Code Details & Principles for H5043
Code details & principles for
H5043
- Chapter 11 / Rectum/Anus
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| H5043 | Primary repair of low congenital ano-rectal anomaly | 11.6.0 Rectum/Anus |
Unacceptable Combinations for H5043
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Code Added |
|---|---|---|
| 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 |
| H3590 | Stapled transanal rectal resection (STARR) for obstructed defaecation syndrome | 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 |
| H4200 | Perineal repair of prolapse of rectum | Pre 2025 |
| H4420 | Faecal disimpaction | Pre 2025 |
| H4430 | Examination of rectum under anaesthetic (as sole procedure) | Pre 2025 |
| H4480 | Dilation of stricture of rectum | Pre 2025 |
| H4800 | Excision of lesion of anus | Pre 2025 |
| H5042 | Primary repair of high/intermediate congenital ano-rectal anomaly | Pre 2025 |
| H5400 | Anorectal stretch | 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