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
15/01/2018 N/A N/A Subchondroplasty injection (arthroscopic), under x-ray guidance New Code Submitted Brand new procedure/test
11/01/2018 C6181 Laser suture lysis (including topical or local anaesthetic) N/A Coding Principles Submitted As the narrative for this procedure includes topical or local anaesthetic, our CMO does not feel these codes should be used together.
11/01/2018 C6180 Bleb needling +/- antimetabolites (including topical or local anaesthetic) N/A Coding Principles Submitted As the narrative for this procedure includes topical or local anaesthetic, our CMO does not feel these codes should be used together.
10/01/2018 N/A N/A Balloon dilatation of the Eustachian tube New Code Submitted Brand new procedure/testNICE advises that this procedure should only be used in the context of research. However we are receiving requests for this and we understand it is being offered in the private sector.
10/01/2018 N/A N/A Patient specific twin knee resurfacing implant New Code Submitted Brand new procedure/testSee previous request. The twin implant is a patient-specific resurfacing implant intended for larger and more elongated defects for the femoral condyles and the trochlea area
10/01/2018 N/A N/A Patient specific knee resurfacing implant New Code Submitted Brand new procedure/testwe understand that this procedure is currently part of clinical research and is being carried out at 5/6 NHS Hospitals and some private Hospitals.It may be recommended for patients where conventional surgery such as micro fracture has failed or is not appropriate and in patients too young to be considered for knee replacement
10/01/2018 H4685 Insertion of biodegradable perirectal spacer under image guidance (as sole procedure) Insertion of biodegradable perirectal spacer under image guidance Narrative Change Submitted To reflect updated clinical practiceWe have been advised that this procedure may be carried out in combination with Fiducial marker placement
10/01/2018 A5780 Rhizolysis N/A Inactivate Submitted Current code replaced by a new codeWe think this is covered by A5720 Facet or sacroiliac joint (RF) radiofrequency thermocoagulation cryotherapy or phenol (including rhizolysis under image guidance) - up to 3 joints and A5730 Facet or sacroiliac joint (RF) radiofrequency thermocoagulation cryotherapy or phenol (including rhizolysis under image guidance) - 4 to 6 joints.
10/01/2018 J3900 Therapeutic ERCP with insertion of biliary or pancreatic stent(s), sphincterotomy or stone extraction N/A Coding Principles Submitted Add XR575 as unbundled with the J3900 as the stent insertion is part of the main procedure. The plastic stent code XR570 is already unbundled so the metallic stent XR575 should also be listed as unbundled.
05/01/2018 A7352 Image-guided local anaesthetic blockade of named major nerve or plexus N/A Coding Principles Submitted Our CMO feels local anaesthetic should be included within the main procedure
05/01/2018 H5520 Laying open of high anal fistula (fistulotomy) (including sigmoidoscopy) N/A Coding Principles Submitted Our CMO feels these are separate and either/or procedure and so should not be used together.
05/01/2018 H5510 Laying open of low anal fistula (fistulotomy) (including sigmoidoscopy) N/A Coding Principles Submitted Our CMO feels these are separate and either/or procedure and so should not be used together.
05/01/2018 TBA N/A Eminectomy of temporomandibular joint - bilateral New Code Submitted This is often performed within the NHS and privately but there is no code for it.
05/01/2018 TBA N/A Eminectomy of temporomandibular joint - unilateral New Code Submitted This is often performed within the NHS and privately but there is no code for it.
04/01/2018 N/A N/A Removal of mass/tumour from deeper tissue New Code Submitted Improves coding structure and adds clarityA surgeon recently billed W0950 - Radical clearance of sarcoma of trunk or limbs with or without amputation or insertion of prosthesis The patient had an undiagnosed mass in the tissue behind her hip which the surgeon said was a more complex procedure than S0653 - Removal of benign lesion in muscle or deeper tissue (excluding lipoma). Our CMO feels there should be a mid-way code for situations like this where it is unknown if the mass is malignant but the code allows for a more complex removal.
04/01/2018 C1341 Blepharoplasty - three or four eyelids N/A Coding Principles Submitted As discussed in previous meeting please can we add C1341 to unbundle with itself.
21/12/2017 TBA N/A Ligation of the intersphincteric fistula tract (LIFT) for the treatment of anal fistula New Code Submitted Brand new procedure/testWe have recently dealt with a request for the LIFT procedure from Professor J Scholefield. This is usually performed for complex or deep fistulas and allows the surgeon to access the fistula between the sphincter muscles and avoid cutting them.
19/12/2017 N/A N/A Biodegradable spacer insertion for prostate radiotherapy. New Code Submitted Brand new procedure/testBrand new procedure/test
11/12/2017 J0210 Hemihepatectomy Hemihepatectomy (resection of four or more segments) Narrative Change Submitted Improves coding structure and adds clarityWe have had issues with some surgeons using J0200 or J0210 for resecting a liver lesion. We thought it might be helpful to alter the narrative in order to make it clear that these codes should only be used for resecting segments of the liver. Another option would be to publish some guidance in the CCSD schedule as we've done in the past.
