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.

 

Please click on the individual code requests below if you wish to comment on the approved requests. You will need to login as a user to post any comments. 

 

The codes and narrative listed are those proposed, view the Schedule to see actual approved codes and narratives.

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Request No.
Date
Proposed Code
Proposed Narrative
Type
Current Status
Reasons for change
Comments
Page    
1
1320
20/05/2014
X6547
Delivery of a fraction of simple radiotherapy with intensity modulated radiotherapy (IMRT), including all Image Guided Radiotherapy (IGRT)
Narrative Change
Under Review
Image guidance is now standard with delivery of all IMRT fractions and should therefore be covered in the narrative. Inclusion of IGRT in all IMRT narratives for delivery gives continuity across the code narratives and prevents confusion
0
1321
20/05/2014
X6548
Delivery of a fraction of intermediate radiotherapy with intensity modulated radiotherapy (IMRT), including all Image Guided Radiotherapy (IGRT)
Narrative Change
Under Review
Image guidance is now standard with delivery of all IMRT fractions and should therefore be covered in the narrative. Inclusion of IGRT in all IMRT narratives for delivery gives continuity across the code narratives and prevents confusion
0
1322
20/05/2014
X6549
Delivery of a fraction of complex radiotherapy with intensity modulated radiotherapy (IMRT), including all Image Guided Radiotherapy (IGRT)
Narrative Change
Under Review
Image guidance is now standard with delivery of all IMRT fractions and should therefore be covered in the narrative. Inclusion of IGRT in all IMRT narratives for delivery gives continuity across the code narratives and prevents confusion
0
1323
20/05/2014
X6590
Delivery of a fraction of Intensity Modulated Radiotherapy (IMRT) using RapidArc, including all Image Guided Radiotherapy (IGRT)
Narrative Change
Under Review
Image guidance is now standard with delivery of all IMRT fractions and should therefore be covered in the narrative. Inclusion of IGRT in all IMRT narratives for delivery gives continuity across the code narratives and prevents confusion
0
1324
20/05/2014
X6544
Delivery of a fraction of intensity modulated radiotherapy (IMRT) including image guided radiotherapy (IGRT) on a megavoltage machine
Inactivate
Approved
This code should be inactivated because there are already three codes for the delivery of simple, intermediate and complex IMRT (X6547, X6547, X6549) and their narratives with also have IGRT listed as per the three narrative change requests (1320, 1321 and 1322). The non-specific code narrative of X6544 does not add on value or granularity when the three more specific codes exist. IGRT and IMRT are only performed on megavoltage machines and not performed on orthovoltage or a kilovoltage (Kv) mac
0
1325
21/05/2014
AA609
Peripheral bone density measurement performed by physician
Inactivate
Published
AA609 is no longer required as a procedure code since the imaging code, IM077 Bone densitometry DXA, has been introduced in the CCSD Diagnostics Tests Schedule. Also Bupa has found low volumes on AA609 which highlights low demand for it. Peripheral bone density measurement is a screening tool that estimates the amount of bone in the hip, spine and other bones. In the majority of cases patients would be referred for a DXA (Dual-energy X-ray absorptiometry, also known as bone densitometry) scan.
0
1328
09/06/2014
H2220
Endoscopic ultrasound for tumour staging, including diagnostic endoscopy
Narrative Change
Approved
Some providers are submitting invoices for the diagnostic test (gastroscopy or colonoscopy) as an additional investigation, but we feel it is an integral part of the main procedure - this narrative change would clarify it.
0
1329
09/06/2014
W7420
Autograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy)
Narrative Change
Approved
Our CMO has suggested removing “simple” from the description, as this is impossible to define.
0
1330
11/06/2014
C7122
Phakoemulsification of cataract, with lens implant - unilateral (including local anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1331
11/06/2014
C7123
Phakoemulsification of cataract, without lens implant - unilateral (including local anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1332
11/06/2014
C7124
Phakoemulsification of cataracts, without lens implant - bilateral (including topical anaesthetic)
Narrative Change
Approved
Phakoemulsification of cataract, without lens implant - unilateral (including topical local anaesthetic)
0
1333
11/06/2014
C7125
Phakoemulsification of cataracts, with lens implant - bilateral (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1334
11/06/2014
C6010
Surgical trabeculectomy or other penetrating glaucoma procedures (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1335
11/06/2014
C6011
Canaloplasty (of Schlemm’s Canal with microcatheter) (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1336
11/06/2014
C6012
Canaloplasty (of Schlemm's Canal with microcatheter) combined with phakoemulsification of lens with implant "Phako-Canaloplasty" (including local anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1337
11/06/2014
C6110
Laser trabeculoplasty (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1338
11/06/2014
C6120
Trabecular stent bypass microsurgery for open-angle glaucoma (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1339
11/06/2014
C6130
Goniotomy (surgical treatment of glaucoma) (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1340
11/06/2014
C6150
Revision of previous glaucoma surgery (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1341
11/06/2014
C6160
