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
21/07/2017 B3012 Mastectomy and immediate reconstruction of breast using expandable prosthesis N/A Coding Principles Submitted B3014 is included in the narrative of B3012.
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 Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted 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 Submitted To reflect updated clinical practiceApparently specialists are now using video assistance to treat anal fistulae.
04/07/2017 C5130 Ultraviolet irradiation of riboflavin for cross linking of corneal collagen N/A Coding Principles Submitted We currently have CCSD code C5130 ULTRAVIOLET IRRADIATION OF RIBOFLAVIN FOR CROSS LINKING OF CORNEAL COLLAGEN however, the NICE guidance describes three different procedures, not just one: 1. Epithelium-off corneal collagen cross linkage CXL – guidance relates to this technique and evidence is adequate 2. Epithelium-on (transepithelial) corneal collagen cross linkage – newer technique with less evidence on safety and efficacy 3. Corneal collagen cross linkage plus (CXL plus) – either of the techniques above can be combined with other procedures such as ICRS implantation, photorefractive keratectomy (PRK) or phakic intraocular lens (PIOL) implantation to improve visual acuity. Again there is limited evidence on safety and efficacy. As there is limited evidence regarding additional procedures being carried out at the same time, we suggest code C5130 should be made “as sole procedure” and the additional procedures should be added as unacceptable.
30/06/2017 M3000 Endoscopic examination of ureter (+/- cystoscopy and insertion/removal of stent) Endoscopic examination of ureter (+/- cystoscopy and insertion/removal of stent) +/- retrograde pyelography Narrative Change Submitted Improves coding structure and adds clarity Our CMO notes that M3000 is listed as an unacceptable combination with M3010 but feels the reason for the overlap is not clear from the narrative. He believes that by adding this wording it will make clear why the two codes overlap and so should not be used together.
21/06/2017 W1380 Arthroscopic femoro-acetabular surgery for hip impingement syndrome N/A Coding Principles Published Add W1800 as an unacceptable combination with W1380. The trimming of the bone and cartilage is ‘part and parcel’ of the Femoro-acetabular procedure and should not be added on as an extra.
13/06/2017 A5730 Facet or sacroiliac joint (RF) radiofrequency thermocoagulation (including rhizolysis under X-ray control) - 4 to 6 joints Facet or sacroiliac joint (RF) radiofrequency thermocoagulation, cryoprobe or phenol (including rhizolysis under X-ray control) - 4 to 6 joints. Narrative Change Published To reflect updated clinical practicehttps://www.nice.org.uk/guidance/ng59/documents/draft-guideline-2 This is because cryoprobe or phenol denervation are in common use procedures in the NHS and at least as effective as RF denervation.
13/06/2017 A5720 Facet or sacroiliac joint (RF) radiofrequency thermocoagulation (including rhizolysis under X-ray control) - up to 3 joints Facet or sacroiliac joint (RF) radiofrequency thermocoagulation, cryoprobe or phenol (including rhizolysis under X-ray control) - up to 3 joints Narrative Change Published To reflect updated clinical practiceThe rationale is that cryoprobe or phenol denervation are in common use and at least as effective as RF denervation. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684948/
13/06/2017 W4244 Tibial liner exchange in total knee replacement N/A Coding Principles Published We haven't yet decided on coding principles for this new code, so I've looked at what we've agreed for other knee replacement codes and tried to mirror them. Please feel free to add further codes or disagree with my suggestions!
13/06/2017 N/A N/A Peroral endoscopic myotomy (POEM) for achalasia. New Code Published Brand new procedure/testBrand new procedure/test
12/06/2017 N/A N/A Transpupillary thermotherapy for ocular melanoma New Code Published Brand new procedure/testBrand new procedure/test
12/06/2017 N/A N/A Platelet rich plasma injections for knee Osteoarthritis. New Code Published Improves coding structure and adds clarityImproves coding structure and adds clarity
10/06/2017 E1500 Operation(s) on sphenoid sinus (including endoscopic) Operation(s) on sphenoid sinus (including endoscopic) and bilateral Narrative Change Published Improves coding structure and adds clarity
10/06/2017 E1480 Endoscopic exploration frontal sinus beyond frontoethmoid recess Endoscopic exploration frontal sinus beyond frontoethmoid recess and bilateral Narrative Change Published Improves coding structure and adds clarityImproves coding structure and adds clarity
10/06/2017 E1470 Median drainage of frontal sinus (modified Lothrop procedure) Median drainage of frontal sinus (modified Lothrop procedure) and bilateral Narrative Change Published
10/06/2017 E1460 Trephining of frontal sinus Trephining of frontal sinus and bilateral Narrative Change Published Improves coding structure and adds clarityImproves coding structure and adds clarity
10/06/2017 E1410 External frontoethmoidectomy External frontoethmoidectomy and bilateral Narrative Change Published Improves coding structure and adds clarity
10/06/2017 E1380 Endoscopic balloon dilation sphenoid sinuplasty Endoscopic balloon dilation spheniod sinuplasty and bilateral Narrative Change Published Improves coding structure and adds clarity
