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
20/08/2018 N/A N/A Hysteroscopic morcellation of uterine leiomyomas (fibroids) New Code Submitted Improves coding structure and adds clarity
17/08/2018 20140 24 hour ECG Holter (including reporting) N/A Coding Principles Submitted To mirror coding principles in diagnostic schedule
16/08/2018 W8640 Complex therapeutic arthroscopy of ankle, with multiple bony, joint surface and soft tissue procedures Complex therapeutic arthroscopy of ankle, with multiple bony, joint surface and soft tissue procedures +/- ligament reconstruction Narrative Change Submitted Improves coding structure and adds clarityWe feel that ligament reconstruction is part and parcel of sort tissue procedures
16/08/2018 K4100 Bypass for coronary artery(ies) (including harvesting of grafts and endarterectomy) N/A Coding Principles Submitted These procedures would not be performed in combination with K4100
16/08/2018 W5200 Unicompartmental knee replacement N/A Coding Principles Submitted This is part of the main procedure
16/08/2018 M1130 Therapeutic ureterorenoscopy (+/- cystoscopy and insertion/removal of stent) N/A Coding Principles Submitted These procedures would not be performed in combination
16/08/2018 K4100 Bypass for coronary artery(ies) (including harvesting of grafts and endarterectomy) N/A Coding Principles Submitted These 2 procedures would not be carried out together
16/08/2018 B3130 Unilateral mastopexy (following reconstruction) N/A Coding Principles Submitted We feel this is part and parcel of the main procedure
13/08/2018 W5200 Unicompartmental knee replacement N/A Coding Principles Submitted Improves coding and clinical clarity. Our orthopaedic adviser states that, you remove the meniscus as part of the knee replacement on one side, and by definition the other compartment should be in good condition (ie not need a meniscal debridement or have OA, as otherwise the patient would need a TKR)
10/08/2018 Q1700 Therapeutic hysteroscopic operations on uterus (including endometrial ablation excluding microwave or radiofrequency ablation) +/- Mirena coil insertion N/A Coding Principles Submitted Q1281 is a sole procedure and should not be billed in addition to the Q1700.
07/08/2018 B2993 Reconstruction of breast using stacked deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral (2 flaps per breast) N/A Coding Principles Submitted These 2 procedures would not be performed together.
03/08/2018 Q5450 Laparoscopic hysteropexy (including sacrohysteropexy) +/- ureterolysis Laparoscopic hysteropexy (including sacrohysteropexy) using mesh +/- ureterolysis Narrative Change Submitted To reflect updated clinical practiceFrom the original request it appears this relates to NICE guidance IPG 584. Given the current concerns around the use of mesh we feel that "using mesh" should be explicit in the narrative for clarity.
24/07/2018 H5540 Seton placement for treatment of anal fistula N/A Coding Principles Submitted Our CMO is of the opinion that these 2 codes wouldn't be performed together.
24/07/2018 T6582 N/A Laparoscopic pelvic lymphadenectomy (as sole procedure) Narrative Change Submitted Improves coding structure and adds clarity
24/07/2018 M4514 Endoscopic examination of bladder (rigid cystoscopy) including any biopsy Endoscopic examination of bladder (rigid cystoscopy) including any biopsy +/- dilation Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
18/07/2018 D2240 Balloon dilatation of the eustachian tube Balloon dilatation of the eustachian tube (as sole procedure) Narrative Change Submitted Improves coding structure and adds clarityOur board representative has advised this would not be performed in conjunction with any other procedure
16/07/2018 B1680 Parathyroid : re-operation Parathyroid : re-operation (including vocal cord checks) Narrative Change Submitted Improves coding structure and adds clarityWe have been advised vocal cord checks are an integral part of the procedure.
16/07/2018 B1450 Parathyroidectomy Parathyroidectomy (including vocal cord checks) Narrative Change Submitted Improves coding structure and adds clarityvocal cord checks
16/07/2018 B0812 Total thyroidectomy/near total thyroidectomy Total thyroidectomy/near total thyroidectomy (including vocal cord checks) Narrative Change Submitted We have been advised that vocal cord checks are an integral part of this procedure.
12/07/2018 N/A N/A ELA2 Cyclic Neutropenia Genetic Screen New Code Submitted Brand new procedure/test
12/07/2018 N/A N/A 18S rRNA gene and Sequencing New Code Submitted Brand new procedure/testBrand new procedure/test
11/07/2018 W0465 N/A Flat foot reconstruction Pes planus repair New Code Submitted Improves coding structure and adds clarityCurrent code W0464 - unfit for purpose and aggregates many different procedures. New code adds clarity.
09/07/2018 W7870 N/A Lateral Ulnar Collateral Ligament Reconstruction Elbow New Code Submitted Brand new procedure/testnot in coding as far as can see
09/07/2018 T8560 Robotic assisted laparoscopic pelvic lymphadenectomy Robotic assisted laparoscopic pelvic lymphadenectomy (as sole procedure) Narrative Change Submitted Improves coding structure and adds clarity
09/07/2018 T8562 Laparoscopic pelvic lymphadenectomy Laparoscopic pelvic lymphadenectomy (as sole procedure) Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
05/07/2018 N/A N/A FIT (faecal Immunochemistry Test) New Code Published Brand new procedure/testBrand new procedure/test
04/07/2018 N/A N/A Contract-enhanced ultrasound (CEUS) New Code Published That is a section from the current NICE guidelines for the use of CEUS and is in reference to the evaluation of potential liver metastases in patients with colorectal cancer (or other known pre-existing malignancies). For the characterisation of an truly incidental focal liver lesion in the absence of known cancer or chronic liver disease CEUS has NICE approval as first line investigation: https://www.nice.org.uk/guidance/dg5/chapter/1-Recommendations “Contrast-enhanced ultrasound with SonoVue is recommended for characterising incidentally detected focal liver lesions in adults in whom an unenhanced ultrasound scan is inconclusive. An unenhanced ultrasound scan in which a focal liver lesion is detected but not characterised is defined as inconclusive.” As far as I know all of the patients we have scanned to date meet that criteria. Is CEUS more expensive that an MRI? which I think would be most radiologists alternative choice in imaging for an indeterminate focal liver lesion. CT generally performs less well in the published comparative studies between these three techniques for lesion characterisation.
