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
20/09/2017 M1130 Therapeutic ureterorenoscopy (+/- cystoscopy and insertion/removal of stent) N/A Coding Principles Submitted Medical director feels that these procedures should unbundle
20/09/2017 M1120 Diagnostic ureterorenoscopy (+/- cystoscopy) N/A Coding Principles Submitted Medical director feels that these procedures should unbundle
20/09/2017 M1120 Diagnostic ureterorenoscopy (+/- cystoscopy) N/A Coding Principles Submitted Bupa medical director feels that these procedures should unbundle
19/09/2017 M1120 Diagnostic ureterorenoscopy (+/- cystoscopy) N/A Coding Principles Submitted Bupa medical director feels that these procedures should unbundle
18/09/2017 M1120 Diagnostic ureterorenoscopy (+/- cystoscopy) N/A Coding Principles Submitted Our medical director feels that these codes should unbundle
18/09/2017 K4100 Bypass for coronary artery(ies) (including harvesting of grafts and endarterectomy) N/A Coding Principles Submitted
14/09/2017 K4100 Bypass for coronary artery(ies) (including harvesting of grafts and endarterectomy) N/A Coding Principles Submitted Our CMO feels these two codes should unbundle.
12/09/2017 N/A N/A Lutetium 177 therapy for neuroendocrine tumours. New Code Submitted Brand new procedure/test
11/09/2017 N/A N/A Seton placement for treatment of anal fistula New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity.... We currently do not have a code for Seton placement alone – the seton stitch is +/- in H5520 Laying open of high anal fistula (fistulotomy) +/- insertion of stitch (including sigmoidoscopy) and H5510 Laying open of low anal fistula (fistulotomy) +/- insertion of stitch (including sigmoidoscopy)
11/09/2017 N/A N/A Injection of therapeutic substance into keloid scar New Code Submitted Improves coding structure and adds clarityImproves coding structure and adds clarity
06/09/2017 P2120 Total removal of vaginal mesh/tape with reconstruction of vagina and/or urethra, including cystoscopy and/or proctoscopy N/A Coding Principles Submitted These codes are part and parcel, as the P2120 will include the M7360.
05/09/2017 N/A N/A Implantation of artificial iris for congenital or traumatic aniridia New Code Submitted Brand new procedure/testAbsence or loss of the iris tissue of the eye can occur as a result of a congenital defect or as result of trauma or previous surgery. Individuals who lack an iris or who have an iris that cannot constrict properly often suffer from severe light sensitivity or photophobia. They may have significant glare at night time and often have impaired vision.A new procedure is now being performed to implant an artificial iris to remedy this condition.
16/08/2017 N/A N/A Transforaminal epidural (cervical) New Code Published Improves coding structure and adds claritysee previous...
16/08/2017 N/A N/A Transforaminal epidural (thoracic) New Code Published
16/08/2017 N/A N/A Transforminal epidural (caudal) New Code Published See previous..
16/08/2017 N/A N/A Transforminal epidural - lumbar New Code Published Improves coding structure and adds claritysee 3914
16/08/2017 A5290 Transforaminal epidural N/A Inactivate Published Improves coding structure and adds clarityWe feel that A5290 “Transforminal epidural” should be separated out into 4 codes in the same way that the A5200/10/11/20 codes for epidural injections are split into areas of the spine: lumbar caudal thoracic and cervical. This clarifies which area of the spine is being treated.
14/08/2017 S5240 N/A N/A Reinstatement Rejected Code still requiredSince the inactivation of this code (plus S5210) confusion has been caused at many of our hospitals. This has been looked into and guidance given to those using it incorrectly i.e. for trigger point injections etc. However we have hospitals wanting to assign this code for legitimate procedures such as steroid injections into scars and steroid injections for alopecia.
14/08/2017 S5210 N/A N/A Reinstatement Rejected Code still requiredSince the inactivation of this code (plus S5240) confusion has been caused at many of our hospitals. This has been looked into and guidance given to those using it incorrectly i.e. for trigger point injections etc. However we have hospitals wanting to assign this code for legitimate procedures such as steroid injections into scars and steroid injections for alopecia.
14/08/2017 Q1800 Hysteroscopy (including biopsy, dilatation, +/- cauterisation, curettage and resection of polyp(s) +/- Mirena coil insertion) N/A Coding Principles Published Now that +/- cauterisation is included in the narrative for Q1800, we feel there is overlap and so these codes should not be billed together.
