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
20/02/2017 N/A N/A Intravavernosal injection of plaque into penis New Code Submitted Improves coding structure and adds clarity
13/02/2017 20110 ECG (including reporting) N/A Coding Principles Submitted We should expect to have an ECG first before we decide or not to have a Holter ECG, therefore these two codes should not unbundle.
10/02/2017 B2990 Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) with vascularised lymph node transfer (including delayed reconstruction) Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) with vascularised lymph node transfer (including delayed reconstruction) - unilateral Narrative Change Submitted Improves coding structure and adds clarityNeeds the word unilateral as per all the other breast codes that have a bilateral version.
10/02/2017 B2986 Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - unilateral Narrative Change Submitted Improves coding structure and adds clarityNeeds the word unilateral as per all the other breast codes that have a bilateral version.
10/02/2017 W9282 Joint fluid examination (e.g. polarising microscopy) performed by consultant (including aspiration of fluid) N/A Coding Principles Submitted This is part and parcel of the main procedure.
10/02/2017 S5240 Two or more injections into subcutaneous tissue/painful trigger point under local anaesthetic N/A Inactivate Submitted This code is not needed if it is an injection into subcutaneous tissue then this would be a local anaesthetic and code AC100 should be used if this is a multiple trigger point injection then use code T7292.
10/02/2017 S5210 Injection into subcutaneous tissue/painful trigger point under local anaesthetic N/A Inactivate Submitted This code is not needed as an injection into subcutaneous tissue would be a Local Anaesthetic in which case use code AC100 if it is a trigger point injection use code T7290.
09/02/2017 N/A N/A Laser treatment for glaucoma eg.Cyclodiode New Code Submitted Brand new procedure/testThis is widely available on the NHS but there is no specific code for Cyclodiode laser treatment for glaucoma. Probably best to have a generic code in case other types of laser become common practice.
08/02/2017 L8880 Endovenous mechanochemical ablation for varicose veins Endovenous mechanochemical ablation for varicose veins - unilateral Narrative Change Submitted To align current codes and consistencyWe now have a code for when this procedure is performed bilaterally. For consistency with other varicose vein codes should L8880 be updated to unilateral?
08/02/2017 A5750 Medial Branch Block or Facet joint injection (under x-ray control) Medial Branch Block or Facet joint injection (under x-ray control) – 1 – 2 joints Narrative Change Submitted To align current codes and consistencyBy adding 1-2 joints to the narrative it makes it clearer alongside the other codes A5760 Medial Branch Block or Facet joint injection (under x-ray control) - 3 to 4 joints and A5770 Medial Branch Block or Facet joint injection (under x-ray control) - 5 to 6 joints
08/02/2017 N/A N/A Delta Dot Test New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
07/02/2017 T7983 Open subacromial decompression and rotator cuff repair N/A Inactivate Submitted I've received an external query which states that T7983 (above) is similar to T7910 (Open sub acromial decompression and rotator cuff repair +/- excision of distal clavicle). The clinical advice we received on the shoulder codes suggested we remove 'greater/less than 2cm tear' from the narratives but it does also look like T7983 should've been inactivated to avoid a duplication in codes.
07/02/2017 M6192 Robotic assisted laparoscopic prostatectomy (including cystoscopy) Robotic assisted laparoscopic radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy) Narrative Change Submitted To align current codes and consistencyBrings this narrative in line with non-robotic code for the same procedure (M6182)
06/02/2017 A0110 Hemispherotomy N/A Coding Principles Submitted Unless there are exceptional circumstances, you would not perform these 2 procedures together. You would do either A3200 Decompression of cranial nerve (craniotomy) or A0110 Hemispherotomy. They are both major operations and it is likely that surgeons would be doing an A3200 as part of A0110 as this will, by its nature, decompress cranial nerves.
06/02/2017 A3200 Decompression of cranial nerve (craniotomy) N/A Coding Principles Submitted A3900 Repair of dura is listed as unacceptable with A0110 Hemispherotomy, but not with A3200. However, it is also part & parcel of A3200, as you would need to repair the outer covering of the brain having opened it up to get to the brain.
