Recent Requests

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
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 ? not sure how to evaluate this! ?RE011 N/A Measurement of resting arterial oxygen saturation by pulse oximetry New Code Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
16/03/2015 C7341 N/A Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy) - bilateral New Code Submitted Improves coding structure and adds clarityIt is becoming common practice to carry out this treatment on both eyes at the same time currently we only have a unilateral code
10/03/2015 N/A N/A Implant of Temporary Pacing Electrode New Code Submitted There is no code for this long standing procedure
26/02/2015 W7420 Autograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy) Autograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy/meniscal surgery) Narrative Change Published
24/02/2015 K6090 N/A Extraction of chronic pacing or ICD lead(s) New Code Submitted Improves coding structure and adds clarity. The existing code K6080 fails to recognise the complexity and risk of extraction of chronically placed pacing or ICD leads. Extraction of newly placed systems is straightforward low risk and can be performed by all device operators and is suited for the current description of K6080. This is not the case for chronic leads. Given the explosion in device implant numbers and indications and the longer duration patients who receive devices live than before there has been a similar exponential increase in extraction of chronically placed leads either for infection or lead fracture/malfunction and this is only likely to increase further.
20/02/2015 IMxxx N/A PET/CT scan with choline New Code Submitted Improves coding structure and adds clarityThe existing PET/CT scans in the coding structure are for all malignant conditions. PET/CT scans with choline are only used for prostate cancer and only in specific circumstances (as outlined by the Royal College of Physicians) therefore from a clinical perspective a new code is needed to differentiate the test being done. This code will cover all contrasts and eliminate the need for numerous codes for each contrast.
16/02/2015 W3115 N/A ABCIUS procedure (Autologous Bone Marrow Implantation of Cells University Hospital Southampton) in the Hip with Scaffold. New Code Rejected Brand new procedure/testDamage to joint surface in the hip is commonly caused by sports injuries and falls. It does not restore itself when injured and ultimately the patient may develop arthritis in the hip joint. Many techniques have been developed to repair the damaged surface and the most commonly performed technique (gold standard) is micro fracture. In this procedure drill holes are made in the damaged cartilage via a keyhole surgery (arthroscopy) to promote bleeding and scar tissue in place of the damaged surface. This technique has variable results and does not lead to the formation of new joint surface. Much research has been done on the ability of stems cells (patient’s own biological cells) to change into new joint surface cells. This procedure uses the patient’s own stem cells to cover the joint surface defect with the aim of healing the lesion and relieving symptoms.
16/02/2015 W3114 N/A ABCIUS procedure (Autologous Bone Marrow Implantation of Cells University Hospital Southampton) in the Hip without Scaffold. New Code Rejected Brand new procedure/testDamage to joint surface in the hip is commonly caused by sports injuries and falls. It does not restore itself when injured and ultimately the patient may develop arthritis in the hip joint. Many techniques have been developed to repair the damaged surface and the most commonly performed technique (gold standard) is micro fracture. In this procedure drill holes are made in the damaged cartilage via a keyhole surgery (arthroscopy) to promote bleeding and scar tissue in place of the damaged surface. This technique has variable results and does not lead to the formation of new joint surface. Much research has been done on the ability of stems cells (patient’s own biological cells) to change into new joint surface cells. This procedure uses the patient’s own stem cells to cover the joint surface defect with the aim of healing the lesion and relieving symptoms.
16/02/2015 W3113 N/A ABCIUS procedure (Autologous Bone Marrow Implantation of Cells University Hospital Southampton) in the Knee with Scaffold. New Code Rejected Brand new procedure/testDamage to joint surface in the knee is commonly caused by sports injuries and falls. It does not restore itself when injured and ultimately the patient may develop arthritis in the knee joint. Many techniques have been developed to repair the damaged surface and the most commonly performed technique (gold standard) is micro fracture. In this procedure drill holes are made in the damaged cartilage via a keyhole surgery (arthroscopy) to promote bleeding and scar tissue in place of the damaged surface. This technique has variable results and does not lead to the formation of new joint surface. Much research has been done on the ability of stems cells (patient’s own biological cells) to change into new joint surface cells. This procedure uses the patient’s own stem cells to cover the joint surface defect with the aim of healing the lesion and relieving symptoms.
16/02/2015 W3112 N/A ABCIUS procedure (Autologous Bone Marrow Implantation of Cells University Hospital Southampton) in the Knee without Scaffold. New Code Rejected Brand new procedure/testBrand new procedure/test Damage to joint surface in the knee is commonly caused by sports injuries and falls. It does not restore itself when injured and ultimately the patient may develop arthritis in the knee joint. Many techniques have been developed to repair the damaged surface and the most commonly performed technique (gold standard) is micro fracture. In this procedure drill holes are made in the damaged cartilage via a keyhole surgery (arthroscopy) to promote bleeding and scar tissue in place of the damaged surface. This technique has variable results and does not lead to the formation of new joint surface. Much research has been done on the ability of stems cells (patient’s own biological cells) to change into new joint surface cells. This procedure uses the patient’s own stem cells to cover the joint surface defect with the aim of healing the lesion and relieving symptoms.
12/02/2015 V2510 Endoscopic Discectomy and or Decompression (Transforaminal) - Lumbar region Endoscopic discectomy and/or decompression (transforaminal) - lumbar region Narrative Change Published Correction of unnecessary capitalisation and addition of back-slash (and/or).
09/02/2015 U0150 N/A Non-myeloablative stem cell transplant (mini transplant) New Code Published Improves coding structure and adds clarityThis is an accepted method of stem cell transplant where low-dose radiation with or without chemotherapy is used before the transplant to suppress rather than destroy the patient's immune system. We do not have any code currently for this where it is used as a primary method of treatment. Secondary mini transplant code: U0140 (Second peripheral blood stem cell mini transplant for relapse after bone marrow transplant)
01/02/2015 K6514 Adult cardiac catheterisation - brachial access (including coronary arteriography/ catherisation of right/left side of heart/contrast radiology) Adult cardiac catheterisation - brachial access (including coronary arteriography/ catheterisation of right/left side of heart/contrast radiology) Narrative Change Published Spelling correction
29/01/2015 TBC N/A Faecal Microbiota Transplant for the treatment of Recurrent Clostridium Difficile Infection. New Code Published Brand new procedure/testThis is a new procedure that has not yet been allocated a CCSD Code. 8394F refers to the Diagnostics of C. diff toxin only but this proposed new procedure will require a new Procedural Code possibly within Chapter 11.
28/01/2015 W7420 Autograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy) N/A Coding Principles Published "W7420 Autograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy)" includes arthroscopy and therefore should unbundle with "W8230 Arthroscopic meniscal repair" as they both include the same procedure.
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