Code Details & Principles for M6194
Code details & principles for
M6194
- Chapter 12 / Prostate
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| 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)? | 12.5.0 Prostate |
Unacceptable Combinations for M6194
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| M3410 | Robotic assisted cystectomy without prostatectomy (with construction of intestinal conduit or bladder) | 2011-11-03 |
| M3820 | Cystostomy and insertion of suprapubic tube into bladder (including cystoscopy) | 2011-09-23 |
| 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 |
| 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 |
| M6530 | Endoscopic resection of prostate (TUR) (including cystoscopy) | 2013-12-02 |
| M6580 | Endoscopic biopsy of prostate (including cystoscopy) | 2010-06-14 |
| M7700 | Diagnostic endoscopic examination of urethra (as sole procedure) (including cystoscopy) | 2010-06-14 |
| M7920 | Dilatation of urethra (including cystoscopy) | 2010-01-20 |
| T4130 | Freeing of adhesions of peritoneum | 2013-07-23 |
| T4300 | Laparoscopic adhesiolysis (including biopsy) | 2013-07-23 |
| T4302 | Open adhesiolysis (including biopsy) | 2013-07-23 |
| T8550 | Block dissection of inguinal lymph nodes | 2010-01-20 |
| T8580 | Block dissection of pelvic lymph nodes (as sole procedure) | 2010-01-20 |
| T8592 | Laparoscopic retroperitoneal lymph node dissection | 2010-01-20 |
| T8700 | Excision biopsy of lymph node for diagnosis (cervical, inguinal, axillary) | 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