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
20/07/2016 N/A N/A Liposuction for Lymphoedema Extremity New Code Submitted Brand new procedure/test
20/07/2016 N/A N/A Lymphatico-Venous Anastomosis (LVA) New Code Submitted Brand new procedure/test
20/07/2016 N/A N/A Free microvascular lymph-node transfer New Code Submitted Brand new procedure/test
18/07/2016 N/A N/A Repositioning of lens implant New Code Submitted We are receiving requests from surgeons/hospitals where the implanted intraocular lens slips out of position following cataract surgery. We have a code for lens exchange / implant (C7520) but we don’t have a code for repositioning of the existing artificial intraocular lens. Currently we have had to code this under C7520 which clinically isn't correct so we need a new code to close the gap in coding.
14/07/2016 M4290 Endoscopic investigation of bladder using hexaminolevulinate blue light florescence +/- resection of lesions N/A Inactivate Submitted See code request for 3393 for reasons.
14/07/2016 M4512 Diagnostic examination of bladder using hexaminolevulinate blue-light fluorescence cystoscopy EXAMINATION OF BLADDER USING HEXAMINOLEVULINATE BLUE-LIGHT FLUORESCENCE CYSTOSCOPY +/- RESECTION OF LESIONS Narrative Change Submitted To replace codes already in the scheduleCodes M4290 and M4512 are essentially describing the same procedure. As it currently stands you could bill either code for an endoscopic examination of bladder using blue light without a resection of lesion. Therefore it makes sense to have one code with +/- resection of lesions. Code M4290 would need to be deactivated.
14/07/2016 X3750 Botulinus toxin injections to muscle Botulinum toxin injections to muscle Narrative Change Submitted The correct term for the injectable should be botulinum toxin. Botulinus relates to the illness – botulinus intoxication or botulism. This also aligns the coding structure as it matches the other Botox code C3780 Injection of botulinum toxin into extraocular or periocular muscles.
12/07/2016 M3411 N/A Robotic assisted laparoscopic cystectomy without prostatectomy. New Code Submitted Improves coding structure and adds clarityTo provide for situations where the procedure is performed without the additional procedure of prostatectomy. See previous narrative change for M3410.
12/07/2016 M3410 Robotic assisted laparoscopic cystectomy +/- the removal of prostate Robotic assisted laparoscopic cystectomy with prostatectomy. Narrative Change Submitted Improves coding structure and adds clarityThis procedure requires two codes to account for situations where prostatectomy is performed and those situations where prostatectomy is not performed. Our CMO feels that the use of +/- does not take into account the complexity of the additional prostatectomy procedure. *** See new code request for Robotic assisted laparoscopic cystectomy without prostatectomy.
08/07/2016 CD015 Stress echo +/- contrast - exercise N/A Coding Principles Submitted On the procedure schedule 20110 unbundle with 20132, we feel CD015 is similar to 20132 and should unbundle to align with the procedure schedule.
08/07/2016 20110 ECG (including reporting) N/A Coding Principles Submitted These two codes are integral to one another, 20130 includes ECG and reporting and so there would not be a need for 20110 to be performed alongside. This should also be mirrored on the procedure schedule as they are on both schedules
08/07/2016 N/A N/A Multiparametric MRI of Brain New Code Submitted Brand new procedure/testComplex MRI that doesn't fit inside the normal scope of standard MRI. Requires multiple additional acquisition sequences and complex additional processing and analysis for interpretation/reporting. Length of protocol and analysis is not reflected in existing codes. BUPA have requested creation of new code after detailed discussions were had between Nuada Medical Julia Ross (Head of Cardiac Cancer & Radiology Healthcare Management) and Adam Waldman (PhD FRCP FRCR Professor of Neuroradiology).
07/07/2016 Q5450 N/A Laparoscopic hysteropexy (including sacrohysteropexy) +/- ureterolysis Narrative Change Submitted To align current codes and consistencyTo bring this relatively new code in line with similar ones eg. Q1701 Q3800 & Q3900.
07/07/2016 M7940 Internal urethrotomy (including cystoscopy) Internal urethrotomy (including cystoscopy +/- dilatation) Narrative Change Submitted Improves coding structure and adds clarityThis procedure often includes dilatation which does not add a significant amount of time to the operation or increase complexity.
28/06/2016 C6111 Laser trabeculoplasty (including topical or local anaesthetic) - unilateral N/A Coding Principles Submitted This code should mirror the unbundling of C6110 as it is the bilateral version of it. When this code was agreed a few months ago it was agreed to mirror the unbundling but it does not seem to have gone through
24/06/2016 U1290 Video urodynamic studies Invasive urodynamic assessment including pressure/flow measurement using fluoroscopy Narrative Change Submitted Currently there is one CCSD code for invasive urodynamics that being M4780. Recently CCSD updated the narrative for M4780 to ‘Invasive urodynamic assessment including pressure/flow measurement’ from its previous description however not all invasive urodynamic studies include video/fluoroscopy. The video urodynamics test is an invasive procedure that involves fluoroscopy and we would like this code to be completely separated from M4780 which covers just standard invasive urodynamics tests. The reason for this is because the insurers have no way of differentiating currently between invasive fluoroscopic and invasive non fluoroscopic tests as the test name does not clearly identify the difference between the two.
