Issue Number: 0157 Date: 10/01/219

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Herbert Simpson
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Bulletin Changes to CCSD Schedule of Procedures Issue Number: 0157 Date: 10/01/219 The CCSD has reviewed requests to the CCSD Procedure Schedule for the months of December/January and has agreed on

1 Bulletin Changes to CCSD Schedule of Procedures Issue Number: 0157 Date: 10/01/219 The CCSD has reviewed requests to the CCSD Procedure Schedule for the months of December/January and has agreed on the following changes to the CCSD Procedure Schedule with a recommended adoption date of 1 st May There is nothing to stop these codes being implemented before that date. New code(s) Request Code number Current Narrative 4281 G2591 Revision of anti-reflux operations with laparoscopic insertion of magnetic band (as sole 4602 X7016 Delivery of electrons, field or 2-dimensional radiotherapy on a megavoltage machine 4603 X6016 Planning for electrons, field or 2-dimensional radiotherapy on a megavoltage machine, including all imaging and dosimetry Home sleep study including reporting 4649 M0284 Robotic assisted laparoscopic nephroureterectomy 4650 M3511 Robotic assisted laparoscopic diverticulectomy of bladder 4699 XR161 Percutaneous image guided fine needle aspiration(s) (FNA) bilateral 4700 C4421 Cosmetic laser correction of refractive error (PRK/LASIK/LASEK) Narrative change(s) Request Number Code Previous Narrative Approved Narrative 4656 XR160 Percutaneous image guided fine needle aspiration (FNA) 4701 H2350 Endoscopic mucosal resection (EMR) of colorectal tumour 4702 H2380 Endoscopic submucosal dissection (ESD) of colorectal tumour 4703 P2452 Posterior infracoccygeal sacropexy for vaginal vault prolapse Sleep study (polysomnography) including reporting Percutaneous image guided fine needle aspiration(s) (FNA) - unilateral Endoscopic mucosal resection (EMR) of colorectal polyp Endoscopic submucosal dissection (ESD) of colorectal polyp Posterior infracoccygeal sacropexy using mesh for vaginal vault prolapse Inpatient sleep study (polysomnography) including reporting

2 Unacceptable Combination(s) Code Narrative Code Narrative / Remove Continuous ambulatory ECG for up to hours (including reporting) 24 hour ECG Holter Continuous ambulatory ECG for over 72 (including reporting) hours and up to 7 days (including reporting) Exercise or dobutamine stress echocardiography Exercise ECG (including base line 12 lead (including ECG and ECG and reporting) reporting) V2680 E1260 M7070 M7071 Continuous ambulatory ECG for up to 72 hours (including reporting) Revision anterior discectomy, decompression and anterior fusion +/- instrumentation (lumbar region) Image guided endoscopic frontal, sphenoid and/or ethmoid sinus surgery (FESS) and bilateral Transurethral water vapour ablation for lower urinary tract symptoms caused by benign prostatic hyperplasia Transurethral water jet ablation for lower urinary tract symptoms caused by benign prostatic hyperplasia V3350 E1500 Continuous ambulatory ECG for over 72 hours and up to 7 days (including reporting) Combined anterior approach discectomy, decompression and fusion and posterior fusion (lumbar region) Operation(s) on sphenoid sinus (including endoscopic) and bilateral M6530 Endoscopic resection of prostate (TUR) (including cystoscopy) M6712 Prostatic cryotherapy M6720 Transurethral microwave therapy Photoselective vaporisation of prostate M6760 (GreenLight / Niagara laser PVP) (including cystoscopy) M6780 Prostatic hyperthermia (up to six courses) M7071 Transurethral water jet ablation for lower urinary tract symptoms caused by benign prostatic hyperplasia M6530 Endoscopic resection of prostate (TUR) (including cystoscopy) M6712 Prostatic cryotherapy M6720 Transurethral microwave therapy Photoselective vaporisation of prostate M6760 (GreenLight / Niagara laser PVP) (including cystoscopy) M6780 Prostatic hyperthermia (up to six courses) Transurethral water vapour ablation for M7070 lower urinary tract symptoms caused by benign prostatic hyperplasia

