CCSD | 7819

New Code

Suggested narrative for new procedure

Suggested code for new procedure

Schedule Chapter

New Code Mirror

Select codes to copy their coding principles (UCs) to this new code. The selected principles will be added as reciprocal (R) or non-reciprocal (NR) relationships. For R relationships, the link will also be added to the other code.

Mirror source codes

Mirrored code id

Mirrored from code

Mirror link type

S1500 - Biopsy of skin or subcutaneous tissue 75 UCs

Code

R B2984 - Reconstruction of breast using pedicled TRAM (including delayed reconstruction)

Code

R GA303 - Chest reconstruction for gender affirmation (as sole procedure) - bilateral

Code

R H5680 - Excision of pressure sore excluding repair

Code

R S0410 - Wide excision of sweat glands - including bilateral axillae

Code

R S0520 - Microscopically controlled excision of lesion of skin or subcutaneous tissue (Mohs micrographic surgery) with immediate reconstruction

Code

NR S0521 - Microscopically controlled excision of lesion of skin or subcutaneous tissue (Mohs micrographic surgery) without reconstruction

Code

R S0602 - Primary excision of malignant lesion - Head & Neck

Code

R S0603 - Primary excision of malignant lesion - Trunk & Limbs

Code

R S0604 - Secondary excision of malignant lesion - Head & Neck

Code

R S0605 - Secondary excision of malignant lesion - Trunk & Limbs

Code

R S0606 - Photodynamic therapy (PDT) to malignant lesion of skin, with artificial light source, up to three

Code

R S0607 - Photodynamic therapy (PDT) to malignant lesion of skin, with artificial light source, four or more

Code

R S0608 - Sentinel lymph node biopsy for melanoma

Code

R S0632 - Excision of lesion of skin or subcutaneous tissue - up to three, Head & Neck (excluding lipoma)

Code

R S0633 - Excision of lesion of skin or subcutaneous tissue - up to three, Trunk & Limbs (excluding lipoma)

Code

R S0642 - Excision of lesion of skin or subcutaneous tissue - four or more, Head & Neck (excluding lipoma)

Code

R S0643 - Excision of lesion of skin or subcutaneous tissue - four or more, Trunk & Limbs (excluding lipoma)

Code

R S0656 - Removal of small lipoma less than 10cm

Code

R S0657 - Removal of large lipoma greater than 10cm

Code

R S0922 - Laser destruction of lesion(s) of skin - up to 25cm2 in area

Code

R S0923 - Laser destruction of lesion(s) of skin - over 25cm2 in area

Code

R S0940 - Photodynamic therapy (PDT), with artificial light source, to non malignant lesions of skin

Code

R S1110 - Curettage/cryotherapy of lesion of skin (including cauterisation) - up to three

Code

R S1420 - Shave biopsy of lesion of skin

Code

R S1510 - Needle/tru-cut biopsy of muscle (as sole procedure)

Code

R S1700 - Distant flap - delay/division/inset

Code

R S1740 - Large myocutaneous (muscular/cutaneous) flap (9cm2 or more) (including closure of secondary defect)

Code

R S1750 - Large muscle flap (9cm2 or more) (including skin graft and closure of secondary defect)

Code

R S1900 - Distant pedicle flap - elevation including transfer (including closure/grafting to secondary defect)

Code

R S2000 - Large island skin flap (9cm2 or more) (e.g. radial forearm) (including closure of secondary defect)

Code

R S2002 - Small island flap (less than 9cm2)

Code

R S2220 - Neurovascular island flap

Code

R S2500 - Local flap - less than 9cm2

Code

R S2502 - Local flap - 9cm2 or more (excluding graft/flap to secondary defect)

Code

R S2503 - Local flap - 9cm2 or more (including graft/flap to secondary defect)

Code

R S3100 - Re-exploration of free flap

Code

R S3102 - Thinning of skin graft flap

Code

R S3500 - Split autograft of skin, trunk and limbs - up to 25cm2

Code

R S3530 - Split autograft of skin, trunk and limbs - over 25cm2 and up to 5% of body surface area

Code

R S3532 - Split autograft of skin, trunk and limbs - each additional 5% of body surface area

