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
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'.
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 Submitted Brand new procedure/test
13/04/2016 N/A N/A Repetitive transcranial magnetic stimulation for depression New Code Submitted 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 Submitted 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 Submitted 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 Submitted 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
07/04/2016 XR360 Embolisation of vascular mass (including uterine embolisation) Embolisation of uterine fibroids Narrative Change Submitted Improves coding structure and adds clarityOur CMO has advised that apart from Prostate embolisation the only situation we can anticipate when Embolisation of a Pelvic Mass may be needed is following fracture of pelvis – however we anticipate that this scenario would be rare. If the new code for Prostate artery embolisation is approved we feel the narrative of this code should be changed.
05/04/2016 TBA N/A Laparoscopic hysteropexy (including sacrohysteropexy) New Code Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted 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
02/03/2016 L1401 N/A Extra-Corporeal Membrane Oxygenation New Code Published Brand new procedure/testBrand new procedure/test
01/03/2016 E2480 Pharyngeal pouch - endoscopic procedures Endoscopic operation(s) on pharyngeal pouch (e.g. Dohlman’s Procedure) Narrative Change Published Improves coding structure and adds claritySee - https://www.nice.org.uk/guidance/ipg22 for further info.
01/03/2016 E2320 Operation(s) on pharyngeal pouch (exterior approach) Open operation(s) on pharyngeal pouch Narrative Change Published Improves coding structure and adds clarityImproves coding structure and adds clarity
25/02/2016 M4780 Urodynamic studies/urodynamic assessment Invasive urodynamic assessment including pressure/flow measurements Narrative Change Published These two codes both refer to urodynamic tests (please refer to narrative change for IM284 too) clinically there is a distinction between the complexities of them. IM284 refers to a more basic study whereas M4780 is more complex because this test is a combination of the pressure and flow part. We have sought clinical input from MR T P Briggs
25/02/2016 M4780 Urodynamic studies/urodynamic assessment Invasive urodynamic assessment including pressure/flow measurements Narrative Change Published Improves coding structure and adds clarityThese two codes both refer to urodynamic tests (please refer to narrative change for IM284 too) clinically there is a distinction between the complexities of them. IM284 refers to a more basic study whereas M4780 is more complex because this test is a combination of the pressure and flow part. We have sought clinical input from MR T P Briggs
25/02/2016 IM284 Flow study urinary tract with flow rate Basic urodynamic study with flow rate and residual only Narrative Change Published Improves coding structure and adds clarityThese two codes both refer to urodynamic tests (refer to narrative change for M4780 too) clinically there is a distinction between the complexities of them. IM284 refers to a more basic study whereas M4780 is more complex because this test is a combination of the pressure and flow part. We have sought clinical input from MR T P Briggs
22/02/2016 C3115 Surgical correction of squint - other vertical muscles Surgical correction of squint - other vertical muscles (in one eye, or one muscle in each of two eyes) Narrative Change Under Review Improves coding structure and adds clarityOur CMO would like to request this addition in line with the narrative for C3115 which includes the wording (in one eye or one muscle in each of two eyes) - to prevent this code being billed twice for bilateral procedures.
22/02/2016 C6110 Laser trabeculoplasty (including topical or local anaesthetic) (and bilateral) Laser trabeculoplasty (including topical or local anaesthetic) - bilateral Narrative Change Published Our CMO has been approached by an Ophthalmic surgeon who feels it is unfair for C6110 to cover both unilateral and bilateral - he raises as a comparison the cods for YAG laser treatments which are coded separately for unilateral and bilateral (C7340 & C7341). Our CMO agrees and so we are submitting this request for a new code plus an amendment to code C6110 to make it unilateral only.
22/02/2016 C6111 N/A Laser trabeculoplasty (including topical or local anaesthetic) - unilateral New Code Published Improves coding structure and adds clarityOur CMO has been approached by an Ophthalmic surgeon who feels it is unfair for C6110 to cover both unilateral and bilateral - he raises as a comparison the cods for YAG laser treatments which are coded separately for unilateral and bilateral (C7340 & C7341). Our CMO agrees and so we are submitting this request for a new code plus an amendment to code C6110 to make it unilateral only.
22/02/2016 S2002 Small island flap (less than 9cm2) Small island flap (less than 9cm2) as sole procedure Narrative Change Rejected Our CMO feels that this procedure is often included within other procedures and so feels that by adding in "as sole procedure" this would prevent it being billed alongside codes for procedures that already include this element.
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