03/02/2017 A5771 N/A Facet joint injection (under x-ray control) - 5 or more joints New Code Submitted Improves coding structure and adds clarityOur CMO wants these codes separated into two one code for medial branch block and one code for facet joint injection. The rationale is: 'Currently the codes for injection into the facet joint and blockade of the medial branch block are combined. They are closely related but clinically very different. We ask CCSD to unlink these codes so we can separately manage this two different procedures which have different clinical pathways.'
03/02/2017 A5761 N/A Facet joint injection (under x-ray control) - 3 to 4 joints New Code Submitted Improves coding structure and adds clarityOur CMO wants these codes separated into two one code for medial branch block and one code for facet joint injection. The rationale is: 'Currently the codes for injection into the facet joint and blockade of the medial branch block are combined. They are closely related but clinically very different. We ask CCSD to unlink these codes so we can separately manage this two different procedures which have different clinical pathways.'
03/02/2017 A5751 N/A Facet joint injection (under x-ray control) - 1 to 2 joints New Code Submitted Improves coding structure and adds clarityOur CMO wants these codes separated into two one code for medial branch block and one code for facet joint injection. The rationale is: 'Currently the codes for injection into the facet joint and blockade of the medial branch block are combined. They are closely related but clinically very different. We ask CCSD to unlink these codes so we can separately manage this two different procedures which have different clinical pathways.'
03/02/2017 A5770 Medial Branch Block or Facet joint injection (under x-ray control) - 5 to 6 joints Medial Branch Block (under x-ray control) - 5 to 6 levels Narrative Change Submitted Improves coding structure and adds clarityOur CMO wants these codes separated into two one code for medial branch block and one code for facet joint injection. The rationale is: 'Currently the codes for injection into the facet joint and blockade of the medial branch block are combined. They are closely related but clinically very different. We ask CCSD to unlink these codes so we can separately manage this two different procedures which have different clinical pathways.'
03/02/2017 V0390 Foramen magnum decompression N/A Coding Principles Submitted We've had a surgeon wishing to use V0390 "Foramen Magnum Decompression" together with V2200 "Posterior Decompression +/- Foraminotomy – cervical region (1 or 2 levels)". Our understanding is that V0390 is decompression surgery, therefore V2200 is part & parcel of this procedure and should be listed as an unacceptable combination.
03/02/2017 A5760 Medial Branch Block or Facet joint injection (under x-ray control) - 3 to 4 joints Medial Branch Block (under x-ray control) - 3 to 4 levels Narrative Change Submitted Improves coding structure and adds clarityOur CMO wants these codes separated into two one code for medial branch block and one code for facet joint injection. The rationale is: 'Currently the codes for injection into the facet joint and blockade of the medial branch block are combined. They are closely related but clinically very different. We ask CCSD to unlink these codes so we can separately manage this two different procedures which have different clinical pathways.'
03/02/2017 A5750 Medial Branch Block or Facet joint injection (under x-ray control) Medial Branch Block (under x-ray control) Narrative Change Submitted Improves coding structure and adds clarityOur CMO wants these codes separated into two one code for medial branch block and one code for facet joint injection. The rationale is: 'Currently the codes for injection into the facet joint and blockade of the medial branch block are combined. They are closely related but clinically very different. We ask CCSD to unlink these codes so we can separately manage this two different procedures which have different clinical pathways.'
02/02/2017 N/A N/A Thermal pulsation treatment for dry eyes caused by blocked meibomian glands New Code Submitted Brand new procedure/testCommonly known as Lipiflow. It is our understanding that this procedure is widely available in the private sector.
02/02/2017 N/A N/A Salpingectomy (including bilateral) New Code Submitted Apparently this is now being done in conjunction with mesh repairs for uterine prolapse in order to reduce the risk of pelvic cancer and is being endorsed by the Royal College of Obs/Gynae.
02/02/2017 N/A N/A CT coronary angiogram New Code Submitted We have been advised by a cardiology practice that there is no code for a CT coronary angiogram even though it is being performed under the NHS.
02/02/2017 N/A N/A Arthrocentesis of temporomandibular joint - bilateral New Code Submitted Bilateral code for previous request 3672
02/02/2017 N/A N/A Arthrocentesis of temporomandibular joint - unilateral New Code Submitted Apparently this is done on a regular basis for temporomandibular joint problems but there is no code for it.
