Code Details & Principles for G4530

Code details & principles for

G4530

  • Chapter 10 / Endoscopic GIT Procedures
Code Description Chapter/Sub-Chapter Code Specific Guidance
G4530 Catheterless oesophageal pH monitoring (e.g. Bravo) 10.0.0 Endoscopic GIT Procedures

Unacceptable Combinations for G4530

CCSD Code (unacceptable combination) Narrative (unacceptable combination) Date Added
G1900 Rigid oesophagoscopy (including biopsy, laser or diathermy destruction of lesions) 2011-11-04
G4410 Therapeutic oesophago-gastro-duodenoscopy (OGD) with insertion of prosthesis 2014-08-06
G4430 Therapeutic oesophago-gastro-duodenoscopy (OGD) with dilatation 2011-09-05
G4440 Therapeutic oesophago-gastro-duodenoscopy (OGD) with insertion percutaneous endoscopic gastrostomy/percutaneous endoscopic jejunostomy 2010-01-20
G6500 Diagnostic oesophago-gastro-duodenoscopy (OGD) includes forceps biopsy, biopsy urease test and dye spray 2014-04-25
M2981 Endoscopic vesico-ureteric anti-reflux procedure (and bilateral) (including cystoscopy) 2013-06-17

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