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
18/06/2019 No preference N/A GABA B RECEPTOR ANTIBODIES New Code Submitted Brand new procedure/testThis test carried out in the labs in the NHS but there does not appear much clinical evidence or cases published.
18/06/2019 N/A N/A LGI1 ANTIBODIES New Code Submitted Brand new procedure/testBrand new procedure/test
17/06/2019 No preference N/A Augmentation of Eustachian tube to relieve symptoms of patulous Eustachian tube syndrome New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
17/06/2019 N/A N/A 360 Degree, 2 stage Lumbar and Posterior Fusion New Code Submitted Brand new procedure/test
13/06/2019 N/A N/A Glycine receptor antibodies New Code Submitted Brand new procedure/testTo provide greater clarity.
13/06/2019 N/A N/A CASPR-2 Antibodies New Code Submitted Brand new procedure/testEncephalitis
12/06/2019 E2500 Diagnostic nasolaryngopharyngoscopy +/- biopsy as sole procedure N/A Coding Principles Submitted As per previous coding request to remove 'sole procedure' from narrative of E2500, a few extra coding combinations need to be added as unbundled to cover for sole procedure being removed.
12/06/2019 E2500 Diagnostic nasolaryngopharyngoscopy +/- biopsy as sole procedure Diagnostic nasolaryngopharyngoscopy +/- biopsy Narrative Change Submitted We would like to remove “ sole procedure” from the narrative of code E2500 We have been in discussion with several ENT specialists and agree that in some circumstances they are required to carry out additional procedures that are not part and parcel of this procedure codes such as D0702 D1520 and diagnostic tests 20210 20330 20240. Anything else that is part and parcel of the E2500 can then be listed as unbundled - see separate request.
12/06/2019 W8645 N/A Multiple athroscopic operation on ankle (including soft tissue, bony and/or joint surface procedures +/- ligament reconstruction). New Code Submitted To replace code already in the Schedule Currently CCSD publish two different codes for ankle arthroscopies W8630 Therapeutic arthroscopy of ankle with either soft tissue procedure or bony +/- joint surface procedure (as sole procedure) W8640 Complex therapeutic arthroscopy of ankle with multiple bony joint surface and soft tissue procedures +/- ligament reconstruction (as sole procedure). We have discussed the codes with specialists in the area who tell us that the difference between the two is negligible and often a grey line as to which code is the most appropriate. To help clarify we are requesting CCSD consider amalgamating the two codes into a similarly worded code such as the W8500 Multiple arthroscopic operation on knee (including meniscectomy chondroplasty drilling or microfracture). Potential wording could be Multiple arthroscopic operation on ankle (including soft tissue bony and/or joint surface procedures +/- ligament reconstruction). This change will reduce the confusion and inaccuracy of codes used.
12/06/2019 W8640 Complex therapeutic arthroscopy of ankle, with multiple bony, joint surface and soft tissue procedures +/- ligament reconstruction (as sole procedure) N/A Inactivate Submitted Improves coding structure and adds clarity Currently CCSD publish two different codes for ankle arthroscopies W8630 Therapeutic arthroscopy of ankle with either soft tissue procedure or bony +/- joint surface procedure (as sole procedure) W8640 Complex therapeutic arthroscopy of ankle with multiple bony joint surface and soft tissue procedures +/- ligament reconstruction (as sole procedure). We have discussed the codes with specialists in the area who tell us that the difference between the two is negligible and often a grey line as to which code is the most appropriate. To help clarify we are requesting CCSD consider amalgamating the two codes into a similarly worded code such as the W8500 Multiple arthroscopic operation on knee (including meniscectomy chondroplasty drilling or microfracture). Potential wording could be Multiple arthroscopic operation on ankle (including soft tissue bony and/or joint surface procedures +/- ligament reconstruction). This change will reduce the confusion and inaccuracy of codes used.
