Code Details & Principles for V4000
Code details & principles for
V4000
- Chapter 3 / Scoliosis, kyphosis, fractures, tumours and infections
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| V4000 | Combined anterior and posterior correction and instrumentation of idiopathic juvenile scoliosis, +/-fusion (including spinal monitoring) | 3.1.4 Scoliosis, kyphosis, fractures, tumours and infections | ? |
Unacceptable Combinations for V4000
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| V3362 | Primary posterior fusion with instrumentation +/- decompression +/- discectomy (including Graf stabilisation and all fusion approaches) (lumbar region) including spinal cord monitoring | 2014-02-07 |
| V4100 | Posterior correction of idiopathic juvenile scoliosis with instrumentation, +/-fusion (including spinal cord monitoring) | 2014-06-18 |
| V4120 | Anterior correction of idiopathic juvenile scoliosis with instrumentation, +/-fusion (including spinal cord monitoring) (Excluding vertebral body tethering VBT) | 2013-07-23 |
| V4122 | Anterior correction of idiopathic juvenile kyphosis with instrumentation, +/-fusion (including spinal cord monitoring) | 2014-06-19 |
| V4160 | Posterior correction of degenerative adult kyphosis with instrumentation, +/-fusion (including spinal cord monitoring) | 2013-10-03 |
| V4280 | Correction of adult degenerative or adult idiopathic scoliosis including decompression +/- fusion (including spinal cord monitoring) | 2013-03-17 |
| V4451 | Balloon kyphoplasty - single level | 2013-06-04 |
| V4452 | Balloon kyphoplasty - two levels | 2013-06-04 |
| V4453 | Balloon kyphoplasty - greater than two levels | 2013-06-04 |
| V4742 | Spinal endoscopy | 2010-01-20 |
| V4900 | Open biopsy of lesion of spine where no other operative procedure on the spine is performed | 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