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
22/03/2019 XR? N/A A course of Goldic injections under image guidance A new way of treating musculoskeletal disorders and autoimmune disorders with a powerful non pharmacological anti inflammatory and regenerative autologous blood based substance cultured with gold externally to produce high levels of cytokines. New Code Submitted A new way of treating musculoskeletal disorders and autoimmune disorders with a powerful non pharmacological anti inflammatory and regenerative autologous blood based substance cultured with gold externally to produce high levels of cytokines. This has no known side effects
22/03/2019 ? N/A I would like to apply for a CCSD code for a procedure of disc augmentation with injectable class III B ethanol gel based medical device. The product procedure is for treatment of a contained herniated disc is called DISCOGEL. It complies with the definition of a medical device, as described in article 1 of a Medical Device Directive 93/42/CE The device reduces inflammation through hernia resorption and disc consolidation. The French origin product received CE mark following studies which took place in France (copy of the certificate and Clinical Evaluation Report 2016 which contain details of the product and studies is included) The device has been used since 2007. Over 50,000 treatment performed world wide proved to be safe over 80% effective. New Code Submitted Brand new procedure/testI would like to start using this procedure and I would like to apply for reimbursement from insurance companies
19/03/2019 N/A N/A microneurography New Code Submitted Improves coding structure and adds clarity
19/03/2019 N/A N/A Bone Marrow Aspirate Stem Cell Concentrate New Code Submitted We are aware this is being offered in private practice.
18/03/2019 N/A N/A Endoscopic circumferential ablation of low or high grade dysplasia in Barrett’s oesophagus New Code Submitted Brand new procedure/testIt appears this procedure is being used but is subject to clinical trials.
18/03/2019 G1421 Endoscopic ablation of high-grade dysplasia in Barrett's oesophagus Endoscopic focal ablation of low or high-grade dysplasia in Barrett's oesophagus Narrative Change Submitted We are aware ablation is being offered to patients with low grade dysplasia. The addition of "focal" will separate this from circumferential ablation.
12/03/2019 Q0710 Radical hysterectomy and lymphadenectomy (Wertheim's) +/- ureterolysis N/A Coding Principles Submitted Mirroring the non-robotic code.
12/03/2019 Q0711 Robotic assisted radical hysterectomy and lymphadenectomy (Wertheim's) +/- ureterolysis N/A Coding Principles Submitted Reason for adding these combinations is mirroring the non-robotic code with the robotic code.
12/03/2019 M3411 Robotic assisted laparoscopic cystoprostatectomy (with construction of intestinal conduit or bladder) N/A Coding Principles Submitted These codes are all part and parcel of the main procedure.
27/02/2019 N/A N/A Bronchial thermoplasty (including bronchoscopy) for severe asthma New Code Submitted Brand new procedure/test
27/02/2019 R1220 Removal of cerclage of cervix of gravid uterus Transvaginal removal of cerclage of cervix of gravid uterus Narrative Change Submitted
27/02/2019 R1210 Cerclage of cervix of gravid uterus Transvaginal cerclage of cervix of gravid uterus Narrative Change Submitted
27/02/2019 N/A N/A Laparoscopic cerclage for cervical incompetence in gravid uterus New Code Submitted Improves coding structure and adds clarityWe have code for cerclage of cervix however this is used for much simpler transvaginal placement of Shirodka suture or McDonald purse string suture which is then removed in late pregnancy. You may wish to consider adding transvaginal to the narrative of R1210 and R1220? There are options of transabdominal placement of suture as well as this laparoscopic technique.
27/02/2019 N/A N/A Transabdominal cerclage for cervical incompetence in gravid uterus New Code Submitted Improves coding structure and adds clarityWe have code for cerclage of cervix however this is used for much simpler transvaginal placement of Shirodka suture or McDonald purse string suture which is then removed in late pregnancy. You may wish to consider adding transvaginal to the narrative of R1210 and R1220? There are options laparoscopic technique in addition to transabdominal where previous transvaginal suture has failed or is technically too difficult.
