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
20/02/2019 8436B N/A N/A Reinstatement Submitted Code still requiredCode still required
14/02/2019 N/A N/A 5FU Rare mutations (DPD) New Code Submitted Brand new procedure/testBrand new procedure/test
14/02/2019 N/A N/A 5FU Common mutations (DPD) New Code Submitted Brand new procedure/testBrand new procedure/test
11/02/2019 N/A N/A Minimally invasive endoscopic repair of atrial septal defects (ASD) via mini-thoracotomy New Code Submitted Brand new procedure/test
11/02/2019 2080B Blood group and cross match N/A Coding Principles Submitted Request to remove the coding principles as both tests are performed at the same time in order to ensure that fully compatible cross-matched blood is available for the patient during surgery should a transplant be required. This is in line with the national standard Maximum Blood Ordering Schedule which dictates which procedures cross matched blood should be ordered in for based on the likelihood of transfusion being needed.
11/02/2019 U0080 Harvesting for autologous peripheral blood stem cell transplant Harvesting for autologous peripheral blood stem cell transplant or Chimeric Antigen Receptor T cell (CAR-T cell) therapy Narrative Change Submitted Improves coding structure and adds claritycell harvest process is the same for both procedures but we need a code that clearly includes CAR-T change to support reference to CAR-T
06/02/2019 Q0711 N/A Robotic assisted radical hysterectomy and lymphadenectomy (Wertheim's) +/- ureterolysis New Code Submitted Improves coding structure and adds clarityThe robotic version of the Q0710 is taking place at in several London hospitals but as there is no code then this is being invoiced using the standard code. For reporting on outcomes this needs to have it's own robotic code.
01/02/2019 20130 Exercise ECG (including base line 12 lead ECG and reporting) N/A Coding Principles Submitted 1 – Symptoms such as chest pain, palpitations and hypertension often need both an exercise ECG and Echocardiogram to diagnose. As this article shows (https://www.health.harvard.edu/heart-disease-overview/cardiac-exercise-stress-testing-what-it-can-and-cannot-tell-you) and in the words of its author Dr Bhatt (professor of medicine at Harvard and chief of Cardiology for the Boston Healthcare System), “An exercise stress test is not 100% accurate—no medical test is, but it helps decide what the next step should be….. it can be used to move the probability up or down of there being coronary artery disease. It can't absolutely rule it out or diagnose it”. A common follow-up test is an Echocardiogram, which is often done on the same day – hence the request to remove the unbundling link between the two codes. 2 – They are materially different tests; the exercise ECG tests for heart rhythm, whereas the Echocardiogram uses Ultrasound to assess the heart structure. The two tests use very different equipment (treadmill vs imaging equipment) and so can not be said to be part and parcel of one another.
31/01/2019 N/A N/A ALCA – Anti-Liver Cytosol (LC1) Antibodies New Code Submitted Brand new procedure/testBrand new procedure/test
30/01/2019 W8640 Complex therapeutic arthroscopy of ankle, with multiple bony, joint surface and soft tissue procedures +/- ligament reconstruction Complex therapeutic arthroscopy of ankle, with multiple bony, joint surface and soft tissue procedures +/- ligament reconstruction (as sole procedure) Narrative Change Submitted Improves coding structure and adds clarityThis code should be a sole procedure because the narrative includes all parts of this procedure already.
23/01/2019 7334T Endopredict N/A Inactivate Submitted Current code replaced by a new codeReplaced by 6001G. Both are currently active in the schedule.
23/01/2019 N/A N/A There are two existing diagnostic narratives that have the same code 3009G. Request that either one of the below tests is assigned a new unique code: B Cell Clonality Gene Panel Myriad Colaris Plus with colorectal high risk panel New Code Submitted There are two diagnostic narratives that have the same code 3009G. Request that either one of the below tests is assigned a new unique code: B Cell Clonality Gene Panel Myriad Colaris Plus with colorectal high risk panel
22/01/2019 CD019 Bubble study with transthoracic echocardiogram N/A Coding Principles Submitted Bubble study does include Echo so should unbundle.
21/01/2019 F4500 N/A Extracapsular dissection of parotid tumour New Code Submitted Improves coding structure and adds clarity
21/01/2019 F5611 N/A Combined open and endoscopic removal of parotid gland ston New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
21/01/2019 F5121 N/A Combined open and endoscopic removal of submandibular gland stone New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
21/01/2019 F4832 N/A Intra corporeal salivary gland lithotripsy New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
21/01/2019 F4831 N/A Therapeutic sialendoscopy (including stone retrieval +/- dilation New Code Submitted Improves coding structure and adds clarity
21/01/2019 F4830 Therapeutic sialendoscopy Therapeutic sialendoscopy (including washout) Narrative Change Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
16/01/2019 N/A N/A PET Scan with florbetapir New Code Submitted Improves coding structure and adds clarityA specific code is required for the florbetapir/amyvid scan to improve coding structure. This service is currently being assigned a mix of codes including IM057 Pet scan brain IM062 PET/CT scan brain IM101 Amyloid Study IM056 PET scan local.
