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
29/05/2015 M6583 N/A TRANSPERINEAL MRI - US FUSION TARGETED PROSTATE BIOPSY New Code Submitted Improves coding structure and adds clarityI have been carrying out TP mapping biopsies (M6582) since 2007 In 2012 I started doing TP Mr - US Fusion Targeted Biopsies in selected patients with an identified abnormality on MRI as detailed below. There is confusion within the operating theatre and admission offices at the hospitals in which I work because there is only one code that I can apply when submitting a theatre request (M6582) For the fusion biopsies there is a need for additional equipment that has to be brought from the store room to theatre notification to the physics department to provide technical support and alteration in theatre scheduling because the procedure time is longer. For these reasons we urgently need an additional code for the MR-US Fusion biopsies so that this confusion can be avoided.
18/05/2015 P2310 Anterior +/- posterior colporrhaphy (including primary repair of enterocele) (including cystoscopy) N/A Coding Principles Submitted Q0830 (Vaginal hysterectomy with laparoscopic assistance +/- ureterolysis) currently unbundles with P2310 and this is a very similar procedure to Q0890. Therefore Q0890 should be classed as an integral part of P2310.
18/05/2015 Q1800 Hysteroscopy (including biopsy, dilatation, curettage and resection of polyp(s) +/- Mirena coil insertion) N/A Coding Principles Submitted The procedures should unbundle since they include the same technique and are integral part of the other. Our clinical input suggests that to do a Q1802 an examination of the uterus should be done first, i.e. Q1800 - therefore they should unbundle.
18/05/2015 S2500 Local flap - less than 9cm2 N/A Coding Principles Submitted These procedures are all similar in nature and are treating the same sized area.
17/05/2015 W1660 Tibial osteotomy N/A Coding Principles Submitted Suggestion is to remove W1660 with W7420 I plan to perform a combined ACL reconstruction and corrective high tibial osteotomy for a patient who has a combination of instability and osteoarthritis due to longstanding ACL rupture. Both of these are significant operations which are rarely done at the same time, but as her symptoms are equally troublesome in terms of both pain and instability this is an acceptable way forward and has been written up together with the longterm results. I have been told that combining these procedures would count as unbundling. This seems inappropriate as the operations are performed sequentially. The entire procedure will take well over two hours and the operation is no longer a day case but requires at least one night overnight stay. Tibial osteotomy is never a routine part of an ACL reconstruction The obvious way forward would be to do the osteotomy and then bring the patient back for the ACL reconstruction six months later, but this will not be in the patient’s best interests. I consider that this combination of codes should not be incompatible.
07/05/2015 XR330 N/A Gastric intubation under imaging control New Code Submitted Brand new procedure/testBrand new procedure/test
06/05/2015 T8911 N/A Vascularised lymph node transfer as sole procedure - bilateral New Code Submitted Improves coding structure and adds clarityWe have recently accepted bilateral code for DIEP (B2996 from Nuffield Health) that although these procedures may be rare they do occur bilaterally. As this can clinically be done bialterally there should be a code to allow this
06/05/2015 B2992 N/A Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) with vascularised lymph node transfer (including delayed reconstruction) - bilateral New Code Submitted Improves coding structure and adds clarityWe have recently accepted bilateral code for DIEP (B2996 from Nuffield Health) that although these procedures may be rare they do occur bilaterally. As this can clinically be done bialterally there should be a code to allow this
01/05/2015 IM266 US Doppler carotid artery US Doppler carotid artery (including bilateral) Narrative Change Submitted Improves coding structure and adds clarityClarifies what is included in the diagnostic test. This test can be done on either artery or both therefore by updating the narrative this will be clearer.
01/05/2015 W5200 Unicompartmental knee replacement N/A Coding Principles Submitted This coding principle was added in 2013 but there was not sufficient clinical rationale as to why it was added. We have reviewed this and clinically they are not integral to each procedure and therefore should not unbundle.
20/04/2015 B2996 N/A Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - Bilateral New Code Published Improves coding structure and adds clarityFor Simple Mastectomy we have codes for unilateral and bilateral it would add clarity if we could follow the same format for reconstruction of breast. This procedure is often performed unilaterally and bilaterally.
