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 Proposed
Code
Proposed
Narrative
Type Current
Status
Reasons for
change
Comments
2442 18/09/2014 64302 Transoesophageal echocardiography (including reporting) (as a sole procedure) Narrative Change Submitted To reflect updated clinical practiceIt is best practice in a number of cardiac procedures to perform peri intra or post operative TOES this will ensure that we can counter any challenges in relation to unbundling. 0
2441 17/09/2014 V2951 Anterior discectomy, decompression and fusion (including bone grafting) - cervical region (1 or 2 levels) Narrative Change Submitted Improves coding structure and adds claritycode currently advises multi level however we have since amended to state 3 or more levels 0
2440 15/09/2014 Q0920 Myomectomy (including laparoscopically) +/-ureterolysis Narrative Change Submitted To align current codes and consistency 0
2439 15/09/2014 Q0890 Vaginal hysterectomy including salpingo-oophorectomy (including laproscopically assisted) +/-ureterolysis Narrative Change Submitted To align current codes and consistency 0
2438 15/09/2014 Q0880 Hysterectomy with excision / biopsy and/or removal of omentum and uterine adnexa for ovarian malignancy +/-ureterolysis Narrative Change Submitted To align current codes and consistency 0
2437 15/09/2014 Q0830 Vaginal hysterectomy with laparoscopic assistance +/-ureterolysis Narrative Change Submitted To align current codes and consistency 0
2436 15/09/2014 Q0800 Vaginal hysterectomy without laparoscopic assistance +/-ureterolysis Narrative Change Submitted To align current codes and consistency 0
2435 15/09/2014 Q0790 Laparoscopic total hysterectomy (+/- oophorectomy) +/-ureterolysis Narrative Change Submitted To align current codes and consistency 0
2434 15/09/2014 Q0751 Laparoscopic subtotal hysterectomy (+/- oophorectomy) +/-ureterolysis Narrative Change Submitted To align current codes and consistency 0
2433 15/09/2014 Q0750 Subtotal abdominal hysterectomy (+/- oophorectomy) +/-ureterolysis Narrative Change Submitted To align current codes and consistency 0
2432 15/09/2014 Q0740 Total abdominal hysterectomy (+/- oophorectomy) +/-ureterolysis Narrative Change Submitted To align current codes and consistency 0
2425 12/09/2014 Q0712 Radical trachelectomy including laparoscopic and removal of lymph nodes +/- ureterolysis Narrative Change Submitted To align current codes and consistency 0
2423 11/09/2014 Q0710 Radical hysterectomy and lymphadenectomy (Wertheim's) +/-ureterolysis Narrative Change Submitted We recently added “+/- ureterolysis” to laparoscopy codes: Q1701 Q3800 Q3900 T3910 P3190 P3191 and P3192. However ureterolysis is often part and parcel of performing a hysterectomy as well and takes very little extra time to do. We propose changing the narrative of the codes and then adding M2530 “Ureterolysis – unilateral” and M2580 “Ureterolysis – bilateral” as unacceptable code combinations. 0
2422 11/09/2014 K5282 Inactivate Submitted for example K2600/K2280/K2580/ K2780/K5730/K2700/K6010 0
2421 11/09/2014 K4905 Percutaneous transluminal angioplasty of coronary artery(ies) – brachial access (including laser) New Code Submitted Improves coding structure and adds clarityMeta-analyses of available trial data have shown that the radial route of access is safer than that of the femoral route. Specifically studies have shown that a trans radial approach carries substantially less risks of bleeding and the need for blood transfusions compared with the trans femoral approach. As such Bupa proposes to remove the single PCI code K4900 (request number 2418) and replace it with three codes (K4903 K4904 K4905) with narratives that list the route of access. This technique requires different surgeon skill/training and carries different levels of risk to the patient. In addition Bupa has found feedback from clinicians has supported the idea that the brachial approach should be used as a ‘last resort’ and in many instances isn’t supported. Support file sent to CCSD 0
2420 11/09/2014 K4904 Percutaneous transluminal angioplasty of coronary artery(ies) – femoral access (including laser) New Code Submitted Improves coding structure and adds clarityMeta-analyses of available trial data have shown that the radial route of access is safer than that of the femoral route. Specifically studies have shown that a trans radial approach carries substantially less risks of bleeding and the need for blood transfusions compared with the trans femoral approach. As such Bupa proposes to remove the single PCI code K4900 (request number 2418) and replace it with three codes (K4903 K4904 K4905) with narratives that list the route of access. This technique requires different surgeon skill/training and carries different levels of risk to the patient. In addition Bupa has found feedback from clinicians has supported the idea that the brachial approach should be used as a ‘last resort’ and in many instances isn’t supported. Support file sent to CCSD 0
