Code Details

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Code Details & Principles For
V5230

Chapter 3 / Spine, Spinal Cord & Peripheral Nerves
Chapter 3.1 / Spinal Column (including Intervertebral Disc)
Chapter 3.1.3 / Lumbar Region
Code Description Chapter / Sub-Chapter Code Specific Guidance
Discogram/Diagnostic intervertebral disc injection under X-ray control

Unacceptable Combination for V5230
CCSD Code
(unacceptable combination)
Narrative
(unacceptable combination)
Date Added
V2200 Posterior decompression +/- foraminotomy - cervical region (1 or 2 levels) Pre Sept 2014
V2201 Posterior decompression +/- foraminotomy - cervical region (3 or more levels) 30/07/2015
V2282 Prosthetic intervertebral disc replacement – cervical region (1 or 2 levels) including spinal cord monitoring Pre Sept 2014
V2283 Prosthetic intervertebral disc replacement - cervical region (3 or more levels) including spinal cord monitoring 30/07/2015
V2300 Revisional posterior decompression +/- foraminotomy (cervical region) Pre Sept 2014
V2400 Posterior decompression with fusion (thoracic region) including spinal cord monitoring Pre Sept 2014
V2402 Posterior decompression (thoracic region) including spinal cord monitoring Pre Sept 2014
V2430 Revisional posterior decompression with fusion (thoracic region) including spinal cord monitoring Pre Sept 2014
V2500 Primary posterior fusion +/- decompression +/- discectomy - lumbar region (1 or 2 levels) including spinal cord monitoring Pre Sept 2014
V2501 Primary posterior fusion +/- decompression +/- discectomy - lumbar region (3 or more levels) including spinal cord monitoring 30/07/2015
V2510 Endoscopic discectomy and/or decompression (transforaminal) - lumbar region Pre Sept 2014
V2540 Posterior excision of disc prolapse (including microdiscectomy +/- decompression) - lumbar region (1 or 2 levels) Pre Sept 2014
V2541 Posterior excision of disc prolapse (including microdiscectomy +/- decompression) - lumbar region (3 or more levels) 30/07/2015
V2542 Posterior excision of disc prolapse with undercutting facetectomy +/- decompression - lumbar region (1 or 2 levels) Pre Sept 2014
V2543 Revision of posterior excision of disc prolapse with undercutting facetectomy +/- decompression (lumbar region) Pre Sept 2014
V2544 Revision of posterior excision of disc prolapse (lumbar region) Pre Sept 2014
V2546 Posterior excision of disc prolapse with undercutting facetectomy +/- decompression - lumbar region (3 or more levels) 30/07/2015
V2560 Decompression for central spinal stenosis (1 or 2 levels) Pre Sept 2014
V2562 Decompression for central spinal stenosis (3 or more levels) Pre Sept 2014
V2570 Percutaneous vertebroplasty Pre Sept 2014
V2652 Revision posterior fusion +/- instrumentation (lumbar region) including spinal cord monitoring Pre Sept 2014
V2660 Revision of decompression for central spinal stenosis Pre Sept 2014
V2680 Revision anterior discectomy, decompression and anterior fusion +/- instrumentation (lumbar region) including spinal cord monitoring Pre Sept 2014
V2900 Anterior discectomy - cervical region (1 or 2 levels) Pre Sept 2014
V2901 Anterior discectomy - cervical region (3 or more levels) 30/07/2015
V2902 Revisional anterior discectomy (cervical region) Pre Sept 2014
V2950 Anterior discectomy, decompression and fusion (including bone grafting) - cervical region (1 or 2 levels) Pre Sept 2014
V2951 Anterior discectomy, decompression and fusion (including bone grafting) - cervical region (3 or more levels) 30/07/2015
V2980 Combined anterior and posterior fusion of cervical spine Pre Sept 2014
V3100 Combined anterior discectomy and posterior fusion (thoracic region) including spinal cord monitoring Pre Sept 2014
V3102 Revisional combined anterior discectomy and posterior fusion (thoracic region) including spinal cord monitoring Pre Sept 2014
V3120 Transthoracic/ anterolateral excision of intervertebral disc +/- fusion including spinal cord monitoring Pre Sept 2014
V3122 Revisional transthoracic/ anterolateral excision of intervertebral disc +/- fusion including spinal cord monitoring Pre Sept 2014
V3140 VATS percutaneous discectomy +/- fusion (thoracic region) including spinal cord monitoring Pre Sept 2014
V3181 Prosthetic intervertebral disc replacement in the thoracic spine including spinal cord monitoring Pre Sept 2014
V3300 Percutaneous intradiscal laser ablation (lumbar region) Pre Sept 2014
V3340 Primary anterior discectomy, decompression and anterior fusion +/- instrumentation - lumbar region (1 or 2 levels) including spinal cord monitoring Pre Sept 2014
V3341 Primary anterior discectomy, decompression and anterior fusion +/- instrumentation - lumbar region (3 or more levels) including spinal cord monitoring 30/07/2015
V3350 Combined anterior approach discectomy, decompression and fusion and posterior fusion (lumbar region) including spinal cord monitoring Pre Sept 2014
V3362 Primary posterior fusion with instrumentation +/- decompression +/- discectomy (including Graf stabilisation and all fusion approaches) (lumbar region) including spinal cord monitoring Pre Sept 2014
V3380 Prosthetic intervertebral disc replacement – lumbar region (1 or 2 levels) Pre Sept 2014
V3381 Prosthetic intervertebral disc replacement – lumbar region (3 or more levels) 30/07/2015
V3472 Revision of minimally invasive intradiscal surgery (lumbar region) Pre Sept 2014
V3720 Posterior fusion +/- instrumentation - cervical region (1 or 2 levels) including spinal cord monitoring Pre Sept 2014
V3721 Posterior fusion +/- instrumentation - cervical region (3 or more levels) including spinal cord monitoring 30/07/2015
V4740 Image guided percutaneous spinal biopsy Pre Sept 2014
V4742 Spinal endoscopy Pre Sept 2014
V4800 Injection around apophyseal facet(s) of vertebrae Pre Sept 2014
V4900 Open biopsy of lesion of spine where no other operative procedure on the spine is performed Pre Sept 2014
XR500 Chemonucleolysis Pre Sept 2014
Coding Principles

These coding principles set out how the authors intend that the codes and narratives within the CCSD Schedule are interpreted and used.  The outputs are available to be used by all individual insurers and providers including CCSD and non-CCSD members. Please note that:

  • The CCSD Group does not discuss nor determine classifcations, reimbursement or fees - all insurers will have their own view on these matters
  • The inclusion of a procedure code and/or its associated coding principles in the CCSD Schedule does not necessarily mean that it is endorsed by all members of the CCSD Group and codes may or may not be included in individual insurers’ own Schedules or covered
  • The coding principles are non-exhaustive guidelines only - each individual insurer may choose whether or not to adopt an individual combination of codes in practice and you will need to contact the insurer for further information