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.

Viewing Procedural
Request
Number
Date Code Current
Narrative
Proposed
Narrative
Type Current
Status
Reasons for
change
22/03/2019 XR? N/A A course of Goldic injections under image guidance A new way of treating musculoskeletal disorders and autoimmune disorders with a powerful non pharmacological anti inflammatory and regenerative autologous blood based substance cultured with gold externally to produce high levels of cytokines. New Code Submitted A new way of treating musculoskeletal disorders and autoimmune disorders with a powerful non pharmacological anti inflammatory and regenerative autologous blood based substance cultured with gold externally to produce high levels of cytokines. This has no known side effects
22/03/2019 ? N/A I would like to apply for a CCSD code for a procedure of disc augmentation with injectable class III B ethanol gel based medical device. The product procedure is for treatment of a contained herniated disc is called DISCOGEL. It complies with the definition of a medical device, as described in article 1 of a Medical Device Directive 93/42/CE The device reduces inflammation through hernia resorption and disc consolidation. The French origin product received CE mark following studies which took place in France (copy of the certificate and Clinical Evaluation Report 2016 which contain details of the product and studies is included) The device has been used since 2007. Over 50,000 treatment performed world wide proved to be safe over 80% effective. New Code Submitted Brand new procedure/testI would like to start using this procedure and I would like to apply for reimbursement from insurance companies
19/03/2019 N/A N/A microneurography New Code Submitted Improves coding structure and adds clarity
19/03/2019 N/A N/A Bone Marrow Aspirate Stem Cell Concentrate New Code Submitted We are aware this is being offered in private practice.
18/03/2019 N/A N/A Endoscopic circumferential ablation of low or high grade dysplasia in Barrett’s oesophagus New Code Submitted Brand new procedure/testIt appears this procedure is being used but is subject to clinical trials.
18/03/2019 G1421 Endoscopic ablation of high-grade dysplasia in Barrett's oesophagus Endoscopic focal ablation of low or high-grade dysplasia in Barrett's oesophagus Narrative Change Submitted We are aware ablation is being offered to patients with low grade dysplasia. The addition of "focal" will separate this from circumferential ablation.
12/03/2019 Q0710 Radical hysterectomy and lymphadenectomy (Wertheim's) +/- ureterolysis N/A Coding Principles Submitted Mirroring the non-robotic code.
12/03/2019 Q0711 Robotic assisted radical hysterectomy and lymphadenectomy (Wertheim's) +/- ureterolysis N/A Coding Principles Submitted Reason for adding these combinations is mirroring the non-robotic code with the robotic code.
12/03/2019 M3411 Robotic assisted laparoscopic cystoprostatectomy (with construction of intestinal conduit or bladder) N/A Coding Principles Submitted These codes are all part and parcel of the main procedure.
27/02/2019 N/A N/A Bronchial thermoplasty (including bronchoscopy) for severe asthma New Code Submitted Brand new procedure/test
27/02/2019 R1220 Removal of cerclage of cervix of gravid uterus Transvaginal removal of cerclage of cervix of gravid uterus Narrative Change Submitted
27/02/2019 R1210 Cerclage of cervix of gravid uterus Transvaginal cerclage of cervix of gravid uterus Narrative Change Submitted
27/02/2019 N/A N/A Laparoscopic cerclage for cervical incompetence in gravid uterus New Code Submitted Improves coding structure and adds clarityWe have code for cerclage of cervix however this is used for much simpler transvaginal placement of Shirodka suture or McDonald purse string suture which is then removed in late pregnancy. You may wish to consider adding transvaginal to the narrative of R1210 and R1220? There are options of transabdominal placement of suture as well as this laparoscopic technique.
27/02/2019 N/A N/A Transabdominal cerclage for cervical incompetence in gravid uterus New Code Submitted Improves coding structure and adds clarityWe have code for cerclage of cervix however this is used for much simpler transvaginal placement of Shirodka suture or McDonald purse string suture which is then removed in late pregnancy. You may wish to consider adding transvaginal to the narrative of R1210 and R1220? There are options laparoscopic technique in addition to transabdominal where previous transvaginal suture has failed or is technically too difficult.
26/02/2019 TBA N/A Wide excision of sweat glands - unilateral axilla New Code Submitted There is a bilateral code: S0410 "Wide excision of sweat glands - bilateral axillae” but not a unilateral one which we recently had a query about.
25/02/2019 T7990 Revision of open or arthroscopic rotator cuff repair +/- decompression N/A Coding Principles Submitted W8193 Arthroscopic subacromial decompression not listed as unacceptable with T7990, but given that T7910 Open subacromial decompression and rotator cuff repair and T7982 Arthroscopic subacromial decompression and rotator cuff repair are both listed as unacceptable with T7990, we think W8193 should also be listed.
25/02/2019 W8640 Complex therapeutic arthroscopy of ankle, with multiple bony, joint surface and soft tissue procedures +/- ligament reconstruction N/A Coding Principles Submitted Our orthopaedic advisor considers that as the W8640 narrative includes "+/- ligament reconstruction" it should not be used alongside the 2 codes that specifically detail ligament reconstruction.
21/02/2019 X0012 N/A N/A Inactivate Approved
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 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 Approved 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.
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 Approved Improves coding structure and adds clarityThis code should be a sole procedure because the narrative includes all parts of this procedure already.
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
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
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