Recent Requests

Skip Navigation Links.

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.

Page
Viewing All
Request
Number
Date Code Current
Narrative
Proposed
Narrative
Type Current
Status
Reasons for
change
08/02/2016 TBA N/A Contact radiotherapy (the Papillon technique) New Code Submitted Brand new procedure/testThis type of radiotherapy is now available in 4 UK centres and there is currently no code for it.
08/02/2016 M2920 Endoscopic insertion/removal of prosthesis into ureter (including bilateral and cystoscopy, +/- pyelography) N/A Coding Principles Submitted Both codes describe the same procedure and should therefore be listed as unacceptable combinations.
08/02/2016 V3350 Combined anterior approach discectomy, decompression and fusion and posterior fusion (lumbar region) N/A Coding Principles Submitted We have a specific code V3345 “Mobilisation of the lumbar/thoracic vessels to provide spinal surgical access” which describes the vascular surgeon's role in V3350, rather than L4600 which was being used prior to the new code being published.
08/02/2016 V2544 Revision of posterior excision of disc prolapse (lumbar region) N/A Coding Principles Submitted Both codes describe the same procedure, albeit with a different technique and should therefore be listed as unacceptable combinations.
08/02/2016 V2543 Revision of posterior excision of disc prolapse with undercutting facetectomy +/- decompression (lumbar region) N/A Coding Principles Submitted Both codes describe the same procedure, albeit with a different technique and should therefore be listed as unacceptable combinations.
05/02/2016 H4190 Therapeutic High Resolution Anoscopy (HRA) in symptomatic patients (+/- biopsy or ablation of lesion of anus) N/A Coding Principles Submitted Both codes deal with the removal of lesion of anus and would therefore not be performed together.
05/02/2016 H4130 Perianal excision of lesion of rectum (including sigmoidoscopy) N/A Coding Principles Submitted Excision of lesion of anus is included in the narrative for H4130 and therefore both codes should be listed as unacceptable combinations.
05/02/2016 H3400 Open excision of lesion of rectum and colon N/A Coding Principles Submitted This procedure is usually precluded from being performed together with H3400 and should therefore be listed as an unacceptable combination.
05/02/2016 G2330 Transabdominal repair of hiatus hernia N/A Coding Principles Submitted Both these codes are part and parcel of the main procedure and should therefore be listed as unacceptable.
02/02/2016 E1480 Endoscopic exploration frontal sinus beyond frontoethmoid recess N/A Coding Principles Submitted E1330 is a minor additional procedure, where the extra time taken to perform it is deemed insignificant (in relation to the main procedure) and it should therefore be listed as an unacceptable combination.
02/02/2016 E1380 Endoscopic balloon dilation sphenoid sinuplasty N/A Coding Principles Submitted You would not perform both of these procedures at the same time, you would do one or the other, therefore they should be listed as unacceptable.
02/02/2016 E1370 Endoscopic balloon dilation maxillary sinuplasty N/A Coding Principles Submitted You would not perform both of these procedures at the same time, you would do one or the other, therefore they should be listed as unacceptable.
02/02/2016 E1360 Endoscopic balloon dilation frontal sinuplasty N/A Coding Principles Submitted You would not perform both of these procedures at the same time, you would do one or the other, therefore they should be listed as unacceptable.
01/02/2016 N/A N/A Oncofocus Precision Oncology Test Oncofocus test is a comprehensive precision oncology test performed on the routine pathology diagnostic block to directly link a patient's cancer to the most appropriate targeted therapy and is applicable to all solid tumour types. New Code Submitted Brand new procedure/testBrand new procedure/test
31/01/2016 N/A N/A Catheter cerebral venography and manometry New Code Submitted Brand new procedure/test. This test is performed in the work up of patients with disorders of intracranial pressure such as idiopathic intracranial hypertension where an endovascular procedure is being considered. It can also be an alternative to intracranial pressure monitoring in patients in whom lumbar puncture is contraindicated for example when there is a Chiari deformity.
26/01/2016 W7980 Metatarsal osteotomy (eg Scarf) for hallux valgus, +/- internal fixation and soft tissue correction-bilateral N/A Coding Principles Submitted We believe that W0330 & W0850 are part and parcel of the main procedure.............
26/01/2016 W0321 Osteotomy/ies (eg Scarf and Akin) for Hallux Valgus correction with or without internal fixation and soft tissue correction N/A Coding Principles Submitted We believe that W1040 "Osteotomy of small bone of foot (excluding hallux valgus and including internal fixation)" should be listed as unacceptable with W0321.
