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
15/05/2019 W7180 Harvesting and injection of bone marrow aspirate concentrate (BMAC) N/A Coding Principles Submitted Thes procedures would form part and parcel of the main procedure
14/05/2019 N/A N/A Robotic assisted laparoscopic total hysterectomy (- oophorectomy) New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Q0791 currently has +/- Oophorectomy we want to update narrative of Q0791 (see request 4870 ) and add new code in order to show if they have had the Oophorectomy or not. Improves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left.
14/05/2019 Q0791 Robotic assisted laparoscopic total hysterectomy (+/- oophorectomy) Robotic assisted laparoscopic total hysterectomy (+ oophorectomy) Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
14/05/2019 N/A N/A Laparoscopic total hysterectomy (- oophorectomy) +/- ureterolysis New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Q0790 currently has +/- Oophorectomy we want to update narrative of Q0790 (see request 4867 ) and add new code in order to show if they have had the Oophorectomy or not. Improves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left.
14/05/2019 Q0790 Laparoscopic total hysterectomy (+/- oophorectomy) +/- ureterolysis Laparoscopic total hysterectomy (+oophorectomy) +/- ureterolysis Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
14/05/2019 N/A N/A Robotic assisted laparoscopic subtotal hysterectomy (- oophorectomy) New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Q0752 currently has +/- Oophorectomy we want to update narrative of Q0752 (see request 4865) and add new code in order to show if they have had the Oophorectomy or not. Improves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left.
14/05/2019 Q0752 Robotic assisted laparoscopic subtotal hysterectomy (+/- oophorectomy) Robotic assisted laparoscopic subtotal hysterectomy (+ oophorectomy) Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
14/05/2019 N/A N/A Laparoscopic subtotal hysterectomy (- oophorectomy) +/- ureterolysis New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Q0751 currently has +/- Oophorectomy we want to update narrative of Q0751 (see request 4863 ) and add new code in order to show if they have had the Oophorectomy or not. Improves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left.
14/05/2019 Q0751 Laparoscopic subtotal hysterectomy (+/- oophorectomy) +/- ureterolysis Laparoscopic subtotal hysterectomy (+oophorectomy) +/- ureterolysis Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
14/05/2019 N/A N/A Subtotal abdominal hysterectomy (- oophorectomy) +/- ureterolysis New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Q0750 currently has +/- Oophorectomy we want to update narrative of Q0750 (see request 4861) and add new code in order to show if they have had the Oophorectomy or not. Improves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
14/05/2019 Q0750 Subtotal abdominal hysterectomy (+/- oophorectomy) +/- ureterolysis Subtotal abdominal hysterectomy (+ oophorectomy) +/- ureterolysis Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
14/05/2019 N/A N/A Total abdominal hysterectomy (- oophorectomy) +/- ureterolysis New Code Submitted Improves coding structure and adds clarityQ0740 currently has +/- Oophorectomy we want to update narrative of Q0740 (see request 4858 and add new code in order to show if they have had the Oophorectomy or not. Improves coding structure and adds clarityCurrently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
14/05/2019 Q0740 Total abdominal hysterectomy (+/- oophorectomy) +/- ureterolysis Total abdominal hysterectomy + oophorectomy +/- ureterolysis Narrative Change Submitted Improves coding structure and adds clarityCurrently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
07/05/2019 7010G N/A FoundationOne CDx New Code Submitted Foundationone has 2 tests. This new code will help us separate the two
07/05/2019 7004G Molecular Profiling Foundation One FoundationOne Liquid Narrative Change Submitted Foundationone has 2 tests. This change will help separate. Liquid which is blood and CDX which is tissue (Will be a new request for this code).
