Code Details & Principles for M7361
Code details & principles for
M7361
- Chapter 12 / Urethra
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| M7361 | Complex urethroplasty, eg revision surgery of the anterior urethra, posterior urethra, +/- grafting (including cystoscopy) | 12.4.0 Urethra |
Unacceptable Combinations for M7361
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| GA522 | Urethroplasty (creation of urethra) for gender affirmation | 2024-10-08 |
| 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 |
| M7330 | Closure of fistula of urethra (including cystoscopy) | 2011-03-11 |
| M7360 | Simple urethroplasty, eg primary repair, anterior urethra (including cystoscopy) | 2014-02-14 |
| M7500 | Excision of diverticulum of urethra (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 |
| M7940 | Internal urethrotomy (including cystoscopy +/- dilation) | 2010-01-20 |
| M8120 | Meatoplasty | 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 |
| S2002 | Small island flap (less than 9cm2) | 2010-01-20 |
| S2502 | Local flap - 9cm2 or more (excluding graft/flap to secondary defect) | 2010-01-20 |
| S2503 | Local flap - 9cm2 or more (including graft/flap to secondary defect) | 2010-01-20 |
| S3624 | <p>Full thickness graft, head, neck, hands & genitalia - up to 9cm2 in area</p> | 2011-03-11 |
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