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 Code Added |
|---|---|---|
| A5200 | Epidural injection (cervical) | Pre 2025 |
| A5210 | Epidural injection (lumbar) | Pre 2025 |
| A5211 | Epidural injection (caudal) | Pre 2025 |
| A5230 | Epidurogram +/- epidural injection | Pre 2025 |
| A5410 | Epidural blood patch | Pre 2025 |
| A5480 | Intrathecal chemotherapy | Pre 2025 |
| A5745 | Medial branch block injection(s) +/- image guidance (including bilateral) LUMBAR | Pre 2025 |
| A5755 | Nerve Root Block +/- Image Guidance (including Bilateral) LUMBAR | Pre 2025 |
| A5756 | Nerve Root Block +/- Image Guidance (including Bilateral) CAUDAL | Pre 2025 |
| A5765 | Neurolytic Root Block (Radiofrequency denervation, Thermocoagulation, Cryotherapy or Phenol, including Rhizolysis) +/- Image Guidance (including Bilateral) LUMBARÿ | Pre 2025 |
| A5766 | Neurolytic Root Block (Radiofrequency denervation, Thermocoagulation, Cryotherapy or Phenol, including Rhizolysis) +/- Image Guidance (including Bilateral) CAUDAL | Pre 2025 |
| A5775 | Facet joint injection(s) +/- Image Guidance (including Bilateral) LUMBAR | Pre 2025 |
| A5790 | Sacroiliac joint injection under image guidance (and bilateral) | Pre 2025 |
| A7300 | Radiofrequency (including pulsed denervation), cryoprobe or phenol for permanent lesion of named peripheral nerve +/- image guidance | Pre 2025 |
| A7302 | Continuous nerve block +/- Image guidance (as sole procedure) | Pre 2025 |
| A7352 | Local anaesthetic blockade of named major nerve or plexus +/- Image guidance (as sole procedure) | Pre 2025 |
| R1820 | Caesarean delivery | Pre 2025 |
| R2010 | Breech delivery | Pre 2025 |
| R2120 | Forceps cephalic delivery | Pre 2025 |
| V2500 | Primary posterior fusion +/- decompression +/- discectomy - lumbar region (1 or 2 levels) including spinal cord monitoring | Pre 2025 |
| V2540 | Posterior excision of disc prolapse (including microdiscectomy +/- decompression) - lumbar region (1 or 2 levels) | Pre 2025 |
| V2542 | Posterior excision of disc prolapse with undercutting facetectomy +/- decompression - lumbar region (1 or 2 levels) | Pre 2025 |
| V2543 | Revision of posterior excision of disc prolapse with undercutting facetectomy +/- decompression (lumbar region) | Pre 2025 |
| V2544 | Revision of posterior excision of disc prolapse (lumbar region) | Pre 2025 |
| V2652 | Revision posterior fusion +/- instrumentation (lumbar region) including spinal cord monitoring | Pre 2025 |
| V3362 | Primary posterior fusion with instrumentation +/- decompression +/- discectomy (including Graf stabilisation and all fusion approaches) (lumbar region) including spinal cord monitoring | Pre 2025 |
| V5002 | Manipulation of spine under GA/IV sedation (as sole procedure) | Pre 2025 |
| V5003 | Manipulation of spine without GA/IV sedation (as sole procedure) | Pre 2025 |
| W1700 | Shelf augmentation of acetabulum (Wainwright or Trillat) | Pre 2025 |
| W3712 | Primary total hip replacement +/- cement | Pre 2025 |
| W3713 | Complex primary total hip replacement (including bone grafting or femoral osteotomy) | Pre 2025 |
| 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) | Pre 2025 |
| W3715 | Hip resurfacing arthroplasty | Pre 2025 |
| W3720 | Robotic assisted total hip replacement - unilateral +/- cement | Pre 2025 |
| W3721 | Robotic assisted total hip replacement - bilateral +/- cement | Pre 2025 |
| W3732 | Revision of uncemented or cemented total hip replacement without adjunctive procedures - unilateral | Pre 2025 |
| 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 | Pre 2025 |
| W3744 | Robotic assisted revision of total hip replacement - unilateral | Pre 2025 |
| W3745 | Robotic assisted revision of total hip replacement (inclduing insertion of reconstruction rings, plates, screws +/- impaction bonegrafting to acetabulum +/- femur) - unilateral | Pre 2025 |
| W3751 | Customised unilateral hip replacement | Pre 2025 |
| W3780 | Total prosthetic replacement of the hip, +/- cement, bilateral | Pre 2025 |
| W3942 | Removal of total hip replacement and creating a pseudarthrosis | Pre 2025 |
| W3943 | Removal of total hip replacement and complete clearance of cement | Pre 2025 |
| W3944 | Acetabular liner and head changes | Pre 2025 |
| W4600 | Prosthetic replacement of head of femur | Pre 2025 |
| X2262 | Complex open reduction for congenital dislocation of hip (i.e. pelvic & femoral or Pemberton osteotomy or revision of open reduction) | 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