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 Code Current
Narrative
Proposed
Narrative
Type Current
Status
Reasons for
change
20/02/2015 IMxxx N/A PET/CT scan with choline New Code Submitted Improves coding structure and adds clarityThe existing PET/CT scans in the coding structure are for all malignant conditions. PET/CT scans with choline are only used for prostate cancer and only in specific circumstances (as outlined by the Royal College of Physicians) therefore from a clinical perspective a new code is needed to differentiate the test being done. This code will cover all contrasts and eliminate the need for numerous codes for each contrast.
16/02/2015 W3115 N/A ABCIUS procedure (Autologous Bone Marrow Implantation of Cells University Hospital Southampton) in the Hip with Scaffold. New Code Submitted Brand new procedure/testDamage to joint surface in the hip is commonly caused by sports injuries and falls. It does not restore itself when injured and ultimately the patient may develop arthritis in the hip joint. Many techniques have been developed to repair the damaged surface and the most commonly performed technique (gold standard) is micro fracture. In this procedure drill holes are made in the damaged cartilage via a keyhole surgery (arthroscopy) to promote bleeding and scar tissue in place of the damaged surface. This technique has variable results and does not lead to the formation of new joint surface. Much research has been done on the ability of stems cells (patient’s own biological cells) to change into new joint surface cells. This procedure uses the patient’s own stem cells to cover the joint surface defect with the aim of healing the lesion and relieving symptoms.
16/02/2015 W3114 N/A ABCIUS procedure (Autologous Bone Marrow Implantation of Cells University Hospital Southampton) in the Hip without Scaffold. New Code Submitted Brand new procedure/testDamage to joint surface in the hip is commonly caused by sports injuries and falls. It does not restore itself when injured and ultimately the patient may develop arthritis in the hip joint. Many techniques have been developed to repair the damaged surface and the most commonly performed technique (gold standard) is micro fracture. In this procedure drill holes are made in the damaged cartilage via a keyhole surgery (arthroscopy) to promote bleeding and scar tissue in place of the damaged surface. This technique has variable results and does not lead to the formation of new joint surface. Much research has been done on the ability of stems cells (patient’s own biological cells) to change into new joint surface cells. This procedure uses the patient’s own stem cells to cover the joint surface defect with the aim of healing the lesion and relieving symptoms.
16/02/2015 W3113 N/A ABCIUS procedure (Autologous Bone Marrow Implantation of Cells University Hospital Southampton) in the Knee with Scaffold. New Code Submitted Brand new procedure/testDamage to joint surface in the knee is commonly caused by sports injuries and falls. It does not restore itself when injured and ultimately the patient may develop arthritis in the knee joint. Many techniques have been developed to repair the damaged surface and the most commonly performed technique (gold standard) is micro fracture. In this procedure drill holes are made in the damaged cartilage via a keyhole surgery (arthroscopy) to promote bleeding and scar tissue in place of the damaged surface. This technique has variable results and does not lead to the formation of new joint surface. Much research has been done on the ability of stems cells (patient’s own biological cells) to change into new joint surface cells. This procedure uses the patient’s own stem cells to cover the joint surface defect with the aim of healing the lesion and relieving symptoms.
16/02/2015 W3112 N/A ABCIUS procedure (Autologous Bone Marrow Implantation of Cells University Hospital Southampton) in the Knee without Scaffold. New Code Submitted Brand new procedure/testBrand new procedure/test Damage to joint surface in the knee is commonly caused by sports injuries and falls. It does not restore itself when injured and ultimately the patient may develop arthritis in the knee joint. Many techniques have been developed to repair the damaged surface and the most commonly performed technique (gold standard) is micro fracture. In this procedure drill holes are made in the damaged cartilage via a keyhole surgery (arthroscopy) to promote bleeding and scar tissue in place of the damaged surface. This technique has variable results and does not lead to the formation of new joint surface. Much research has been done on the ability of stems cells (patient’s own biological cells) to change into new joint surface cells. This procedure uses the patient’s own stem cells to cover the joint surface defect with the aim of healing the lesion and relieving symptoms.
