Code Details & Principles for J5481
Code details & principles for
J5481
- Chapter 11 / Other Organs (Mainly Digestive)
- Chapter 12 / Kidney/Renal Pelvic
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| J5481 | Pancreatic with kidney transplant (simultaneous pancreas SPK) | 11.7.0 Other Organs (Mainly Digestive), 12.1.0 Kidney/Renal Pelvic |
Unacceptable Combinations for J5481
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Code Added |
|---|---|---|
| J5480 | Pancreatic transplant (including sequential pancreatic transplant) | 2011-11-04 |
| J5520 | Total pancreatectomy | 2010-01-20 |
| J5610 | Pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) | 2010-01-20 |
| J5611 | Laparoscopic pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) | 2018-11-29 |
| J5612 | Robotic assisted pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) | 2018-11-29 |
| J5700 | Distal pancreatectomy | 2010-01-20 |
| J5800 | Excision of lesion of pancreas | 2010-01-20 |
| J5900 | Anastomosis of pancreatic duct (to another viscus) | 2010-01-20 |
| J6100 | Open drainage of lesion of pancreas | 2010-01-20 |
| J6180 | Drainage of pancreatic abscess | 2010-01-20 |
| J6200 | Incision of pancreas | 2010-01-20 |
| J6300 | Open examination of pancreas | 2010-01-20 |
| J6600 | Therapeutic percutaneous operations on pancreas | 2010-01-20 |
| M0282 | Laparoscopic nephroureterectomy - unilateral | 2011-11-04 |
| M0284 | Robotic assisted nephroureterectomy - unilateral | 2019-01-23 |
| M0286 | Robotic assisted nephroureterectomy - bilateral | 2024-04-15 |
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