Code

R S3622 - Full thickness graft, trunk and limbs - up to 9cm2 in area

Code

R S3623 - Full thickness graft, trunk and limbs - each additional 25cm2 in area

Code

R S3624 - Full thickness graft, head, neck, hands & genitalia - up to 9cm2 in area

Code

R S3625 - Full thickness graft, head, neck, hands & genitalia - each additional 16cm2 in area

Code

R S4182 - Debridement and primary suture of wound with involvement of deeper tissue - Head & Neck

Code

R S4183 - Debridement and primary suture of wound with involvement of deeper tissue - Trunk & Limbs

Code

R S4212 - Debridement and primary suture of wound without involvement of deeper tissue (skin & subcutaneous fat only) - Head & Neck

Code

R S4213 - Debridement and primary suture of wound without involvement of deeper tissue (skin & subcutaneous fat only) - Trunk & Limbs

Code

R S4720 - Drainage of lesion of skin (including abscess)

Code

R S4740 - Drainage of large subcutaneous abscess/haematoma

Code

NR S4760 - Fine needle aspiration cytology

Code

R S4950 - Fat transfer, including extraction and volume adjustment, of scar defect following trauma (excluding breast)

Code

R S5520 - Burn excision (wound/scar) head, neck, hands, feet & genitalia, up to 9cm2

Code

R S5522 - Burn excision (wound/scar) head, neck, hands, feet & genitalia, 9cm2 - 25cm2

Code

R S5523 - Burn excision (wound/scar) head, neck, hands, feet & genitalia, greater than 25cm2

Code

R S5524 - Burn excision (wound/scar) trunk & limbs (not more than 2% of body area)

Code

R S5525 - Burn excision (wound/scar) trunk & limbs (between 2% and 10% of body area)

Code

R S5526 - Burn excision (wound/scar) trunk & limbs (between 10% and 25% of body area)

Code

R S5560 - Release of burn scar contracture, head, neck, hands, feet & genitalia

Code

R S5562 - Release of burn scar contracture, trunk & limbs

Code

R S5710 - Debridement of wound (and surgical toilet) - up to 25cm2 in area

Code

R S5712 - Debridement of wound (and surgical toilet) - over 25cm2 in area

Code

R S6022 - Skin resurfacing (laser/dermabrasion) - up to 25cm2 in area

Code

R S6023 - Skin resurfacing (laser/dermabrasion) - over 25cm2 in area

Code

R T7602 - Microvascular free tissue transfer (when added to other codes) (including closure of secondary defect)

Code

R T7603 - Microvascular free tissue transfer (as sole procedure including closure of secondary defect)

Code

R T7604 - Vein/artery graft as part of microvascular free tissue transfer

Code

R T7620 - Free functioning muscle transfer (as sole procedure) (including closure of secondary defect)

Code

R W0950 - Radical clearance of sarcoma of trunk or limbs, +/- amputation or insertion of prosthesis

Code

R W0951 - Radical clearance of sarcoma of head and neck necessitating flap reconstruction

Code

NR W0961 - Radical clearance of benign bone tumour with reconstruction +/- insertion of prosthesis

Code

R W3180 - Free composite (i.e. including bone) vascularised grafts

Code

R X0100 - Electrochemotherapy for malignant lesions

Code

R XR160 - Percutaneous image guided fine needle aspiration(s) (FNA) - unilateral

Code

NR XR161 - Percutaneous image guided fine needle aspiration(s) (FNA) - bilateral

Mirror reason

Reason for the new code

Other (please specify)

Detailed description of the procedure (including approach options, LoS, anticipated theatre time) - Please include any relevant links and references below

Does the procedure have NICE approval?

If not NICE applicable/Approved with conditions please explain why

List specialist equipment used specifically for this procedure

List total consumables used in list price to nearest £50

Is this an alternative approach to an existing procedure (if yes please provide code and narrative of existing procedure)?

Yes

Code and narrative of existing procedure

Is there a similar code currently in use in the schedule? (if yes, please provide code and narrative of existing procedure)

Yes

Code and narrative of existing procedure

What are the current and anticipated volumes?

Is the intervention described performed in the NHS?

Yes

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