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
24/11/2017 H5250 Circular Stapling Haemorrhoidectomy N/A Coding Principles Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted Brand new procedure/test
20/11/2017 N/A N/A Calreticulin and MPL - Myeloproliferative Leukaemia Protein with G prefix New Code Submitted Brand new procedure/test
20/11/2017 N/A N/A Profile for pruritus New Code Submitted Brand new procedure/test
20/11/2017 N/A N/A Profile for alopecia, pruritus or urticaria. New Code Submitted Brand new procedure/test
20/11/2017 N/A N/A Polycystic ovarian syndrome (POS) Profile New Code Submitted 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 Submitted Brand new procedure/test
20/11/2017 N/A N/A Urine Immunofixation New Code Submitted Brand new procedure/testBrand new procedure/test
20/11/2017 N/A N/A Allergy Aspergillus Components New Code Submitted Brand new procedure/testBrand new procedure/test
20/11/2017 N/A N/A Alternaria Allergy Components New Code Submitted Brand new procedure/testBrand new procedure/test
20/11/2017 N/A N/A Allergy Serum Albumins New Code Submitted Brand new procedure/testBrand new procedure/test
20/11/2017 N/A N/A Allergy Dog components New Code Submitted 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 Submitted Improves coding structure and adds clarity
10/11/2017 N/A N/A Surgical correction of hallux valgus using minimal access techniques- unilateral New Code Submitted Improves coding structure and adds clarity
09/11/2017 C4640 Descemets stripping endothelial keratoplasty (DSEK) N/A Coding Principles Submitted 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
07/11/2017 T6520 Tendon sheath injection T6520 =Tendon Sheath Injection, including injection of Viscosupplement Narrative Change Submitted To reflect updated clinical practiceViscosupplementation is now available for injection into tendon. http://ostenil.trbchemedica.co.uk/patient-information/tendon-injections http://ostenil.trbchemedica.co.uk/products/ostenil-tendon
06/11/2017 W9031 Three or more injections, +/- aspiration, into joint(s), cyst, bursa, with image guidance N/A Inactivate Submitted Improves coding structure and adds clarityAs discussed in previous meeting W9030 + W9035 along with W9040 + W9045 make sense. This code W9031 does not follow the same terminology/approach and any treatment done under W9031 could be billed under W9030/W9035 it's superfluous.
03/11/2017 H5520 Laying open of high anal fistula (fistulotomy) +/- insertion of stitch (including sigmoidoscopy) Laying open of high anal fistula (fistulotomy) (including sigmoidoscopy) Narrative Change Submitted Improves coding structure and adds clarityAs we now have 2 new codes for the Seton stitch: H5540 “Seton placement for treatment of anal fistula” & H5541 “Adjustment or removal of Seton under general anaesthetic” I propose removing “+/- insertion of stitch” which I believe is never done at the same time as the procedure.
03/11/2017 H5510 Laying open of low anal fistula (fistulotomy) +/- insertion of stitch (including sigmoidoscopy) Laying open of low anal fistula (fistulotomy) (including sigmoidoscopy) Narrative Change Submitted Improves coding structure and adds clarityAs we now have 2 new codes for the Seton stitch: H5540 “Seton placement for treatment of anal fistula” & H5541 “Adjustment or removal of Seton under general anaesthetic” I propose removing “+/- insertion of stitch” which I believe is never done at the same time as the procedure.
03/11/2017 C6052 Aqueous shunt tube surgery for glaucoma (including topical or local anaesthetic) including donor patch - bilateral N/A Coding Principles Submitted All the codes suggested are alternative methods of treating glaucoma, therefore "either/or" would apply.
03/11/2017 C6051 Aqueous shunt tube surgery for glaucoma (including topical or local anaesthetic) including donor patch - unilateral N/A Coding Principles Submitted All the codes suggested are alternative methods of treating glaucoma, therefore "either/or" would apply.
