Recent Requests

Skip Navigation Links.

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 All
Request
Number
Date Code Current
Narrative
Proposed
Narrative
Type Current
Status
Reasons for
change
18/04/2018 N/A N/A Quantitative Sensory Testing New Code Submitted Improves coding structure and adds clarityQST tests are used for non-invasive assessment and quantification of sensory nerve function in patients with symptoms of or the potential for neurological damage or disease. Quantitative Sensory Testing (QST) is a valuable method for diagnosing peripheral nervous system disorders including chronic pain and pain related to various diseases such as Diabetes and CRPS. QST essentially determines the sensation and pain thresholds for cold and warm temperatures and the vibration sensation threshold by stimulating the skin and comparing the results to normative values built in the software. When the stimulus activates stimuli-specific receptors; the nerve fibres that innervate the receptors communicate the stimuli's message to the central nervous system where feeling occurs. QST tests can be conducted on the limbs however hands and feet are the most common as it is testing for peripheral nervous disorders.
12/04/2018 P2420 Sacrocolpopexy (including laparoscopic) Sacrocolpopexy (including laparoscopic) +/- ureterolysis Narrative Change Submitted To align current codes and consistencyWe already have "+/- ureterolysis" in the narrative of many of the gynaecological codes eg. P2453 Infracoccygeal sacropexy using mesh to repair vaginal vault prolapse +/- ureterolysis so it seems logical to include this in the narrative of P2420 as this is often part and parcel of the procedure.
12/04/2018 TBA N/A Diagnostic small-bore needle arthroscopy on cavity of joint (as sole procedure) New Code Submitted Brand new procedure/testThis new technique will mainly be used to diagnose intra-articular knee pathology but can also be used for other joints such as shoulder elbow and ankle.
12/04/2018 TBA N/A Angiogram not elsewhere specified New Code Submitted Whilst we have specific angiogram codes for eyes cardiac spinal and cerebral there is no generic code for the less common ones for example a pelvic angiogram.
29/03/2018 N/A N/A Revision of Allograft anterior cruciate ligament reconstruction New Code Submitted Improves coding structure and adds clarityThe existing revision code W7470 does not include allograft
26/03/2018 W5852 Localised patient specific twin knee resurfacing arthroplasty N/A Coding Principles Submitted See previous request.
26/03/2018 W5851 Localised patient specific knee resurfacing arthroplasty N/A Coding Principles Submitted Our medical affairs director has advised that this code should unbundle as per codes for customised knee replacement. These codes would not be performed at the same time as knee replacement.
26/03/2018 B2993 Reconstruction of breast using stacked deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral (2 flaps per breast) N/A Coding Principles Submitted
26/03/2018 B2999 Reconstruction of breast using stacked deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - unilateral (2 flaps) N/A Coding Principles Submitted This codes should unbundle as per B2986 - Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - unilateral (single flap) and also unbundle with bilateral DIEP codes.
26/03/2018 B2996 Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral (single flap per breast) N/A Coding Principles Submitted This codes should unbundle as per B2986 - Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - unilateral (single flap) and also unbundle with other DIEP codes.
26/03/2018 H4685 Insertion of biodegradable perirectal spacer under image guidance N/A Coding Principles Submitted Our medical advisers have said that these procedures would not be performed in conjunction with H4685
20/03/2018 N/A N/A Non-invasive nasal airway remodelling (NINAR) New Code Submitted Brand new procedure/test
07/03/2018 AU030 N/A Follow up session with vestibular testing New Code Submitted Improves coding structure and adds clarityWe feel that there is a need for these codes as they follow the same pattern as AU001 and AU002 for audiology testing and still fit within the Audiology diagnostic chapter.
07/03/2018 AU029 N/A Initial session with vestibular testing New Code Submitted Improves coding structure and adds clarityWe feel that there is a need for these codes as they follow the same pattern as AU001 and AU002 for audiology testing and still fit within the Audiology diagnostic chapter.
07/03/2018 N/A N/A Short stem hip replacement New Code Submitted Different clinical pathway and patient demographic – aimed at much younger and more active patients short stem prosthesis designed to allow implantation through smaller incision and maximises bone and tissue preservation to allow easier revision in the future. Also known as: • hip microplasty • mini stem • bone preserving hip replacement. NICE have issued guidance on total hip replacement and resurfacing arthroplasty - relates to treatment for end stage arthritis and that prosthesis used should have rates or predicted rates of revision of 5% or less at 10 years. The majority of studies regarding short stem hip prosthesis showed follow up of less than 5 years. Some of these stems are simply shorter versions of existing designs whilst others are radically different in design and are truly bone-preserving. Theoretically allows for a conventional total hip replacement to be carried out later no need for revisional stem. Long-term results are not yet available as most of these designs have been on the market for only a few years.
28/02/2018 V3350 Combined anterior approach discectomy, decompression and fusion and posterior fusion (lumbar region) N/A Coding Principles Submitted As the V2660 is a revision decompression, our CMO feels this overlaps with the main procedure and so should not be be used in combination.
28/02/2018 Q0751 Laparoscopic subtotal hysterectomy (+/- oophorectomy) +/- ureterolysis N/A Coding Principles Submitted We consider there is overlap between these codes and note that Q2230 has unacceptable combinations listed with other hysterectomy codes, including Q0740, Q0750 and Q0880.
28/02/2018 T2620 Repair of recurrent incisional or ventral hernia requiring mesh N/A Coding Principles Submitted Our CMO feels that omental adhesions to the incisional hernia are a normal finding, in his experience, therefore he would not expect the use of an additional code for adhesiolysis as this is part and parcel of the hernia repair procedure.
