Code Details & Principles for M4510

Code details & principles for

M4510

  • Chapter 12 / Bladder
Code Description Chapter/Sub-Chapter Code Specific Guidance
M4510 Diagnostic endoscopic examination of bladder (flexible cystoscopy) including any biopsy 12.3.0 Bladder

Unacceptable Combinations for M4510

CCSD Code (unacceptable combination) Narrative (unacceptable combination) Date Added
GA522 Urethroplasty (creation of urethra) for gender affirmation 2024-10-08
M0910 Endoscopic fragmentation of calculi of kidney (including cystoscopy and insertion/removal of stent) 2014-03-04
M1000 Therapeutic endoscopic operations on kidney (include cystoscopy and retrograde catheterisation) 2013-06-03
M1110 Diagnostic endoscopic examination of kidney (including biopsy) 2013-06-03
M2080 Unilateral replantation of ureter into bladder (including cystoscopy) 2011-03-11
M2090 Robotic assisted replantation of ureter into bladder (including cystoscopy) - unilateral 2024-04-15
M2091 Robotic assisted replantation of ureter into bladder (including cystoscopy) - bilateral 2024-04-15
M2310 Open ureterolithotomy (including cystoscopy) 2011-03-11
M2530 Ureterolysis - unilateral 2014-08-07
M2580 Ureterolysis - bilateral 2014-08-07
M2581 Robotic assisted ureterolysis - unilateral 2024-04-15
M2582 Robotic assisted ureterolysis - bilateral 2024-04-15
M2600 Therapeutic nephroscopic operations on ureter (including cystoscopy) 2013-06-03
M2730 Ureteroscopic extraction of calculus of ureter (including cystoscopy and insertion/removal of stent) 2014-02-07
M2920 Endoscopic insertion/removal of prosthesis into ureter (including bilateral and cystoscopy, +/- pyelography) 2012-07-20
M2930 Removal of prosthesis from ureter (including cystoscopy) 2010-06-14
M2932 Cystoscopy and removal of transplant stent 2010-01-20
M2981 Endoscopic vesico-ureteric anti-reflux procedure (and bilateral) (including cystoscopy) 2013-06-17
M3000 Endoscopic examination of ureter (+/- cystoscopy and insertion/removal of stent) +/- retrograde pyelography 2011-10-25
M3010 Endoscopic retrograde pyelography (including bilateral and cystoscopy) 2013-09-10
M3110 Extracorporeal shockwave lithotripsy of calculus of ureter 2010-01-20
M3111 Holmium Laser Lithotripsy for calculi of ureter (including cystoscopy and insertion/removal of stent) 2012-12-09
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
M3500 Partial cystectomy (including cystoscopy) 2011-03-11
M3501 Robotic assisted partial cystectomy with cystoscopy 2024-04-15
M3600 Enlargement of bladder (including cystoscopy) 2011-03-11
M3602 Enterocystoplasty (including cystoscopy) 2011-03-11
M3603 Robotic assisted enterocystoplasty with cystoscopy 2024-04-15
M3700 Repair of bladder (including cystoscopy) 2011-03-11
M3710 Cystourethroplasty (including cystoscopy) 2011-03-11
M3820 Cystostomy and insertion of suprapubic tube into bladder (including cystoscopy) 2011-09-23
M3880 Stab cystostomy 2010-01-20
M3900 Open removal of calculus from bladder (including cystoscopy) 2011-03-11
M4110 Open excision of lesion from bladder (including cystoscopy) 2011-03-11
M4210 Endoscopic resection of lesion of bladder (including cystoscopy) 2013-11-04
M4230 Endoscopic destruction of lesion of bladder (including cystoscopy) 2010-01-20
M4310 Endoscopic transection of bladder (including cystoscopy) 2010-01-20
M4320 Endoscopic hydrostatic distension of bladder (including cystoscopy) 2010-01-20
M4410 Litholapaxy (including cystoscopy) 2011-03-11
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
M4480 Resection of bladder neck (including cystoscopy) 2011-03-11
M4512 Examination of bladder using hexaminolevulinate blue-light fluorescence cystoscopy +/- resection of lesions 2010-01-20
M4514 Endoscopic examination of bladder (rigid cystoscopy) including any biopsy 2015-03-05
M4712 Bladder instillation of pharmacologic agent (including cystoscopy) 2010-06-14
M4713 Bladder instillation as sole procedure 2013-12-04
M4714 Therapeutic injection into bladder wall (including cystoscopy) 2014-06-19
M4820 Insertion of Urethral Catheterisation Device (UCD) using guidewire into bladder for difficult or failed catheterisation 2018-11-29
M5100 Combined abdominal and vaginal operations to support outlet of female bladder (including sling procedures) (including cystoscopy) 2011-03-11
M5180 Revision combined abdominal and vaginal operations to support outlet of female bladder (including sling procedures and cystoscopy) 2011-03-11
M5220 Retropubic suspension of neck of bladder (including colposuspension) (including cystoscopy) 2011-09-22
M5250 Needle suspension of bladder neck (including cystoscopy) 2010-06-14
M5280 Revision retropubic suspension of neck of bladder (including colposuspension and cystoscopy) 2010-06-14
M5300 Vaginal operations to support outlet of female bladder (including cystoscopy) 2012-04-04
M5520 Implantation of artificial urinary sphincter at bladder neck and/or removal (including cystoscopy) 2010-01-20
M5600 Therapeutic endoscopic operations on outlet of female bladder (including cystoscopy) 2013-03-03
