Recent Requests

Skip Navigation Links.

Recent Requests shows all amendment requests that have a submitted, under review, approved, published or rejected status.
Approved, published and rejected requests will remain on this page for 75 days. 

The codes and narrative listed are those proposed, view the Schedule to see actual approved codes and narratives.

Viewing All
Request
Number
Date Code Current
Narrative
Proposed
Narrative
Type Current
Status
Reasons for
change
26/05/2016 F2620 Frenotomy /frenectomy of tongue Frenotomy /frenectomy of tongue under general anaesthetic Narrative Change Submitted Improves coding structure and adds clarityThis improves clarity as the procedure will now be split into performed under GA or the new code under LA.
26/05/2016 F2621 N/A Frenotomy /frenectomy of tongue under local anaesthetic New Code Submitted Improves coding structure and adds clarityIn small babies the procedure is very minor does not require general anaesthetic or theatre and is mostly treated at the initial consultation under local anaesthetic.
20/05/2016 XR124 N/A Bilateral image-guided vacuum assisted two breast lesions (with biopsy) New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity for insurers to set fees. These are interventional radiology procedures and the hospital (HJE) will agree a radiologists fee for each code. Separate codes makes the clinical difference clear i.e. unilateral or bilateral and number of excisions or biopsies. HJE will pay the radiologist and agree an all-inclusive price with insurers. Separate codes makes fee payments easier for the hospital to manage and also the prices reflect different time and consumables costs. All codes to be proposed XR121 (narrative change) XR122 XR123 XR124.
20/05/2016 XR123 N/A Bilateral image-guided vacuum assisted one breast lesion (with biopsy) New Code Submitted Improves coding structure and adds clarity for insurers to set fees. These are interventional radiology procedures and the hospital (HJE) will agree a radiologists fee for each code. Separate codes makes the clinical difference clear i.e. unilateral or bilateral and number of excisions or biopsies. HJE will pay the radiologist and agree an all-inclusive price with insurers. Separate codes makes fee payments easier for the hospital to manage and also the prices reflect different time and consumables costs. All codes to be proposed XR121 (narrative change) XR122 XR123 XR124.
20/05/2016 XR122 N/A Unilateral image-guided vacuum assisted two breast lesions (with biopsy) New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity for insurers to set fees. These are interventional radiology procedures and the hospital (HJE) will agree a radiologists fee for each code. Separate codes makes the clinical difference clear i.e. unilateral or bilateral and number of excisions or biopsies. HJE will pay the radiologist and agree an all-inclusive price with insurers. Separate codes makes fee payments easier for the hospital to manage and also the prices reflect different time and consumables costs. All codes to be proposed XR121 (narrative change) XR122 XR123 XR124.
20/05/2016 W7712 Stabilisation of unidirectional instability of shoulder joint (including anterior, posterior and arthroscopic) N/A Coding Principles Submitted We feel that W8820 is an integral part of W7712
20/05/2016 XR121 Image-guided vacuum assisted excision biopsy of breast lesions Unilateral Image-guided vacuum assisted excision one breast lesion (with biopsy) Narrative Change Submitted Improves coding structure and adds clarity for insurers to set fees for single and multiple procedures and to reflect difference in hospital costs for single and multiple procedures. These are interventional radiology procedures and we pay radiologists a fee for each code. We agree an inclusive hospital and radiologist price with insurers. Separate codes makes fee payments easier and also the price reflects different time and consumables costs. Other codes to be proposed XR122 XR123 XR124. Consumables costs are: 1 of these: Specimen casettes cell store pot Scalpel Blade with blue handle No.11 10ml Luer lock syringe Universal Basic Pack Steristrip 6 x 3.8cm Clinell Skin Swabs Streile Gauze 5ml 2% Lidocaine Atec Canister. 1 of these: 25g Luer lock orange needle 23g Lucer lock blue needle 21g Luer lock green needle 5ml Luer lock syringe Eviva needle guide Eviva Secur Marker (cork shaped) Eviva needle (Standard) Opsite 6.5 x 5cm 5ml 2% Lidocaine 10ml Lidocaine 2% and Adrenaline (1:200000) 250ml Saline Skin prep Chlorohexidine = £360 Time taken 60 mins
