Professor Richard Field

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 Prof Field may suggest that you have one or more further imaging studies. These could be:

• Magnetic Resonance Imaging (MRI or MRA)
• Computed Tomography (CT)
• Ultrasound (US) or Ultrasound Guided Injections.
• Dual Energy X-ray Absorptiometry (DEXA)
• Single-photon emission computed tomography (SPECT CT)
• A special CT scan for a Motion Analysis study, surgical planning for Robotic Arm assisted Hip Replacement, manufacture of Custom implants or Patient Specific Instrumentation

Insurance companies normally cover the cost of the investigations listed above, with the exception of the Motion Analysis studies and the fabrication of Patient Specific Instrumentation. These are not currently covered by any of the insurance companies. In the event that Prof Field recommends that you have a Motion Analysis study and you agree that this would be a good idea, you will have a special CT scan and will receive an invoice from the hospital at which the CT scan is undertaken. Prof Field will normally review your imaging studies with you and use the information to help plan your surgery, if this is indicated. If Prof Field recommends that Patient Specific Instrumentation is used for your hip or knee replacement, he will explain this strategy to you and seek your approval prior to requesting that the Patient Specific Instruments are ordered.

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 Prof Field’s secretaries for this information. Except for urgent and emergency admissions, procedure codes and Prof Field’s 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 Prof Field’s 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, Prof Field’s 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 Prof Field’s fees have increased over the years to account for inflation and increasing administrative costs. Likewise, insurance companies regularly review their codes and fee structures. It is possible that your policy may not fully cover your consultation or surgery fees. Please contact your insurers to discuss 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. Prof Field’s fee is £300.

What is included:

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

2) A copy of Prof Field’s 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. Prof Field’s fee is £350-500.

What is included:

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

2) A copy of Prof Field’s 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. Prof Field’s fee is £200.

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 Prof Field.

3) A copy of Prof Field’s 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. Prof Field’s fee is £175-250.

What is included:

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

2) A copy of Prof Field’s 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.

Hip arthroscopy for femoro-acetabular impingement (FAI) and labral tears:

The code is W1380. Prof Field’s fee is £1500.

What is included in Prof Field’s fee:

1) Prof Field’s fee for surgery and in-patient care.

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

What is not included in Prof Field’s fee:

1) Your pre-admission consenting consultation with Prof Field (usually by Zoom).

2) Hospital charges for any x-rays, other imaging studies, blood tests and other investigations undertaken before your admission of 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) Wound check and stitch removal by practice nurse or hospital out-patient nurse 10 days after surgery.

7) Your follow-up consultations with Prof Field 3 weeks and 3 months after surgery.

8) Your physiotherapy after discharge from hospital.

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

The Code is W3717. Prof Field’s fee is £1900.

Unilateral (one side) posterior approach hip resurfacing:

The Code is W3715. Prof Field’s fee is £1900.

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

The Code is W3780. Prof Field’s fee is £3500.

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

The Code is usually one of W3944, W3732 or W3733. Prof Field’s fee is £2000 – £3500 (depending on the complexity of the case).

What is included in Prof Field’s fee:

1) Prof Field’s fee for surgery and in-patient care.

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

What is not included in Prof Field’s fee:

1) Your pre-admission consenting consultation with Prof Field (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 Prof Field at 6 weeks post-surgery

9) Out-patient review with Prof Field at 6 months post-surgery.

Hip arthroscopy for femoro-acetabular impingement (FAI) and labral tears:

Prof Field’s package fee is £2100.

What is included in Prof Field’s fee:

1) Pre-admission consenting consultation with Prof Field (usually by Zoom).2) Prof Field’s fee for surgery and in-patient care.

3) Out-patient review at 3 weeks post-surgery

4) Out-patient review at 3 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 Prof Field’s fee:

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

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

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

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

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

6) Your physiotherapy after discharge from hospital.

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

Prof Field’s package fee is £2500.

Unilateral (one side) posterior approach hip resurfacing:

Prof Field’s package fee is £2500.

What is included in Prof Field’s fee:

1) Your pre-admission consenting consultation with Prof Field (usually by Zoom).

2) Prof Field’s fee for surgery and in-patient care.

3) Out-patient review with Prof Field at 6 weeks post-surgery

4) Out-patient review with Prof Field 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 Prof Field’s 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.

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

Prof Field’s package fee is £2600 – £4100 (depending on the complexity of the case).

What is included in Prof Field’s fee:

1) Your pre-admission consenting consultation with Prof Field (usually by Zoom).

2) Prof Field’s fee for surgery and in-patient care.

3) Out-patient review with Prof Field at 6 weeks post-surgery

4) Out-patient review with Prof Field 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 Prof Field’s 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.

Prof Field’s package fee for a bilateral (both sides) primary (first time) total hip replacement:

Prof Field’s package fee is £4100

What is included in Prof Field’s fee:

1) Your pre-admission consenting consultation with Prof Field (usually by Zoom).

2) Prof Field’s fee for surgery and in-patient care.

3) Out-patient review with Prof Field at 6 weeks post-surgery

4) Out-patient review with Prof Field 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 Prof Field’s 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.