3 J1800 Cholecystectomy (including minicholecystectomy) J1820 Cholecystectomy with exploration of common bile duct J5480 Pancreatic transplant (including sequential pancreatic transplant) J5481 Pancreatic with kidney transplant (simultaneous pancreas SPK) J5500 Total pancreatectomy and excision of surrounding tissue J5520 Total pancreatectomy Pancreatoduodenectomy and excision J5611 J5610 of surrounding tissue (Whipple's Laparoscopic pancreatoduodenectomy and Robotic-assisted excision of surrounding tissue pancreatoduodenectomy and excision (Whipple's J5612 of surrounding tissue (Whipple's J5700 Distal pancreatectomy J5712 Robotic assisted distal pancreatectomy J5800 Excision of lesion of pancreas J5900 Anastomosis of pancreatic duct (to another viscus) J6100 Open drainage of lesion of pancreas J6180 Drainage of pancreatic abscess J6200 Incision of pancreas J6300 Open examination of pancreas J6600 Therapeutic percutaneous operations on pancreas J1800 Cholecystectomy (including minicholecystectomy) J1820 Cholecystectomy with exploration of common bile duct J5480 Pancreatic transplant (including sequential pancreatic transplant) J5481 Pancreatic with kidney transplant (simultaneous pancreas SPK) J5500 Total pancreatectomy and excision of surrounding tissue J5520 Total pancreatectomy Pancreatoduodenectomy and excision Robotic-assisted J5610 of surrounding tissue (Whipple's J5612 pancreatoduodenectomy and excision of surrounding tissue Laparoscopic pancreatoduodenectomy (Whipple's J5611 and excision of surrounding tissue (Whipple's J5700 Distal pancreatectomy J5712 Robotic assisted distal pancreatectomy J5800 Excision of lesion of pancreas J5900 Anastomosis of pancreatic duct (to another viscus) J6100 Open drainage of lesion of pancreas J6180 Drainage of pancreatic abscess J6200 Incision of pancreas J6300 Open examination of pancreas J6600 Therapeutic percutaneous operations on pancreas C7520 Lens implant/exchange C7530 Removal of lens implant W5830 Robotic assisted total knee S4230 Secondary suture of skin

4 W5830 Robotic assisted total knee S5210 Injection into subcutaneous tissue/painful trigger point under local anaesthetic W0630 Patellectomy W0633 Prosthetic of patellofemoral joint bilateral (as sole W0700 Excision of ectopic bone W0850 Partial excision of bone (including exostoses) W2830 Removal of internal fixation from bone / joint, excluding K-wires W3100 Bone graft (as sole W3530 Removal of percutaneous wire W4200 Complex primary total knee (i.e. including bone graft, augmentation or osteotomy) W4210 Total prosthetic of knee joint, +/- cement, +/- patella W4212 Minimally invasive knee W4214 Customised unicompartmental knee W4216 Customised bicompartmental knee W4218 Customised total prosthetic of knee joint W4230 Revision of total of knee joint W stage revision of total knee for infection - first stage W stage revision of total knee for infection - second stage W4280 Total prosthetic of knee joint - bilateral W5200 Unicompartmental knee W5201 Unicompartmental Knee Replacement - bilateral W5210 Revision of unicompartmental knee W5300 Bicompartmental knee resurfacing W5722 Excision reconstruction of small joint W5723 Excision reconstruction of large joint W5800 Conversion of a unicompartmental knee to a total of knee joint W5851 Localised patient specific knee resurfacing arthroplasty W5852 Localised patient specific twin knee resurfacing arthroplasty W8400 Repair of knee ligaments (open or arthroscopic) W8500 Multiple arthroscopic operation on knee (including meniscectomy, chondroplasty, drilling or microfracture) W8520 Arthroscopy of knee (including examination under anaesthetic,