10/06/2017 E1370 Endoscopic balloon dilation maxillary sinuplasty Endoscopic balloon dilation maxillary sinuplasty and bilateral Narrative Change Published Improves coding structure and adds clarity
10/06/2017 E1360 Endoscopic balloon dilation frontal sinuplasty Endoscopic balloon dilation frontal sinuplasty and bilateral Narrative Change Published Improves coding structure and adds clarity
10/06/2017 E1260 Image guided endoscopic frontal, sphenoid and/or ethmoid sinus surgery (FESS) Image guided endoscopic frontal, sphenoid and/or ethmoid sinus surgery (FESS) and bilateral Narrative Change Published Improves coding structure and adds clarity
10/06/2017 T7231 N/A Open release of constriction of sheath of tendon (e.g. trigger finger) New Code Published
10/06/2017 T7232 N/A Percutaneous release of constriction of sheath of tendon (e.g. trigger finger) New Code Published
10/06/2017 W8411 N/A Arthroscopic labral reconstruction of the hip (including autograft and harvesting) New Code Published Brand new procedure/test
10/06/2017 A5762 Medial Branch Block (under x-ray control) – 3 to 4 levels N/A Coding Principles Published
10/06/2017 A5752 Medial Branch Block (under x-ray control) – 1 to 2 levels N/A Coding Principles Published
10/06/2017 Y0910 Sclerosant injections - Prolotherapy (e.g. ligaments of back) N/A Coding Principles Published
07/06/2017 N/A N/A Patella resurfacing (as sole procedure) New Code Published Improves coding structure and adds clarityImproves coding structure and adds clarity
06/06/2017 X6580 Proton Beam Therapy (PBT) complete course of treatment PROTON BEAM THERAPY (PBT) COMPLETE COURSE OF TREATMENT FOR OCULAR TUMOURS Narrative Change Under Review To reflect updated clinical practiceCurrently the only provision we have in the UK for this treatment is for Ocular Tumours amending the narrative aligns this to the discrete clinical activity taking place.
06/06/2017 W5503 N/A Insertion of biodegradable sub acromial spacer New Code Published Brand new procedure/testBrand new procedure/test
06/06/2017 V2562 Decompression for central spinal stenosis (3 or more levels) N/A Coding Principles Published V2660 Revision of decompression for central spinal stenosis is listed as unacceptable with V2560 Decompression for central spinal stenosis (1 or 2 levels) but not with V2562 Decompression for central spinal stenosis (3 or more levels). I suggest this should be added as well.
01/06/2017 K2613 Revision replacement of aortic valve Revision of aortic valve replacement Narrative Change Published Improves coding structure and adds clarityWe feel that the current narrative could be interpreted as "Revision or replacement" but by slightly altering the narrative it makes it clear that this is a revision of an aortic valve replacement.
30/05/2017 H4685 Insertion of biodegradable perirectal spacer under image guidance Insertion of biodegradable perirectal spacer under image guidance (as sole procedure) Narrative Change Under Review Improves coding structure and adds clarityOur board rep feels that this procedure would not be performed in conjunction with any other procedure.
23/05/2017 T7230 Release of constriction of sheath of tendon (e.g. trigger finger) Percutaneous release of constriction of sheath of tendon (e.g. trigger finger) Inactivate Published Improves coding structure and adds clarityAlthough we do have a code for an open release of tendon: T7230 "Release of constriction of sheath of tendon (e.g. trigger finger)" the percutaneous approach is a completely different procedure which doesn't involve making an incision.
23/05/2017 V4280 Correction of degenerative scoliosis including decompression +/- fusion (including spinal cord monitoring) Correction of adult degenerative or idiopathic scoliosis including decompression +/- fusion (including spinal cord monitoring) Narrative Change Published To align current codes and consistencyWe have several codes for the correction of juvenile scoliosis and I believe this code was intended to be used for adult scoliosis. However the narrative doesn't mention "adult". There are also 2 types of adult scoliosis: Adult idiopathic and Adult degenerative scoliosis. As surgery isn’t done that often on adults I don’t think we need two separate codes just the addition of idiopathic to the narrative.
23/05/2017 N/A N/A Arthroscopic labral reconstruction of the hip (including graft) New Code Published Although we have a similar code: W7761 "Repair of hip labral tear" I think a new code might be more appropriate than a narrattive change as this procedure is performed on patients who have had previous hip surgery in which a large portion or the entire labrum was removed or if the labrum is torn beyond repair.
19/05/2017 W5821 N/A Robotic assisted unicompartmental knee replacement - Bilateral New Code Published Technical adjunct to W5201 and the bilateral version of W5820
19/05/2017 N/A N/A Insertion of Leadless (wireless) Pacemaker New Code Published Brand new procedure/testWe have become aware that a few NHS centers have now performed insertion of leadless pacemakers.
16/05/2017 V3345 Mobilisation of the lumbar/thoracic vessels to provide spinal surgical access (by vascular surgeon) N/A Coding Principles Published Code L5100 'Aorto-iliac, aorto-femoral, ilio-femoral bypass' is being added on when V3345 is being billed, when in fact only V3345 should be billed by the vascular surgeon as only one procedure is being performed. As well as adding this as unbundled should we add 'as sole procedure' to this code?
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