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
30/09/2014 Q0710 Coding Principles Submitted
30/09/2014 IM017 Coding Principles Submitted
25/09/2014 Ultroid for the treatment of Haemorrhoids New Code Submitted Brand new procedure/test
25/09/2014 W9039 Injections, +/- Aspiration(s), into Bilateral Joints for Pain Relief with Image Guidance New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9038 Injection(s), +/- Aspiration, into Unilateral Joint for Pain Relief with Image Guidance New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9049 Injections, +/- Aspiration(s), into Bilateral Joints for Pain Relief New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9048 Injection(s), +/- Aspiration, into Unilateral Joint for Pain Relief New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9037 Injections, +/- Aspiration(s), into Bilateral Joints for Osteoarthritis with Image Guidance New Code Submitted This adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9036 Injection(s), +/- Aspiration, into Unilateral Joint for Osteoarthritis with Image Guidance New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 PARAMYTONIA CONGENITA SCN4 New Code Submitted not listed on current diagnostic schedule for this pathology test
25/09/2014 W9047 Injections, +/- Aspiration(s), into Bilateral Joints for Osteoarthritis New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9046 Injection(s), +/- Aspiration, into Unilateral Joint for Osteoarthritis New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9035 Injections, +/- Aspiration(s), into Bilateral Joints for Bursitis with Image Guidance New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9034 Injection(s), +/- Aspiration, into Unilateral Joint for Bursitis with Image Guidance New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9045 Injections, +/- Aspiration(s), into Bilateral Joints for Bursitis New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9044 Injection(s), +/- Aspiration, into Unilateral Joint for Bursitis New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9033 Injections of Viscosupplementation into Bilateral Joints with Image Guidance New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9032 Injection of Viscosupplementation into Unilateral Joint with Image Guidance New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9043 Injections of Viscosupplementation into Bilateral Joints New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9042 Injection of Viscosupplementation into Unilateral Joint New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9031 Injections, +/- Aspiration(s), into Bilateral Joints, with Image Guidance, NEC (Not Elsewhere Classified) New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9041 Injections, +/- Aspiration(s), into Bilateral Joints, NEC (Not Elsewhere Classified) New Code Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9030 Injection(s), +/- aspiration, into unilateral joint, with Image Guidance, NEC (Not Elsewhere Classified) Narrative Change Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 W9040 Injection(s), +/- aspiration, into unilateral joint, NEC (Not Elsewhere Classified) Narrative Change Submitted Improves coding structure and adds clarityThis adds condition specific granularity to a generic procedure code. This has been completed as a wider review of condition specific procedures. All requests should be considered in unison.
25/09/2014 IMxxx Magnetic resonance study of Cardiac Anatomy Magnetic resonance study of Cardiac Function Magnetic resonance study of Cardiac Viability/Fibrosis Magnetic resonance study of Cardiac Flow Magnetic resonance study of Cardiac Stress Perfusion Magnetic resonance study of Cardiac Angiography New Code Submitted To replace code already in the ScheduleTo replace code already in the Schedule 3 codes have been proposed which are: IM049 MRI cardiac function stress IM051 MRI Cardiac morphology function stress IM052 MRI cardiac morphology function These do not reflect the activity which cardiovascular MR units perform are not mutually exclusive and will create considerable confusion. We propose 6 codes which accurately reflect activity are mutually exclusive and create transparency and clarity.
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.
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
15/09/2014 Q0920 Myomectomy (including laparoscopically) +/-ureterolysis Narrative Change Published To align current codes and consistencyTo align current codes and consistency
15/09/2014 Q0890 Vaginal hysterectomy including salpingo-oophorectomy (including laproscopically assisted) +/-ureterolysis Narrative Change Published To align current codes and consistencyTo align current codes and consistency
15/09/2014 Q0880 Hysterectomy with excision / biopsy and/or removal of omentum and uterine adnexa for ovarian malignancy +/-ureterolysis Narrative Change Published To align current codes and consistencyTo align current codes and consistency
15/09/2014 Q0830 Vaginal hysterectomy with laparoscopic assistance +/-ureterolysis Narrative Change Published To align current codes and consistencyTo align current codes and consistency
15/09/2014 Q0800 Vaginal hysterectomy without laparoscopic assistance +/-ureterolysis Narrative Change Rejected To align current codes and consistencyTo align current codes and consistency
15/09/2014 Q0790 Laparoscopic total hysterectomy (+/- oophorectomy) +/-ureterolysis Narrative Change Published To align current codes and consistencyTo align current codes and consistency
15/09/2014 Q0751 Laparoscopic subtotal hysterectomy (+/- oophorectomy) +/-ureterolysis Narrative Change Published To align current codes and consistencyTo align current codes and consistency
15/09/2014 Q0750 Subtotal abdominal hysterectomy (+/- oophorectomy) +/-ureterolysis Narrative Change Published To align current codes and consistencyTo align current codes and consistency
15/09/2014 Q0740 Total abdominal hysterectomy (+/- oophorectomy) +/-ureterolysis Narrative Change Published To align current codes and consistencyTo align current codes and consistency
12/09/2014 Q0712 Radical trachelectomy including laparoscopic and removal of lymph nodes +/- ureterolysis Narrative Change Published To align current codes and consistencyTo align current codes and consistency
11/09/2014 Q0710 Radical hysterectomy and lymphadenectomy (Wertheim's) +/-ureterolysis Narrative Change Published 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.
11/09/2014 K5282 Inactivate Submitted for example K2600/K2280/K2580/ K2780/K5730/K2700/K6010
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
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
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
11/09/2014 K4900 Inactivate Submitted and in many instances isn’t supported. Support file sent to CCSD
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
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
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
11/09/2014 K4910 Inactivate Submitted and in many instances isn’t supported. Support file sent to CCSD
11/09/2014 22022 Recording and reporting on electromyography and nerve conduction studies (EMG); CTS (Bilateral upper limb only) or peripheral neuropathy Narrative Change Published To clarify what "U.L" means (upper limb)
10/09/2014 3063B Inactivate Published 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.
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.
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