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 Code Added |
|---|---|---|
| AC100 | Local anaesthetic by main operator | Pre 2025 |
| BT251 | Planning for insertion and removal of radioactive agent (brachytherapy) into rectal tumour | Pre 2025 |
| BT252 | Insertion and removal of radioactive agent (brachytherapy) into rectal tumour | Pre 2025 |
| BT253 | Low energy contact X ray brachytherapy (the Papillon technique) for early stage rectal cancer | Pre 2025 |
| G4520 | Diagnostic enteroscopy | Pre 2025 |
| G8082 | Diagnostic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) | Pre 2025 |
| G8083 | Therapeutic oesophago-gastro-duodenoscopy (OGD) and immediate colonoscopy includes forceps biopsies, biopsy test and dye spray (as sole procedure) | Pre 2025 |
| H0480 | Abdominal revision of restorative proctocolectomy | Pre 2025 |
| H0481 | Robotic assisted restorative proctocolectomy with ileoanal anastomosis and creation of pouch | Pre 2025 |
| H1550 | Abdominal operation for Hirschsprung's disease (e.g. Duhamel, Save and Surcuson operations) | Pre 2025 |
| H2002 | Diagnostic colonoscopy, includes forceps biopsy of colon and ileum | Pre 2025 |
| H2003 | Therapeutic colonoscopy with snare loop biopsy or excision of lesion | Pre 2025 |
| H2280 | CT colonography (virtual colonoscopy) | Pre 2025 |
| H2502 | Diagnostic flexible sigmoidoscopy (including forceps biopsy and proctoscopy) | Pre 2025 |
| H2503 | Therapeutic sigmoidoscopy with snare loop biopsy or excision of lesion | Pre 2025 |
| H2510 | Rigid sigmoidoscopy (including proctoscopy and biopsy) | Pre 2025 |
| H3320 | Abdominoperineal resection of rectum and anus | Pre 2025 |
| H3332 | Anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) | Pre 2025 |
| H3334 | Anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection) | Pre 2025 |
| H3363 | Colectomy and colostomy and preservation of rectum | Pre 2025 |
| H3364 | Laparoscopic anterior resection - high (i.e. colorectal anastomosis above the peritoneal reflection) | Pre 2025 |
| H3365 | Laparoscopic anterior resection - low (i.e. colorectal anastomosis at or below the peritoneal reflection) | Pre 2025 |
| H3370 | Robotic assisted high anterior resection of rectum +/- stoma | Pre 2025 |
| H3372 | Robotic assisted colectomy +/- stoma | Pre 2025 |
| H3373 | Robotic assisted low anterior resection of rectum +/- stoma | Pre 2025 |
| H3380 | Partial excision of rectum and sigmoid colon for prolapse | Pre 2025 |
| H3384 | Open Total Mesorectal Excision (TME) | Pre 2025 |
| H3385 | Laparoscopic total mesorectal excision (TME) | Pre 2025 |
| H3386 | Transanal Total Mesorectal Excision (TME) | Pre 2025 |
| H3387 | Robotic assisted proctectomy +/- stoma | Pre 2025 |
| H3390 | Reversal of Hartmann's procedure | Pre 2025 |
| H3391 | Robotic assisted reversal of Hartmann's procedure | Pre 2025 |
| H3400 | Open excision of lesion of rectum and colon | Pre 2025 |
| H3580 | Laparoscopic ventral rectopexy not requiring mesh | Pre 2025 |
| H3590 | Stapled transanal rectal resection (STARR) for obstructed defaecation syndrome | Pre 2025 |
| H4000 | Transanal resection for local rectal growth | Pre 2025 |
| H4050 | Endoscopic radiofrequency therapy of the anal sphincter for faecal incontinence | Pre 2025 |
| H4080 | Injection of bulking agents for faecal incontinence | Pre 2025 |
| H4122 | Transanal endoscopic microsurgery | Pre 2025 |
| H4130 | Perianal excision of lesion of rectum (including sigmoidoscopy) | Pre 2025 |
| H4180 | Full or partial thickness rectal biopsy | Pre 2025 |
| H4190 | Therapeutic High Resolution Anoscopy (HRA) in symptomatic patients (+/- biopsy or ablation of lesion of anus) | Pre 2025 |
| H4200 | Perineal repair of prolapse of rectum | Pre 2025 |
| H4420 | Faecal disimpaction | Pre 2025 |
| H4480 | Dilation of stricture of rectum | Pre 2025 |
| H4680 | Repair of faecal fistula | Pre 2025 |
| H4685 | Insertion of biodegradable perirectal spacer under image guidance | Pre 2025 |
| H5042 | Primary repair of high/intermediate congenital ano-rectal anomaly | Pre 2025 |
| H5043 | Primary repair of low congenital ano-rectal anomaly | Pre 2025 |
| H5100 | Haemorrhoidectomy (including sigmoidoscopy) | Pre 2025 |
| H5101 | Laser haemorrhoidectomy (including sigmoidoscopy) | Pre 2025 |
| H5230 | Injection of sclerosing substance into haemorrhoids | Pre 2025 |
| H5240 | Banding of haemorrhoids | Pre 2025 |
| H5250 | Circular Stapling Haemorrhoidectomy | Pre 2025 |
| H5400 | Anorectal stretch | Pre 2025 |
| H5510 | Laying open of low anal fistula (fistulotomy) (including sigmoidoscopy) | Pre 2025 |
| H5520 | Laying open of high anal fistula (fistulotomy) (including sigmoidoscopy) | Pre 2025 |
| H5530 | Closure of anal fistula using a suturable bioprosthetic or synthetic plugs +/- image guidance | Pre 2025 |
| H5620 | Lateral sphincterotomy of anus | Pre 2025 |
| H5640 | Excision of anal fissure | Pre 2025 |
| H6260 | Proctoscopy (+/- biopsy) | Pre 2025 |
| H6261 | Video-assisted proctoscopy | Pre 2025 |
| L7032 | Haemorrhoidal artery ligation operation (including image-guided) +/- recto anal prolapse repair | Pre 2025 |
| X3750 | Botulinum toxin injections to muscle | Pre 2025 |
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