The original project involved clinicians from all the UK Royal Colleges, where more than 130 clinicians across 22 specialty groups developed the new codes and narratives. This involved over 80 meetings with single specialty groups and a nationwide survey of 5,000 consultants, with over 1,500 replies.
The CCSD Board and Working Group have representatives from Aviva, AXA-PPP healthcare, Bupa, Simplyhealth and PruHealth.
Capita (formerly Tribal) who specialise in healthcare communications, chairs the Working Group and co-ordinates these forums. Capita was appointed to manage these groups as the insurers within the CCSD Group felt that as an independent party, Capita would manage the needs and expectations of all stakeholders fairly.
The original 'Relative Values Review' involved two pieces of development work, one relating to the development of revised codes and narratives, the other relating to the setting of a scale of relative values reflecting the work undertaken by either the surgeon or anaesthetist undertaking the activity. Following an investigation by the Office of Fair Trading, it was felt that it was not appropriate to progress the relative values element of the project.A considerable amount of time was invested after the feedback from the OFT in performing a detailed review of the codes that resulted in the implementation of the CCSD Schedule in January 2006.
No, the OFT investigated the initial project work titled 'Relative Values Review'. The 'Relative Values Review' was made up of two components:
(1) Updated procedure codes and narratives.
(2) Relative complexities for each procedure for surgeons and anesthetists.
The OFT advice was that the second component of the project only, relating to relative values should not be progressed.
The CCSD Group's objective was to implement and maintain the first component of the project only, the updated procedure codes and narratives, which formed the CCSD Schedule. In line with the guidance received from the OFT, the relative values component did not form part of this project and was NOT implemented nor disseminated further. The CCSD Group will give regular updates to the OFT regarding the project outputs, to keep them abreast of project developments so that competition law is not breached.
No, the CCSD Group does not discuss or determine fees
The inclusion of a procedure code and/or its associated Coding Principles in the CCSD Schedule does not necessarily mean that it is endorsed by all members of the CCSD Group and codes may or may not be included in individual insurers’ own Schedules or covered.
The Coding Principles are non-exhaustive guidelines only, each individual insurer may choose whether or not to adopt an individual combination of codes in practice and you will need to contact the insurer for further information.
It is up to each individual insurer to make this decision and you should contact each insurer, as appropriate, for further details of their fee levels, the benefit limits and eligibility of specific procedures.
The CCSD Schedule focuses on delivering a common set of codes and narratives for surgical and medical treatments. The fees payable for these services will continue to be set by each individual insurer and you should contact each insurer, as appropriate, for further information on their fee levels.
Please see instructions on the Schedule Amendments page which describes how to request a CCSD Schedule amendment in full. It is advised that you check the code requests in progress on the View Requests list within Schedule Amendments, as another request may have been recently submitted that matches your suggestion.
If a suitable code and narrative does not already exist log into the Members' area. Select the Submit Request Amendment page from Schedule Amendments and complete the form. If you do not have all the complete information you can save and complete the form at a later time.
New or amended codes are not included in the CCSD Schedule until they have been approved by the CCSD Working Group; as shown by their 'pending' status within the Recent Requests of Schedule Amendments.
These codes describe the activity that the clinician undertakes in planning and delivering chemotherapy to cancer patients during an episode of care. They do not describe the procurement and administration of medicines to patients.
The appropriate X code should be assigned only once during each episode of care, to describe the chemotherapy regimens planned and supervised. The X code is selected based on the cycle length of the chemotherapy regimen. X0001 refers to chemotherapy regimens with a cycle length of up to 7 days such as BEP3. X0002 refers to chemotherapy regimens with a cycle length of 8 to 14 days such as ICE. X0003 refers to chemotherapy regimens with a cycle length of 15 to 21 days such as CMF21. X0004 refers to chemotherapy regimens with a cycle length greater than 22 days such as FEC. For those episodes of chemotherapy where medicines are prescribed daily such as hydroxyurea, code X0004 should be assigned.
If you do not have a current GMC number and you are an individual healthcare provider; please contact us for information on how to gain access to the CCSD Schedule at firstname.lastname@example.org.
If you have a query regarding the CCSD Group and licensing of the CCSD Schedule, you should email Capita at email@example.com and one of the project team members will contact you regarding your query.