26/02/2019 TBA N/A Wide excision of sweat glands - unilateral axilla New Code Submitted There is a bilateral code: S0410 "Wide excision of sweat glands - bilateral axillae” but not a unilateral one which we recently had a query about.
25/02/2019 T7990 Revision of open or arthroscopic rotator cuff repair +/- decompression N/A Coding Principles Submitted W8193 Arthroscopic subacromial decompression not listed as unacceptable with T7990, but given that T7910 Open subacromial decompression and rotator cuff repair and T7982 Arthroscopic subacromial decompression and rotator cuff repair are both listed as unacceptable with T7990, we think W8193 should also be listed.
25/02/2019 W8640 Complex therapeutic arthroscopy of ankle, with multiple bony, joint surface and soft tissue procedures +/- ligament reconstruction N/A Coding Principles Submitted Our orthopaedic advisor considers that as the W8640 narrative includes "+/- ligament reconstruction" it should not be used alongside the 2 codes that specifically detail ligament reconstruction.
21/02/2019 7334T Endopredict N/A Inactivate Approved Current code replaced by a new code
21/02/2019 3009G* Gene Panel Myriad Colaris Plus with colorectal high risk panel N/A Inactivate Approved Current code replaced by a new codeCurrent code replaced by a new code
21/02/2019 3009G N/A N/A Inactivate Approved Current code replaced by a new code
21/02/2019 0001T N/A N/A Inactivate Approved Current code replaced by a new code
21/02/2019 3017G N/A B Cell Clonality New Code Approved To replace code already in the Schedule
21/02/2019 3016G N/A Gene Panel Myriad Colaris Plus with colorectal high risk panel New Code Approved To replace code already in the Schedule
21/02/2019 X0012 N/A N/A Inactivate Approved
20/02/2019 8436B N/A N/A Reinstatement Submitted Code still requiredCode still required
14/02/2019 N/A N/A 5FU Rare mutations (DPD) New Code Submitted Brand new procedure/testBrand new procedure/test
14/02/2019 N/A N/A 5FU Common mutations (DPD) New Code Submitted Brand new procedure/testBrand new procedure/test
11/02/2019 N/A N/A Minimally invasive endoscopic repair of atrial septal defects (ASD) via mini-thoracotomy New Code Submitted Brand new procedure/test
11/02/2019 2080B Blood group and cross match N/A Coding Principles Submitted Request to remove the coding principles as both tests are performed at the same time in order to ensure that fully compatible cross-matched blood is available for the patient during surgery should a transplant be required. This is in line with the national standard Maximum Blood Ordering Schedule which dictates which procedures cross matched blood should be ordered in for based on the likelihood of transfusion being needed.
11/02/2019 U0080 Harvesting for autologous peripheral blood stem cell transplant Harvesting for autologous peripheral blood stem cell transplant or Chimeric Antigen Receptor T cell (CAR-T cell) therapy Narrative Change Submitted Improves coding structure and adds claritycell harvest process is the same for both procedures but we need a code that clearly includes CAR-T change to support reference to CAR-T
07/02/2019 3009G* Gene Panel Myriad Colaris Plus with colorectal high risk panel N/A Inactivate Approved System Error
06/02/2019 Q0711 N/A Robotic assisted radical hysterectomy and lymphadenectomy (Wertheim's) +/- ureterolysis New Code Approved Improves coding structure and adds clarityThe robotic version of the Q0710 is taking place at in several London hospitals but as there is no code then this is being invoiced using the standard code. For reporting on outcomes this needs to have it's own robotic code.