Complex glaucoma surgery (including anti-metabolites/insertion of seton devices) (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1342
11/06/2014
C6170
Goniosynechialysis or goniopuncture (with laser or operatively) (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1343
11/06/2014
C6930
Injection into anterior chamber (including topical anaesthetic)
Narrative Change
Approved
Our Chief Medical Officer feels that all forms of local anaesthetic should be included within the procedure, not just topical.
0
1345
12/06/2014
V4800
Injection around apophyseal facet(s) of vertebrae
Inactivate
Approved
This is covered by A5750/A5760/A5770 and we have seen very low volumes on V4800 in our data.
0
1346
13/06/2014
A0110
Hemispherotomy
Narrative Change
Approved
This is a more appropriate and current clinical description of the procedure being carried out. The two brain spheres are disconnected rather than removed (which would have been the old approach - hemispherectomy).
0
1347
16/06/2014
A0980
Deep brain stimulation
Narrative Change
Approved
This procedure is not only performed on patients with Parkinson’s Disease, but for a range of movement/functional disorders. Upon sourcing the support from experts on this, we propose removing Parkinson’s Disease from the narrative to enable the use of this code in those other cases.
0
1349
16/06/2014
A2210
Ventriculostomy
Narrative Change
Under Review
This is an outdated description of this procedure, it is now known as ventriculostomy.
0
1350
16/06/2014
L3320
Clipping of cerebral artery aneurysm
Narrative Change
Approved
This procedure involves the application of a clip around an aneurysm to reduce the risk of rupture and relieve symptoms. Clipping is a more specialist approach that has superseded the need for ligation.
0
1351
16/06/2014
A4110
Evacuation of subdural haematoma
Narrative Change
Under Review
This procedure applies to the evacuation of blood in the subdural space. 'Evacuation of abscess’ is an outdated description and is now more commonly referred to as 'excision of abscess' which is already found in the CCSD Schedule under code A0180 Excision of abscess of brain. Therefore, It is proposed that 'or abscess' is removed from the narrative of A4110.
0
1352
16/06/2014
A5780
Rhizolysis
Narrative Change
Approved
This is performed through the skin to relieve back pain, where a probe is inserted to the painful site. If it is done as a deep approach then it is referred to as a ‘decompression’ operation and is covered under other codes e.g. V2500 Primary posterior fusion +/- decompression +/- discectomy (lumbar region) and V2510 Endoscopic Discectomy and or Decompression (Transforaminal) - Lumbar region. Therefore we propose that '(open)' is removed from A5780 because it is not an accurate description.
0
1353
16/06/2014
V3720
Posterior fusion (cervical region) (1 level)
Narrative Change
Submitted
Provides clarity on the number of levels of the spine being treated
0
1354
16/06/2014
V3721
Posterior fusion (cervical region) (2 levels)
New Procedure
Submitted
0
1355
16/06/2014
V3722
Posterior fusion (cervical region) (3 levels)
New Procedure
Submitted
0
1356
16/06/2014
V2900
Anterior discectomy (cervical region) (1 level)
Narrative Change
Submitted
Provides clarity on the number of levels of the spine being treated.
0
1357
16/06/2014
V2901
Anterior discectomy (cervical region) (2 levels)
New Procedure
Submitted
0
1358
16/06/2014
V2903
Anterior discectomy (cervical region) (3 or more levels)
New Procedure
Submitted
0
1359
16/06/2014
V3380
Prosthetic replacement of lumbar disc (1 level)
Narrative Change
Submitted
Provides clarity on the number of levels of the spine being treated.
0
1360
16/06/2014
V3381
Prosthetic replacement of lumbar disc (2 levels)
New Procedure
Submitted
0
1361
16/06/2014
V3382
Prosthetic replacement of lumbar disc (3 or more levels)
New Procedure
Submitted
0
1362
16/06/2014
V3340
Primary anterior discectomy, decompression and anterior fusion +/- instrumentation (lumbar region) (1 level)
Narrative Change
Submitted
Provides clarity on the number of levels of the spine being treated.
0
1363
16/06/2014
V3341
Primary anterior discectomy, decompression and anterior fusion +/- instrumentation (lumbar region) (2 levels)
New Procedure
Submitted
0
1364
16/06/2014
V3342
Primary anterior discectomy, decompression and anterior fusion +/- instrumentation (lumbar region) (3 or more levels)
New Procedure
Submitted
0
1365
16/06/2014
V2200
Posterior decompression +/- foraminotomy (cervical region) (1 level)
Narrative Change
Submitted
Provides clarity on the number of levels of the spine being treated.
0
1367
16/06/2014
V2201
Posterior decompression +/- foraminotomy (cervical region) (2 levels)
New Procedure
Submitted
0
1368
16/06/2014
V2202
Posterior decompression +/- foraminotomy (cervical region) (3 or more levels)
New Procedure
Submitted
0
1369
16/06/2014
V2500
Primary posterior fusion +/- decompression +/- discectomy (lumbar region) (1 level)
Narrative Change
Submitted
Provides clarity on the number of levels of the spine being treated.
0
1370
16/06/2014
V2501
Primary posterior fusion +/- decompression +/- discectomy (lumbar region) (2 levels)
New Procedure
Submitted
0
1371
16/06/2014
V2502
Primary posterior fusion +/- decompression +/- discectomy (lumbar region) (3 or more levels)
New Procedure
Submitted
0
1372
16/06/2014
V2282
Prosthetic intervertebral disc replacement - cervical spine (1 level)
Narrative Change
Submitted
Provides clarity on the number of levels of the spine being treated.
0
1373
16/06/2014
V2283
Prosthetic intervertebral disc replacement - cervical spine (2 levels)
New Procedure
Submitted
0
1374
16/06/2014
V2284
Prosthetic intervertebral disc replacement - cervical spine (3 or more levels)
New Procedure
Submitted
0
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