Mr Panagiotis Gikas

If you have private medical insurance, your insurance company is likely to request what are known as ‘Procedure codes’ before agreeing to cover the cost of your appointments, investigations and treatment. By and large, insurance companies will pre-approve basic investigations such as x-rays and blood tests as well as injections undertaken during your first clinic appointment. Please confirm this with your company before your first appointment.

At your appointment Mr Gikas may suggest that you have one or more further imaging studies. These could be:

• Magnetic Resonance Imaging (MRI oMrA)
• Computed Tomography (CT)
• Ultrasound (US) or Ultrasound Guided Injections.
• Dual Energy X-ray Absorptiometry (DEXA)
• Single-photon emission computed tomography (SPECT CT)
• Or a CT scan for surgical planning of Robotic Arm assisted Hip Replacement

Mr Gikas will normally review your imaging studies with you and use the information to help plan your surgery, if this is indicated.
When surgery is recommended, there will be a code or codes specific to the operation that is planned for you. While it is never 100% certain that the code will exactly match what is found at surgery, a discrepancy is rare. Again, you will need to provide this information to your insurance company and obtain their approval prior to your admission.
It is essential that you discuss surgical and anaesthetic fees before treatment. Please contact Mr Gikas’ secretary for this information. Except for urgent and emergency admissions, procedure codes and Mr Gikas’ anticipated fees will be provided to you, in writing, before your admission for any surgical procedure. If you have not received this information, at least three days prior to your planned admission, please telephone Mr Gikas’ secretary.
If you are insured, it is important that you contact your health insurance company to discuss your proposed treatment and hospital stay as well as any other medical costs. It is important that you find out whether all, or part, of the costs you may incur will be covered.
Likewise, if you are self-funding you should be aware that there will be surgical, anaesthetic and hospital fees. For common procedures like hip or knee replacement, it is often possible to arrange a hospital package that will cover all three costs. Otherwise, Mr Gikas’ fee, the anaesthetist’s fee and the hospital charges will be billed separately by the respective parties.
If further treatment is needed due to complications or you choose other options, extra costs are likely to apply.

Please note that Mr Gikas’ fees should be within the approved reimbursements agreed by your insurance company. Please contact your insurers to confirm the level of cover that they provide for you.

An initial consultation:

The code is 20300 for face-to-face consultations and 20360 for an initial remote consultation by Zoom or telephone. Mr Gikas’ fee is £250.

What is included:

1) An out-patient or Zoom consultation, up to 30 minutes, with Mr Gikas.

2) A copy of Mr Gikas’ letter to your referrer will be emailed to you a few days after your appointment.

What is not included:

1) Hospital charges for any x-rays, other imaging studies, blood tests or other investigations undertaken during or after your consultation.

 

Second opinion initial consultation:

The code is also 20300 for face-to-face consultations and 20370 for a remote consultation by Zoom or telephone. Mr Gikas’ fee is £300.

What is included:

1) An out-patient or Zoom consultation, up to 30 minutes, with Mr Gikas.

2) A copy of Mr Gikas’ letter to your referrer will be emailed to you a few days after your appointment.

What is not included:

1) Hospital charges for any x-rays, other imaging studies, blood tests or other investigations undertaken during or after your consultation.

 

Pre-admission consenting for surgery consultation

The code is 20310 for face-to-face consultations and 20350 for a remote consultation by Zoom or telephone. Mr Gikas’ fee is £110 for a consultation of less than 15 minutes and £220 for a consultation of 15 to 30 minutes.

What is included:

1) Consent for surgery and associated information sheets will be emailed to you prior to the consultation. You will need to print out the consent for surgery forms and sign them prior to your admission. You must bring these to the hospital on the day of your admission for surgery. You must bring all the consent form sheets and not just the pages that you have signed.

2) A face-to-face or Zoom consultation with Mr Gikas.

3) A copy of Mr Gikas’ letter to your referrer will be emailed to you a few days after your consultation.

 

Follow-up consultations:

The code is 20310 for face-to-face consultations and 20350 for a remote follow-up consultation by Zoom or telephone. Mr Gikas’ fee is £150.

What is included:

1) An out-patient or Zoom consultation, up to 20 minutes, with Mr Gikas.

2) A copy of Mr Gikas’ letter to your referrer will be emailed to you a few days after your appointment.

What is not included:

1) Hospital charges for any x-rays, other imaging studies, blood tests or other investigations undertaken during or after your consultation.

Unilateral (one side) primary (first time), anterior approach total hip replacement:

The Code is W3712. Mr Gikas’ fee is £782.

Bilateral (both sides) primary (first time) anterior approach total hip replacement:

The Code is W3780. Mr Gikas’ fee is £1370.

Unilateral (one side) revision (redo) total hip replacement:

The Code is usually one of W3944, W3732 or W3733. Mr Gikas’ fee is £1040 – £1725 (depending on the complexity of the case).

What is included in Mr Gikas’ fee:

1) Mr Gikas’ fee for surgery and in-patient care.

2) A copy of your operation report will be emailed to you.

What is not included in Mr Gikas’ fee:

1) Your pre-admission consenting consultation with Mr Gikas (usually by Zoom).

2) Hospital charges for any x-rays, other imaging studies, blood tests and other investigations undertaken before your admission or after your discharge

3) The anaesthetist’s pre-admission assessment, anaesthesia and peri- operative care.

4) The hospital’s bill for your admission – including implant costs.

5) Charges for medications that you take home from the hospital.

6) Your wound check and dressing removal by your practice nurse or the hospital out-patient nurse 10 days after surgery.

7) Your physiotherapy after discharge from hospital.

8) Out-patient review with Mr Gikas at 6 weeks post-surgery

9) Out-patient review with Mr Gikas at 6 months post-surgery.

Surgical procedures for self-funding patients:

Unilateral (one side) primary (first time), anterior approach total hip replacement

Mr Gikas’ package fee is £1172.

Bilateral (both sides) primary (first time)anterior approach total hip replacement

Mr Gikas’ package fee is £1760.

Unilateral (one side) revision (redo) total hip replacement:

The Code is usually one of W3944, W3732 or W3733. Mr Gikas’ package fee is £1430 – £2115 (depending on the complexity of the case).

What is included in Mr Gikas’ fee:

1) Your pre-admission consenting consultation with Mr Gikas (usually by Zoom).

2) Mr Gikas’ fee for surgery and in-patient care.

3) Out-patient review with Mr Gikas at 6 weeks post-surgery

4) Out-patient review with Mr Gikas at 6 months post-surgery.

5) Copies of all consultation letters to your referrer and your operation report will be emailed to you.

What is not included in Mr Gikas’ fee:

1) The anaesthetist’s pre-admission assessment, anaesthesia and peri- operative care.

2) Hospital charges for any x-rays, other imaging studies, blood tests and other investigations undertaken before your admission or after your discharge

3) The hospital’s bill for your admission – including implant costs.

4) Charges for medications that you take home from the hospital.

5) Your wound check and dressing removal by your practice nurse or the hospital out-patient nurse 10 days after surgery.

6) Your physiotherapy after discharge from hospital.