Code Details & Principles for A5211
Code details & principles for
A5211
- Chapter 3 / Paraspinal Injections
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| A5211 | Epidural injection (caudal) | 3.3.0 Paraspinal Injections |
Unacceptable Combinations for A5211
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| A5200 | Epidural injection (cervical) | 2010-01-20 |
| A5210 | Epidural injection (lumbar) | 2014-06-05 |
| A5211 | Epidural injection (caudal) | 2015-07-01 |
| A5211 | Epidural injection (caudal) | 2015-07-01 |
| A5230 | Epidurogram +/- epidural injection | 2010-01-20 |
| A5410 | Epidural blood patch | 2013-06-03 |
| A5480 | Intrathecal chemotherapy | 2013-10-04 |
| A5745 | Medial branch block injection(s) +/- image guidance (including bilateral) LUMBAR | 2020-08-06 |
| A5755 | Nerve Root Block +/- Image Guidance (including Bilateral) LUMBAR | 2020-01-02 |
| A5756 | Nerve Root Block +/- Image Guidance (including Bilateral) CAUDAL | 2020-01-02 |
| A5765 | Neurolytic Root Block (Radiofrequency denervation, Thermocoagulation, Cryotherapy or Phenol, including Rhizolysis) +/- Image Guidance (including Bilateral) LUMBARÿ | 2020-01-02 |
| A5766 | Neurolytic Root Block (Radiofrequency denervation, Thermocoagulation, Cryotherapy or Phenol, including Rhizolysis) +/- Image Guidance (including Bilateral) CAUDAL | 2020-01-02 |
| A5775 | Facet joint injection(s) +/- Image Guidance (including Bilateral) LUMBAR | 2020-01-02 |
| A5790 | Sacroiliac joint injection under image guidance (and bilateral) | 2013-12-04 |
| A7300 | Radiofrequency (including pulsed denervation), cryoprobe or phenol for permanent lesion of named peripheral nerve +/- image guidance | 2013-08-20 |
| A7302 | Continuous nerve block +/- Image guidance (as sole procedure) | 2011-11-04 |
| A7352 | Local anaesthetic blockade of named major nerve or plexus +/- Image guidance (as sole procedure) | 2014-01-10 |
| R1820 | Caesarean delivery | 2010-01-20 |
| R2010 | Breech delivery | 2010-01-20 |
| R2120 | Forceps cephalic delivery | 2010-01-20 |
| V2500 | Primary posterior fusion +/- decompression +/- discectomy - lumbar region (1 or 2 levels) including spinal cord monitoring | 2014-08-06 |
| V2540 | Posterior excision of disc prolapse (including microdiscectomy +/- decompression) - lumbar region (1 or 2 levels) | 2014-08-06 |
| V2542 | Posterior excision of disc prolapse with undercutting facetectomy +/- decompression - lumbar region (1 or 2 levels) | 2014-08-06 |
| V2543 | Revision of posterior excision of disc prolapse with undercutting facetectomy +/- decompression (lumbar region) | 2013-06-04 |
| V2544 | Revision of posterior excision of disc prolapse (lumbar region) | 2010-01-20 |
| V2652 | Revision posterior fusion +/- instrumentation (lumbar region) including spinal cord monitoring | 2010-01-20 |
| V3362 | Primary posterior fusion with instrumentation +/- decompression +/- discectomy (including Graf stabilisation and all fusion approaches) (lumbar region) including spinal cord monitoring | 2014-02-07 |
| V5002 | Manipulation of spine under GA/IV sedation (as sole procedure) | 2010-01-20 |
| V5003 | Manipulation of spine without GA/IV sedation (as sole procedure) | 2013-10-04 |
| W1700 | Shelf augmentation of acetabulum (Wainwright or Trillat) | 2010-01-20 |
| W3712 | Primary total hip replacement +/- cement | 2011-11-25 |
| W3713 | Complex primary total hip replacement (including bone grafting or femoral osteotomy) | 2011-11-04 |
| W3714 | Total hip replacement, +/- cement, after excision arthroplasty or arthrodesis (including conversion of hemiarthroplasty or revision of other previous hip surgery which involved internal fixation) | 2011-11-04 |
| W3715 | Hip resurfacing arthroplasty | 2012-06-11 |
| W3720 | Robotic assisted total hip replacement - unilateral +/- cement | 2016-11-04 |
| W3721 | Robotic assisted total hip replacement - bilateral +/- cement | 2022-02-24 |
| W3732 | Revision of uncemented or cemented total hip replacement without adjunctive procedures - unilateral | 2010-01-20 |
| W3733 | Revision of total hip replacement (including insertion of reconstruction rings, plates, screws, etc., and/or impaction bone grafting to acetabulum and/or femur) - unilateral | 2011-11-04 |
| W3744 | Robotic assisted revision of total hip replacement - unilateral | 2024-02-07 |
| W3745 | Robotic assisted revision of total hip replacement (inclduing insertion of reconstruction rings, plates, screws +/- impaction bonegrafting to acetabulum +/- femur) - unilateral | 2024-02-07 |
| W3751 | Customised unilateral hip replacement | 2019-07-16 |
| W3780 | Total prosthetic replacement of the hip, +/- cement, bilateral | 2011-11-03 |
| W3942 | Removal of total hip replacement and creating a pseudarthrosis | 2010-01-20 |
| W3943 | Removal of total hip replacement and complete clearance of cement | 2013-06-07 |
| W3944 | Acetabular liner and head changes | 2010-01-20 |
| W4600 | Prosthetic replacement of head of femur | 2010-01-20 |
| X2262 | <p>Complex open reduction for congenital dislocation of hip (i.e. pelvic & femoral or Pemberton osteotomy or revision of open reduction)</p> | 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