26/01/2016 W0322 Osteotomy/ies (eg Scarf and Akin) for Hallux Valgus correction with or without internal fixation and soft tissue correction - bilateral N/A Coding Principles Submitted There are another three codes which we believe should be listed as unacceptable, due to being an either/or procedure or part & parcel of the main procedure.
26/01/2016 T7440 Injection into cord for Dupuytren’s Contracture (including post injection finger extension) N/A Coding Principles Submitted When we published the new code T7440 "Injection into cord for Dupuytren’s Contracture (including post injection finger extension)", we forgot to list all the other Dupuytren’s codes as unacceptable combinations, as well as S5210 and S5300.
26/01/2016 T2780 Component Separation Technique (CST) repair of recurrent incisional abdominal hernia +/- mesh N/A Coding Principles Submitted We believe that freeing of adhesions would be part and parcel of the main procedure.
26/01/2016 T1640 Repair of congenital diaphragmatic hernia N/A Coding Principles Submitted We believe that these 2 procedures are precluded from being performed together and should therefore be listed as unacceptable.
26/01/2016 Q1701 Laparoscopic excision of endometriosis, +/-ureterolysis N/A Coding Principles Submitted You would not perform both of these procedures at the same time, you would do one or the other, therefore they should be listed as unacceptable.
26/01/2016 Q0880 Hysterectomy with excision / biopsy and/or removal of omentum and uterine adnexa for ovarian malignancy +/- ureterolysis N/A Coding Principles Submitted These are 2 separate procedures which would not be performed together and should therefore be listed as unacceptable.
26/01/2016 Q0890 Vaginal hysterectomy including salpingo-oophorectomy (including laparoscopically assisted) +/- ureterolysis N/A Coding Principles Submitted Salpingo-oophorectomy is included in the narrative for Q0890, as is hysterectomy, and therefore Q0800 and Q2230 should be listed as unacceptable combinations.
26/01/2016 M2680 Endoscopic removal and insertion of prosthesis into ureter (including cystoscopy) N/A Coding Principles Submitted Removal of prosthesis is included in the narrative for M2680 and therefore the 2 other codes should be listed as unacceptable combinations.
26/01/2016 L9110 Insertion of tunnelled central venous catheter (Hickman line) N/A Coding Principles Submitted You would not perform both of these procedures - you would do one or the other, therefore they should be listed as unacceptable.
26/01/2016 H5510 Laying open of low anal fistula (fistulotomy) +/- insertion of stitch (including sigmoidoscopy) N/A Coding Principles Submitted These are two completely separate stages in treating anal fistulas and should therefore be listed as unacceptable.
26/01/2016 J0900 Diagnostic laparoscopy (including any biopsy) N/A Coding Principles Submitted These procedures would not be performed at the same time; you would only do one or the other.
26/01/2016 H4190 Therapeutic High Resolution Anoscopy (HRA) in symptomatic patients (+/- biopsy or ablation of lesion of anus) N/A Coding Principles Submitted H4180 and H4900 are included in the narrative for H4190 and should therefore be listed as unacceptable combinations.
25/01/2016 H1300 Bypass of colon N/A Coding Principles Submitted We believe these codes are a minor additional part of the procedure and should therefore be listed as unacceptable.
25/01/2016 C8654 Insertion of radioactive plaque into eye (including later removal) N/A Coding Principles Submitted You would not perform both of these procedures at the same time, you would do one or the other, therefore they should be listed as unacceptable.
25/01/2016 B3810 Reconstruction of breast using SGAP (superior gluteal artery perforator) flap (including delayed reconstruction) N/A Coding Principles Submitted We believe these codes are an integral part of the procedure and should therefore be listed as unacceptable.
25/01/2016 B2988 Reconstruction of breast using ALT (anterolateral thigh) flap (including delayed reconstruction) N/A Coding Principles Submitted We believe these codes are an integral part of the procedure and should therefore be listed as unacceptable.
25/01/2016 N/A N/A Balloon Eustachian Tuboplasty New Code Submitted Brand new procedure/test
22/01/2016 Y0910 Sclerosant injections (e.g. ligaments of back) Sclerosant injections - Prolotherapy (e.g. ligaments of back) Narrative Change Submitted Improves coding structure and adds clarityProlotherapy is the most up to date clinical term for this and would benefit to add to the narrative
19/01/2016 TBA N/A Therapeutic ureterorenoscopy (+/- cystoscopy and insertion/removal of stent) New Code Published Brand new procedure/testA consultant recently used 3 different CCSD codes as he stated that there was no code for a ureterorenoscopy which he performed to investigate a complex lesion.
