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
01/12/2016 N/A N/A Removal of gastric band New Code Submitted Improves coding structure and adds clarityWe currently have a code G3080 "Laparoscopic gastric banding" but no code for removal.
29/11/2016 N/A N/A Fusion of first metatarso-phalangeal joint with bone grafting +/- internal fixation (as sole procedure) New Code Submitted Improves coding structure and adds clarityThis procedure is carried out within the NHS for treatment of arthritis or other deformities usually bunion. Our medical adviser feels this should be a sole procedure code as the procedure can involve a wide variety of smaller procedures intrinsic to the fusion.
29/11/2016 L8881 N/A Endovenous mechanochemical ablation for varicose veins - bilateral New Code Submitted Improves coding structure and adds clarityWe currently have a code for L8880 Endovenous mechanochemical ablation for varicose veins. By adding a bilateral code this will be consistent with other codes associated with varicose veins.
17/11/2016 K5040 Rotablation of coronary vessel(s) percutaneous transluminal rotational atherectomy (PCRS) Rotablation of coronary vessel(s) percutaneous transluminal rotational atherectomy (PCRS) +/- insertion of stent Narrative Change Submitted Adding a stent is an integral part of this procedure. The rotablation technique removes severe atherosclerosis in the coronary vessel in order for a stent to be inserted.
15/11/2016 XR120 CT/MRI guided biopsy(ies) CT/MRI guided biopsy(ies) of soft tissues. Narrative Change Submitted Improves coding structure and adds clarityOur CMO feels this would add clarity to the procedure and what the biopsy is performed on.
15/11/2016 V2500 Primary posterior fusion +/- decompression +/- discectomy - lumbar region (1 or 2 levels) N/A Coding Principles Submitted Our CMO feels this should also unbundle with V2500 as A5210 and A5211 do.
11/11/2016 N/A N/A Ultrasound guided radiofrequency ablation of benign thyroid nodule New Code Submitted Brand new procedure/test
10/11/2016 W5830 N/A Robotic assisted total knee replacement New Code Submitted Improves coding structure and adds clarity. Last month W3720 (robotic assisted total hip replacement) and W5820 (robotic assisted unicompartmental knee replacement were approved by the group. For the sake of completeness can we add a code for total knee replacement also. UK volumes at present are nil but we anticipate performing the 1st of these either late this year or early next year.
08/11/2016 W7420 Autograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy) N/A Coding Principles Submitted Our CMO believes that W7490 - Reconstruction of posterior lateral corner of knee is a completely separate procedure from a W7420 - Autograft anterior cruciate ligament reconstruction and that they should not be listed as an unacceptable combination.
28/10/2016 Q0790 Laparoscopic total hysterectomy (+/- oophorectomy) +/- ureterolysis N/A Coding Principles Submitted Q1701 is listed as an unacceptable combination with Q0750 Subtotal abdominal hysterectomy and Q0751 Laparoscopic subtotal hysterectomy; therefore we believe it should be added to Q0790 as well.