02/08/2017 S1500 Biopsy of skin or subcutaneous tissue Biopsy of skin, suspicious skin lesion or subcutaneous tissue Narrative Change Rejected Improves coding structure and adds clarityWe feel this adds clarity to when this code should be used.
02/08/2017 N/A N/A Excision biopsy of suspicious skin lesion including margins – trunk and limbs New Code Under Review Improves coding structure and adds clarityPlease see request 3890
02/08/2017 N/A N/A Excision biopsy of suspicious skin lesion including margins – head and neck New Code Under Review Improves coding structure and adds clarityWe feel that the current CCSD coding for excision and biopsy of skin lesions does not cover what is carried out in clinical practice. It is our understanding that it is current practice in some cases to carry out a wide excision of a suspicious lesion without doing a biopsy first. This tissue is then sent for biopsy. This is a wider excision than would be carried out for a benign lesion. However codes for excision of malignant lesions are not appropriate for use in this scenario as the lesion has not been biopsied and so malignancy has not been confirmed.
21/07/2017 B3012 Mastectomy and immediate reconstruction of breast using expandable prosthesis N/A Coding Principles Published B3014 is included in the narrative of B3012.
20/07/2017 N/A N/A Fat Plug Myringoplasty New Code Published Improves coding structure and adds clarity Our CMO has sought advice and understands that the fat plug procedure is a considerably less complex and less time consuming procedure than a standard myringoplasty.. He therefore feels it should have a separate code.
18/07/2017 N/A N/A Aqueous shunt tube surgery for glaucoma (including topical or local anaesthetic?) – bilateral * sometimes done under GA New Code Published This is now being done within the NHS and is a completely different procedure to C6120 "Trabecular stent bypass microsurgery for open-angle glaucoma".
18/07/2017 N/A N/A Aqueous shunt tube surgery for glaucoma (including topical or local anaesthetic) – unilateral New Code Published This is now being done within the NHS and is a completely different procedure to C6120 “Trabecular stent bypass microsurgery for open-angle glaucoma".
17/07/2017 N/A N/A Infracoccygeal sacropexy using mesh to repair vaginal vault prolapse New Code Published Brand new procedure/testNew procedure – distinctly different surgical approach to other suspension procedures for vaginal prolapse but we think that there is the possibility of this procedure being billed under existing codes.
17/07/2017 N/A N/A Infracoccygeal sacropexy using mesh to repair uterine prolapse New Code Published Brand new procedure/testNew procedure - distinctly different surgical approach to other suspension procedures for uterine prolapse we think that there is the possibility of this procedure being billed under existing codes.
17/07/2017 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 CMO feels the breadth of the E1432 procedure should include the septal cauterisation.
14/07/2017 Q1800 Hysteroscopy (including biopsy, dilatation, curettage and resection of polyp(s) +/- Mirena coil insertion) Hysteroscopy (including biopsy, dilatation, cauterisation, curettage and resection of polyp(s) +/- Mirena coil insertion) Narrative Change Published Improves coding structure and adds clarity We have had providers billing for Q1800 with Q0230 - Cauterisation of lesion of cervix uteri (+/- loop diathermy colposcopy or polypectomy). Our CMO proposes that if the cauterisation was included within the narrative Q0230 should then be an unacceptable combination.
14/07/2017 W7420 Autograft anterior cruciate ligament reconstruction (including arthroscopic and meniscectomy) N/A Coding Principles Rejected Our CMO feels there is overlap with these two codes (W8230 & W9030) and so they should not be billed as additional procedures.. We note that similar procedures are already listed as unacceptable combinations.
13/07/2017 H5520 Laying open of high anal fistula (fistulotomy) +/- insertion of stitch (including sigmoidoscopy) Laying open of high anal fistula (fistulotomy) +/- insertion of stitch, +/- video assistance (including sigmoidoscopy) Narrative Change Rejected To reflect updated clinical practiceApparently specialists are now using video assistance to treat anal fistulae.
13/07/2017 H5510 Laying open of low anal fistula (fistulotomy) +/- insertion of stitch (including sigmoidoscopy) Laying open of low anal fistula (fistulotomy) +/- insertion of stitch, +/- video assistance, (including sigmoidoscopy) Narrative Change Rejected To reflect updated clinical practiceApparently specialists are now using video assistance to treat anal fistulae.
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