12/06/2019 W8630 Therapeutic arthroscopy of ankle with either soft tissue procedure or bony +/or joint surface procedure (as sole procedure) N/A Inactivate Submitted Improves coding structure and adds clarity Currently CCSD publish two different codes for ankle arthroscopies W8630 Therapeutic arthroscopy of ankle with either soft tissue procedure or bony +/- joint surface procedure (as sole procedure) W8640 Complex therapeutic arthroscopy of ankle with multiple bony joint surface and soft tissue procedures +/- ligament reconstruction (as sole procedure). We have discussed the codes with specialists in the area who tell us that the difference between the two is negligible and often a grey line as to which code is the most appropriate. To help clarify we are requesting CCSD consider amalgamating the two codes into a similarly worded code such as the W8500 Multiple arthroscopic operation on knee (including meniscectomy chondroplasty drilling or microfracture). Potential wording could be Multiple arthroscopic operation on ankle (including soft tissue bony and/or joint surface procedures +/- ligament reconstruction). This change will reduce the confusion and inaccuracy of codes used.
11/06/2019 H5580 Video assisted anal fistula treatment (VAAFT) Endoscopic ablation for an anal fistula without flap Narrative Change Submitted To reflect the narrative used in NICE guidance. https://www.nice.org.uk/guidance/ipg645 The procedure is also referred to as VAAFT but the narrative use relates to endoscopic ablation which describes the procedure clearly. The procedure can also be carried out using an advancement flap so hence request for code to reflect that as well. Endoscopic ablation for an anal fistula with flap.
10/06/2019 N/A N/A Excision of pilonidal sinus with flap reconstruction New Code Submitted Improves coding structure and adds clarity
10/06/2019 N/A N/A Revision of scar New Code Submitted Improves coding structure and adds clarity
10/06/2019 N/A N/A Collagen paste for closing an anal fistula New Code Submitted Brand new procedure/test
10/06/2019 N/A N/A Endoscopic ablation for an anal fistula with flap New Code Submitted Improves coding structure and adds clarity
04/06/2019 N/A N/A Endoscopic ablation for a pilonidal sinus New Code Submitted Brand new procedure/test
03/06/2019 N/A N/A Customised hip replacement New Code Submitted Brand new procedure/testWe are aware that hip replacement using a bespoke prosthesis is available privately. We have also found evidence that some NHS trusts do consider funding in some cases (after discussion and approval of MDT)
31/05/2019 X5020 External cardioversion N/A Coding Principles Submitted We have received surgeon’s invoices using the additional code for external cardioversion (X5020). Our CMO feels that cardioversion is a routine element of this ablation procedure and so feels this should be an unacceptable combination.
31/05/2019 K5790 Ablation of left atrial tachycardia (including mapping) Ablation of left atrial tachycardia (including cardioversion and/or mapping) Narrative Change Submitted Improves coding structure and adds clarity We have received surgeon’s invoices using the additional code for external cardioversion (X5020). Our CMO feels that cardioversion is a routine element of this ablation procedure and so feels the narrative should reflect this.
31/05/2019 K5780 Ablation of accessory pathway or selected modification of AV node (including mapping) Ablation of accessory pathway or selected modification of AV node (including cardioversion and/or mapping). Narrative Change Submitted Improves coding structure and adds clarity We have received surgeon’s invoices using the additional code for external cardioversion (X5020). Our CMO feels that cardioversion is a routine element of this ablation procedure and so feels the narrative should reflect this.
31/05/2019 K5770 Ablation of arrhythmia in complex congenital heart disease (including mapping) Ablation of arrhythmia in complex congenital heart disease (including cardioversion and/or mapping) Narrative Change Submitted Improves coding structure and adds clarity We have received surgeon’s invoices using the additional code for external cardioversion (X5020). Our CMO feels that cardioversion is a routine element of this ablation procedure and so feels the narrative should reflect this.
31/05/2019 K5765 Robotic assisted ablation of atrial fibrillation by isolation of the pulmonary veins (including mapping) Robotic assisted ablation of atrial fibrillation by isolation of the pulmonary veins (including cardioversion and/or mapping) Narrative Change Submitted Improves coding structure and adds clarity We have received surgeon’s invoices using the additional code for external cardioversion (X5020). Our CMO feels that cardioversion is a routine element of this ablation procedure and so feels the narrative should reflect this.