27/10/2016 N/A N/A Laser Destruction of lesion of Vulva New Code Submitted Improves coding structure and adds clarity
25/10/2016 C6170 Goniosynechialysis or goniopuncture (with laser or operatively) (including topical or local anaesthetic) N/A Coding Principles Submitted See rationale on Req.3559
25/10/2016 C6160 Complex glaucoma surgery (including anti-metabolites/insertion of seton devices) (including topical or local anaesthetic) N/A Coding Principles Submitted See rationale on Req.3559
25/10/2016 C6150 Revision of previous glaucoma surgery (including topical or local anaesthetic) N/A Coding Principles Submitted See rationale on Req.3559
25/10/2016 C6130 Goniotomy (surgical treatment of glaucoma) (including topical or local anaesthetic) N/A Coding Principles Submitted See rationale on Req.3559
25/10/2016 C6120 Trabecular stent bypass microsurgery for open-angle glaucoma (including topical or local anaesthetic) N/A Coding Principles Submitted See rationale on Req.3559
25/10/2016 C6111 Laser trabeculoplasty (including topical or local anaesthetic) - unilateral N/A Coding Principles Submitted See rationale on Req.3559
25/10/2016 C6110 Laser trabeculoplasty (including topical or local anaesthetic) - bilateral N/A Coding Principles Submitted See rationale on Req.3559
25/10/2016 C6012 ​Canaloplasty (of Schlemm's Canal with microcatheter) combined with phakoemulsification of lens with implant "Phako-Canaloplasty" (including topical or local anaesthetic) N/A Coding Principles Submitted See rationale on Req.3559
25/10/2016 C6011 Canaloplasty (of Schlemm’s Canal with microcatheter) (including topical or local anaesthetic) N/A Coding Principles Submitted See rationale on Req.3559
25/10/2016 C6010 Surgical trabeculectomy or other penetrating glaucoma procedures (including topical or local anaesthetic) N/A Coding Principles Submitted Our CMO has suggested that both C6920 Paracentesis and C6930 Injection into anterior chamber should be listed as unacceptable with all glaucoma codes. CCSD has listed C6930 as unacceptable with many of the glaucoma codes, but not C6920. Paracentesis is merely a generic term for sticking something into a cavity e.g. a needle into the eye, exactly like C6930. We believe both codes are sometimes being used, when it is actually the anaesthetic injection into the eye, which is included in the narrative.
25/10/2016 C7202 Laser-assisted phacoemulsification of cataract with lens implant - bilateral (including topical or local anaesthetic) N/A Coding Principles Submitted See rationale on Req.3553
25/10/2016 C7201 Laser-assisted phacoemulsification of cataract with lens implant – unilateral (including topical or local anaesthetic) N/A Coding Principles Submitted See rationale on Req.3553
25/10/2016 C7125 Ultrasound phacoemulsification of cataracts, with lens implant - bilateral (including topical or local anaesthetic) N/A Coding Principles Submitted See rationale on Req.3553
25/10/2016 C7124 Phakoemulsification of cataracts, without lens implant - bilateral (including topical or local anaesthetic) N/A Coding Principles Submitted See rationale on Req.3553
25/10/2016 C7123 Phakoemulsification of cataract, without lens implant - unilateral (including topical or local anaesthetic) N/A Coding Principles Submitted See rationale on Req.3553
25/10/2016 C7122 Ultrasound phacoemulsification of cataract, with lens implant - unilateral (including topical or local anaesthetic) N/A Coding Principles Submitted Our CMO has suggested that both C6920 Paracentesis and C6930 Injection into anterior chamber should be listed as unacceptable with all cataract codes. CCSD has listed C6930 as unacceptable with many of the cataract codes, but not C6920. Paracentesis is merely a generic term for sticking something into a cavity e.g. a needle into the eye, exactly like C6930. We believe both codes are sometimes being used with cataract codes, when it is actually the anaesthetic injection into the eye, which is included in the narrative.
25/10/2016 C6180 Bleb needling +/- antimetabolites (including topical or local anaesthetic) N/A Coding Principles Submitted We didn't get round to adding any coding principles after this code was published. All the subsequent coding principle requests will be to tidy up any omissions.
25/10/2016 X6550 N/A Planning and clinical supervision of the delivery of selective internal radiotherapy (SIRT) New Code Submitted We have a SIRT code for the hospital to use (X6560) but it is delivered in the same way as brachytherapy and IORT therefore a new code is needed for the clinician's involvement. Have mirrored existing code X0010 "Planning and clinical supervision of intraoperative radiation therapy (IORT)" - see narrative change Req.3521...................
25/10/2016 X6560 Delivery of Selective Internal Radiotherapy (SIRT) Planning and delivery of Selective Internal Radiotherapy (SIRT) Narrative Change Submitted To reflect updated clinical practiceAs with X6783 "Planning and delivery of intraoperative radiotherapy (IORT)" SIRT planning is done in "real time" on the same day as the delivery.
25/10/2016 X6810 Preparation for Selective Internal Radiotherapy (SIRT) Planning for Selective Internal Radiotherapy (SIRT) Narrative Change Submitted To align current codes and consistencyFor consistency we should use the term "Planning" rather than "Preparation".