03/11/2017 E2810 Peroral endoscopic myotomy (POEM) for achalasia N/A Coding Principles Submitted All 4 of the suggested codes would not be performed at the same time as E2810 Peroral endoscopic myotomy (POEM).
03/11/2017 H5580 Video assisted anal fistula treatment (VAAFT) N/A Coding Principles Submitted You would only perform one of these 3 procedures, therefore "either/or" applies.
31/10/2017 B3132 N/A Bilateral mastopexy (following reconstruction) New Code Submitted No Bilateral code set up for Mastopexy
27/10/2017 for your expert judgement N/A Fitness to fly test For patients with chronic respiratory illnesses, especially COPD, who are at risk of hypoxaemia in flight. Planes are pressurised such that the ambient Oxygen content is 15% cv 21% room air ground level New Code Submitted Long established and quite routine test done by most lung function laboratories but for which no code currently exists (!!)
24/10/2017 N/A N/A Transoral resection of the larynx New Code Submitted Improves coding structure and adds clarity
24/10/2017 N/A N/A Transoral laser microsurgery (endoscopic resection) New Code Submitted Brand new procedure/test
24/10/2017 N/A N/A Open oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) - unilateral New Code Submitted Improves coding structure and adds claritySee requests 4021/2
24/10/2017 Q2231 N/A Laparoscopic oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) - unilateral Narrative Change Submitted Improves coding structure and adds claritySee request 4021/2.
24/10/2017 N/A N/A Open oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) - bilateral New Code Submitted Improves coding structure and adds clarityThis procedure is carried out as open surgery in those cases of large cysts or tumours.
24/10/2017 Q2230 Oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) - bilateral Laparoscopic oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) - bilateral Narrative Change Submitted Improves coding structure and adds clarityOur medical affairs director advises this procedure can be carried out as both open and laparoscopic surgery.
22/10/2017 XR360 Embolisation of vascular mass (including uterine embolisation) Embolisation of vascular mass including uterine artery embolisation, sclerotherapy and embolisation of pelvic venous congestion including pelvic varices' Narrative Change Submitted Improves coding structure and adds clarityI am commenting as a consultant interventional radiologist and an acknowledged key opinion leader in the UK Europe & the world on pelvic venous incompetence. I have attached by e-mail important references and recommend code XR362 is removed completely and the narrative to code XR360 is modified. Specifically patients with lower limb varicose veins who are said to have an association with pelvic venous varicose veins are being referred for this procedure by a handful of clinics as an adjunct to formal varicose vein surgery (particularly EVLT VNUS with radiofrequency ablation glue or open ligation & stripping) with a claim that this improves the outcome of the formal surgical procedure or reduces the rate of lower limb varicose vein recurrence. However evidence of any role for this interventional radiology procedure is purely anecdotal only and specifically NO critical level I evidence by way of a Randomised Controlled (Prospective) Clinical Trial is available. The code should be withdrawn and the indication for treating lower limb varicose veins specifically excluded. I am the leading further discussion on behalf of the British Society of Interventional Radiologists for The Royal College of Radiologists at a National webinar shortly to discuss the treatement of two related entities: 1. Pelvic Venous Congestion Syndrome 2. Treatment of pelvic varices It is suggested that these two indications (far fewer referrals) be retained and included in the code XR360 with a slight modification of the wording of 2. to 'Embolisation and/or sclerotherapy of pelvic vein varices' (vide infra) with consideration of changing the narrative of XR360 to 'Embolisation of vascular mass including uterine artery embolisation sclerotherapy and embolisation of pelvic venous congestion including pelvic varices'.
