Recent Requests

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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.

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Request
Number
Date Code Current
Narrative
Proposed
Narrative
Type Current
Status
Reasons for
change
27/08/2015 W7420 Autograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy/meniscal surgery) Autograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy) Narrative Change Submitted Improves coding structure and adds clarityThe narrative needs amending now that W8230 has been removed as an unbundling combination with the W7420. We have received several calls from Providers questioning this ambiguity.
24/08/2015 N/A N/A Microsurgical Varicocele Ligation New Code Submitted Brand new procedure/testLower recurrence rates (higher cure rate) and lower complications e.g. Hydrocele formation.
21/08/2015 N/A N/A Laser suture lysis New Code Submitted Currently there is no coding for this procedure
21/08/2015 N/A N/A Bleb needling +/- antimetabolites New Code Submitted Currently there is no CCSD code for this procedure.
21/08/2015 L0310 Percutaneous transluminal prosthetic occlusion of patent ductus arteriosus N/A Coding Principles Submitted All cardiac catheterisation codes are listed as unacceptable combinations with L0310 "Percutaneous transluminal prosthetic occlusion of patent ductus arteriosus" except K6520 "Paediatric cardiac catheterisation". As a patent ductus arteriosus is a congenital heart defect, can I suggest we add K6520 as an unacceptable combination with L0310?
20/08/2015 T8710 N/A Sentinel node biopsy (except where otherwise listed) New Code Submitted Improves coding structure and adds clarityHead of our Clinical Centre has suggested we need a generic sentinel node biopsy code. We have specific codes for breast and skin however we now have penile and a number of other rare cancers that need biopsying as per practice in the NHS.
20/08/2015 N1100 Correction of hydrocele Correction of hydrocele (s) Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
20/08/2015 B3015 Reconstruction of breast using fixed prosthesis (including delayed reconstruction) N/A Coding Principles Submitted Add S1750 as unbundled. When this procedure is being performed some patients need a mesh inserted to enable the prosthesis to sit correctly. Therefore it is not a true free muscle flap reconstruction, as there are no harvesting or repair of donor sites.
14/08/2015 W3650 Diagnostic aspiration and trephine biopsy of bone marrow Diagnostic aspiration and trephine biopsy of bone marrow, including analysis Narrative Change Submitted We have received invoices from Specialists billing for this code twice based on them having to report for the aspiration and trephine separately. Our Chief Medical Officer believes that the requested change in the narrative will make it clear to clinicians that the reporting of both elements are included in the one code and therefore not to be charged twice.
11/08/2015 N/A N/A Pulmonary Endarterectomy New Code Submitted Brand new procedure/testNo current code
07/08/2015 XR330 N/A Gastric intubation under imaging control New Code Submitted Brand new procedure/testBrand new procedure/test
06/08/2015 ZIO N/A Zio Patch Monitor New Code Submitted Brand new procedure/test
31/07/2015 XR190 N/A Ultrasound guided insertion of tunneled abdominal or pleural drain. New Code Submitted Brand new procedure/testThe procedure takes longer and is more specialised than standard ultrasound guided fluid drainage (XR180). It is used in the NHS for long term management of malignant ascites which is resistant to treatment i.e. is usually a palliative procedure. It saves money and hospital visits compared with standard repeated ascitic drainage as once inserted drainage can be performed at the patient's home.