11/12/2017 J0200 Partial hepatectomy Partial hepatectomy (left hepatectomy or resection of up to three segments) Narrative Change Submitted Improves coding structure and adds clarity We have had issues with some surgeons using J0200 or J0210 for resecting a liver lesion. We thought it might be helpful to alter the narrative in order to make it clear that these codes should only be used for resecting segments of the liver. Another option would be to publish some guidance in the CCSD schedule as we've done in the past.
08/12/2017 TBA N/A Robotic assisted laparoscopic pelvic lymphadenectomy New Code Submitted Brand new procedure/testWe have recently agreed to cover this procedure which is apparently also performed under the NHS at the Royal Surrey County Hospital.There is no code for this in the schedule.
08/12/2017 TBA N/A Consultant clinical supervision of bisphosphonates New Code Submitted Improves coding structure and adds clarity We have come across quite a few cases of consultants using X3590 "Intravenous infusion" for the supervision of bisphosphonates as there isn't a code in the schedule for it. We think it would be helpful to have a specific code for this.
24/11/2017 H5250 Circular Stapling Haemorrhoidectomy N/A Coding Principles Published As this code is listed as unacceptable with other haemorrhoid codes, I suggest we also add it to H5250.
24/11/2017 H5240 Banding of haemorrhoids N/A Coding Principles Published As both these codes are listed as unacceptable with other haemorrhoid codes, I suggest we also add them to H5240.
24/11/2017 G0500 Bypass of oesophagus N/A Inactivate Rejected Our CMO is dubious about what procedure this code is intended to cover. We haven't had any claims for this code in the last 3 years and believe it should therefore be inactivated.
23/11/2017 D0342 Bony meatoplasty N/A Coding Principles Published Our CMO is of the opinion that a stapedectomy is part and parcel of a meatoplasty.
21/11/2017 TBA N/A Insertion of intracranial pressure (ICP) monitoring device New Code Published The monitoring of intracranial pressure is used in treating severe traumatic brain injury patients but there is no code in the schedule.
21/11/2017 TBA N/A Laparoscopic repair of parastomal hernia requiring mesh New Code Published Parastomal hernias are common in colorectal surgery but there is no code for their repair in the schedule.
21/11/2017 X3520 IV sedation administered by anaesthetist IV sedation administered by anaesthetist (as sole procedure) Narrative Change Published This should be made a sole procedure as it is a stand alone procedure by the anaesthetist who would not be using any other code.
20/11/2017 N/A N/A Chlamydia CFT New Code Published Brand new procedure/testBrand new procedure/test
20/11/2017 N/A N/A Calreticulin and MPL - Myeloproliferative Leukaemia Protein with G prefix New Code Published Brand new procedure/testBrand new procedure/test
20/11/2017 N/A N/A Profile for pruritus New Code Published Brand new procedure/testBrand new procedure/test
20/11/2017 N/A N/A Profile for alopecia, pruritus or urticaria. New Code Published Brand new procedure/testBrand new procedure/test
20/11/2017 N/A N/A Polycystic ovarian syndrome (POS) Profile New Code Published Brand new procedure/testUsed to diagnose polycystic ovarian syndrome in a patient presenting with acne or hirsutism
20/11/2017 N/A N/A Pre dermatological  medication profile New Code Published Brand new procedure/testBrand new procedure/test
20/11/2017 N/A N/A Urine Immunofixation New Code Published Brand new procedure/testBrand new procedure/test
20/11/2017 N/A N/A Allergy Aspergillus Components New Code Published Brand new procedure/testBrand new procedure/test
20/11/2017 N/A N/A Alternaria Allergy Components New Code Published Brand new procedure/testBrand new procedure/test
20/11/2017 N/A N/A Allergy Serum Albumins New Code Published Brand new procedure/testBrand new procedure/test
20/11/2017 N/A N/A Allergy Dog components New Code Published Brand new procedure/testBrand new procedure/test
10/11/2017 N/A N/A Surgical correction of hallux valgus using minimal access techniques- bilateral New Code Published Improves coding structure and adds clarityImproves coding structure and adds clarity
10/11/2017 N/A N/A Surgical correction of hallux valgus using minimal access techniques- unilateral New Code Published Improves coding structure and adds clarityImproves coding structure and adds clarity
09/11/2017 C4640 Descemets stripping endothelial keratoplasty (DSEK) N/A Coding Principles Published We understand that as part of the DSEK procedure air is injected into the anterior chamber to position the graft. https://www.centreforsight.com/treatments/corneal-transplants/dsek-dsaek
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