31/05/2019 K5760 Ablation of atrial fibrillation by isolation of the pulmonary veins (including mapping) Ablation of atrial fibrillation by isolation of the pulmonary veins (including cardioversion and/or mapping) Narrative Change Submitted Improves coding structure and adds clarity We have received surgeon’s invoices using the additional code for external cardioversion (X5020). Our CMO feels that cardioversion is a routine element of this ablation procedure and so feels the narrative should reflect this.
31/05/2019 K5740 Ablation of ventricular arrhythmia (including mapping) Ablation of ventricular arrhythmia (including cardioversion and/or mapping) Narrative Change Submitted We have received surgeon’s invoices using the additional code for external cardioversion (X5020). Our CMO feels that cardioversion is a routine element of this ablation procedure and so feels the narrative should reflect this.
31/05/2019 K5730 Ablation of atrial arrhythmia (including mapping) Ablation of atrial arrhythmia (including cardioversion and/or mapping) Narrative Change Submitted Improves coding structure and adds clarity We have received surgeon’s invoices using the additional code for external cardioversion (X5020). Our CMO feels that cardioversion is a routine element of this ablation procedure and so feels the narrative should reflect this.
31/05/2019 K5720 Ablation of AV nodal re-entry tachycardia (including mapping) Ablation of AV nodal re-entry tachycardia (including cardioversion and/or mapping) Narrative Change Submitted Improves coding structure and adds clarity We have received surgeon’s invoices using the additional code for external cardioversion (X5020). Our CMO feels that cardioversion is a routine element of this ablation procedure and so feels the narrative should reflect this.
31/05/2019 K5710 Ablation of atrio-ventricular junction (including mapping) Ablation of atrio-ventricular junction (including cardioversion and/or mapping) Narrative Change Submitted Improves coding structure and adds clarity We have received surgeon’s invoices using the additional code for external cardioversion (X5020). Our CMO feels that cardioversion is a routine element of this ablation procedure and so feels the narrative should reflect this.
28/05/2019 64301 Echocardiography +/- bubble contrast (including reporting) as sole procedure Echocardiography including bubble contrast (including reporting) as sole procedure Narrative Change Submitted Improves coding structure and adds clarityThe narrative for this code is very similar to 64300; it differs only by the inclusion of the term "+/- bubble contrast". If bubble contrast is not used then it would be the same as 64300 so the "-" aspect of the narrative is superfluous.
24/05/2019 N/A N/A Stabilisation of pars defect + /- instrumentation +/- bone graft +/- spinal monitoring New Code Submitted Improves coding structure and adds clarityImproves coding structure – currently as there is no specific code providers are using a range of other codes for example V1400 or V3362.
21/05/2019 N/A N/A Endoscopic circumferential ablation of high grade dysplasia in Barrett’s oesophagus New Code Submitted See request 4747. Working group request for separate codes for low and high grade dysplasia.
21/05/2019 N/A N/A Endoscopic circumferential ablation of low grade dysplasia in Barrett’s oesophagus New Code Submitted Brand new procedure/testSee request 4747. Working group request for separate codes for low and high grade dysplasia.
21/05/2019 N/A N/A Endoscopic focal ablation of low grade dysplasia in Barrett’s oesophagus New Code Submitted Improves coding structure and adds clarityThis procedure is now approved by NICE. https://www.nice.org.uk/guidance/ipg496/chapter/1-Recommendations
20/05/2019 W9035 Injection(s) +/- aspiration, into two or more joints, cysts, bursae with image guidance N/A Coding Principles Submitted would like to query why code W9030 does not have an unacceptable combination with W9035? These are billing for the same thing - i would request that these are made unacceptable to be billed in combination,
16/05/2019 L0310 Percutaneous transluminal prosthetic occlusion of patent ductus arteriosus Percutaneous transluminal prosthetic occlusion of patent ductus arteriosus (including post-procedure study to confirm closure) Narrative Change Submitted Improves coding structure and adds clarity Our CMO has confirmed that it is a routine element of this procedure for a post-procedure to be performed to ensure closure and so feels the narrative should reflect this to ensure this is not coded separately.