12/02/2015 W7471 N/A Allograft revision of anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy) New Code Submitted Improves coding structure and adds clarity Revision ACL can be done using autograft and allograft but the current coding does not reflect this. New code request for allograft and to include (including arthroscopic and meniscectomy) to align with W7420. Please refer to separate narrative change request for autograft revision ACL - 2838
12/02/2015 W7470 Revision of anterior cruciate ligament reconstruction Autograft revision of anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy) Narrative Change Submitted Improves coding structure and adds clarity Revision ACL can be done using autograft and allograft but the current coding does not reflect this. Narrative change to add autograft and include (including arthroscopic and meniscectomy) to align with W7420. Please refer to separate new code request for allograft revision ACL.
12/02/2015 W7440 Allograft anterior cruciate ligament reconstruction Allograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy) Narrative Change Submitted To align current codes and consistencyNarrative change to add (including arthroscopic and meniscectomy) to align with W7420
12/02/2015 V2510 Endoscopic Discectomy and or Decompression (Transforaminal) - Lumbar region Endoscopic discectomy and/or decompression (transforaminal) - lumbar region Narrative Change Submitted Correction of unnecessary capitalisation and addition of back-slash (and/or).
09/02/2015 U0150 N/A Non-myeloablative stem cell transplant (mini transplant) New Code Submitted Improves coding structure and adds clarityThis is an accepted method of stem cell transplant where low-dose radiation with or without chemotherapy is used before the transplant to suppress rather than destroy the patient's immune system. We do not have any code currently for this where it is used as a primary method of treatment. Secondary mini transplant code: U0140 (Second peripheral blood stem cell mini transplant for relapse after bone marrow transplant)
29/01/2015 TBC N/A Faecal Microbiota Transplant for the treatment of Recurrent Clostridium Difficile Infection. New Code Submitted Brand new procedure/testThis is a new procedure that has not yet been allocated a CCSD Code. 8394F refers to the Diagnostics of C. diff toxin only but this proposed new procedure will require a new Procedural Code possibly within Chapter 11.
28/01/2015 W7420 Autograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy) N/A Coding Principles Submitted "W7420 Autograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy)" includes arthroscopy and therefore should unbundle with "W8230 Arthroscopic meniscal repair" as they both include the same procedure.
13/01/2015 W3111 N/A Resurfacing osteochondral lesion with homologenous blood enhanced scaphold + bone marrow stimulation as a single stage procedure (HIP) New Code Rejected Brand new procedure/testBrand new procedure/test
12/01/2015 X0008 Clinical supervision of external beam radiotherapy, for 16 or up to and including 30 fractions N/A Coding Principles Rejected Following feedback from Consultant Oncologist and how fractions are coded, we propose to remove the unbundling of X0008 Clinical supervision of external beam radiotherapy, for 16 or up to and including 30 fractions with X6581 Clinical supervision of the delivery of a single fraction of radiotherapy. When more than 30 fractions are delivered, X6581 is used for each additional fraction above 30 (fractions 31-39). This enables coding of the appropriate and exact amount of fractions being used beyond 30 and the ability to see the number of fractions given for various conditions.
09/01/2015 W7860 Arthroscopic arthrolysis of elbow (as sole procedure) N/A Coding Principles Published The suggestion is to add W7860 with W0850 as removal of excess bony tissue is integral to arthrolysis
31/12/2014 W0961 N/A Radical clearance of benign bone tumour with reconstruction +/- insertion of prosthesis New Code Published Improves coding structure and adds clarityWe have codes for radical clearance of sarcomas (W0950/W0951) and we are finding that these are being requested for certain benign tumours as well but because the term 'sarcoma' is included in the narrative of these codes they are not appropriate for use. Giant cell tumours of the bone are considered as benign but are aggressive tumours and may require radical clearances. There is a code W0960 for excision of a benign bone tumour but this does not cover a wider/more radical approach which may be required in certain clinical scenarios.
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