CCSD | 7192

Request Number

Request Status

Date of Submission of Request

Schedule*

procedural

diagnostic

Member submitting request

Type of Request

New Code

Suggested narrative for new procedure *

Suggested code for new procedure *

Schedule Chapter *

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 *

No *

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 *

No *

Code and narrative of existing procedure *

What are the current and anticipated volumes? *

Is the intervention described performed in the NHS?

Yes *

No *

PDF Attachment

Narrative Change

Existing code/narrative *

Proposed new narrative *

Reason for narrative change *

Other (please specify)

Other codes impacted by change *

Reinstatement

Inactivated code/narrative *

Do you want to change this narrative?

No *

Yes *

Proposed new narrative reinstatement

Reason for reinstatement *

Other (please specify)

When/why was this code inactivated? *

Inactivate

Existing code/narrative *

Reason for inactivation *

Other (please specify)

Any other codes impacted? *

Signposting for future *

Coding Principle

Main code/narrative *

CR Coding Principle Other Code ID

Link Type

Published

Request Removal

Date Added

Reason for coding principle

Submit A Code Request

New Code

Narrative Change

Reinstatement

Inactivate

Coding Principle

Delete Vote?