15/05/2019 W7180 Harvesting and injection of bone marrow aspirate concentrate (BMAC) N/A Coding Principles Submitted Thes procedures would form part and parcel of the main procedure
14/05/2019 N/A N/A Robotic assisted laparoscopic total hysterectomy (- oophorectomy) New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Q0791 currently has +/- Oophorectomy we want to update narrative of Q0791 (see request 4870 ) and add new code in order to show if they have had the Oophorectomy or not. Improves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left.
14/05/2019 Q0791 Robotic assisted laparoscopic total hysterectomy (+/- oophorectomy) Robotic assisted laparoscopic total hysterectomy (+ oophorectomy) Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
14/05/2019 N/A N/A Laparoscopic total hysterectomy (- oophorectomy) +/- ureterolysis New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Q0790 currently has +/- Oophorectomy we want to update narrative of Q0790 (see request 4867 ) and add new code in order to show if they have had the Oophorectomy or not. Improves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left.
14/05/2019 Q0790 Laparoscopic total hysterectomy (+/- oophorectomy) +/- ureterolysis Laparoscopic total hysterectomy (+oophorectomy) +/- ureterolysis Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
14/05/2019 N/A N/A Robotic assisted laparoscopic subtotal hysterectomy (- oophorectomy) New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Q0752 currently has +/- Oophorectomy we want to update narrative of Q0752 (see request 4865) and add new code in order to show if they have had the Oophorectomy or not. Improves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left.
14/05/2019 Q0752 Robotic assisted laparoscopic subtotal hysterectomy (+/- oophorectomy) Robotic assisted laparoscopic subtotal hysterectomy (+ oophorectomy) Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
14/05/2019 N/A N/A Laparoscopic subtotal hysterectomy (- oophorectomy) +/- ureterolysis New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Q0751 currently has +/- Oophorectomy we want to update narrative of Q0751 (see request 4863 ) and add new code in order to show if they have had the Oophorectomy or not. Improves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left.
14/05/2019 Q0751 Laparoscopic subtotal hysterectomy (+/- oophorectomy) +/- ureterolysis Laparoscopic subtotal hysterectomy (+oophorectomy) +/- ureterolysis Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
14/05/2019 N/A N/A Subtotal abdominal hysterectomy (- oophorectomy) +/- ureterolysis New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Q0750 currently has +/- Oophorectomy we want to update narrative of Q0750 (see request 4861) and add new code in order to show if they have had the Oophorectomy or not. Improves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
14/05/2019 Q0750 Subtotal abdominal hysterectomy (+/- oophorectomy) +/- ureterolysis Subtotal abdominal hysterectomy (+ oophorectomy) +/- ureterolysis Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity Currently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
14/05/2019 N/A N/A Total abdominal hysterectomy (- oophorectomy) +/- ureterolysis New Code Submitted Improves coding structure and adds clarityQ0740 currently has +/- Oophorectomy we want to update narrative of Q0740 (see request 4858 and add new code in order to show if they have had the Oophorectomy or not. Improves coding structure and adds clarityCurrently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
14/05/2019 Q0740 Total abdominal hysterectomy (+/- oophorectomy) +/- ureterolysis Total abdominal hysterectomy + oophorectomy +/- ureterolysis Narrative Change Submitted Improves coding structure and adds clarityCurrently the coding for this surgery whether abdominal vaginally or laparoscopically has the removal of ovaries and fallopian tubes as a +/-. Research is shows us that even after hysterectomy the ovaries play a major part in the long term women’s health and unless they are diseased should be left. https://www.hysterectomy-association.org.uk/hysterectomy/removal-of-the-ovaries/
07/05/2019 7010G N/A FoundationOne CDx New Code Submitted Foundationone has 2 tests. This new code will help us separate the two
07/05/2019 7004G Molecular Profiling Foundation One FoundationOne Liquid Narrative Change Submitted Foundationone has 2 tests. This change will help separate. Liquid which is blood and CDX which is tissue (Will be a new request for this code).
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