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.

 

Please click on the individual code requests below if you wish to comment on the approved requests. You will need to login as a user to post any comments. 

 

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

Sort by:
Request No.
Date
Proposed Code
Proposed Narrative
Type
Current Status
Reasons for change
Comments
Page    
1
1328
09/06/2014
H2220
Endoscopic ultrasound for tumour staging, including diagnostic endoscopy
Narrative Change
Published
Some providers are submitting invoices for the diagnostic test (gastroscopy or colonoscopy) as an additional investigation, but we feel it is an integral part of the main procedure - this narrative change would clarify it.
0
1329
09/06/2014
W7420
Autograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy)
Narrative Change
Approved
Our CMO has suggested removing “simple” from the description, as this is impossible to define.
0
1330
11/06/2014
C7122
Phakoemulsification of cataract, with lens implant - unilateral (including local anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1331
11/06/2014
C7123
Phakoemulsification of cataract, without lens implant - unilateral (including local anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1332
11/06/2014
C7124
Phakoemulsification of cataracts, without lens implant - bilateral (including topical anaesthetic)
Narrative Change
Approved
Phakoemulsification of cataract, without lens implant - unilateral (including topical local anaesthetic)
0
1333
11/06/2014
C7125
Phakoemulsification of cataracts, with lens implant - bilateral (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1334
11/06/2014
C6010
Surgical trabeculectomy or other penetrating glaucoma procedures (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1335
11/06/2014
C6011
Canaloplasty (of Schlemm’s Canal with microcatheter) (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1336
11/06/2014
C6012
Canaloplasty (of Schlemm's Canal with microcatheter) combined with phakoemulsification of lens with implant "Phako-Canaloplasty" (including local anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1337
11/06/2014
C6110
Laser trabeculoplasty (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1338
11/06/2014
C6120
Trabecular stent bypass microsurgery for open-angle glaucoma (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1339
11/06/2014
C6130
Goniotomy (surgical treatment of glaucoma) (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1340
11/06/2014
C6150
Revision of previous glaucoma surgery (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1341
11/06/2014
C6160
Complex glaucoma surgery (including anti-metabolites/insertion of seton devices) (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1342
11/06/2014
C6170
Goniosynechialysis or goniopuncture (with laser or operatively) (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1343
11/06/2014
C6930
Injection into anterior chamber (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1345
12/06/2014
V4800
Injection around apophyseal facet(s) of vertebrae
Inactivate
Approved
This is covered by A5750/A5760/A5770 and we have seen very low volumes on V4800 in our data.
0
1346
13/06/2014
A0110
Hemispherotomy
Narrative Change
Approved
This is a more appropriate and current clinical description of the procedure being carried out. The two brain spheres are disconnected rather than removed (which would have been the old approach - hemispherectomy).
0
1347
16/06/2014
A0980
Deep brain stimulation
Narrative Change
Approved
This procedure is not only performed on patients with Parkinson’s Disease, but for a range of movement/functional disorders. Upon sourcing the support from experts on this, we propose removing Parkinson’s Disease from the narrative to enable the use of this code in those other cases.
0
1350
16/06/2014
L3320
Clipping of cerebral artery aneurysm
Narrative Change
Approved
This procedure involves the application of a clip around an aneurysm to reduce the risk of rupture and relieve symptoms. Clipping is a more specialist approach that has superseded the need for ligation.
0
1351
16/06/2014
A4110
Evacuation of subdural haematoma
Narrative Change
Rejected
This procedure applies to the evacuation of blood in the subdural space. 'Evacuation of abscess’ is an outdated description and is now more commonly referred to as 'excision of abscess' which is already found in the CCSD Schedule under code A0180 Excision of abscess of brain. Therefore, It is proposed that 'or abscess' is removed from the narrative of A4110.
0
1352
16/06/2014
A5780
Rhizolysis
Narrative Change
Approved
This is performed through the skin to relieve back pain, where a probe is inserted to the painful site. If it is done as a deep approach then it is referred to as a ‘decompression’ operation and is covered under other codes e.g. V2500 Primary posterior fusion +/- decompression +/- discectomy (lumbar region) and V2510 Endoscopic Discectomy and or Decompression (Transforaminal) - Lumbar region. Therefore we propose that '(open)' is removed from A5780 because it is not an accurate description.