2419 11/09/2014 K4903 Percutaneous transluminal angioplasty of coronary artery(ies) – radial access (including laser) New Code Submitted Improves coding structure and adds clarityMeta-analyses of available trial data have shown that the radial route of access is safer than that of the femoral route. Specifically studies have shown that a trans radial approach carries substantially less risks of bleeding and the need for blood transfusions compared with the trans femoral approach. As such Bupa proposes to remove the single PCI code K4900 (request number 2418) and replace it with three codes (K4903 K4904 K4905) with narratives that list the route of access. This technique requires different surgeon skill/training and carries different levels of risk to the patient. In addition Bupa has found feedback from clinicians has supported the idea that the brachial approach should be used as a ‘last resort’ and in many instances isn’t supported. Support file sent to CCSD 0
2418 11/09/2014 K4900 Inactivate Submitted and in many instances isn’t supported. Support file sent to CCSD 0
2417 11/09/2014 K4915 Percutaneous transluminal angioplasty of coronary artery(ies) with stent insertion - femoral access New Code Submitted Improves coding structure and adds clarityMeta-analyses of available trial data have shown that the radial route of access is safer than that of the femoral route. Specifically studies have shown that a trans radial approach carries substantially less risks of bleeding and the need for blood transfusions compared with the trans femoral approach. As such Bupa proposes to remove the single PCI code K4910 (request number 2414) and replace it with three codes (K4913 K4914 K4915) with narratives that list the route of access. This technique requires different surgeon skill/training and carries different levels of risk to the patient. In addition Bupa has found feedback from clinicians has supported the idea that the brachial approach should be used as a ‘last resort’ and in many instances isn’t supported. Support file sent to CCSD 0
2416 11/09/2014 K4914 Percutaneous transluminal angioplasty of coronary artery(ies) with stent insertion - brachial access New Code Submitted Improves coding structure and adds clarityMeta-analyses of available trial data have shown that the radial route of access is safer than that of the femoral route. Specifically studies have shown that a trans radial approach carries substantially less risks of bleeding and the need for blood transfusions compared with the trans femoral approach. As such Bupa proposes to remove the single PCI code K4910 (request number 2414) and replace it with three codes (K4913 K4914 K4915) with narratives that list the route of access. This technique requires different surgeon skill/training and carries different levels of risk to the patient. In addition Bupa has found feedback from clinicians has supported the idea that the brachial approach should be used as a ‘last resort’ and in many instances isn’t supported. Support file sent to CCSD 0
2415 11/09/2014 K4913 Percutaneous transluminal angioplasty of coronary artery(ies) with stent insertion - radial access New Code Submitted Improves coding structure and adds clarityMeta-analyses of available trial data have shown that the radial route of access is safer than that of the femoral route. Specifically studies have shown that a trans radial approach carries substantially less risks of bleeding and the need for blood transfusions compared with the trans femoral approach. As such Bupa proposes to remove the single PCI code K4910 (request number 2414) and replace it with three codes (K4913 K4914 K4915) with narratives that list the route of access. This technique requires different surgeon skill/training and carries different levels of risk to the patient. In addition Bupa has found feedback from clinicians has supported the idea that the brachial approach should be used as a ‘last resort’ and in many instances isn’t supported. Support file sent to CCSD 0
2414 11/09/2014 K4910 Inactivate Submitted and in many instances isn’t supported. Support file sent to CCSD 0
2413 11/09/2014 22022 Recording and reporting on electromyography and nerve conduction studies (EMG); CTS (Bilateral upper limb only) or peripheral neuropathy Narrative Change Submitted To clarify what "U.L" means (upper limb) 0
2411 10/09/2014 3063B Inactivate Submitted 3063B - D-dimer fibrin degradation product level This request has come from Carol at AXA-PPP. I am currently looking through the diagnostic schedule & have identified 2 tests that are the same – 0514B (Fibrinogen degradation products level) & 3063B (D-dimer fibrin degradation product level). I would suggest that 3063B is inactivated. 0
2410 10/09/2014 XXXX0 Fungal microscopy and culture New Code Submitted There are separate codes for microscopy & culture but these are often performed together as one investigation. 0
2406 10/09/2014 TBA Extensive removal of vaginal mesh from bladder, ureter, vagina and bowel with reconstruction, including cystoscopy and/or proctoscopy New Code Submitted The CCSD Working Group agreed to add codes to cover removal of transvaginal mesh at the June 2014. This request should be reviewed alongside requests 2405 and 2406. 0
2405 10/09/2014 TBA Total removal of vaginal mesh with reconstruction of vagina and/or urethra, including cystoscopy and/or proctoscopy New Code Submitted The CCSD Working Group agreed to add codes to cover removal of transvaginal mesh at the June 2014. This request should be reviewed alongside requests 2404 and 2406. 0