17/04/2015 xxxT N/A Endopredict New Code Published Improves coding structure and adds clarityEndopredict is a test that fulfils the same function as Oncotype DX but with a better predictive value in terms of avoiding unnecessary chemotherapy. It is indicated in women who have breast cancer which is HR+ve HER2 –ve with 0-3 locally involved lymph nodes. EndoPredict is a multi-gene test for breast cancer patients. Using a specially developed procedure it determines whether a given patient needs chemotherapy or whether solely anti-hormonal therapy constitutes sufficient treatment. The method is based on analysis of tumour genes in combination with the classical prognostic factors of nodal status and tumour size.
13/04/2015 A0901 Removal of neurostimulator from brain N/A Coding Principles Published new CCSD code accepted in March A0901 but the unbuindling should match that of A0900 as they are the same treatment but one for implantation and one for removal. should unbundle with: A0110 Hemispherotomy A0980 Deep brain stimulation A3300 Neurostimulation of cranial nerve (intracranial) A3330 Removal of neurostimulator from cranial nerve V0310 Exploratory open craniotomy
13/04/2015 A7350 Local anaesthetic blockade of named major nerve or plexus N/A Coding Principles Rejected Where a surgical procedure can be carried out without heavy general anaesthetic/sedation consultants should be able to bill for a local blockage. Therefore, A7350 should be able to be billed with A6110 and W0321.
13/04/2015 N/A N/A Insertion/removal of Tessio lines New Code Rejected Improves coding structure and adds clarityCurrently using XR915 - insertion of venous catheter tunnelled which doesn't take into account the time taken to carry out the procedure. XR915 is a much easier procedure where as the insertion of Tessio lines can take upto 3 hours.
13/04/2015 V3721 Posterior fusion - cervical region (3 or more levels) Posterior fusion +/- instrumentation - cervical region (3 or more levels) Narrative Change Published Improves coding structure and adds clarityWe are being challenged about this code as it does not include instrumentation within the narrative.
13/04/2015 V3720 Posterior fusion - cervical region (1 or 2 levels) Posterior fusion +/- instrumentation - cervical region (1 or 2 levels) Narrative Change Published Improves coding structure and adds clarityWe are being challenged about this code as it does not include instrumentation.
06/04/2015 W9031 Three or more injections, +/- aspiration, into joint(s), cyst, bursa or soft tissue, with image guidance N/A Coding Principles Published
06/04/2015 W9035 Injection(s) +/- aspiration, into two or more joints, cysts, bursae or soft tissue, with image guidance N/A Coding Principles Published
06/04/2015 W9030 Injection(s) +/- aspiration, into joint, cyst, bursa or soft tissue, with image guidance N/A Coding Principles Published
06/04/2015 W9045 Injection(s) +/- aspiration, into two or more joints, cysts, bursae or soft tissue N/A Coding Principles Published
06/04/2015 W9040 Injection(s) +/- aspiration, into joint, cyst, bursa or soft tissue N/A Coding Principles Published
06/04/2015 W9033 Injections of viscosupplement into joints with image guidance - bilateral N/A Coding Principles Published
06/04/2015 W9032 Injection of viscosupplement into joint with image guidance N/A Coding Principles Published
06/04/2015 W9043 Injections of viscosupplement into joints - bilateral N/A Coding Principles Published
06/04/2015 W9042 Injection of viscosupplement into joint N/A Coding Principles Published
06/04/2015 A0901 Removal of neurostimulator from brain (any route) Removal of neurostimulator from brain Narrative Change Published To align current codes and consistencyTo align current codes and consistency
06/04/2015 A0900 Implantation of neurostimulator from brain (any route) Implantation of neurostimulator to brain Narrative Change Published To align current codes and consistencyTo align current codes and consistency
06/04/2015 A4840 Removal of permanently implanted neurostimulator (spinal cord or peripheral nerve) Removal of neurostimulator from spinal cord or peripheral nerve Narrative Change Published To align current codes and consistencyTo align current codes and consistency
06/04/2015 A3300 Neurostimulation of cranial nerve (intracranial) Implantation of neurostimulator to cranial nerve Narrative Change Published To align current codes and consistencyTo align current codes and consistency
06/04/2015 A4832 Implantation of spinal cord stimulator Implantation of neurostimulator to spinal cord Narrative Change Published To align current codes and consistencyTo align current codes and consistency
06/04/2015 A4831 Trial of spinal cord stimulator (as sole procedure) not at time of permanent implant Trial of neurostimulator to spinal cord (as sole procedure) not at time of permanent implant Narrative Change Published
06/04/2015 A0920 N/A Replacement of neurostimulator to brain New Code Published Brand new procedure/testBrand new procedure/test
06/04/2015 A3320 N/A Replacement of neurostimulator to cranial nerve New Code Published Brand new procedure/testBrand new procedure/test
06/04/2015 A7020 N/A Replacement of neurostimulator to peripheral nerve New Code Published Brand new procedure/testBrand new procedure/test
06/04/2015 A4820 N/A Replacement of neurostimulator to spinal cord New Code Published Brand new procedure/testBrand new procedure/test
02/04/2015 XR362 N/A Embolisation of pelvic vein varices New Code Published Improves coding structure and adds clarityWe are seeing a number of requests for this procedure and would like to be able to identify this. It appears to be coded as XR360 at present which is not appropriate
24/03/2015 N/A N/A Wiedemann Steiner Syndrome New Code Submitted Brand new procedure/testnothing currently available to describe current test in the pathology section of the diagnostic schedule.
