Code Details & Principles for G7250
Code details & principles for
G7250
- Chapter 11 / jejunum/ileum
- Chapter 11 / Rectum/Anus
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| G7250 | Ileoanal anastomosis and creation of pouch | 11.4.0 jejunum/ileum, 11.6.0 Rectum/Anus |
Unacceptable Combinations for G7250
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| G6080 | Laparoscopic small bowel resection +/- stoma | 2010-01-20 |
| G6082 | Open resection of small intestine tumour | 2010-01-20 |
| G6083 | Robotic assisted small bowel resection +/- stoma | 2024-04-15 |
| G7100 | Bypass of ileum | 2010-01-20 |
| H0410 | Panproctocolectomy +/- stoma | 2010-01-20 |
| H0483 | Robotic assisted panproctocolectomy +/- stoma | 2024-04-15 |
| H0510 | Total excision of colon and ileorectal anastomosis | 2010-01-20 |
| H3310 | Abdominoperineal pull through resection with colo-anal anastomosis +/- colonic pouch and associated stoma | 2010-01-20 |
| H3320 | Abdominoperineal resection of rectum and anus | 2010-01-20 |
| H3332 | Anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) | 2010-01-20 |
| H3334 | Anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection) | 2010-01-20 |
| H3365 | Laparoscopic anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection) | 2010-01-20 |
| H3373 | Robotic assisted low anterior resection of rectum +/- stoma | 2024-04-15 |
| H3383 | Robotic assisted total mesorectal excision (TME) | 2020-05-19 |
| H3384 | Open Total Mesorectal Excision (TME) | 2020-08-06 |
| H3385 | Laparoscopic total mesorectal excision (TME) | 2020-08-06 |
| H3386 | Transanal Total Mesorectal Excision (TME) | 2020-08-06 |
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