Code Details & Principles for H5530
Code details & principles for
H5530
- Chapter 11 / Rectum/Anus
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| H5530 | Closure of anal fistula using a suturable bioprosthetic or synthetic plugs +/- image guidance | 11.6.0 Rectum/Anus |
Unacceptable Combinations for H5530
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Code Added |
|---|---|---|
| H2510 | Rigid sigmoidoscopy (including proctoscopy and biopsy) | 2013-07-23 |
| H4430 | Examination of rectum under anaesthetic (as sole procedure) | 2013-06-03 |
| H4680 | Repair of faecal fistula | 2010-01-20 |
| H4800 | Excision of lesion of anus | 2010-01-20 |
| H4900 | Destruction of lesion of anus | 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 |
| H5561 | Endoscopic ablation for an anal fistula with flap | 2019-07-16 |
| H5562 | Collagen paste for closing an anal fistula | 2019-07-16 |
| H5640 | Excision of anal fissure | 2010-01-20 |
| H6260 | Proctoscopy (+/- biopsy) | 2012-02-27 |
| H6261 | Video-assisted proctoscopy | 2023-04-14 |
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