Code Details & Principles for M5630
Code details & principles for
M5630
- Chapter 12 / Bladder
- Chapter 14 / Suspension
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| M5630 | Therapeutic injection into bladder neck for treatment of stress incontinence (peri-urethral bulking agents) (including cystoscopy) | 12.3.0 Bladder, 14.2.0 Suspension |
Unacceptable Combinations for M5630
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| 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 |
| M4714 | Therapeutic injection into bladder wall (including cystoscopy) | 2014-06-19 |
| M6480 | Operation to support outlet of male bladder (including sling procedures) (including cystoscopy) | 2011-01-20 |
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