21/06/2016 B0410 Transsphenoidal hypophysectomy (including total) N/A Coding Principles Published The suggestion is to add B0410 with A3900 The procedure B0410 is the removal of a pituitary tumour through the sphenoid sinus, during the procedure the Dura is opened to expose the tumour and pituitary gland. Therefore repair of Dura is part of the procedure as this would never be left open as it would cause a leak in CSF.
16/06/2016 CD015 Stress echo +/- contrast - exercise N/A Coding Principles Published 64300 is on both schedules, it currently unbundle with 20132 in the procedure schedule. We feel that CD015 is integral to 64300 and should unbundle
16/06/2016 xxxxx N/A Breast caner prognostic gene signature assay New Code Published Improves coding structure and adds clarityThe Prosigna Breast Cancer Prognostic Gene Signature Assay (formerly called the PAM50 test) made by NanoString is a genomic test that analyzes the activity of certain genes in early-stage hormone-receptor-positive breast cancer. Research suggests the test may eventually be widely used to help make treatment decisions based on the risk of distant recurrence (cancer coming back in a part of the body away from the breast) for postmenopausal women within 10 years of diagnosis of early-stage hormone-receptor positive disease with up to three positive lymph nodes after 5 years of hormonal therapy treatment. The Prosigna assay looks at the activity of 58 genes (called the PAM50 gene signature) to estimate the risk of distant recurrence of hormone-receptor-positive breast cancer from 5 to 10 years after diagnosis after 5 years of hormonal therapy treatment in postmenopausal women. Based on these activity levels Prosigna assay results are reported as a risk of recurrence (ROR) score from 0 to 100 in two ways: • node-negative cancers are classified as low (0-40) intermediate (41-60) or high (61-100) risk • node-positive cancers are classified as low (0-40) or high (41-100) risk
15/06/2016 Q0710 Radical hysterectomy and lymphadenectomy (Wertheim's) +/- ureterolysis Radical hysterectomy and lymphadenectomy (Wertheim's) to include removal of the uterus, connective tissue, Fallopian tubes, ovaries and upper part of the vagina +/- ureterolysis Narrative Change Rejected Improves coding structure and adds clarityImproves coding structure and adds clarity
15/06/2016 W0321 Osteotomy/ies (eg Scarf and Akin) for Hallux Valgus correction with or without internal fixation and soft tissue correction N/A Coding Principles Rejected I would like the W1040 code to be used with W0321. New rules class this combination as unbundling. A 2nd hammer toe often co exists with a bunion and both require correction, which are distinct procedures. When a 2nd hammer toe is corrected, an osteotomy of the proximal phalanx is performed (W1040). This is a separate procedure and unrelated to the bunion correction (W0321), so I cannot see why this is unbundling. Please could this be explained? I would be grateful if W1040 can billed with W0321. Please advise. Thanks you.
15/06/2016 TBA N/A Manipulation under local anaesthetic New Code Published Improves coding structure and adds clarityThis request has been submitted on behalf of Steve Kriss Consultant Podiatric Surgeon.
14/06/2016 A7012 N/A Gastroelectrical mechanical stimulation New Code Under Review Brand new procedure/testBrand new procedure/test
07/06/2016 L8880 Clarivein treatment to long or short saphenous vein Endovenous mechanochemical ablation for varicose veins Narrative Change Published To align current codes and consistencyThis code uses manufacturers name 'CLARIVEIN' and we feel it would be better to use the NICE narrative 'Endovenous mechanochemical ablation for varicose veins'.
07/06/2016 E3680 Endoscopic laryngo-pharyngoscopy as sole outpatient procedure +/- stroboscopy N/A Inactivate Published This procedure is already covered by code E2500 DIAGNOSTIC ENDOSCOPIC EXAMINATION OF PHARYNX/LARYNX (INCLUDING BIOPSY) (AS SOLE PROCEDURE). Also we are unhappy that code E3680 specifies that it must be performed as an out-patient. The code should describe the discrete clinical activity and each individual patient will determine the setting. Therefore it makes the coding structure clearer to only have one code which doesn't specify the setting.
