Table 1.

UTMB CDM standardised surgery levels

A. Equipment - Degree of specialised equipment required
Criteria Points	Equipment Level	Equipment - Level Criteria
1	Room Standard ($5,000)	Suction, bovie, bair hugger, head light
2	Basic ($5,000–$10,000)	Basic microscope, Fluoroscan, Power equipment (drills, reamers, saws, shavers), Tourniquet, Berkley evacuator, C-arm, Ultrasound, Video system
3	Complex ($10,000–$250,000)	Cell saver, Laser, Ultra drive, Harmonic scalpel, Argon beam, Anspach, Thermochoice, Versapoint, Surex, Fluid management system, Tables, (Chix, FX, Jackson), MIS Suite, NeoProbe
4	Specialty ($25,000–$75,000)	CUSA, Heart/Lung, Stealth, Retinal equipment, Lesion generator, NIM, Specialty tables, Specialty microscopes, Phaco equipment, Holmium laser, Cryo machine
5	Advanced specialty ($75,000+)	Robotics, CT scanner, Brain Lab, Bypass pump
B. Instruments - Number of trays/kits
Criteria Points	Criteria
1	0–1 Tray
2	2–5 Trays
3	6–10 Trays
4	11+ Trays
C. Setup Time - Preparation & teardown of room
Criteria Points	Criteria
1	Up to 10 minutes
2	11–20 minutes
3	21–40 minutes
4	40+ minutes
D. Staff - Number of staff needed
Criteria Points	Criteria
1	1 person
2	2 persons
3	3 persons
4	4 persons
E. Supplies - Routine (non-billable)
Criteria Points	Supply-level name	Supply-level criteria
1	Basic (Minimally invasive/Minimum supply as breast biopsy)	Towels, drapes (half sheet), prep set, gloves, suction, bovie pad, gown, masks, shields, minimal dressings, raytecs
2	Complex (Cases with moderate supplies such as exploratory laparoscopy)	All the basic supply pus: Packs (covers, drapes, gowns, basins, sponges)
3	Advanced (Cases with extensive supplies, such as Whipples)	All the basic supply pus: Packs (covers, drapes, gowns, basins, sponges)
Point system summary
Surgery level	Total points assigned
1	0–6 points
2	7–8 points
3	9–11 points
4	12–13 points
5	14+ points

UTMB: University of Texas Medical Branch; CDM: Charge Description Master