracranial procedures; burr holes, including ventriculography | 9 | $ - | ||||
43 | 00215 | Anesthesia for intracranial procedures; cranioplasty or elevation of depressed skull fracture, extradural (simple or compound) | 9 | $ - | ||||
44 | 00216 | Anesthesia for intracranial procedures; vascular procedures | 15 | $ - | ||||
45 | 00218 | Anesthesia for intracranial procedures; procedures in sitting position | 13 | $ - | ||||
46 | 00220 | Anesthesia for intracranial procedures; cerebrospinal fluid shunting procedures | 10 | $ - | ||||
47 | 00222 | Anesthesia for intracranial procedures; electrocoagulation of intracranial nerve | 6 | $ - | ||||
48 | 00300 | Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specified | 5 | $ - | ||||
49 | 00320 | Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; not otherwise specified, age 1 year or older | 6 | $ - | ||||
50 | 00322 | Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; needle biopsy of thyroid | 3 | $ - | ||||
51 | 00326 | Anesthesia for all procedures on the larynx and trachea in children younger than 1 year of age | 7 | $ - | ||||
52 | 00350 | Anesthesia for procedures on major vessels of neck; not otherwise specified | 10 | $ - | ||||
53 | 00352 | Anesthesia for procedures on major vessels of neck; simple ligation | 5 | $ - | ||||
54 | 00400 | Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; not otherwise specified | 3 | $ - | ||||
55 | 00402 | Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps) | 5 | $ - | ||||
56 | 00404 | Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast | 5 | $ - | ||||
57 | 00406 | Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast with internal mammary node dissection | 13 | $ - | ||||
58 | 00410 | Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; electrical conversion of arrhythmias | 4 | $ - | ||||
59 | 00450 | Anesthesia for procedures on clavicle and scapula; not otherwise specified | 5 | $ - | ||||
60 | 00454 | Anesthesia for procedures on clavicle and scapula; biopsy of clavicle | 3 | $ - | ||||
61 | 00470 | Anesthesia for partial rib resection; not otherwise specified | 6 | $ - | ||||
62 | 00472 | Anesthesia for partial rib resection; thoracoplasty (any type) | 10 | $ - | ||||
63 | 00474 | Anesthesia for partial rib resection; radical procedures (eg, pectus excavatum) | 13 | $ - | ||||
64 | 00500 | Anesthesia for all procedures on esophagus | 15 | $ - | ||||
65 | 00520 | Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified | 6 | $ - | ||||
66 | 00522 | Anesthesia for closed chest procedures; needle biopsy of pleura | 4 | $ - | ||||
67 | 00524 | Anesthesia for closed chest procedures; pneumocentesis | 4 | $ - | ||||
68 | 00528 | Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy not utilizing 1 lung ventilation | 8 | $ - | ||||
69 | 00529 | Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy utilizing 1 lung ventilation | 11 | $ - | ||||
70 | 00530 | Anesthesia for permanent transvenous pacemaker insertion | 4 | $ - | ||||
71 | 00532 | Anesthesia for access to central venous circulation | 4 | $ - | ||||
72 | 00534 | Anesthesia for transvenous insertion or replacement of pacing cardioverter-defibrillator | 7 | $ - | ||||
73 | 00537 | Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation | 7 | $ - | ||||
74 | 00539 | Anesthesia for tracheobronchial reconstruction | 18 | $ - | ||||
75 | 00540 | Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); not otherwise specified | 12 | $ - | ||||
76 | 00541 | Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); utilizing 1 lung ventilation | 15 | $ - | ||||
77 | 00542 | Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); decortication | 15 | $ - | ||||
78 | 00546 | Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); pulmonary resection with thoracoplasty | 15 | $ - | ||||
79 | 00548 | Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); intrathoracic procedures on the trachea and bronchi | 17 | $ - | ||||
80 | 00550 | Anesthesia for sternal debridement | 10 | $ - | ||||
81 | 00560 | Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; without pump oxygenator | 15 | $ - | ||||
82 | 00561 | Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, younger than 1 year of age | 25 | $ - | ||||
83 | 00562 | Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, age 1 year or older, for all noncoronary bypass procedures (eg, valve procedures) or for re-operation for coronary bypass more than 1 month after original operation | 20 | $ - | ||||
84 | 00563 | Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator with hypothermic circulatory arrest | 25 | $ - | ||||
85 | 00566 | Anesthesia for direct coronary artery bypass grafting; without pump oxygenator | 25 | $ - | ||||
86 | 00567 | Anesthesia for direct coronary artery bypass grafting; with pump oxygenator | 18 | $ - | ||||
87 | 00580 | Anesthesia for heart transplant or heart/lung transplant | 20 | $ - | ||||
88 | 00600 | Anesthesia for procedures on cervical spine and cord; not otherwise specified | 10 | $ - | ||||
89 | 00604 | Anesthesia for procedures on cervical spine and cord; procedures with patient in the sitting position | 13 | $ - | ||||
90 | 00620 | Anesthesia for procedures on thoracic spine and cord, not otherwise specified | 10 | $ - | ||||
91 | 00625 | Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; not utilizing 1 lung ventilation | 13 | $ - | ||||
92 | 00626 | Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing 1 lung ventilation | 15 | $ - | ||||
93 | 00630 | Anesthesia for procedures in lumbar region; not otherwise specified | 8 | $ - | ||||
94 | 00632 | Anesthesia for procedures in lumbar region; lumbar sympathectomy | 7 | $ - | ||||
95 | 00635 | Anesthesia for procedures in lumbar region; diagnostic or therapeutic lumbar puncture | 4 | $ - | ||||
96 | 00640 | Anesthesia for manipulation of the spine or for closed procedures on the cervical, thoracic or lumbar spine | 3 | $ - | ||||
97 | 00670 | Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular procedures) | 13 | $ - | ||||
98 | 00700 | Anesthesia for procedures on upper anterior abdominal wall; not otherwise specified | 4 | $ - | ||||
99 | 00702 | Anesthesia for procedures on upper anterior abdominal wall; percutaneous liver biopsy | 4 | $ - | ||||
100 | 00730 | Anesthesia for procedures on upper posterior abdominal wall | 5 | $ - | ||||