Code Details & Principles for H4430
Code details & principles for
H4430
- Chapter 11 / Rectum/Anus
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| H4430 | Examination of rectum under anaesthetic (as sole procedure) | 11.6.0 Rectum/Anus |
Unacceptable Combinations for H4430
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| AC100 | Local anaesthetic by main operator | 2013-08-20 |
| BT251 | Planning for insertion and removal of radioactive agent (brachytherapy) into rectal tumour | 2013-09-10 |
| BT252 | Insertion and removal of radioactive agent (brachytherapy) into rectal tumour | 2014-06-19 |
| BT253 | Low energy contact X ray brachytherapy (the Papillon technique) for early stage rectal cancer | 2016-03-04 |
| G4520 | Diagnostic enteroscopy | 2010-01-20 |
| G8082 | Diagnostic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) | 2010-01-20 |
| G8083 | Therapeutic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) | 2010-01-20 |
| H0480 | Abdominal revision of restorative proctocolectomy | 2010-01-20 |
| H0481 | Robotic assisted restorative proctocolectomy with ileoanal anastomosis and creation of pouch | 2024-04-15 |
| H1550 | Abdominal operation for Hirschsprung's disease (e.g. Duhamel, S”ave and Surcuson operations) | 2010-01-20 |
| H2002 | Diagnostic colonoscopy, includes forceps biopsy of colon and ileum | 2014-04-25 |
| H2003 | Therapeutic colonoscopy with snare loop biopsy or excision of lesion | 2010-01-20 |
| H2180 | Fibreoptic colonoscopy and recanalisation of tumour | 2010-01-20 |
| H2280 | CT colonography (virtual colonoscopy) | 2014-06-19 |
| H2502 | Diagnostic flexible sigmoidoscopy (including forceps biopsy and proctoscopy) | 2014-03-04 |
| H2503 | Therapeutic sigmoidoscopy with snare loop biopsy or excision of lesion | 2010-01-20 |
| H2510 | Rigid sigmoidoscopy (including proctoscopy and biopsy) | 2013-07-23 |
| 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 |
| H3363 | Colectomy and colostomy and preservation of rectum | 2010-01-20 |
| H3364 | Laparoscopic anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) | 2010-01-20 |
| H3365 | Laparoscopic anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection) | 2010-01-20 |
| H3370 | Robotic assisted high anterior resection of rectum +/- stoma | 2024-04-15 |
| H3372 | Robotic assisted colectomy +/- stoma | 2024-04-15 |
| H3373 | Robotic assisted low anterior resection of rectum +/- stoma | 2024-04-15 |
| H3380 | Partial excision of rectum and sigmoid colon for prolapse | 2010-01-20 |
| 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 |
| H3387 | Robotic assisted proctectomy +/- stoma | 2024-04-15 |
| H3390 | Reversal of Hartmann's procedure | 2010-01-20 |
| H3391 | Robotic assisted reversal of Hartmann's procedure | 2024-02-07 |
| H3400 | Open excision of lesion of rectum and colon | 2010-01-20 |
| H3500 | Fixation of rectum for prolapse | 2010-01-20 |
| H3580 | Laparoscopic ventral rectopexy not requiring mesh | 2013-12-02 |
| H3590 | Stapled transanal rectal resection (STARR) for obstructed defaecation syndrome | 2011-03-11 |
| H4000 | Transanal resection for rectal cancer | 2010-01-20 |
| H4050 | Endoscopic radiofrequency therapy of the anal sphincter for faecal incontinence | 2014-04-03 |
| H4080 | Injection of bulking agents for faecal incontinence | 2010-01-20 |
| H4122 | Transanal endoscopic microsurgery | 2010-01-20 |
| H4130 | Perianal excision of lesion of rectum (including sigmoidoscopy) | 2010-01-20 |
| H4180 | Full or partial thickness rectal biopsy | 2010-01-20 |
| H4190 | Therapeutic High Resolution Anoscopy (HRA) in symptomatic patients (+/- biopsy or ablation of lesion of anus) | 2012-10-31 |
| H4200 | Perineal repair of prolapse of rectum | 2010-01-20 |
| H4420 | Faecal disimpaction | 2010-01-20 |
| H4480 | Dilation of stricture of rectum | 2010-01-20 |
| H4480 | Dilation of stricture of rectum | 2010-01-20 |
| H4680 | Repair of faecal fistula | 2010-01-20 |
| H4685 | Insertion of biodegradable perirectal spacer under image guidance | 2017-03-02 |
| H5042 | Primary repair of high/intermediate congenital ano-rectal anomaly | 2010-01-20 |
| H5043 | Primary repair of low congenital ano-rectal anomaly | 2010-01-20 |
| H5100 | Haemorrhoidectomy (including sigmoidoscopy) | 2013-06-03 |
| H5101 | Laser haemorrhoidectomy (including sigmoidoscopy) | 2010-01-20 |
| H5230 | Injection of sclerosing substance into haemorrhoids | 2010-01-20 |
| H5240 | Banding of haemorrhoids | 2010-01-20 |
| H5250 | Circular Stapling Haemorrhoidectomy | 2010-01-20 |
| H5400 | Anorectal stretch | 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 |
| H5620 | Lateral sphincterotomy of anus | 2010-01-20 |
| H5640 | Excision of anal fissure | 2010-01-20 |
| H6260 | Proctoscopy (+/- biopsy) | 2012-02-27 |
| H6261 | Video-assisted proctoscopy | 2023-04-14 |
| L7032 | Haemorrhoidal artery ligation operation (including image-guided) +/- recto anal prolapse repair | 2014-06-19 |
| X3750 | Botulinum toxin injections to muscle | 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