Code Details & Principles for J5000
Code details & principles for
J5000
- Chapter 11 / Other Organs (Mainly Digestive)
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| J5000 | Percutaneous examination of bile duct | 11.7.0 Other Organs (Mainly Digestive) |
Unacceptable Combinations for J5000
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| J0900 | Diagnostic laparoscopy (including any biopsy) | 2014-02-07 |
| J1800 | Cholecystectomy (including mini-cholecystectomy) | 2010-01-20 |
| J1880 | Laparoscopic cholecystectomy with peri-operative cholangiogram | 2010-01-20 |
| J1881 | Robotic assisted cholecystectomy with peri-operative cholangiogram | 2024-04-15 |
| J2720 | Partial excision of bile duct and anastomosis of bile duct to duodenum/jejunum | 2010-01-20 |
| J2721 | Robotic assisted partial excision of bile duct and anastomosis of bile duct to duodenum/jejunum | 2024-04-15 |
| J2800 | Excision of lesion of bile duct | 2010-01-20 |
| J2900 | Anastomosis of hepatic duct | 2010-01-20 |
| J3000 | Anastomosis of common bile duct | 2010-01-20 |
| J3100 | Open introduction of prosthesis into bile duct | 2010-01-20 |
| J3200 | Repair of bile duct | 2010-01-20 |
| J3300 | Incision of bile duct (including exploration for calculus removal) | 2010-01-20 |
| J3500 | Sphincterotomy of bile duct and pancreatic duct using duodenal approach | 2010-01-20 |
| J3800 | Therapeutic ERCP without insertion of stents | 2013-02-13 |
| XR565 | Percutaneous dilatation of biliary stricture under imaging control | 2010-01-20 |
| XR570 | Percutaneous insertion of plastic biliary endoprosthesis | 2010-01-20 |
| XR575 | Percutaneous insertion of metallic biliary endoprosthesis | 2010-01-20 |
| XR576 | Biliary drainage with occluded stent in place | 2010-01-20 |
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