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

In January 2021, the Clinical Coding and Schedule Development (CCSD) working group, which develops and maintains procedural and diagnostics nomenclature for private payers in England, has published Bulletins 0174 and 0071 with changes to be implemented not later than May 01, 2021.

Five new procedure codes were introduced:

• G8081 "Upper GI capsule endoscopy (including interpretation and evaluation)"
• M6141 "Robotic assisted radical perineal prostatectomy, reconstruction of bladder neck (including bilateral pelvic lymphadenectomy) (including cystoscopy)"
• M6140 "Radical perineal prostatectomy, reconstruction of bladder neck (including bilateral pelvic lymphadenectomy) (including cystoscopy)"
• T5781 "Percutaneous ultrasound-guided radiofrequency ablation for recalcitrant plantar fasciitis"
• T5782 "Open radiofrequency ablation for recalcitrant plantar fasciitis"

Three new diagnostic codes were introduced

• 0011B "Diabetes Type 1 (Glutamic acid decarboxylase, IA2 antibodies, Zinc transport 8)"
• 0012B "EBV VCA IGM"
• 0013B "Eosin-5-maleimide (EMA)"

See the full details here.

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