If your query is about cover or reimbursement for a particular code, you should contact the relevant insurer.
Reimbursement is decided by each insurer. It is suggested that reimbursement queries are discussed directly with the respective insurance company. The CCSD Schedule is coordinated by Capita Health and any queries/complaints about the CCSD Schedule should be directed to:
CCSD Services Limitedc/o Capita Health3rd Floor17-19 Rochester RowLondon SW1P 1JB
You log into the Members' area using your email address and password. You should use the email address which you provided us with on your original application form.
Please use the Forgot Password reminder if you have forgotten your password. If your email address is not recognised then please contact us on firstname.lastname@example.org.
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To view inactive codes please tick the ‘view inactive codes’ box under the search box or select a chapter from the chapter list scroll down menu.
The green button signifies that there are Coding Principles assigned to that particular code. Click on the green button to view the unacceptable combinations.
The blue button signifies there are currently no Coding Principles assigned to the code.
If you wish to provide general feedback regarding the Coding Principles please email email@example.com.
Please go to the login page and click on the forgotten password function. You will be asked to enter your email and you should shortly receive a password reminder via email.
Yes, as long as they apply to the same type of user licence as the organisation is registered under.
That is correct, if a code has ‘as sole procedure’ in its narrative it should not be performed in addition to another procedure.
The CCSD website had 80,361 visits during 2011, of which 79% were returning visitors. Slightly over half of these visitors accessed the website directly, whereas 32% came from search engines and 17% came from referring websites such as Aviva, Cigna, PruHealth, and WPA.
Over 95% of the users of the CCSD website are from the UK. The rest of our users access the website from Belgium, India, Malta, Malaysia, South Africa and the USA.
About a quarter of our visitors directly access the website to verify procedure codes on their individual pages. Over 10% of visitors use the code search engine to find the relevant code and 5% use the chapter listing to browse for codes. About 2% of our users enter the login area to access further materials only available by logging in.
No, these codes present diagnostic service charges and although issued by CCSD do not constitute procedures. The CCSD Schedule of Procedure codes are those you load, and will continue to, into your procedure code table(s). These Schedule of Diagnostic Test codes will be mapped to Charge Master codes as per existing ISC codes.
That is a matter between individual insurers and providers however the expectation is that this classification will determine the contracted service reference for Diagnostic tests going forward.
No. While in a perfect world all parties will use a uniform and unambiguous set of codes for all business transactions we understand the practical realities are very different. As such we would expect to map provider’s Chargemaster codes to ‘new’ ISCs in the current practice.
No. As above, insurers specify the grouping and hence output they wish to receive from Healthcode and that principle will be maintained. Naturally should an insurer wish to replace its existing codes it will be able to do so, but this is not a prerequisite for their deployment. Nor is this a requirement to provide validation or price screening at the granular level.
No. The numbering and coding system presented within the schedules are not deployable in a systemised manner. Healthcode will therefore map the CCSD schedule codes to ISCs. This may require creation of new ISCs or renaming of existing ones and, where this is the case, Healthcode will create and amend within the ISC schedule.
Not necessarily. Where a CCSD code supersedes an existing ISC the ISC will most likely be retired. Where an ISC needs to exist beyond the insured world (i.e. the code may be required by hospitals for non-insured work) it will be retained. It is important not to confuse the existence of a code on the schedule with its acceptability on a PMI invoice.
The codes are now effective immediately and any new code mappings undertaken by Healthcode will take them into account. Individual insurers and providers will introduce them to their own schedules but it is intended major insurers and providers will commence deployment this year (2013).
Nothing regarding the deployment. Healthcode will work with CCSD member organisations initially to ensure their existing Industry Standard Code mappings and the relationships with the new ISC codes are understood and accepted and then agree with them how and when they should be introduced with providers.
Individual insurers will engage Healthcode and individual providers to ensure the ‘end-to-end’ mapping from the provider’s Chargemaster to the code received by the Insurer is in line with each organisation’s expectations. As there is a single, common, Chargemaster mapping of codes between providers and Healthcode ISCs, the first insurer to be deployed for any given hospital provider will require a substantially larger effort than subsequent deployments.
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