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
15/10/2018 W5830 Robotic assisted total knee replacement N/A Coding Principles Submitted Our CMO has requested that the non-robotic procedure is listed with the robotic procedure to ensure specialists are clear it is one or the other, as we have received bills with both codes detailed.
15/10/2018 Q2233 Open oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) - bilateral N/A Coding Principles Submitted These procedures are all listed as overlapping with Q2230 and so our CMO feels they should also be listed with this procedure.
15/10/2018 Q2232 Open oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) - unilateral N/A Coding Principles Submitted These procedures are all listed as overlapping with Q2230 and so our CMO feels they should also be listed with this procedure.
15/10/2018 Q2231 Laparoscopic oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) - unilateral N/A Coding Principles Submitted These procedures are all listed as overlapping with Q2230 and so our CMO feels they should also be listed with this procedure.
15/10/2018 Q0710 Radical hysterectomy and lymphadenectomy (Wertheim's) +/- ureterolysis N/A Coding Principles Submitted Our CMO has advised these codes should not be used with the Q0710 as these procedures are included within the Wertheim's procedure.
11/10/2018 XR442 N/A Please see attcahed document for narrative of new code. New Code Submitted Improves coding structure and adds clarityPlease see attached document with reason for new code.
02/10/2018 T8580 N/A Please consider removal of "as sole procedure" Narrative Change Submitted To reflect updated clinical practice: Gynaecologists rarely ever do pelvic lymph nodes as a sole procedure. It will often be done with a hysterectomy. If it is a radical hysterectomy then there is a separate code for it that combines the two (Q0170). However if it is a simple hysterectomy then it has to be combined with a Q0740 or similar. There also seems to be an inconsistency! It can't be stated that it should be a sole procedure whilst also having associated invalid combinations. If it is a sole procedure there cant be any combinations at all!
02/10/2018 Q2230 N/A Please consider removing "as sole procedure" Narrative Change Submitted To reflect updated clinical practice: There are many instances where a patient may also require a hysteroscopy (Q1800) for a separate reason (endometrial polyp or investigation of heavy periods or postmenopausal bleeding) whilst also having an ovarian cyst that needs remedying.
02/10/2018 Q4400 N/A Please consider removing "as sole procedure". Narrative Change Submitted To reflect updated clinical practice: There are many instances where a patient may also require a hysteroscopy (Q1800) for a separate reason (endometrial polyp or investigation of heavy periods or postmenopausal bleeding) whilst also having an ovarian cyst that needs remedying.
02/10/2018 N/A N/A Preparation for Superficial Radiotherapy, with imaging dosimetry and calculation New Code Submitted To replace code already in the Schedule
02/10/2018 N/A N/A Delivery of a fraction of superficial radiotherapy (Electrons) New Code Submitted To replace code already in the Schedule
28/09/2018 Q1010 Dilation of cervix uteri and curettage of retained products of conception following spontaneous abortion Dilation of cervix uteri and curettage of retained products of conception following miscarriage Narrative Change Submitted Relates to query 51
28/09/2018 20144 Continuous ambulatory ECG for over 72 hours and up to 7 days (including reporting) N/A Coding Principles Submitted Looking at the ECG codes we think these codes should be added as unacceptable.
28/09/2018 20141 Continuous ambulatory ECG for up to 72 hours (including reporting) N/A Coding Principles Submitted Looking at the ECG codes we think these codes should be added as unacceptable.
28/09/2018 20140 24 hour ECG Holter (including reporting) N/A Coding Principles Submitted Looking at the ECG codes, we think there are some additional codes that should be added as unacceptable.
28/09/2018 20132 Exercise or dobutamine stress echocardiography (including ECG and reporting) N/A Coding Principles Submitted It seems as though we omitted to submit coding principles for code 20144 when it was published in June 2016 & looking at the other ECG codes we think there are some additional codes that should be added as unacceptable.
24/09/2018 X4822 Change of cast under general anaesthetic Change of cast under general anaesthetic (as sole procedure) Narrative Change Submitted To align current codes and consistencyOur medical team feel that this code would only be used in isolation. If it was used alongside another code then it would be part and parcel of that procedure.