22/10/2017 XR362 N/A N/A Inactivate Submitted I am commenting as a consultant interventional radiologist and an acknowledged key opinion leader in the UK Europe & the world on pelvic venous incompetence. I have attached by e-mail important references and recommend code XR362 is removed completely and the narrative to code XR360 is modified. Specifically patients with lower limb varicose veins who are said to have an association with pelvic venous varicose veins are being referred for this procedure by a handful of clinics as an adjunct to formal varicose vein surgery (particularly EVLT VNUS with radiofrequency ablation glue or open ligation & stripping) with a claim that this improves the outcome of the formal surgical procedure or reduces the rate of lower limb varicose vein recurrence. However evidence of any role for this interventional radiology procedure is purely anecdotal only and specifically NO critical level I evidence by way of a Randomised Controlled (Prospective) Clinical Trial is available. The code should be withdrawn and the indication for treating lower limb varicose veins specifically excluded. I am the leading further discussion on behalf of the British Society of Interventional Radiologists for The Royal College of Radiologists at a National webinar shortly to discuss the treatement of two related entities: 1. Pelvic Venous Congestion Syndrome 2. Treatment of pelvic varices It is suggested that these two indications (far fewer referrals) be retained and included in the code XR360 with a slight modification of the wording of 2. to 'Embolisation and/or sclerotherapy of pelvic vein varices' (vide infra) with consideration of changing the narrative of XR360 to 'Embolisation of vascular mass including uterine artery embolisation sclerotherapy and embolisation of pelvic venous congestion including pelvic varices'.
18/10/2017 N/A N/A Proximal femoral replacement New Code Published Improves coding structure and adds clarityPlease see request 4016
18/10/2017 W3734 Second, third or further revision total hip replacement or proximal femoral replacement (excluding acetabular liner and head changes) Second, third or further revision total hip replacement (excluding acetabular liner and head changes) Narrative Change Submitted Improves coding structure and adds clarityWe understand that proximal femoral replacement is primarily carried out for bone tumours. Proximal femoral replacement procedure involves a different approach than a revisional hip replacement in that it involves much more replacement of the affected bone and the muscles have to be reattached following this procedure. We recommend a new code is added for proximal femoral replacement. file:///C:/Users/sharon71/Downloads/102%20Proximal%20femoral%20endoprosthetic%20replacement%20v%204%20(1).pdf
18/10/2017 N/A N/A Trans-oral robotic assisted surgery New Code Published Brand new procedure/testUsed in the treatment of head and neck tumours.
17/10/2017 xxxxx N/A Professional Continuous Glucose Monitoring New Code Submitted Currently there is no appropriate code for this diagnostic test
16/10/2017 N/A N/A Reconstruction of breast using transverse upper gracilis (TUG) flap (including delayed reconstruction and nipple reconstruction) (2 flaps per breast) - bilateral New Code Submitted Brand new procedure/testsee 4012
16/10/2017 N/A N/A Reconstruction of breast using transverse upper gracilis (TUG) flap (including delayed reconstruction and nipple reconstruction) (2 flaps) - unilateral New Code Submitted Brand new procedure/testWe understand reconstruction of breast using transverse upper gracilis (TUG) flap can now be carried out using 2 flaps.
16/10/2017 N/A N/A Reconstruction of breast using transverse upper gracilis (TUG) flap (including delayed reconstruction and nipple reconstruction) (single flap)- bilateral New Code Submitted Improves coding structure and adds clarityWe feel there needs to be a bilateral code for breast reconstruction using TUG flap
16/10/2017 B2987 Reconstruction of breast using transverse upper gracilis (TUG) flap (including delayed reconstruction and nipple reconstruction) Reconstruction of breast using transverse upper gracilis (TUG) flap (including delayed reconstruction and nipple reconstruction) (single flap)- unilateral Narrative Change Submitted To reflect updated clinical practiceWe have found that advances in this procedure are now taking place which involves using 2 flaps rather than one. We feel the code should be updated to clarify this is for a single flap and also to indicate this is a unilateral code.
16/10/2017 N/A N/A Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral (2 flaps per breast) New Code Submitted Improves coding structure and adds clarityPlease see 4006/7
16/10/2017 B2996 Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral (single flap per breast) Narrative Change Submitted To reflect updated clinical practicePlease see 4006/7
16/10/2017 N/A N/A Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - unilateral (2 flaps) New Code Submitted Brand new procedure/test
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