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

In June 2023, the Clinical Coding and Schedule Development (CCSD) working group, which develops and maintains procedural and diagnostics nomenclatures for private payers in England, published Bulletins 190 and 086 with changes to be implemented no later than August 4, 2023.

Fourteen new procedure codes concerning cardiovascular, diagnostic imaging, endocrine, endoscopy, gastrointestinal, orthopedic and spine, peripheral vascular, robotic surgery, men's health, and radiotherapy fields were introduced. Some examples of newly added codes are provided below:

• G3060 Swallowable gastric balloon capsule for weight loss;
• E5433 Robotic assisted pulmonary lobectomy;
• BT216 Oral introduction of liquid radioactive agent for benign thyroid disease.

Six newly added diagnostic codes comprise five in-vitro diagnostics and one code for investigation.

See more information here.

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