New procedure and diagnostic codes added to the private reimbursement schedule in England

On April 10, 2025, the Clinical Coding and Schedule Development (CCSD) working group, which develops and maintains procedural and diagnostics nomenclatures for private payers in England, published Bulletins 201 and 097 with changes to be implemented no later than June 11, 2025. 

Ten new codes were introduced in the procedural schedule. Some examples of newly added codes are provided below:

• Q0810 Vaginal transluminal endoscopic hysterectomy +/- salpingo-oophorectomy +/- ureterolysis;
• W3722 Minimally invasive hip replacement +/- cement – bilateral;
• T2021 Laparoscopic repair of inguinal hernia requiring mesh – unilateral.

Seven new codes were added to the diagnostic schedule, including five in-vitro diagnostic tests. Some examples are provided below:

• 3055G Informed Genomics Targeted Hereditary Cancer Panel;
• 8269O Atypical pneumonia by PCR;
• AU034 Cervical vestibular evoked EMG (cVEMP).

See the full details here.

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