07/05/2019 8436B Oncofocus precision oncology test This is a Genetics test so proposing this code should be line with the others 7XXXG. Narrative to stay the same Narrative Change Submitted To replace codes already in the scheduleThis is a Genetics test so proposing this code should be line with the others 7XXXG
07/05/2019 7601G N/A Next generations sequencing (NGS) molecular Intelligence - Caris New Code Submitted Improves coding structure and adds clarityThis code will replace the old narrative for 7001G
07/05/2019 7001G Next generations sequencing (NGS) molecular profiling - Caris Next generations sequencing (NGS) - Caris Narrative Change Submitted Improves coding structure and adds clarityPrevious narrative contains molecular profiling. Our MD says when the Genetic coding structure was agreed molecular codes would be 76XXG codes. Will be created a new request to create another code for the old narrative under 76001G
02/05/2019 T6450 Tenodesis of biceps tendon (as sole procedure) Tenodesis of biceps tendon Narrative Change Submitted Improves coding structure and adds clarityWhilst shoulder biceps procedures include Tenodesis by default (such as T6450 "Repair of distal biceps tendon") and therefore unbundle with T6450 there are some other shoulder procedures in the schedule such as T7915 "Arthroscopic rotator cuff repair greater than 2cm" which may (but don’t always) require tenodesis to be performed as part of the procedure. This request is therefore to remove the label "as sole procedure" from the narrative of code T6450 "Tenodesis of biceps tendon".
02/05/2019 W8603 Therapeutic arthroscopy of shoulder (as sole procedure) Therapeutic arthroscopy of shoulder Narrative Change Submitted Improves coding structure and adds clarityShoulder arthroscopy is frequently performed as part of another procedure in the shoulder. Whilst some other shoulder procedures are explicitly arthroscopic (such as W8193 "Arthroscopic subacromial decompression") there are other shoulder procedures in the schedule such as W5600 "Primary repair of rupture of acromioclavicular or sternoclavicular joint +/- internal fixation" which may (but don't always) require a shoulder arthroscopy to be performed as part of the procedure. This request is therefore to remove the label "as sole procedure" from the narrative of code W8603 "Therapeutic arthroscopy of shoulder" to reflect the fact that there are some procedures in the schedule which may on occasion be performed alongside a therapeutic shoulder arthroscopy.
01/05/2019 N/A N/A Laparoscopic Ventral Mesh Rectopexy (LVMR) New Code Submitted As discussed at April WG meeting
26/04/2019 IM372 N/A Contrast Enhanced Mammography New Code Submitted Brand new procedure/testBrand new procedure/test
23/04/2019 N/A N/A Portal vein embolisation (as sole procedure) New Code Submitted Brand new procedure/testImproves coding structure – currently as there is no specific code providers are using a range of other XR codes.
23/04/2019 N/A N/A Intracavernosal injection New Code Submitted Long standing procedure but no code. The injection is used to create an artificial erection to aid in the diagnosis of penile fibrosis and injury. Also used in the treatment setting for erectile dysfunction. Patients are taught how to self-inject. Specialists consider there should be a specific code for this and as there isn’t have been trying to use alternative codes such as S5300 Introduction of substance into skin N2782 Intralesional injection of pharmacologic agent into penis for Peyronie’s disease or W9040 Injection into joint cyst bursa .
23/04/2019 N/A N/A Coronary intravascular lithotripsy +/- angioplasty +/- insertion of stent New Code Submitted Brand new procedure/test
18/04/2019 J9904 N/A Cytoreductive surgery for Colorectal Peritoneal Carcinomatosis (7-8 distinct procedures) with intraperitoneal chemotherapy New Code Published Improves coding structure and adds clarityImproves coding structure and adds clarity
18/04/2019 B2993 Reconstruction of breast using stacked deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral (2 flaps per breast) N/A Coding Principles Published
18/04/2019 N/A N/A Mastectomy and immediate reconstruction of breast using fixed prosthesis - - bilateral New Code Submitted This a a bilateral version of B3013
18/04/2019 B3013 Mastectomy and immediate reconstruction of breast using fixed prosthesis Mastectomy and immediate reconstruction of breast using fixed prosthesis - unilateral Narrative Change Submitted Improves coding structure and adds clarityTo identify this code as for use in unilateral surgery only.
18/04/2019 N/A N/A Mastectomy and immediate reconstruction of breast using expandable prosthesis - bilateral New Code Submitted Improves coding structure and adds clarityThis a a bilateral version of B3012
18/04/2019 B3012 Mastectomy and immediate reconstruction of breast using expandable prosthesis Mastectomy and immediate reconstruction of breast using expandable prosthesis - unilateral Narrative Change Submitted Improves coding structure and adds clarityTo identify this code as for use in unilateral surgery only.