18/05/2016 N/A N/A Peripherally inserted central venous catheters (PICCs) (without X-ray guidance) New Code Submitted Improves coding structure and adds clarity - One of our providers who offer homecare for cancer patients have explained that they do not use the x-ray guidance when inserting PICC lines as they use this new system and so we feel there should be a code to reflect when the procedure is done without this element as is the case with other codes (eg: 25010 & 25011)
17/05/2016 S4213 Debridement and primary suture of wound without involvement of deeper tissue (skin & subcutaneous fat only) - Trunk & Limbs Debridement and primary suture of wound without involvement of deeper tissue (skin & subcutaneous fat only) - Trunk & Limbs (as a sole procedure) Narrative Change Submitted Our medical adviser feels this should be a standalone procedure
17/05/2016 S4213 Debridement and primary suture of wound without involvement of deeper tissue (skin & subcutaneous fat only) - Trunk & Limbs N/A Coding Principles Submitted Our medical advisor feels that S4740 is a minor addition to S4213 and that evacuation hematoma and/or drainage of abscess is an integral part of the debridement of a wound
12/05/2016 W9030 Injection(s) +/- aspiration, into joint, cyst, bursa or soft tissue, with image guidance N/A Coding Principles Submitted W9240 Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure) is listed as unacceptable with W9040 Injection(s) +/- aspiration, into joint, cyst, bursa or soft tissue but not with W9030 Injection(s) +/- aspiration, into joint, cyst, bursa or soft tissue, with image guidance. Should it not be applied to W9030 as well?
11/05/2016 B2990 Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) with vascularised lymph node transfer (including delayed reconstruction) N/A Coding Principles Submitted As per the discussion at the last Working Group meeting, these are the suggestions from AXA-PPP to add against the DIEP code
11/05/2016 B2989 Mastectomy followed by immediate Deep Inferior Epigastric Flap (DIEP) reconstruction - unilateral N/A Coding Principles Submitted As per the discussion at the last Working Group meeting, these are the suggestions from AXA-PPP to add against the DIEP code
11/05/2016 B2918 Mastectomy and immediate reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) N/A Coding Principles Submitted As per the discussion at the last Working Group meeting - these are the suggests from AXA-PPP to add against the ADM code
11/05/2016 B2917 Reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) (including delayed reconstruction) N/A Coding Principles Submitted As discussed at the last Working Group meeting - these codes should be added against the ADM codes. These suggestions have been put forward by AXA-PPP.
05/05/2016 n/a N/A Metabolic Testing New Code Submitted Improves coding structure and adds clarity
28/04/2016 G5020 Robotic laparoscopic switch of duodenum with vertical gastrectomy and biliary pancreatic diversion Robot assisted laparoscopic switch of duodenum with vertical gastrectomy and biliary pancreatic diversion Narrative Change Submitted To align current codes and consistencyAll codes would then start with 'Robot Assisted' rather than this one code using the term 'Robotic'.
26/04/2016 N/A N/A Placement of tined lead neurostimulator (as sole procedure) not at time of permanent implant. New Code Submitted Improves coding structure and adds clarityExisting code A7011 (Peripheral Nerve Evaluation PNE) for trial sacral nerve stimulation is no longer sufficient to represent the evaluation phases of sacral nerve stimulation (SNS). Although PNE remains a suitable test procedure for many patients it sometimes fails or produces inconclusive results. Patients in whom PNE has not been successful or for whom the clinician deems PNE to be inappropriate can benefit from a newer 2-stage technique of Advanced Evaluation using placement of a tined lead under general anaesthetic. This evaluation technique is becoming widely-used; recent NICE guidance IPG 536 (2015) states that 'there has been a move from using a 1-stage to a 2-stage technique for the evaluation phase of the procedure. It was noted that the latter is associated with better outcomes'. Although an application for CCSD coding for tined lead placement has recently been rejected we believe that this should be reconsidered in light of changing practice.
22/04/2016 K6111 Insertion of combined biventricular pacemaker and cardioverter defibrillator (CRT-D) N/A Coding Principles Submitted Our medical adviser has said that L9510 is an integral part of the main procedure.