03/07/2018 N/A N/A OCT for Cardiology New Code Published Brand new procedure/testBrand new procedure/test
03/07/2018 N/A N/A Lymphocyte Immunophenotyping New Code Published Brand new procedure/testBrand new procedure/test
03/07/2018 W9241 N/A Examination/ manipulation of joint under Local anaesthetic (as sole procedure) New Code Under Review Improves coding structure and adds clarityImproves coding structure and adds clarity
03/07/2018 Q1700 Therapeutic hysteroscopic operations on uterus (including endometrial ablation excluding microwave or radiofrequency ablation) Therapeutic hysteroscopic operations on uterus (including endometrial ablation excluding microwave or radiofrequency ablation) +/- Mirena coil insertion Narrative Change Published Improves coding structure and adds clarityThis is to bring it in line with Q1800 Hysteroscopy (including biopsy dilatation +/- cauterisation curettage and resection of polyp(s) +/- Mirena coil insertion)
26/06/2018 L6840 Repair of limb artery using vein graft N/A Coding Principles Published I was asked to submit coding principles for the following 3 new angiogram codes: L7210/L7211/L7212, but we couldn't really think of any apart from the above. If anyone else has any suggestions, please speak up!
26/06/2018 L6800 Repair of limb artery N/A Coding Principles Published I was asked to submit coding principles for the following 3 new angiogram codes: L7210/L7211/L7212, but we couldn't really think of any apart from the above. If anyone else has any suggestions, please speak up!
21/06/2018 W8890 Diagnostic small-bore needle arthroscopy on cavity of joint (as sole procedure) N/A Coding Principles Published Suggest that the above codes are listed as unacceptable with recently published new code W8890 - Diagnostic small-bore needle arthroscopy on cavity of joint (as sole procedure).
19/06/2018 W8193 Arthroscopic subacromial decompression N/A Coding Principles Published As 25100 is used for post-operative pain relief, we feel this is part & parcel of the main procedure and should therefore be listed as an unacceptable combination.
19/06/2018 W0390 MTP I Joint (metatarsophalangeal joint inter) resurfacing arthroplasty with implant (eg Salu-Cartilage) N/A Coding Principles Published As W0860 states “as a sole procedure”, we think it should be listed as unacceptable with W0390...........
19/06/2018 A5220 Epidural injection (thoracic) N/A Coding Principles Published See rationale on Req.4504.......
19/06/2018 A5211 Epidural injection (caudal) N/A Coding Principles Published See rationale on Req.4504.......
19/06/2018 A5210 Epidural injection (lumbar) N/A Coding Principles Published See rationale on previous request number 4504................
19/06/2018 A5200 Epidural injection (cervical) N/A Coding Principles Published A7350 Local anaesthetic blockade of named major nerve or plexus is listed as unacceptable with all the epidural injections eg. A5210 Epidural injection (lumbar) but A7352 Image-guided local anaesthetic blockade of named major nerve or plexus isn’t. Suggest we also list A7352 as unacceptable with all the epidural injections.
19/06/2018 E1432 FESS: excision uncinate process and anterior ethmoid bulla, antrostomy/antral puncture, simple polypectomy and attention to turbinates (bilateral) N/A Coding Principles Published As E2500 is intended to be performed in isolation for diagnostic purposes, we feel it should be listed as unacceptable with E1432 FESS...............
15/06/2018 E3010 Glottoplasty Glottoplasty (e.g.vocal pitch change surgery) Narrative Change Published Improves coding structure and adds clarityApparently some ENT specialists have been using this code when performing phonomicrosurgery to remove nodules polyps or cysts whereas the code is normally intended for vocal pitch change surgery. See separate new code request for "Phonomicrosurgery for vocal cord lesions nodules polyps or cysts".
15/06/2018 E3520 Microlaryngoscopy/laryngoscopy +/- endoscopic excision of lesion of larynx Microlaryngoscopy/laryngoscopy +/- biopsy, excision of lesion, polyp or cyst Narrative Change Published Improves coding structure and adds clarityTo clarify that this procedure often involves a biopsy or removal of polyps or cysts
15/06/2018 TBA N/A Phonomicrosurgery for vocal cord lesions, nodules, polyps, or cysts New Code Published Brand new procedure/testThere are a growing number of ENT specialists now focusing on phonomicrosurgery but due to a lack of codes for this specialty they are using existing codes not really intended for this kind of surgery.
13/06/2018 G2591 N/A Revision of anti-reflux operations with laparoscopic insertion of magnetic band New Code Under Review Improves coding structure and adds clarityImproves coding structure and adds clarity
07/06/2018 N/A N/A Laser Corneal Surgery New Code Under Review Improves coding structure and adds clarityImproves coding structure and adds clarity
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