16/04/2019 N/A N/A Myeloid Panel New Code Submitted Brand new procedure/test
16/04/2019 TBA N/A Convergent procedure and catheter ablation for persistent atrial fibrillation New Code Submitted Brand new procedure/testThis hybrid procedure is now being performed in small numbers but gives better results for people with long standing atrial fibrillation (AF)
15/04/2019 G2340 Transabdominal repair of diaphragmatic hernia Transabdominal repair of diaphragmatic hernia (excluding hiatus hernia) Narrative Change Submitted Improves coding structure and adds clarityWe need to update the narrative to make a clear distinction between codes G2330 & G2340. Whilst hiatus hernia can be described as a type of diaphragmatic hernia but there are others types – congenital and acquired which I think the code was intended for. By adding 'excluding hiatus hernia' we are clarifying which code the provider should select. https://www.medicinenet.com/script/main/art.asp?articlekey=15942 https://www.msdmanuals.com/en-gb/home/digestive-disorders/esophageal-and-swallowing-disorders/hiatus-hernia We think a diaphragmatic hernia should be describing as either congenital diaphragmatic hernias (paediatrics) or acquired diaphragmatic hernias – generally caused by trauma (direct penetrating in cases of stab or gunshot or blunt trauma such as crush injuries or RTA) iatrogenic caused during surgery or very rarely caused by severe coughing/vomiting. The complexity of surgery is higher for a true diaphragmatic hernia than surgery to repair a hiatus hernia hence we need a clear distinction in which code to choose.
05/04/2019 S1510 Needle/tru-cut biopsy of muscle Needle/tru-cut biopsy of muscle (as sole procedure) Narrative Change Submitted Improves coding structure and adds clarityThis is often done in isolation as a diagnostic procedure. When done in combination with another procedure this would be a minor addition.
04/04/2019 S0410 Wide excision of sweat glands - bilateral axillae Wide excision of sweat glands – including bilateral axillae Narrative Change Published Improves coding structure and adds clarity
04/04/2019 J9907 N/A Cytoreductive surgery for Ovarian Malignancies excluding intraperitoneal chemotherapy New Code Published Improves coding structure and adds clarity
04/04/2019 J9906 N/A Heated intraperitoneal chemotherapy for Colorectal Peritoneal Carcinomatosis New Code Published Improves coding structure and adds clarity
04/04/2019 J9905 N/A Repeat Cytoreductive surgery for Pseudomyxoma Peritonei or Colorectal Peritoneal Carcinomatosis with intraperitoneal chemotherapy New Code Published Improves coding structure and adds clarity
04/04/2019 J9903 N/A Cytoreductive surgery for Colorectal Peritoneal Carcinomatosis (4-6 distinct procedures) with intraperitoneal chemotherapy New Code Published
04/04/2019 J9902 N/A Cytoreductive surgery for Colorectal Peritoneal Carcinomatosis (2-3 distinct procedures) with intraperitoneal chemotherapy New Code Published Improves coding structure and adds clarity
04/04/2019 J9901 N/A Cytoreductive surgery (Sugarbaker technique) for Pseudomyxoma Peritonei with intraperitoneal chemotherapy New Code Published Improves coding structure and adds clarity
04/04/2019 J9900 Cytoreductive surgery (Sugarbaker technique) with intraperitoneal chemotherapy N/A Inactivate Published Current code replaced by a new code
04/04/2019 X7016 Delivery of electrons, single field or 2-dimensional radiotherapy on a megavoltage machine N/A Coding Principles Published
04/04/2019 X7015 Delivery of high dose rate brachytherapy N/A Coding Principles Published
04/04/2019 X7014 Delivery of low dose rate brachytherapy N/A Coding Principles Published
04/04/2019 X6008 Planning and preparation for the delivery of interstitial radiotherapy N/A Coding Principles Published
04/04/2019 X6006 Planning and preparation for the delivery of static total body irradiation (TBI) N/A Coding Principles Published
04/04/2019 X7013 Delivery of fraction of Proton Beam therapy (PBT) for ocular tumours N/A Coding Principles Published
04/04/2019 X7012 Delivery of a fraction of magnetic resonance image (MRI) guided radiotherapy N/A Coding Principles Published
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