Coding Conventions

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Where a prosthetic device is placed with the intention of removing it later e.g. a non-tunnelled central venous catheter or percutaneous insertion of nephrostomy tube (M1360), the term “insertion” is used to include insertion and later removal. Such devices would be typically removed by paramedical staff.

When a prosthetic device is placed with the intention of leaving it in situ e.g. a Cardiac pacemaker system introduced through vein (single chamber) (K6000) or X-Ray guided Insertion of tunnelled central venous catheter (XR915), the term “implantation” is used to include insertion but not removal. If this is subsequently removed, it should be coded separately e.g. K6082

Removal of pacing system (generator only) would typically be removed by a Medical Specialist.

The CCSD Group does not:

Discuss or determine levels of agreement for re-imbursement or fees. Define consultant or anaesthetist classifications. Reimbursement is decided by each insurer. It is suggested that reimbursement queries are discussed directly with the respective insurance company. Coding conventions provide specific guidance to support the content of the CCSD Schedule.