24/03/2015 N/A N/A Skeletal Dysplasia Panel New Code Submitted Brand new procedure/testcurrently nothing to describe this pathology / genetics test in the diagnostic schedule
24/03/2015 N/A N/A Aortopathy Panel 14 Genes New Code Submitted Brand new procedure/testnot already listed in the CCSD diagnostic list under pathology
24/03/2015 REXXX N/A Measurement of resting arterial oxygen saturation by pulse oximetry New Code Rejected Because none appears to exist! There is a code for overnight oximetry (RE005) but none for measurement of resting SaO2 in an outpatient setting. This can be carried out as an outpatient diagnostic test as much as it can be an inpatient observation and like spirometry is part of the essential diagnostic workup for a respiratory outpatient clinic.
20/03/2015 xxxxB N/A Voriconazole levels New Code Published Improves coding structure and adds clarityIt is a test to see how much of the Voriconazole drug is in the body. Voriconazole is a triazole antifungal medication that is generally used to treat serious invasive fungal infections. These are generally seen in patients who are immunocompromised and include invasive candidiasis invasive aspergillosis and certain emerging fungal infections. It provides confirmation of adequate levels and alerting to toxic levels in patients receiving voriconazole for treatment or prophylaxis of fungal disease.
19/03/2015 A0900 Implantation/removal of neurostimulator from brain (any route) Implantation of neurostimulator from brain (any route) Narrative Change Published To align current codes and consistencyTo align with new code for removal of stimulator and to provide clarify in the SOP as we have codes for removal and insertion of these from other areas of the body but not this one
19/03/2015 A0901 N/A Removal of neurostimulator from brain (any route) New Code Published Improves coding structure and adds clarityImproves clarity in the SOP as aligns with other codes which have a code for implantation and removal.
19/03/2015 BT211 Planning for insertion and removal of a radioactive agent (brachytherapy) into prostate tumour N/A Coding Principles Published These codes should not unbundle because there are significant differences between the two; one includes radionuclide material and the other does not. Therefore, both describe different clinical activities and are not part of each other. BT211 planning - this includes scans, consultant planning dosage etc BT222 delivery - includes the radionuclide material and is the actual treatment
17/03/2015 64302 Transoesophageal echocardiography (including reporting) (as sole procedure) N/A Coding Principles Rejected To whom it may concern, please remove 64302 from the list of unacceptable combinations for ALL cardiac surgery procedure - I'm writing this as a member of cardiac anaesthesia community - comprehensive preoperative transoesophageal echocardiography study IS NOT an integral part of anaesthesia care - this assumption, however convenient, is wrong. TOE requires a special set of skills, is difficult to learn and divides our attention between confirming/making the diagnosis and anaesthetising a patient. See more in my supportive documents I emailed to cods@capita.co.uk
17/03/2015 L7511 N/A Excision of arteriovenous malformation from peripheral vessel New Code Published Improves coding structure and adds clarityThere is not currently a code for the small vessels - this code will fill that gap in the schedule.
17/03/2015 L7510 Excision of arteriovenous malformation (excluding arteriovenous malformation of vessels of brain) Excision of arteriovenous malformation of major vessel (excluding Brain) Narrative Change Published Improves coding structure and adds clarityTo align the coding structure along with new code request for peripheral vessels.
16/03/2015 C1811 N/A Reverse Ptosis repair of eyelid New Code Published Improves coding structure and adds clarityWe are seeing an increasing number of requests for 'reverse ptosis' where patients have had a ptosis repair and they later need the eyelid lowering.
16/03/2015 C7340 Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy) Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy)-unilateral Narrative Change Published Improves coding structure and adds clarityImproves coding structure and adds clarity
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