21/07/2015 A6013 Cryosurgery of minor peripheral nerve (e.g. Mortons Neuroma) +/- ultrasound guidance Cryosurgery of minor peripheral nerve (eg. Morton's Neuroma +/- bursa) +/- ultrasound guidance +/- nerve stimulation Narrative Change Published Patients are positioned supine or prone according to the lesion location. Baseline scans are performed with a Esaote Ultrasound scanner using a linear 12-18 MHz transducer probe to identify the specific target nerve neuroma or bursa and to plan an appropriate trajectory for the cryoprobe. Utilising ultrasound guidance the target structures are infiltrated with a minimal amount of local anaesthetic and 20mg of methylprednisolone is then injected to the target. Following anaesthesia a 13 gauge trochar tip cryoprobe is advanced inter digitally. The 13 gauge trochar tip probe is used rather than the traditional 17 gauge probe as the 13 gauge probe creates less trauma to the surrounding tissue. The 13 gauge probe however requires greater precision and accuracy. The probe is advanced inter digitally (in order to reduce trauma rather than the plantar/dorsal approaches which are traditionally used) under ultrasound visualisation using a coaxial technique until just proximal to the nerve/neuroma/bursa/nerve trunk. Prior to commencing the cryo neuroablation the position of the probe is confirmed by electrical nerve stimulation of the target nerve (using the cryo-pac cryotherapy machine). Once in position the cryoprobe is activated and the temperature of the probe tip is decreased to -50 degrees centigrade and ice balls are created through a series of freeze/thaw cycles until the lesion is surrounded. The number of ice balls created is determined by the size of the lesion. Following the freeze cycles and thaw period the cryoprobe is withdrawn and the puncture site is closed with a steri-strip and dressed.
20/07/2015 IM284 Flow study uriunary tract with flow rate Flow study urinary tract with flow rate Narrative Change Published spelling mistake. Please update the spelling error from "uriunary" to "urinary" Thanks
16/07/2015 N/A N/A Excision of carotid body tumour (neck paraganglioma) New Code Under Review Improves coding structure and adds clarityImproves coding structure and adds clarity
16/07/2015 W7420 Autograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy/meniscal surgery) N/A Coding Principles Published There has been a recent change preventing the coding for a meniscal repair W8230 at the same time as an ACL reconstruction W7420. This has the potential to negatively impact on patient care as surgeons will perform a simple menisectomy as opposed to the more technically demanding repair or perform the surgery in two stages. Initial surgery of meniscal repair with a second surgery to reconstruct the ACL 6-12 weeks later. The long term sequelae for the patient will be poorer and the risk of arthritic changes higher. Meniscal repair is a specialised procedure with it's own set of risks including infection, hardware issues and non healing of the tear leading to reoperation. The increased duration of surgery, technical skill required and potential risks of meniscal repair all lead me to request that these codes are not bundled together. Yours sincerely Mr Pete Gallacher Consultant knee surgeon.
14/07/2015 N3032 N/A Revision circumcision New Code Published Improves coding structure and adds clarityThe addition of the revision circumcision code allows for minor adjustments to the original circumcision.
14/07/2015 T2502 Laparoscopic repair of incisional hernia N/A Coding Principles Published Add J0900 as unbundled with T2502 as the diagnostic laparoscopy is part and parcel of the main laparoscopic hernia procedure.
14/07/2015 N2782 Intralesional injection of pharmacologic agent for Peyronie’s disease Intralesional injection of pharmacologic agent for Peyronie’s disease (including post injection manipulation) Narrative Change Published To align current codes and consistencyThe addition of the post injection manipulation brings it into line with code T7440 Injection into cord for Dupuytren's Contracture (including post injection finger extension) and will stop unbundling as the injection and manipulation are part and parcel of the same procedure.
09/07/2015 L7032 Haemorrhoidal artery ligation operation (including image-guided) +/- recto anal prolapse repair N/A Coding Principles Published L7032 replaced L7030 but H4430 Examination of rectum under anaesthetic is not listed as unacceptable, which was the case with the old code. Please can we add H4430 as an unacceptable combination with L7032 Haemorrhoidal artery ligation operation (including image-guided) +/- recto anal prolapse repair?