2404 10/09/2014 TBA Partial removal of vaginal mesh with reconstruction of vagina and/or urethra including cystoscopy and/or proctoscopy New Code Submitted The CCSD Working Group agreed to add codes to cover removal of transvaginal mesh at the June 2014. This request should be reviewed alongside requests 2405 and 2406. 0
2402 10/09/2014 TBA Low voltage treatment of internal haemorrhoids New Code Submitted We discussed the possibility of adding a new code for this after receiving this information: I wanted to come back to you now to update you on the progress we have made with Ultroid the new (to the UK) treatment for haemorrhoid disease (HD) of all grades (1-4). You stated before that you would prefer to wait until NICE had approved it before considering offering it to your customers. NICE have discussed Ultroid at a committee in February and have given it the orange light meaning that they are positively assessing it for consideration of approving it for use on the NHS. I am uncertain (as they will not clarify) how much longer they require before the green light can be given for appropriate guidance to be given. 0
2401 10/09/2014 20340 Consultation using multimedia communication e.g. Skype New Code Submitted We discussed the possibility of adding a code to the CCSD Schedule for remote consultations (.e.g. those done via multimedia communication for example Skype). 0
2399 09/09/2014 IM032 Inclusive charges for out-patient MRI scan – 4 or more body parts Narrative Change Submitted To make it clear this code can be used for more than 4 body parts and not restricted to just 4. 0
2391 05/09/2014 RExxx Continuous laryngoscopy during exercise (CLE) test New Code Submitted A continuous laryngoscopy during exercise test is used to look at your larynx (voice box) during exercise by using a thin flexible tube with a camera lens at the end (called a laryngoscope). 0
2390 05/09/2014 IMxxx Angiography New Code Submitted Angiography is a type of X-ray used to examine blood vessels. The images created during an angiography are called angiograms. Blood vessels don't show up clearly on ordinary X-rays so a special dye is injected into the area being examined. The dye highlights the blood vessels as it moves through them and appears white on the angiogram. 0
2389 05/09/2014 xxxxU Automated urinary analysis New Code Submitted Clinitek machines are widely used throughout the NHS. They enable prompt diagnosis of urine infections and in the majority of cases eliminate the need for further laboratory analysis. The use of a clinitek machine enables the consultant to identify any infection at the time of the consultation and therefore enables them to prescribe antibiotics if required at the time of the appointment rather than delaying this medication prior to receiving the results of a laboratory test. 0
2388 05/09/2014 IM021 CT Angiography (CTA) - 3 body parts Narrative Change Submitted To have the correct acronym and align with how we updated Magnetic resonance angiography codes (IM066/67/68) 0
2387 05/09/2014 IM020 CT Angiography (CTA) - 2 body parts Narrative Change Submitted To have the correct acronym and align with how we updated Magnetic resonance angiography codes (IM066/67/68) 0
2385 05/09/2014 IM019 CT Angiography (CTA) - 1 body part Narrative Change Submitted To have the correct acronym and align with how we updated Magnetic resonance angiography codes (IM066/67/68) 0
2384 05/09/2014 XR391 embolisation of arteriovenous malformation (AVM) New Code Submitted We have seen instances where a radiologist has used XR390 to carry out this procedure on the foot or other areas of the body. 0
1432 01/09/2014 P2730 Colposcopy (+/- biopsy, polypectomy or vulvoscopy) Narrative Change Submitted Vulvoscopy is a minor additional procedure that can be performed with a colposcopy and does not warrant an additional code being used. 0
2400 28/08/2014 V2282 Prosthetic intervertebral disc replacement – cervical region (1 or 2 levels) Narrative Change Published To align current codes and consistency 0
2394 28/08/2014 IM068 Magnetic resonance angiography (MRA) - 3 body parts Narrative Change Published To align current codes and consistency 0
2393 28/08/2014 IM067 IM067 Magnetic resonance angiography (MRA) - 2 body parts Narrative Change Published To align current codes and consistency 0
2392 28/08/2014 IM066 IM066 Magnetic resonance angiography (MRA) - 1 body part Narrative Change Published To align current codes and consistency 0
2382 28/08/2014 Q3900 Laparoscopy (including e.g. puncture of ovarian cysts, +/- biopsy, minor endometriosis, +/-ureterolysis) Narrative Change Published To include 'minor endometriosis' 0
2381 28/08/2014 V3381 Prosthetic intervertebral disc replacement – lumbar region (3 or more levels) Narrative Change Published To align current codes and consistency 0
2380 28/08/2014 V3380 Prosthetic intervertebral disc replacement – lumbar region (1 or 2 levels) Narrative Change Published To align current codes and consistency 0
2379 28/08/2014 V4742 Spinal endoscopy Narrative Change Published but the percutaneous spinal biopsy is not 0
2378 28/08/2014 V4740 Image guided percutaneous spinal biopsy Narrative Change Published but the percutaneous spinal biopsy is not 0
2376 28/08/2014 A1070 Coding Principles Published 0
2374 28/08/2014 7133B Anti testicular AB S New Code Published Brand new procedure/test 0