18/01/2016 E2480 Pharyngeal pouch - endoscopic procedures N/A Coding Principles Published Our CMO considers that E4990 - Panendoscopy +/- incisional biopsy would be part of the pharyngeal pouch procedure and so should not be billed separately alongside it. We therefore request that it is included within the unacceptable combinations for this code.
14/01/2016 W1380 Arthroscopic femoro-acetabular surgery for hip impingement syndrome N/A Coding Principles Published Our CMO feels that W5723 "Excision reconstruction of large joint" is a similar procedure to W1380 " Arthroscopic femoro-acetabular surgery for hip impingement syndrome" and that therefore the 2 codes should be listed as unacceptable.
12/01/2016 A7084 N/A First stage tined lead placement (FSTLP) New Code Rejected Brand new procedure/testSacral nerve stimulation for urological intervention (overactive bladder and voiding dysfunction) is done as a two stage procedure This has previously been performed as a 1. Percutanous nerve evaluation (PNE) performed as an office based procedure under local anesthesia (A7011) then 2. Implantation of sacral nerve stimulator (A7085) There is now overwhelming evidence that the results are significantly better when the test procedure is done by open placement of the permanent lead (FSTLP) under general anesthesia (see reference). The tertiary unit at UCLH (the biggest implanter in Europe) now performs all test procedures by FSTLP.
11/01/2016 N/A N/A Microwave treatment for Hyperhidrosis (miraDry) New Code Published Brand new procedure/testWe have had requests for Microwave treatment for Hyperhidrosis this is a condition of excessive sweating and no other code relates to this treatment
11/01/2016 K4180 Robot assisted bypass for coronary artery(ies) including harvesting of grafts and endarterectomy (CABG) N/A Coding Principles Published The unbundling combinations for this code should match K4100 and unbundle with K4100, please can the below codes be added: 64302 A5220 K4100 K4410 K4600 K4920 K5020 K5050 K6511 K6513 K6514 K6581 K6582 K6584 K6586 K6590 L9110 W7042 X5020 XR915
11/01/2016 7078B Androstenediol-glucuronid spelling mistake - Should be - androstanediol-glucuronide (the e after the t should be an a, and the d at end of glucuronid should be an e) Narrative Change Published correct spelling mistake
08/01/2016 B2989 N/A N/A Reinstatement Published Code still required. We perform this procedure and we feel that this narrative is an accurate representation of the clinical procedure performed. There are other similar codes that include immediate reconstruction - such as B2912 and B2916. The Senior Contract Assistant at BUPA has suggested that we ask that this code is reinstated and I have also had conversations with AXA about this.
08/01/2016 S4760 N/A N/A Reinstatement Published Code still required ‘S4760 Fine needle aspiration cytology’ was previously deactivated however the suggestion was to use ‘XR160 Percutaneous image guided fine needle aspiration (FNA)’ instead but as a large number of FNAs are not performed under image guidance this would not always be a clinically appropriate description. I believe that this code may still be recognised by some of the insurers
07/01/2016 M4514 Endoscopic examination of bladder (rigid cystoscopy) including any biopsy N/A Coding Principles Published When we split M4510 into 2 separate codes to differentiate between flexible and rigid cystoscopy, we omitted to add all the unacceptable code combinations listed for M4510 onto new code M4514. There are 78 codes in total, so rather than list them all here, can we just agree to mirror what's on M4510 onto M4514?
04/01/2016 B0410 Transsphenoidal hypophysectomy (including total) N/A Coding Principles Published Our CMO is of the opinion that E1260, E1750 & S2500 are all part and parcel of B0410 "Transsphenoidal hypophysectomy (including total)"
04/01/2016 N/A N/A High resolution anorectal manometry New Code Published The current code 22021 does not reflect new technology (high resolution system also used for oesophageal manometry and identified by a CCSD code separate to standard oesophageal manometry). The procedure is usually conducted and reported by non-medical specialist staff ie a GI physiologist or nurse specialist. This is also not reflected in the current coding.
01/01/2016 T2710 Primary repair of ventral hernia not requiring mesh N/A Inactivate Published
01/01/2016 T2502 Laparoscopic repair of incisional hernia N/A Inactivate Published
01/01/2016 C7202 Laser-assisted cataract extraction with implant - bilateral Laser-assisted phacoemulsification of cataract with lens implant - bilateral (including topical or local anaesthetic) Narrative Change Published
Page
Viewing All