01/02/2019 20130 Exercise ECG (including base line 12 lead ECG and reporting) N/A Coding Principles Approved 1 – Symptoms such as chest pain, palpitations and hypertension often need both an exercise ECG and Echocardiogram to diagnose. As this article shows (https://www.health.harvard.edu/heart-disease-overview/cardiac-exercise-stress-testing-what-it-can-and-cannot-tell-you) and in the words of its author Dr Bhatt (professor of medicine at Harvard and chief of Cardiology for the Boston Healthcare System), “An exercise stress test is not 100% accurate—no medical test is, but it helps decide what the next step should be….. it can be used to move the probability up or down of there being coronary artery disease. It can't absolutely rule it out or diagnose it”. A common follow-up test is an Echocardiogram, which is often done on the same day – hence the request to remove the unbundling link between the two codes. 2 – They are materially different tests; the exercise ECG tests for heart rhythm, whereas the Echocardiogram uses Ultrasound to assess the heart structure. The two tests use very different equipment (treadmill vs imaging equipment) and so can not be said to be part and parcel of one another.
31/01/2019 N/A N/A ALCA – Anti-Liver Cytosol (LC1) Antibodies New Code Approved Brand new procedure/testBrand new procedure/test
30/01/2019 W8640 Complex therapeutic arthroscopy of ankle, with multiple bony, joint surface and soft tissue procedures +/- ligament reconstruction Complex therapeutic arthroscopy of ankle, with multiple bony, joint surface and soft tissue procedures +/- ligament reconstruction (as sole procedure) Narrative Change Approved Improves coding structure and adds clarityThis code should be a sole procedure because the narrative includes all parts of this procedure already.
23/01/2019 7334T Endopredict N/A Inactivate Submitted Current code replaced by a new codeReplaced by 6001G. Both are currently active in the schedule.
23/01/2019 N/A N/A There are two existing diagnostic narratives that have the same code 3009G. Request that either one of the below tests is assigned a new unique code: B Cell Clonality Gene Panel Myriad Colaris Plus with colorectal high risk panel New Code Submitted There are two diagnostic narratives that have the same code 3009G. Request that either one of the below tests is assigned a new unique code: B Cell Clonality Gene Panel Myriad Colaris Plus with colorectal high risk panel
22/01/2019 CD019 Bubble study with transthoracic echocardiogram N/A Coding Principles Approved Bubble study does include Echo so should unbundle.
21/01/2019 F4500 N/A Extracapsular dissection of parotid tumour New Code Submitted Improves coding structure and adds clarity
21/01/2019 F5611 N/A Combined open and endoscopic removal of parotid gland ston New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
21/01/2019 F5121 N/A Combined open and endoscopic removal of submandibular gland stone New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
21/01/2019 F4832 N/A Intra corporeal salivary gland lithotripsy New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
21/01/2019 F4831 N/A Therapeutic sialendoscopy (including stone retrieval +/- dilation New Code Submitted Improves coding structure and adds clarity
21/01/2019 F4830 Therapeutic sialendoscopy Therapeutic sialendoscopy (including washout) Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
16/01/2019 N/A N/A PET Scan with florbetapir New Code Approved Improves coding structure and adds clarityA specific code is required for the florbetapir/amyvid scan to improve coding structure. This service is currently being assigned a mix of codes including IM057 Pet scan brain IM062 PET/CT scan brain IM101 Amyloid Study IM056 PET scan local.
15/01/2019 3015G N/A Myriad Prolaris New Code Approved Improves coding structure and adds clarityThe current code for Myriad Prolaris is 000T but request this be changed to a code ending in the suffix G in line with other published genetic tests.
14/01/2019 N/A N/A Circulating tumour DNA profile for cancer of unknown primary (Guardant 360) New Code Approved Brand new procedure/testBrand new procedure/test
14/01/2019 N/A N/A Circulating tumour DNA profile for colo-rectal cancer (Guardant 360) New Code Approved Brand new procedure/testBrand new procedure/test
14/01/2019 N/A N/A Circulating tumour DNA profile for upper gastro-intestinal cancer (Guardant 360) New Code Approved Brand new procedure/testBrand new procedure/test
11/01/2019 N/A N/A Circulating tumour DNA profile for breast cancer (Guardant 360) New Code Approved Brand new procedure/testBrand new procedure/test
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