24/09/2018 X4810 Change of cast without general anaesthetic Change of cast without general anaesthetic (as sole procedure) Narrative Change Submitted To align current codes and consistencyOur medical team feel that this code would only be used in isolation. If it was used alongside another code then it would be part and parcel of that procedure.
18/09/2018 E3520 Microlaryngoscopy/laryngoscopy +/- biopsy, excision of lesion, polyp or cyst N/A Coding Principles Submitted These 2 procedures would not be performed together............
17/09/2018 E3410 Laser surgery to vocal cord (including microlaryngoscopy) N/A Coding Principles Submitted These 2 procedures would not be performed together.
03/09/2018 TBA N/A Transurethral water vapour ablation of prostate New Code Submitted Brand new procedure/testNICE has recently published guidance on this procedure but there is no code in the current schedule for it.
29/08/2018 N1887 N/A Specialist Multidisciplinary Meeting New Code Submitted The multidisciplinary team meeting (MDT) is an essential part of the patient pathway as described in the UK National Cancer Strategy and Improving Outcomes Guidelines (IOG).
28/08/2018 IM364 CT of the coronary arteries (CTCA) with Fractional Flow Reserve (FFR) calculation N/A Coding Principles Submitted IM364 includes a CTCA so should unbundle with IM017 as this is a standard CTCA on it's own.
24/08/2018 E1500 Operation(s) on sphenoid sinus (including endoscopic) and bilateral N/A Coding Principles Submitted Our CMO feels there is overlap between these codes as the transsphenoidal hypophysectomy would include the operations on sphenoid sinus and so we would not expect them to be billed together.
22/08/2018 N/A N/A Gastrografin Enema New Code Submitted Improves coding structure and adds clarityCodes already exist for Barium Enema but not for this particular contrast agent.
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 M4820 N/A Insertion of Urethral Catheterisation Device (UCD) into bladder (including cystoscopy) New Code Submitted Brand new procedure. There is a lack of codes for this procedure with the new NICE approved Urethral Catheterisation Device (UCD) to solve failed or difficult urethral catheterisation of the bladder in order to prevent urethral catheterisation injury. Specialists are using existing codes not really intended for this procedure.
17/08/2018 20140 24 hour ECG Holter (including reporting) N/A Coding Principles Under Review 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 Published 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 Published These procedures would not be performed in combination with K4100
16/08/2018 W5200 Unicompartmental knee replacement N/A Coding Principles Published This is part of the main procedure
16/08/2018 M1130 Therapeutic ureterorenoscopy (+/- cystoscopy and insertion/removal of stent) N/A Coding Principles Published 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 Published These 2 procedures would not be carried out together
16/08/2018 B3130 Unilateral mastopexy (following reconstruction) N/A Coding Principles Published We feel this is part and parcel of the main procedure
13/08/2018 C8440 Retinal examination under anaesthetic (including retinopexy if necessary) N/A Coding Principles Published
13/08/2018 A8480 Transtympanic electro-cochleography N/A Coding Principles Published
13/08/2018 22023 Recording and reporting on electromyography and nerve conduction studies (EMG); Mononeuropathy (e.g. ulnar), Cx/Lumbar radiculopathy, Myopathy N/A Coding Principles Published
13/08/2018 22022 Recording and reporting on electromyography and nerve conduction studies (EMG); CTS (Bilateral upper limb only) or peripheral neuropathy N/A Coding Principles Published
13/08/2018 22021 Anorectal physiology performed by consultant (including reporting) N/A Coding Principles Published
13/08/2018 22004 24 hour ambulatory electroencephalography (EEG) (including reporting) N/A Coding Principles Published
13/08/2018 22003 Sleep Electroencephalography (EEG) N/A Coding Principles Published
13/08/2018 22000 Routine electroencephalography (EEG) in adult or child aged over 5 (including reporting) N/A Coding Principles Published
13/08/2018 20210 Pure tone audiogram (air conduction) - including masking N/A Coding Principles Published
13/08/2018 W5200 Unicompartmental knee replacement N/A Coding Principles Published 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 Published These 2 procedures would not be performed together.
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