Code Details & Principles for H4180
Code details & principles for
H4180
- Chapter 11 / Rectum/Anus
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| H4180 | Full or partial thickness rectal biopsy | 11.6.0 Rectum/Anus |
Unacceptable Combinations for H4180
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| G8082 | Diagnostic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) | 2010-01-20 |
| G8083 | Therapeutic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) | 2010-01-20 |
| H2002 | Diagnostic colonoscopy, includes forceps biopsy of colon and ileum | 2014-04-25 |
| H2003 | Therapeutic colonoscopy with snare loop biopsy or excision of lesion | 2010-01-20 |
| H2180 | Fibreoptic colonoscopy and recanalisation of tumour | 2010-01-20 |
| H2502 | Diagnostic flexible sigmoidoscopy (including forceps biopsy and proctoscopy) | 2014-03-04 |
| H2503 | Therapeutic sigmoidoscopy with snare loop biopsy or excision of lesion | 2010-01-20 |
| H2510 | Rigid sigmoidoscopy (including proctoscopy and biopsy) | 2013-07-23 |
| H3320 | Abdominoperineal resection of rectum and anus | 2010-01-20 |
| H3332 | Anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) | 2010-01-20 |
| H3334 | Anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection) | 2010-01-20 |
| H3363 | Colectomy and colostomy and preservation of rectum | 2010-01-20 |
| H3364 | Laparoscopic anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) | 2010-01-20 |
| H3365 | Laparoscopic anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection) | 2010-01-20 |
| H3370 | Robotic assisted high anterior resection of rectum +/- stoma | 2024-04-15 |
| H3372 | Robotic assisted colectomy +/- stoma | 2024-04-15 |
| H3373 | Robotic assisted low anterior resection of rectum +/- stoma | 2024-04-15 |
| H3380 | Partial excision of rectum and sigmoid colon for prolapse | 2010-01-20 |
| H3383 | Robotic assisted total mesorectal excision (TME) | 2020-05-19 |
| H3384 | Open Total Mesorectal Excision (TME) | 2020-08-06 |
| H3385 | Laparoscopic total mesorectal excision (TME) | 2020-08-06 |
| H3386 | Transanal Total Mesorectal Excision (TME) | 2020-08-06 |
| H3387 | Robotic assisted proctectomy +/- stoma | 2024-04-15 |
| H3400 | Open excision of lesion of rectum and colon | 2010-01-20 |
| H3500 | Fixation of rectum for prolapse | 2010-01-20 |
| H3580 | Laparoscopic ventral rectopexy not requiring mesh | 2013-12-02 |
| H3590 | Stapled transanal rectal resection (STARR) for obstructed defaecation syndrome | 2011-03-11 |
| H4000 | Transanal resection for rectal cancer | 2010-01-20 |
| H4122 | Transanal endoscopic microsurgery | 2010-01-20 |
| H4130 | Perianal excision of lesion of rectum (including sigmoidoscopy) | 2010-01-20 |
| H4200 | Perineal repair of prolapse of rectum | 2010-01-20 |
| H4430 | Examination of rectum under anaesthetic (as sole procedure) | 2013-06-03 |
| H4480 | Dilation of stricture of rectum | 2010-01-20 |
| H5043 | Primary repair of low congenital ano-rectal anomaly | 2010-01-20 |
| H6260 | Proctoscopy (+/- biopsy) | 2012-02-27 |
| H6261 | Video-assisted proctoscopy | 2023-04-14 |
Coding Principles
These coding principles set out how the authors intend that the codes and narratives within the CCSD Schedule are interpreted and used. The outputs are available to be used by all individual insurers and providers including CCSD and non-CCSD members. Please note that:
- The CCSD Group does not discuss nor determine classifcations, reimbursement or fees - all insurers will have their own view on these matters
- The inclusion of a procedure code and/or its associated coding principles in the CCSD Schedule does not necessarily mean that it is endorsed by all members of the CCSD Group and codes may or may not be included in individual insurers' own Schedules or covered
- The coding principles are non-exhaustive guidelines only - each individual insurer may choose whether or not to adopt an individual combination of codes in practice and you will need to contact the insurer for further information