M5630 Therapeutic injection into bladder neck for treatment of stress incontinence (peri-urethral bulking agents) (including cystoscopy) 2011-11-04
M5820 Dilatation of outlet of female bladder (including cystoscopy) 2011-11-04
M6180 Radical prostatectomy, reconstruction of bladder neck (including bilateral pelvic lymphadenectomy) (including cystoscopy) 2011-11-04
M6182 Laparoscopic radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy) 2014-03-26
M6192 Robotic assisted radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy) 2013-06-04
M6193 Robotic assisted radical prostatectomy using bilateral nerve-sparing technique, reconstruction of bladder neck including bilateral pelvic lymphadenectomy (including cystoscopy)? 2024-04-15
M6194 Robotic assisted radical prostatectomy through the rectovesical pouch, using a bilateral nerve- and ligament-sparing technique, reconstruction of bladder neck, including bilateral pelvic lymphadenectomy (including cystoscopy)? 2024-04-15
M6480 Operation to support outlet of male bladder (including sling procedures) (including cystoscopy) 2011-01-20
M6530 Endoscopic resection of prostate (TUR) (including cystoscopy) 2013-12-02
M6532 Holmium laser resection of prostate (HoLRP) (including cystoscopy) 2011-03-11
M6580 Endoscopic biopsy of prostate (including cystoscopy) 2010-06-14
M6620 Endoscopic incision of outlet of male bladder (including cystoscopy) 2011-11-04
M6730 Drainage of prostatic abscess 2010-01-20
M6760 Photoselective vaporisation of prostate (GreenLight / Niagara laser PVP) (including cystoscopy) 2011-03-11
M6762 Photoselective vaporisation of prostate (KTP laser PVP) (including cystoscopy) 2011-03-11
M6880 Insertion of prostatic urethral lift implants (including cystoscopy) 2014-04-03
M7080 Insertion of urethral stent for relief of prostatic obstruction (including cystoscopy) 2010-06-14
M7330 Closure of fistula of urethra (including cystoscopy) 2011-03-11
M7360 Simple urethroplasty, eg primary repair, anterior urethra (including cystoscopy) 2014-02-14
M7361 Complex urethroplasty, eg revision surgery of the anterior urethra, posterior urethra, +/- grafting (including cystoscopy) 2014-02-14
M7380 Repair of rupture of urethra (including cystoscopy) 2010-06-14
M7500 Excision of diverticulum of urethra (including cystoscopy) 2010-06-14
M7590 Insertion of suburethral tape sling (e.g. TOT or TVT) +/- administration of local anaesthetic by operating surgeon (including cystoscopy) 2010-12-02
M7700 Diagnostic endoscopic examination of urethra (as sole procedure) (including cystoscopy) 2010-06-14
M7920 Dilatation of urethra (including cystoscopy) 2010-01-20
M7940 Internal urethrotomy (including cystoscopy +/- dilation) 2010-01-20
P2110 Partial removal of vaginal mesh/tape with reconstruction of vagina and/or urethra, including cystoscopy and/or proctoscopy 2014-10-02
P2120 Total removal of vaginal mesh/tape with reconstruction of vagina and/or urethra, including cystoscopy and/or proctoscopy 2014-10-02
P2310 Anterior +/- posterior colporrhaphy (including primary repair of enterocele) (including cystoscopy) 2013-06-04
P2380 Anterior (+/- posterior) colporrhaphy with vaginal hysterectomy (including primary repair of enterocele and cystoscopy) 2014-03-04
P2430 Robotic assisted sacrocolpopexy +/- ureterolysis, using mesh 2023-08-09
P2431 Robotic assisted sacrocolpopexy +/- ureterolysis, using tissue graft 2023-08-09
P2432 Sacrocolpopexy (including laparoscopic) +/- ureterolysis, using mesh 2023-08-09
P2433 Sacrocolpopexy (including laparoscopic) +/- ureterolysis, using tissue graft 2023-08-09
P2453 Infracoccygeal sacropexy using mesh to repair vaginal vault prolapse +/- ureterolysis 2017-08-04
P2454 Infracoccygeal sacropexy without mesh to repair vaginal vault prolapse +/- ureterolysis 2019-11-14
P2510 Repair of vesicovaginal fistula (including cystoscopy) 2010-06-14
P2520 Repair of urethrovaginal fistula (including cystoscopy) 2010-06-14
P3190 Laparoscopic excision of recto-vaginal endometriosis including rectal shave, +/-ureterolysis 2014-08-06
P3191 Laparoscopic excision of recto-vaginal endometriosis including disc resection of rectum, +/-ureterolysis 2014-08-06
P3192 Laparoscopic excision of recto-vaginal endometriosis including bowel resection (including formation of stoma) +/- hysterectomy, +/-ureterolysis 2014-08-06
P3196 Robotic assisted excision of recto-vaginal endometriosis including disc resection of rectum, +/-ureterolysis 2019-11-14
P3197 Robotic assisted excision of recto-vaginal endometriosis including bowel resection (including formation of stoma) +/- hysterectomy, +/-ureterolysis 2019-11-14
Q0710 Radical hysterectomy and lymphadenectomy (Wertheim's) +/- ureterolysis 2010-01-20
Q0711 Robotic assisted radical hysterectomy and lymphadenectomy (Wertheim's) +/- ureterolysis 2019-03-07
Q0712 Radical trachelectomy including laparoscopic and removal of lymph nodes +/- ureterolysis 2011-11-04
X1420 Anterior exenteration of pelvis 2010-01-20
X1421 Robotic assisted anterior exenteration of pelvis 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