0
1353
16/06/2014
V3720
Posterior fusion (cervical region) (1 level)
Narrative Change
Approved
Provides clarity on the number of levels of the spine being treated
0
1354
16/06/2014
V3721
Posterior fusion (cervical region) (2 levels)
New Procedure
Approved
0
1356
16/06/2014
V2900
Anterior discectomy (cervical region) (1 level)
Narrative Change
Approved
Provides clarity on the number of levels of the spine being treated.
0
1357
16/06/2014
V2901
Anterior discectomy (cervical region) (2 levels)
New Procedure
Approved
0
1359
16/06/2014
V3380
Prosthetic replacement of lumbar disc (1 level)
Narrative Change
Approved
Provides clarity on the number of levels of the spine being treated.
0
1360
16/06/2014
V3381
Prosthetic replacement of lumbar disc (2 levels)
New Procedure
Approved
0
1362
16/06/2014
V3340
Primary anterior discectomy, decompression and anterior fusion +/- instrumentation (lumbar region) (1 level)
Narrative Change
Approved
Provides clarity on the number of levels of the spine being treated.
0
1363
16/06/2014
V3341
Primary anterior discectomy, decompression and anterior fusion +/- instrumentation (lumbar region) (2 levels)
New Procedure
Approved
0
1365
16/06/2014
V2200
Posterior decompression +/- foraminotomy (cervical region) (1 level)
Narrative Change
Approved
Provides clarity on the number of levels of the spine being treated.
0
1367
16/06/2014
V2201
Posterior decompression +/- foraminotomy (cervical region) (2 levels)
New Procedure
Approved
0
1369
16/06/2014
V2500
Primary posterior fusion +/- decompression +/- discectomy (lumbar region) (1 level)
Narrative Change
Approved
Provides clarity on the number of levels of the spine being treated.
0
1370
16/06/2014
V2501
Primary posterior fusion +/- decompression +/- discectomy (lumbar region) (2 levels)
New Procedure
Approved
0
1372
16/06/2014
V2282
Prosthetic intervertebral disc replacement - cervical spine (1 level)
Narrative Change
Approved
Provides clarity on the number of levels of the spine being treated.
0
1373
16/06/2014
V2283
Prosthetic intervertebral disc replacement - cervical spine (2 levels)
New Procedure
Approved
0
1375
16/06/2014
V2950
Anterior discectomy, decompression and fusion (including bone grafting / multiple levels) (cervical region) (1 level)
Narrative Change
Approved
Provides clarity on the number of levels of the spine being treated.
0
1376
16/06/2014
V2951
Anterior discectomy, decompression and fusion (including bone grafting / multiple levels) (cervical region) (2 levels)
New Procedure
Approved
0
1378
16/06/2014
V2542
Posterior excision of disc prolapse with undercutting facetectomy +/- decompression (lumbar region) (1 level)
Narrative Change
Approved
Provides clarity on the number of levels of the spine being treated.
0
1379
16/06/2014
V2546
Posterior excision of disc prolapse with undercutting facetectomy (lumbar region) (2 levels)
New Procedure
Approved
0
1381
16/06/2014
V2540
Posterior excision of disc prolapse (including microdiscectomy +/- decompression) (lumbar region) (1 level)
Narrative Change
Approved
Provides clarity on the number of levels of the spine being treated.
0
1382
16/06/2014
V2541
Posterior excision of disc prolapse (including microdiscectomy +/- decompression) (lumbar region) (2 levels)
New Procedure
Approved
0
1384
17/06/2014
P2610
Insertion of hodge pessary into vagina
New Procedure
Approved
0
1387
01/07/2014
V4110
Correction of idiopathic juvenile scoliosis with insertion of spinal magnetic growth rods, +/-fusion (including spinal cord monitoring)
New Procedure
Approved
0
1388
01/07/2014
V4132
Distraction of spinal magnetic growth rods for idiopathic juvenile scoliosis
New Procedure
Approved
0
1389
02/07/2014
S4760
Percutaneous image guided fine needle aspiration (FNA)
Narrative Change
Approved
0
1390
02/07/2014
G4460
Endoscopic radiofrequency ablation for gastro-oesophageal reflux disease
New Procedure
Approved
0
1391
02/07/2014
T6800
Delayed or secondary repair of tendon (including graft, transfer and/or prosthesis) (not otherwise specified)
Narrative Change
Approved
Same reason as the one for changing the narrative on T6822 to "Delayed or secondary repair of Achilles tendon with tendon or fascial graft. We amended this narrative in March 2013 after we spoke to an ankle surgeon about a delayed primary Achilles repair. Apparently, the patient ruptured his Achilles over 2 months ago, making this a more complex surgical procedure, which will take 60-75 minutes compared to the usual 15 minutes for a T6780 ”Primary repair of Achilles tendon”. The surgeon suggeste
0
1394
10/07/2014
20132
Exercise or Dobutamine stress echocardiography (including ECG and reporting)
Narrative Change
Approved
Our CMO has asked for ths addition to prevent us being billed for an additional ECG alongside this.
0
1395
14/07/2014
V2561
Decompression for central spinal stenosis (2 levels)
New Procedure
Rejected
0
Page    
1