5 W5830 XR161 G2591 W3720 Robotic assisted total knee Percutaneous image guided fine needle aspiration(s) (FNA) - bilateral Revision of anti-reflux operations with laparoscopic insertion of magnetic band (as sole Robotic assisted total hip washout and biopsy) (as sole W8580 Multiple arthroscopic operation on knee (including meniscectomy, chondroplasty, drilling or microfracture) bilateral W8700 Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (as sole W9012 Therapeutic local anaesthetic/aspiration- large joint - W9013 Therapeutic local anaesthetic/aspiration- large joint - W9014 Therapeutic local anaesthetic/aspiration- small joint - W9015 Therapeutic local anaesthetic/aspiration- small joint - W9016 Therapeutic local anaesthetic/aspiration of joint under imaging control W9020 Dynamic arthrogram of joint W9040 Injection(s) +/- aspiration, into joint, cyst, bursa W9240 Examination/ manipulation of joint under general B2800 Excision of breast lump/fibroadenoma B3212 Percutaneous suction core biopsy S1110 Curettage/cryotherapy of lesion of skin (including cauterisation) - up to three S1420 Shave biopsy of lesion of skin S1500 Biopsy of skin or subcutaneous tissue S4230 Secondary suture of skin S4720 Drainage of lesion of skin (including abscess) G0920 Oesophagocardiomyotomy (Heller's operation) G2330 Transabdominal repair of hiatus hernia G2331 Laparoscopic repair of hiatus hernia with anti-reflux procedure (e.g. fundoplication) G2332 Laparoscopic Insertion of magnetic band for gastro-oesophageal reflux disease (LINX) G2340 Transabdominal repair of diaphragmatic hernia G2400 Transthoracic fundoplication & gastroplasty G2402 Transthoracic fundoplication G2430 Transabdominal anti-reflux operations G3610 Gastropexy (for reflux) G2590 Revision of anti-reflux operations A5210 Epidural injection (lumbar) A5211 Epidural injection (caudal)

6 W3720 Robotic assisted total hip A7350 Local anaesthetic blockade of named major nerve or plexus S4230 Secondary suture of skin S5210 Injection into subcutaneous tissue/painful trigger point under local anaesthetic W0700 Excision of ectopic bone W0850 Partial excision of bone (including exostoses) W1320 Osteotomy of proximal femur W1910 Primary reduction of fracture of neck of femur and internal fixation W2830 Removal of internal fixation from bone / joint, excluding K-wires W3100 Bone graft (as sole W3530 Removal of percutaneous wire W3712 Primary total hip +/- cement W3713 Complex primary total hip (including bone grafting or femoral osteotomy) W3714 Total hip, +/- cement, after excision arthroplasty or arthrodesis (including conversion of hemiarthroplasty or revision of other previous hip surgery which involved internal fixation) W4600 Prosthetic of head of femur W5722 Excision reconstruction of small joint W5723 Excision reconstruction of large joint W8150 Arthrotomy of large joint (including removal of loose body from joint) W9012 Therapeutic local anaesthetic/aspiration- large joint W9013 Therapeutic local anaesthetic/aspiration- large joint - W9014 Therapeutic local anaesthetic/aspiration- small joint W9015 Therapeutic local anaesthetic/aspiration- small joint - W9016 Therapeutic local anaesthetic/aspiration of joint under imaging control W9018 Percutaneous biopsy/ arthrography/ aspiration in assessment of total hip W9020 Dynamic arthrogram of joint W9040 Injection(s) +/- aspiration, into joint, cyst, bursa W9240 Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole

7 Please note that the inclusion of procedure codes within the CCSD Schedule does not indicate the automatic agreement of individual insurers to provide benefit for this procedure. Please contact each insurer directly to ascertain whether benefit is provided.

Issue Number: 0151 Date: 26/04/2018

Bulletin Changes to CCSD Schedule of Procedures Issue Number: 0151 Date: 26/04/2018 The CCSD has reviewed requests to the CCSD Procedure Schedule for the month of April and has agreed on the following