31/01/2017 N/A N/A EPILEPTIC ENCEPHALOPATHY GENOTYPING New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
31/01/2017 N/A N/A UNIPARENTAL DISOMY 14  New Code Submitted Improves coding structure and adds clarity
31/01/2017 N/A N/A UGT1A1 genotyping for the diagnosis of Gilbert's syndrome New Code Submitted Improves coding structure and adds clarity
30/01/2017 X???? N/A Absorbable perirectal spacer insertion New Code Submitted Brand new procedure/testBrand new procedure/test
30/01/2017 N/A N/A Glanzmann Thrombasthenia (full sequencing) New Code Submitted Improves coding structure and adds clarityTo specifically say which genetic test is being performed - to diagnose Glanzmann Thrombasthenia not necessarily just to screen for it.
19/01/2017 Q1281 N/A Removal of a Mirena coil New Code Submitted Improves coding structure and adds clarityWe receive invoices from specialists who use the Insertion of device code (Q1280) for the removal. Our CMO feels that this is usually a less complex procedure. We would therefore hope to have a separate code to allow distinction between the two.
10/01/2017 B2918 Mastectomy and immediate reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) Mastectomy and immediate reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) - unilateral Narrative Change Published To align current codes and consistencySee request 3624
10/01/2017 B2919 N/A Mastectomy and immediate reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) - bilateral New Code Published Improves coding structure and adds clarityWe have had a request from a surgeon for the bilateral version of procedure B2918 therefore for clarity it would make sense to have a bilateral code for the instances where the procedure is performed bilaterally.
09/01/2017 C7924 N/A N/A Reinstatement Published Code still requiredRequest from AXA-PPP: We inactivated codes C7923 and C7924 and replaced it with a generic code (C7940) in August 2013. We would like these codes reinstated as it is causing issues with billing using a generic code due to the variation in drugs that can be used and it is hard to audit exactly what procedure is taking place when this code is pre-authorised.
09/01/2017 C7923 N/A N/A Reinstatement Published Code still requiredRequest from AXA-PPP: We inactivated codes C7923 and C7924 and replaced it with a generic code (C7940) in August 2013. We would like these codes reinstated as it is causing issues with billing using a generic code due to the variation in drugs that can be used and it is hard to audit exactly what procedure is taking place when this code is pre-authorised.
09/01/2017 E5480 Lung resection with resection of chest wall N/A Coding Principles Published We have received fees for these codes in combination and our CMO feels that the exploratory thoracotomy is an integral part of the procedure and so should be an unacceptable combination.
01/01/2017 W0861 Metatarso-phalangeal cheilectomy - bilateral, as sole procedure N/A Coding Principles Published
01/01/2017 W0860 Metatarso-phalangeal cheilectomy - unilateral, as sole procedure N/A Coding Principles Published
01/01/2017 W8850 Diagnostic subtalar arthroscopy (as sole procedure, including synovectomy to gain vision) N/A Coding Principles Published
01/01/2017 W8840 Diagnostic arthroscopic examination of ankle (as sole procedure, including anterior synovectomy to gain vision) N/A Coding Principles Published
01/01/2017 W8630 Therapeutic arthroscopy of ankle with either soft tissue procedure or bony +/or joint surface procedure (as sole procedure) N/A Coding Principles Published
01/01/2017 W8520 Arthroscopy of knee (including examination under anaesthetic, washout and biopsy) (as sole procedure) N/A Coding Principles Published
01/01/2017 W0632 Prosthetic patello-femoral replacement (as sole procedure) N/A Coding Principles Published
01/01/2017 W8800 Diagnostic arthroscopic examination of hip joint (as sole procedure, including washout, +/- biopsy) N/A Coding Principles Published
01/01/2017 W1648 Osteotomy/transfer of greater trochanter (as sole procedure) N/A Coding Principles Published
01/01/2017 W8880 Arthroscopy of elbow (as sole procedure) N/A Coding Principles Published
01/01/2017 W7860 Arthroscopic arthrolysis of elbow (as sole procedure) N/A Coding Principles Published
01/01/2017 W5550 Excision of radial head (as sole procedure) N/A Coding Principles Published
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