20/04/2016 N/A N/A Renal Denervation New Code Published Brand new procedure/testBrand new procedure/test
13/04/2016 N/A N/A Repetitive transcranial magnetic stimulation for depression New Code Published Brand new procedure/testWe understand treatment is being offered at London Psychiatry Clinic based in Harley Street and Berrywood Hospital part of Northamptonshire Healthcare NHS Foundation Trust
12/04/2016 E2330 N/A N/A Reinstatement Published Code still required As discussed at the last meeting I am submitting the reinstatement request for the E2330 Removal of lesion of para-pharyngeal space
12/04/2016 T2720 Laparoscopic repair of incisional or ventral hernia requiring mesh N/A Coding Principles Published To keep in line with all other hernia codes, we feel the T2720 and T2400 should become an unbundled combination. We agree that they are different hernias although our audit team have identified several cases where only a single hernia is being treated and Specs are using this combination to mix ventral/umbilical and mesh repair. As such we feel this should be unbundled and then perhaps the ‘Guidance’ section should be updated with: “If you are carrying out different hernias at the same time, the unacceptable combination principles may not be applicable. You should contact the relevant insurer to discuss.”
11/04/2016 X3530 Sedation or general anaesthesia for MRI or CT scan N/A Inactivate Published Improves coding structure and adds clarityThis code is on the procedure schedule and would be used by a consultant there is no need for it to be on the diagnostic schedule as well when the hospitals will use the equivalent imaging code
09/04/2016 C3115 Surgical correction of squint - other vertical muscles N/A Inactivate Published Improves coding structure and adds clarity
09/04/2016 C3114 Surgical correction of squint - inferior oblique surgery N/A Inactivate Published Improves coding structure and adds clarity
09/04/2016 C3113 Surgical correction of squint - horizontal 2 muscles (in one eye, or one muscle in each of two eyes) Surgical correction of squint - bilateral Narrative Change Published Improves coding structure and adds clarity
09/04/2016 C3112 Surgical correction of squint - horizontal 1 muscle Surgical correction of squint - unilateral Narrative Change Published Improves coding structure and adds clarity
05/04/2016 TBA N/A Laparoscopic hysteropexy (including sacrohysteropexy) New Code Published Brand new procedure/testThis procedure is being performed in several NHS hospitals throughout the UK but there is no specific code in the schedule.
05/04/2016 XR361 N/A Prostate artery embolisation New Code Published Brand new procedure/testCCSD were asked to approve a new code for this procedure in May 2013 but it was declined on the basis of it being experimental. However it is now being performed on the NHS at University Hospital Southampton and privately at Spire Hospital Southampton so we think it makes sense to have a new code for it.
31/03/2016 F0911 N/A Coronectomy New Code Published Brand new procedure/testBrand new procedure/test. Surgical removal of impacted wisdom tooth is F0910 There is a new procedure for impacted teeth called 'Coronectomy' which involves just removing the crown of the tooth. It reduces the risk of nerve damage. But....sometimes the roots left behind cause problems and further surgery is needed (4-6%) medicolegally maxillofacial surgeons have to offer this as an alternative to surgical extraction when the nerve is at risk. The difficulty from the insurance point of view is that if the surgeon codes 'coronectomy' as F0910 & the patient needs further surgery for the retained roots (4-6% of cases) is generates an obvious issue!! At worst the patient may end up having to pay for the procedure. The insurance companies currently have no code for this technique.
26/03/2016 XR185 N/A Heimlich valve chest drain insertion for ambulatory management of pneumothorax post lung biopsy. Usually a controlled trio chat technique but can be done Seldinger New Code Under Review Brand new procedure/testHeimlich valve drain insertion is not currently in the CCSD schedule but will become a huge part of lung biopsy methodology going forward - and already is in some places. Please see www.lungdiagnosis.com This will become an ingrained procedure in the chest radiology world with the need to biopsy smaller lesions and in those with poor lung function. Different to XR180 as draining air not fluid therefore drain goes anteriorly and high in the chest with more risk due to subclavian vessels and mediastinum. Plus post drain management is very different ie not underwater seal drain.
22/03/2016 N/A N/A Intralesional injection of autologous platelet-rich plasma for hairloss New Code Rejected Brand new procedure/testPRP injections are now widely accepted to help with wound healing and arthritis. It is also being increasingly used for a range of hair loss disorders such as alopecia areata
Viewing All