06/06/2016 MI045 N/A Liquid Meal Challenge + Pyridostigmine (Cardiovascular autonomic testing) New Code Published Improves coding structure and adds claritySee MI030
06/06/2016 MI044 N/A Liquid Meal Challenge + Octreotide (Cardiovascular autonomic testing) New Code Published Improves coding structure and adds clarityPlease see MI030
06/06/2016 MI043 N/A Carotid Sinus Massage (Cardiovascular autonomic testing) New Code Published Improves coding structure and adds claritySee MI030
06/06/2016 MI042 N/A Dysreflexia Test (Cardiovascular autonomic testing) New Code Published Improves coding structure and adds claritySee change - MI030
06/06/2016 20144 Continuous ambulatory ECG for up to 72 hours (including reporting) Continuous ambulatory ECG for over 72 hours and up to 7 days (including reporting) New Code Published To reflect updated clinical practiceWe have been advised that Holter monitoring can be carried out for up to 7 days and that there is no code to reflect monitoring over 72 hours. http://www.rbht.nhs.uk/patients/condition/ecg/
06/06/2016 MI041 N/A 48 hour BP & HR Monitoring (Cardiovascular autonomic testing) New Code Published Improves coding structure and adds clarityNarratives agreed with Bupa - see MI030
06/06/2016 MI040 N/A 24hr BP & HR profile (Cardiovascular autonomic testing) New Code Published Improves coding structure and adds clarityCode narratives agreed with Bupa's Medical Director Tom Woodman for clarity
06/06/2016 MI039 N/A Arm movements (Cardiovascular autonomic testing) New Code Published Improves coding structure and adds clarityCode narratives agreed for clarity with Tim Woodman Bupa's Medical Director
06/06/2016 MI038 N/A Cervical head movements (Cardiovascular autonomic testing) New Code Published Improves coding structure and adds clarityCode narratives agreed for clarity with Tim Woodman Bupa's Medical Director
06/06/2016 MI037 N/A Modified Exercise Test (Cardiovascular autonomic testing) New Code Published New code narrative format agreed with Tim Woodman Bupa's Medical Director
06/06/2016 MI036 N/A Liquid Meal Challenge (Cardiovascular autonomic testing) New Code Published Improves coding structure and adds clarityNew code narrative format agreed with Tim Woodman Bupa's Medical Director
06/06/2016 MI035 N/A Tilt Table Test (Cardiovascular autonomic testing) New Code Published Improves coding structure and adds clarityNew code narrative format agreed with Tim Woodman Bupa's Medical Director
06/06/2016 MI030 Assessment for autonomic dysfunction Cardiovascular autonomic function assessment Narrative Change Published Improves coding structure and adds clarityNew narrative format agreed with Bupa's Medical Director Tim Woodman for clarity This is one of a number of different tests and is the initial assessment. For consistency and to allow users to identify the group of codes all now have 'cardiovascular autonomic' in the narrative.
01/06/2016 XR918 Peripherally inserted central venous catheters (PICCs) (without X-ray guidance) N/A Coding Principles Published
01/06/2016 W8192 Open subacromial decompression (as sole procedure) N/A Inactivate Published Improves coding structure and adds clarity
01/06/2016 W8110 Arthroscopic excision of calcific deposits from shoulder N/A Inactivate Published Improves coding structure and adds clarity
01/06/2016 W7760 Labral Repair (shoulder stabilisation) N/A Inactivate Published Improves coding structure and adds clarity
01/06/2016 W7712 Stabilisation of unidirectional instability of shoulder joint (including anterior, posterior and arthroscopic) N/A Inactivate Published Improves coding structure and adds clarity
01/06/2016 W5060 Resurfacing arthroplasty of shoulder N/A Inactivate Published Improves coding structure and adds clarity
01/06/2016 W7872 Arthroscopic arthrolysis of shoulder contracture Arthroscopic arthrolysis of shoulder contracture +/- manipulation/injection Narrative Change Published Improves coding structure and adds clarity
01/06/2016 W7810 Open arthrolysis of shoulder contracture Open arthrolysis of shoulder contracture +/- manipulation/injection Narrative Change Published Improves coding structure and adds clarity
01/06/2016 W8193 Arthroscopic subacromial decompression (as sole procedure) Arthroscopic subacromial decompression Narrative Change Published Improves coding structure and adds clarityImproves coding structure and adds clarity
01/06/2016 W7714 Open or arthroscopic shoulder stabilisation procedure (including labral/SLAP repair) Primary open or arthroscopic shoulder stabilisation procedure (including labral/SLAP/tendon repair) Narrative Change Published Improves coding structure and adds clarity
01/06/2016 W7713 Stabilisation of multi-directional instability of shoulder joint Primary stabilisation of multi-directional instability of shoulder joint +/- tendon repair Narrative Change Published Improves coding structure and adds clarity
01/06/2016 W5600 Primary repair of rupture of acromioclavicular or sternoclavicular joint (including internal fixation) Primary repair of rupture of acromioclavicular or sternoclavicular joint +/- internal fixation Narrative Change Published Improves coding structure and adds clarity
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