25/10/2016 X6783 Preparation and delivery of intraoperative radiotherapy (IORT) Planning and delivery of intraoperative radiotherapy (IORT) Narrative Change Submitted To align current codes and consistencyFor consistency we should use the term "Planning" rather than "Preparation".
25/10/2016 X6760 Preparation for superficial radiotherapy with imaging, dosimetry and calculation Planning for superficial radiotherapy with imaging, dosimetry and calculation Narrative Change Submitted To align current codes and consistencyFor consistency we should use the term "Planning" rather than "Preparation".
25/10/2016 X6741 Preparation for simple radiotherapy with imaging, and complex dosimetry and calculation Planning for simple radiotherapy with imaging, and complex dosimetry and calculation Narrative Change Submitted To align current codes and consistencyFor consistency we should use the term "Planning" rather than "Preparation".
25/10/2016 X6740 Preparation for simple radiotherapy with imaging, dosimetry and simple calculation Planning for simple radiotherapy with imaging, dosimetry and simple calculation Narrative Change Submitted To align current codes and consistencyFor consistency we should use the term "Planning" rather than "Preparation".
25/10/2016 X6773 Preparation for simple radiotherapy with Intensity Modulated Radiotherapy (IMRT) N/A Inactivate Submitted IMRT would never be considered "simple" and existing code X6772 "Planning for radiotherapy with Intensity Modulated Radiotherapy (IMRT)" following its narrative change can be used instead.
25/10/2016 X6772 Preparation for complex radiotherapy with Intensity Modulated Radiotherapy (IMRT) Planning for radiotherapy with Intensity Modulated Radiotherapy (IMRT) Narrative Change Submitted For consistency we should use the term "Planning" rather than "Preparation" and there is no need to specify "complex" as all IMRT is deemed to be complex.
25/10/2016 X6771 Preparation for complex radiotherapy without Intensity Modulated Radiotherapy (IMRT) Planning for radiotherapy without Intensity Modulated Radiotherapy (IMRT) Narrative Change Submitted To align current codes and consistencyFor consistency we should use "Planning" rather than "Preparation" and removing the term "complex" allows this code to be used for all radiotherapy other than IMRT IORT etc..
25/10/2016 X6780 Preparation for intermediate radiotherapy N/A Inactivate Submitted This code means exactly the same as X6771 "Preparation for complex radiotherapy without Intensity Modulated Radiotherapy (IMRT)" and could therefore be inactivated.
25/10/2016 X6710 Preparation for rotational intensity modulated radiotherapy (IMRT) (eg VMAT, RapidArc, Tomotherapy)) N/A Inactivate Submitted This code means exactly the same as X6772 "Preparation for complex radiotherapy with Intensity Modulated Radiotherapy (IMRT)" and can therefore be inactivated.
25/10/2016 X6549 Delivery of a fraction of complex radiotherapy with intensity modulated radiotherapy (IMRT) Delivery of a fraction of radiotherapy with intensity modulated radiotherapy (IMRT) Narrative Change Submitted Our clinical oncology adviser says that all IMRT is considered complex therefore there is no need to specify "complex" in the narrative.
25/10/2016 TBC N/A Functional B vitamins New Code Submitted Request from TDL
25/10/2016 TBC N/A Histamine-release test peri-operative anaphylaxis panel New Code Submitted Request from TDL
25/10/2016 TBC N/A Histamine-release test drug allergen New Code Submitted Request from TDL
25/10/2016 TBC N/A Histamine-release test penicillin antibiotic panel New Code Submitted Request from TDL
25/10/2016 TBC N/A Zika virus antibodies New Code Submitted Request from TDL
25/10/2016 TBC N/A Zika virus PCR - urine New Code Submitted Request from TDL
25/10/2016 TBC N/A Zika virus PCR - blood New Code Submitted Request from TDL
25/10/2016 TBC N/A Antiphospholipase A2 recp New Code Submitted Request from TDL
25/10/2016 TBC N/A Lactose intolerance gene New Code Submitted Request from TDL
Page
Viewing All