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
16/11/2018 V2680 Revision anterior discectomy, decompression and anterior fusion +/- instrumentation (lumbar region) N/A Coding Principles Submitted Our CMO feels there is overlap between these procedures and so they should be listed as an unacceptable combination. We have recently been asked to both both procedures together.
09/11/2018 N/A N/A Embolisation of varicocele of multiple veins including at least one gonadal vein varicocele and one internal iliac vein (this cannot be used in combination with XR362) New Code Submitted Improves coding structure and adds clarity
09/11/2018 N/A N/A Embolsation of internal iliac veins bilateral (this cannot be used in combination with XR362) New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
09/11/2018 N/A N/A Embolisation of internal iliac vein unilateral (this cannot be used in combination with XR360) New Code Submitted Improves coding structure and adds clarity
09/11/2018 XR442 N/A Embolisation of varicocele of gonadal veins bilateral (This cannot be used in combination with XR362) New Code Submitted Improves coding structure and adds clarity
09/11/2018 N/A N/A Home sleep study including reporting New Code Submitted Improves coding structure and adds clarity
05/11/2018 TBA N/A Robotic-assisted pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) New Code Submitted There is no code in the schedule for the robotic assisted version of J5610 Whipple's
05/11/2018 TBA N/A Laparoscopic pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) New Code Submitted There is currently no code in the schedule for the laparoscopic version of J5610 Whipple's
31/10/2018 S5211 N/A Injection of botulinum toxin for hyperhidrosis New Code Submitted Brand new procedure/testThis is one of the procedures previously coded using the generic S5210 code which we removed last year
29/10/2018 20370 Non face to face consultation (e.g. telephone, skype) - 30 minutes and over Remote consultation 30 minutes or more Narrative Change Submitted to change the narrative on the code as it has a reference to Skype and It comes across as we are promoting the brand
29/10/2018 20360 Non face to face consultation (e.g. telephone, skype) - 16 to 29 minutes Remote consultation 16 – 29 minutes Narrative Change Submitted to change the narrative on the code as it has a reference to Skype and It comes across as we are promoting the brand
29/10/2018 20350 Non face to face consultation (e.g. telephone, skype) - up to 15 minutes Remote consultation - up to 15 minutes Narrative Change Submitted to change the narrative on the codes as it has a reference to Skype and It comes across as we are promoting the brand
15/10/2018 W5830 Robotic assisted total knee replacement N/A Coding Principles Submitted Our CMO has requested that the non-robotic procedure is listed with the robotic procedure to ensure specialists are clear it is one or the other, as we have received bills with both codes detailed.
15/10/2018 Q2233 Open oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) - bilateral N/A Coding Principles Submitted These procedures are all listed as overlapping with Q2230 and so our CMO feels they should also be listed with this procedure.
15/10/2018 Q2232 Open oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) - unilateral N/A Coding Principles Submitted These procedures are all listed as overlapping with Q2230 and so our CMO feels they should also be listed with this procedure.
15/10/2018 Q2231 Laparoscopic oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) - unilateral N/A Coding Principles Submitted These procedures are all listed as overlapping with Q2230 and so our CMO feels they should also be listed with this procedure.
15/10/2018 Q0710 Radical hysterectomy and lymphadenectomy (Wertheim's) +/- ureterolysis N/A Coding Principles Submitted Our CMO has advised these codes should not be used with the Q0710 as these procedures are included within the Wertheim's procedure.
11/10/2018 XR442 N/A Please see attcahed document for narrative of new code. New Code Submitted Improves coding structure and adds clarityPlease see attached document with reason for new code.
02/10/2018 T8580 N/A Please consider removal of "as sole procedure" Narrative Change Submitted To reflect updated clinical practice: Gynaecologists rarely ever do pelvic lymph nodes as a sole procedure. It will often be done with a hysterectomy. If it is a radical hysterectomy then there is a separate code for it that combines the two (Q0170). However if it is a simple hysterectomy then it has to be combined with a Q0740 or similar. There also seems to be an inconsistency! It can't be stated that it should be a sole procedure whilst also having associated invalid combinations. If it is a sole procedure there cant be any combinations at all!
02/10/2018 Q2230 N/A Please consider removing "as sole procedure" Narrative Change Submitted To reflect updated clinical practice: There are many instances where a patient may also require a hysteroscopy (Q1800) for a separate reason (endometrial polyp or investigation of heavy periods or postmenopausal bleeding) whilst also having an ovarian cyst that needs remedying.
02/10/2018 Q4400 N/A Please consider removing "as sole procedure". Narrative Change Submitted To reflect updated clinical practice: There are many instances where a patient may also require a hysteroscopy (Q1800) for a separate reason (endometrial polyp or investigation of heavy periods or postmenopausal bleeding) whilst also having an ovarian cyst that needs remedying.
02/10/2018 N/A N/A Preparation for Superficial Radiotherapy, with imaging dosimetry and calculation New Code Submitted To replace code already in the Schedule
02/10/2018 N/A N/A Delivery of a fraction of superficial radiotherapy (Electrons) New Code Submitted To replace code already in the Schedule
28/09/2018 Q1010 Dilation of cervix uteri and curettage of retained products of conception following spontaneous abortion Dilation of cervix uteri and curettage of retained products of conception following miscarriage Narrative Change Published Relates to query 51
28/09/2018 20144 Continuous ambulatory ECG for over 72 hours and up to 7 days (including reporting) N/A Coding Principles Submitted Looking at the ECG codes we think these codes should be added as unacceptable.
28/09/2018 20141 Continuous ambulatory ECG for up to 72 hours (including reporting) N/A Coding Principles Submitted Looking at the ECG codes we think these codes should be added as unacceptable.
28/09/2018 20140 24 hour ECG Holter (including reporting) N/A Coding Principles Submitted Looking at the ECG codes, we think there are some additional codes that should be added as unacceptable.
28/09/2018 20132 Exercise or dobutamine stress echocardiography (including ECG and reporting) N/A Coding Principles Submitted It seems as though we omitted to submit coding principles for code 20144 when it was published in June 2016 & looking at the other ECG codes we think there are some additional codes that should be added as unacceptable.
24/09/2018 X4822 Change of cast under general anaesthetic Change of cast under general anaesthetic (as sole procedure) Narrative Change Published To align current codes and consistencyOur medical team feel that this code would only be used in isolation. If it was used alongside another code then it would be part and parcel of that procedure.
24/09/2018 X4810 Change of cast without general anaesthetic Change of cast without general anaesthetic (as sole procedure) Narrative Change Published To align current codes and consistencyOur medical team feel that this code would only be used in isolation. If it was used alongside another code then it would be part and parcel of that procedure.
18/09/2018 E3520 Microlaryngoscopy/laryngoscopy +/- biopsy, excision of lesion, polyp or cyst N/A Coding Principles Published These 2 procedures would not be performed together............
17/09/2018 E3410 Laser surgery to vocal cord (including microlaryngoscopy) N/A Coding Principles Published These 2 procedures would not be performed together.
03/09/2018 TBA N/A Transurethral water vapour ablation of prostate New Code Published Brand new procedure/testNICE has recently published guidance on this procedure but there is no code in the current schedule for it.
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