Code Details & Principles for J5481

Code details & principles for

J5481

  • Chapter 11 / Other Organs (Mainly Digestive)
  • Chapter 12 / Kidney/Renal Pelvic
Code Description Chapter/Sub-Chapter Code Specific Guidance
J5481 Pancreatic with kidney transplant (simultaneous pancreas SPK) 11.7.0 Other Organs (Mainly Digestive), 12.1.0 Kidney/Renal Pelvic

Unacceptable Combinations for J5481

CCSD Code (unacceptable combination) Narrative (unacceptable combination) Date Code Added
J5480 Pancreatic transplant (including sequential pancreatic transplant) Pre 2025
J5520 Total pancreatectomy Pre 2025
J5610 Pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) Pre 2025
J5611 Laparoscopic pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) Pre 2025
J5612 Robotic assisted pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) Pre 2025
J5700 Distal pancreatectomy Pre 2025
J5800 Excision of lesion of pancreas Pre 2025
J5900 Anastomosis of pancreatic duct (to another viscus) Pre 2025
J6100 Open drainage of lesion of pancreas Pre 2025
J6180 Drainage of pancreatic abscess Pre 2025
J6200 Incision of pancreas Pre 2025
J6300 Open examination of pancreas Pre 2025
J6600 Therapeutic percutaneous operations on pancreas Pre 2025
M0282 Laparoscopic nephroureterectomy - unilateral Pre 2025
M0284 Robotic assisted nephroureterectomy - unilateral Pre 2025
M0286 Robotic assisted nephroureterectomy - bilateral Pre 2025

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
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