Code Details & Principles for E4991
Code details & principles for
E4991
- Chapter 5 / Fibreoptic Endoscopic Procedures (GA or LA)
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| E4991 | Therapeutic Panendoscopy +/- excision biopsy, excision or destruction of lesions | 5.8.0 Fibreoptic Endoscopic Procedures (GA or LA) | A panendoscopy is an endoscopic examination of the oral cavity, oropharynx, larynx, oesophagus and trachea, also referred to as the upper aero-digestive tract. It includes the use of flexible and rigid scopes as well as any or all of the following procedures: laryngoscopy (+/-microlaryngoscopy), bronchoscopy, nasal endoscopy, pharyngoscopy and oesophagoscopy, as well as any biopsies required. |
Unacceptable Combinations for E4991
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| BT260 | Planning for insertion and removal of radioactive agent (brachytherapy) into carcinoma of the oesophagus, bronchus or stomach | 2013-05-14 |
| BT270 | Insertion and removal of radioactive agent (brachytherapy) into carcinoma of the oesophagus, bronchus or stomach | 2013-10-23 |
| E1780 | Diagnostic endoscopy of sinus and bilateral (as sole procedure) | 2013-08-20 |
| E3010 | Glottoplasty (e.g.vocal pitch change surgery) | 2010-01-20 |
| E3520 | Microlaryngoscopy/laryngoscopy +/- biopsy, excision of lesion, polyp or cyst | 2013-06-03 |
| E4510 | Fibreoptic examination of trachea +/- biopsy/removal of foreign body | 2011-11-04 |
| E4990 | Panendoscopy +/- incisional biopsy | 2013-03-03 |
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