Code Details & Principles for M4230
Code details & principles for
M4230
- Chapter 12 / Bladder
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| M4230 | Endoscopic destruction of lesion of bladder (including cystoscopy) | 12.3.0 Bladder |
Unacceptable Combinations for M4230
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Code Added |
|---|---|---|
| M3400 | Open total cystectomy (with construction of intestinal conduit or bladder) | 2010-01-20 |
| M3410 | Robotic assisted cystectomy without prostatectomy (with construction of intestinal conduit or bladder) | 2011-11-03 |
| M3411 | Robotic assisted cystoprostatectomy (with construction of intestinal conduit or bladder) | 2016-08-01 |
| M3412 | Laparoscopic cystoprostatectomy (with construction of intestinal conduit or bladder) | 2016-11-04 |
| M3420 | Laparoscopic cystectomy (with construction of intestinal conduit or bladder) (including cystoscopy) | 2011-09-22 |
| M3600 | Enlargement of bladder (including cystoscopy) | 2011-03-11 |
| M4210 | Endoscopic resection of lesion of bladder (including cystoscopy) | 2013-11-04 |
| M4310 | Endoscopic transection of bladder (including cystoscopy) | 2010-01-20 |
| M4320 | Endoscopic hydrostatic distension of bladder (including cystoscopy) | 2010-01-20 |
| M4420 | Endoscopic extraction of calculus of bladder (including cystoscopy) | 2010-01-20 |
| M4430 | Endoscopic removal of foreign body from bladder (including cystoscopy) | 2010-01-20 |
| M4510 | Diagnostic endoscopic examination of bladder (flexible cystoscopy) including any biopsy | 2014-06-17 |
| M4514 | Endoscopic examination of bladder (rigid cystoscopy) including any biopsy | 2015-03-05 |
| M5820 | Dilatation of outlet of female bladder (including cystoscopy) | 2011-11-04 |
| M6530 | Endoscopic resection of prostate (TUR) (including cystoscopy) | 2013-12-02 |
| M6620 | Endoscopic incision of outlet of male bladder (including cystoscopy) | 2011-11-04 |
| M7920 | Dilatation of urethra (including cystoscopy) | 2010-01-20 |
| M7940 | Internal urethrotomy (including cystoscopy +/- dilation) | 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