Code Details & Principles for H5561
Code details & principles for
H5561
- Chapter 11 / Rectum/Anus
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| H5561 | Endoscopic ablation for an anal fistula with flap | 11.6.0 Rectum/Anus |
Unacceptable Combinations for H5561
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| H5510 | Laying open of low anal fistula (fistulotomy) (including sigmoidoscopy) | 2010-01-20 |
| H5510 | Laying open of low anal fistula (fistulotomy) (including sigmoidoscopy) | 2010-01-20 |
| H5520 | Laying open of high anal fistula (fistulotomy) (including sigmoidoscopy) | 2010-01-20 |
| H5530 | Closure of anal fistula using a suturable bioprosthetic or synthetic plugs +/- image guidance | 2013-05-08 |
| H5540 | Seton placement for treatment of anal fistula | 2017-10-09 |
| H5560 | Ligation of the intersphincteric fistula tract (lift) for the treatment of anal fistula without mesh/plug or video assistance | 2018-01-31 |
| H5562 | Collagen paste for closing an anal fistula | 2019-07-16 |
| H5580 | Endoscopic ablation for anal fistula without flap | 2017-08-04 |
| S1700 | Distant flap - delay/division/inset | 2010-01-20 |
| S2002 | Small island flap (less than 9cm2) | 2010-01-20 |
| S2500 | Local flap - less than 9cm2 | 2013-03-03 |
| S2502 | Local flap - 9cm2 or more (excluding graft/flap to secondary defect) | 2010-01-20 |
| S2503 | Local flap - 9cm2 or more (including graft/flap to secondary defect) | 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