15/01/2019 3015G N/A Myriad Prolaris New Code Submitted Improves coding structure and adds clarityThe current code for Myriad Prolaris is 000T but request this be changed to a code ending in the suffix G in line with other published genetic tests.
14/01/2019 N/A N/A Circulating tumour DNA profile for cancer of unknown primary (Guardant 360) New Code Submitted Brand new procedure/test
14/01/2019 N/A N/A Circulating tumour DNA profile for colo-rectal cancer (Guardant 360) New Code Submitted Brand new procedure/testBrand new procedure/test
14/01/2019 N/A N/A Circulating tumour DNA profile for upper gastro-intestinal cancer (Guardant 360) New Code Submitted Brand new procedure/testBrand new procedure/test
11/01/2019 N/A N/A Circulating tumour DNA profile for breast cancer (Guardant 360) New Code Submitted Brand new procedure/testBrand new procedure/test
10/01/2019 22028 Sleep study (polysomnography) including reporting Inpatient sleep study (polysomnography) including reporting Narrative Change Published Improves coding structure and adds clarity
10/01/2019 P2452 Posterior infracoccygeal sacropexy for vaginal vault prolapse Posterior infracoccygeal sacropexy using mesh for vaginal vault prolapse Narrative Change Published To reflect updated clinical practice
10/01/2019 H2380 Endoscopic submucosal dissection (ESD) of colorectal tumour Endoscopic submucosal dissection (ESD) of colorectal polyp Narrative Change Published To reflect updated clinical practice
10/01/2019 C4421 N/A Cosmetic laser correction of refractive error (PRK/LASIK/LASEK) New Code Published
10/01/2019 XR161 N/A Percutaneous image guided fine needle aspiration(s) (FNA) – bilateral New Code Published Improves coding structure and adds clarity
02/01/2019 IM124 N/A Electroretinogram & Pattern electroretinogram New Code Submitted No code listed for this test
28/12/2018 G2332 Laparoscopic Insertion of magnetic band for gastro-oesophageal reflux disease (LINX) N/A Coding Principles Submitted There are no coding principles in place for this code, so we suggest mirroring the ones agreed for G2331 " Laparoscopic repair of hiatus hernia with anti-reflux procedure (e.g. fundoplication)".
23/12/2018 W3720 Robotic assisted total hip replacement N/A Coding Principles Published
23/12/2018 G2591 Revision of anti-reflux operations with laparoscopic insertion of magnetic band (as sole procedure) N/A Coding Principles Published
23/12/2018 XR161 Percutaneous image guided fine needle aspiration(s) (FNA) – bilateral N/A Coding Principles Published
23/12/2018 H2350 Endoscopic mucosal resection (EMR) of colorectal tumour Endoscopic mucosal resection (EMR) of colorectal polyp Narrative Change Published To reflect updated clinical practiceTo reflect updated clinical practice
21/12/2018 G2332 Laparoscopic Insertion of magnetic band for gastro-oesophageal reflux disease (LINX) Laparoscopic Insertion of magnetic band for gastro-oesophageal reflux disease (LINX) +/- repair of hiatus hernia Narrative Change Submitted To align current codes and consistencyRepair of a hiatus hernia is often combined with an anti reflux procedure as in G2331 “Laparoscopic repair of hiatus hernia with anti-reflux procedure (e.g. fundoplication)” so we thought it made sense to include this in the narrative for the LINX procedure.
21/12/2018 W1080 Osteotomy of long bone, +/- fixation (including graft) N/A Coding Principles Submitted unbundle with the standard knee arthroscopy codes of (W8200 – arthroscopic meniscectomy), W8230 (arthroscopic meniscal repair), W8500 (multiple arthroscopic operation on knee), W8520 (arthroscopy of knee) and W8700 (diagnostic arthroscopic examination of joint, +/- biopsy). The rationale being that most surgeons do this at the beginning of an osteotomy to check to make sure the osteotomy is appropriate (ie to check that the arthritis is minimal as suggested on the scans). If the knee is OK then they progress to osteotomy. If not then they abandon (and should be able to claim for the knee arthroscopy alone.
21/12/2018 W1660 Tibial osteotomy N/A Coding Principles Submitted unbundle with the standard knee arthroscopy codes of (W8200 – arthroscopic meniscectomy), W8230 (arthroscopic meniscal repair), W8500 (multiple arthroscopic operation on knee), W8520 (arthroscopy of knee) and W8700 (diagnostic arthroscopic examination of joint, +/- biopsy). The rationale being that most surgeons do this at the beginning of an osteotomy to check to make sure the osteotomy is appropriate (ie to check that the arthritis is minimal as suggested on the scans). If the knee is OK then they progress to osteotomy. If not then they abandon (and should be able to claim for the knee arthroscopy alone.
20/12/2018 W5830 Robotic assisted total knee replacement N/A Coding Principles Published As agreed at last meeting to mirror W4210
18/12/2018 C7520 Lens implant/exchange N/A Coding Principles Published The removal of a previous lens would be included within the exchange of lens in the main code C7520.
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