27/02/2018 N/A N/A THERAPEUTIC ARTHROSCOPIC OPERATION OF TEMPOROMANDIBULAR JOINT +/- LYSIS AND/OR LAVAGE - unilateral New Code Submitted Improves coding structure and adds clarityWe do not have a code for therapeutic arthroscopy of the TMJ. We have codes for arthrocentesis and for arthroplasty but not for therapeutic arthroscopy and therefore specialists are billing under arthroscopic operation of cavity of joint (W8600) or arthroscopic operation of cavity of joint bilateral (W8680).
27/02/2018 N/A N/A THERAPEUTIC ARTHROSCOPIC OPERATION OF TEMPOROMANDIBULAR JOINT +/- LYSIS AND/OR LAVAGE - bilateral New Code Submitted Improves coding structure and adds clarityWe do not have a code for therapeutic arthroscopy of the TMJ. We have codes for arthrocentesis and for arthroplasty but not for therapeutic arthroscopy and therefore specialists are billing under arthroscopic operation of cavity of joint (W8600) or arthroscopic operation of cavity of joint bilateral (W8680).
19/02/2018 S0982 Psoralen photochemotherapy (PUVA/PUVB) per session – localised Phototherapy (UVB/PUVA/PUVB) per session – localised Narrative Change Submitted Improves coding structure and adds clarity We feel that this code also needs to include phototherapy which does not involve the use of other topical or systemic agents such as Psoralen (PUVA). The alternative would be to have a completely separate code for phototherapy and leave existing codes S0980/S0982 as they are.
19/02/2018 S0980 Psoralen photochemotherapy (PUVA/PUVB) per session – whole body Phototherapy (UVB/PUVA/PUVB) per session – whole body Narrative Change Submitted Improves coding structure and adds clarity We feel that this code also needs to include phototherapy which does not involve the use of other topical or systemic agents such as Psoralen (PUVA). The alternative would be to have a completely separate code for phototherapy and leave existing codes S0980/S0982 as they are.
09/02/2018 J3900 Therapeutic ERCP with insertion of biliary or pancreatic stent(s), sphincterotomy or stone extraction N/A Coding Principles Published This code's narrative advises that the procedure is "with insertion of biliary or pancreatic stent(s)" and so we do not feel XR575 should be allowable with it, as this would overlap with the narrative. XR570 is already listed as an unacceptable combination, so for consistency, we feel XR575 should also be an unacceptable combination.
09/02/2018 J3800 Therapeutic ERCP without insertion of stents N/A Coding Principles Published This code's narrative advises that the procedure is "without insertion of stents" and so we do not feel XR575 should be allowable with it - XR570 is already listed as an unacceptable combination, so for consistency, we feel XR575 should also be an unacceptable combination.
08/02/2018 6004G N/A CLINICAL EXOM SEQUENCING MPLA New Code Published
08/02/2018 0050C N/A JAPANESE ENCAPHALITIS ANTIBODY New Code Published
08/02/2018 3009G N/A B cell clonality New Code Published
08/02/2018 0029G N/A CD-279 (PD-1) mutation analysis (blood) New Code Published
08/02/2018 0028G N/A CD-279 (PD-1) mutation analysis (tumour) New Code Published
08/02/2018 0027G N/A FoundationOne New Code Published
08/02/2018 0026G N/A CD-274 (PD-L1) mutation analysis (tumour) New Code Published
08/02/2018 0025G N/A CD-274 (PD-L1) mutation analysis (blood) New Code Published
08/02/2018 J0210 Hemihepatectomy (resection of four or more segments) Hemihepatectomy (resection of four or more segments) +/- cholecystectomy Narrative Change Published
08/02/2018 J0200 Partial hepatectomy (left hepatectomy or resection of up to three segments) Partial hepatectomy (left hepatectomy or resection of up to three segments) +/- cholecystectomy Narrative Change Published
08/02/2018 E1432 FESS: excision uncinate process and anterior ethmoid bulla, antrostomy/antral puncture, simple polypectomy and attention to turbinates (bilateral) N/A Coding Principles Published Our understanding is that the balloon dilation codes above are stand alone procedures and would not be performed with E1432 - FESS - a specialist would do either a FESS or a balloon dilation sinuplasty.
08/02/2018 J0210 Hemihepatectomy (resection of four or more segments) N/A Coding Principles Published As a cholecystectomy is usually performed as part & parcel of a hepatectomy, we feel the above codes should be included in the list of unacceptable combinations.
08/02/2018 J0200 Partial hepatectomy (left hepatectomy or resection of up to three segments) N/A Coding Principles Published As a cholecystectomy is usually performed as part & parcel of a hepatectomy, we feel the above codes should be included in the list of unacceptable combinations.
07/02/2018 Q0750 Subtotal abdominal hysterectomy (+/- oophorectomy) +/- ureterolysis N/A Coding Principles Published Our CMO considers that these codes should be an unacceptable combination as there is overlap between the narratives and so it should be "either/or" rather than both codes.
07/02/2018 B2760 Skin/nipple sparing mastectomy (including axillary node biopsy) N/A Coding Principles Submitted Our CMO fees this procedure overlaps with all the listed procedure codes and so would be grateful if coding principles could be added for them as unacceptable combinations.
07/02/2018 P2380 Anterior (+/- posterior) colporrhaphy with vaginal hysterectomy (including primary repair of enterocele and cystoscopy) N/A Coding Principles Submitted Our CMO considers that these codes should be an unacceptable combination as there is overlap between the narratives and so it should be "either/or" rather than both codes.
Viewing All