07/07/2015 w7420 Autograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy/meniscal surgery) N/A Coding Principles Published Dear sir/ madam, Recently W8230 (menisucs repair) has been unbundled fromW7420. Menisucs repair is a specialist procedure that requires subspecialist training and skill in addition to taking more time. It also carries with it additional risk of complications to patients. Surgeons should therefore be reimbursed for it in conjunction with W7420. I was in full agreement when W8200 and W8500 was unbundled from W7420 but not W8230. By not rewarding surgeons for good practice (I.e. Menisucs repair) more people will simply respect meniscus instead of preserving it, which is not best practice and would be disastrous for patients. Please reconsider the unbundling of W8230 from W7420 ASAP. Yours sincerely Mr Rob Gilbert Consultant soft tissue knee surgeon
06/07/2015 S5524 Burn excision (wound/scar) trunk & limbs (not more than 2% body surface area) Burn excision (wound/scar) trunk & limbs (not more than 2% of body area) Narrative Change Published
06/07/2015 V3340 Primary anterior discectomy, decompression and anterior fusion +/- instrumentation - lumbar region (1 or 2 levels) N/A Coding Principles Published
06/07/2015 V2950 Anterior discectomy, decompression and fusion (including bone grafting) - cervical region (1 or 2 levels) N/A Coding Principles Published
06/07/2015 V2900 Anterior discectomy - cervical region (1 or 2 levels) N/A Coding Principles Published
06/07/2015 V2542 Posterior excision of disc prolapse with undercutting facetectomy +/- decompression - lumbar region (1 or 2 levels) N/A Coding Principles Published
06/07/2015 V2540 Posterior excision of disc prolapse (including microdiscectomy +/- decompression) - lumbar region (1 or 2 levels) N/A Coding Principles Published
06/07/2015 V2500 Primary posterior fusion +/- decompression +/- discectomy - lumbar region (1 or 2 levels) N/A Coding Principles Published
06/07/2015 V2200 Posterior decompression +/- foraminotomy - cervical region (1 or 2 levels) N/A Coding Principles Published
06/07/2015 V3720 Posterior fusion +/- instrumentation - cervical region (1 or 2 levels) N/A Coding Principles Published
06/07/2015 V3380 Prosthetic intervertebral disc replacement – lumbar region (1 or 2 levels) N/A Coding Principles Published
06/07/2015 V2282 Prosthetic intervertebral disc replacement – cervical region (1 or 2 levels) N/A Coding Principles Published
06/07/2015 V3341 Primary anterior discectomy, decompression and anterior fusion +/- instrumentation - lumbar region (3 or more levels) N/A Coding Principles Published
06/07/2015 V2951 Anterior discectomy, decompression and fusion (including bone grafting) - cervical region (3 or more levels) N/A Coding Principles Published
06/07/2015 V2901 Anterior discectomy - cervical region (3 or more levels) N/A Coding Principles Published
06/07/2015 V2546 Posterior excision of disc prolapse with undercutting facetectomy +/- decompression - lumbar region (3 or more levels) N/A Coding Principles Published
06/07/2015 V2541 Posterior excision of disc prolapse (including microdiscectomy +/- decompression) - lumbar region (3 or more levels) N/A Coding Principles Published
06/07/2015 V2501 Primary posterior fusion +/- decompression +/- discectomy - lumbar region (3 or more levels) N/A Coding Principles Published
06/07/2015 V2201 Posterior decompression +/- foraminotomy - cervical region (3 or more levels) N/A Coding Principles Published
06/07/2015 V3721 Posterior fusion +/- instrumentation - cervical region (3 or more levels) N/A Coding Principles Published
06/07/2015 V3381 Prosthetic intervertebral disc replacement – lumbar region (3 or more levels) N/A Coding Principles Published
06/07/2015 V2283 Prosthetic intervertebral disc replacement - cervical region (3 or more levels) N/A Coding Principles Published
06/07/2015 W8580 Multiple arthroscopic operation on knee (including meniscectomy, chondroplasty, drilling or microfracture) - bilateral N/A Coding Principles Published
22/06/2015 OP013 N/A ocular aberrometry New Code Published Brand new procedure/testProcedure used widely by ophthalmologists but no recognised CCSD code
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