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Last Updated: Nov 13, 2026
CCSD Code
CCSD code Q1802 – Hysteroscopy with fibroid resection
Code Definition
Q1802 is the CCSD code for hysteroscopy with resection of fibroids (excluding morcellation), with or without Mirena coil insertion. It applies when the surgeon removes fibroids from inside the uterine cavity through a hysteroscope, in UK private practice.
The CCSD schedule lists Q1802 under 14.1.0 Uterus/Adnexa. A hysteroscopy that only takes a biopsy or removes polyps belongs under Q1800. Morcellation falls outside Q1802 too, so the operative note decides the code.
- Chapter
- 14 Female reproductive organs
- Category
- 14.1.0 Uterus/Adnexa
- Schedule entry
- Q1802 Hysteroscopy with resection of fibroids (excluding morcellation) +/- insertion of Mirena coil
- Billable
- No
- Code also known as
- hysteroscopic myomectomy, transcervical resection of fibroids (TCRF), hysteroscopic fibroid removal
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Key takeaways
CCSD code Q1802 covers hysteroscopy with resection of fibroids, excluding morcellation, with or without insertion of a Mirena coil.
A hysteroscopy limited to biopsy, dilatation, cauterisation, curettage or polyp resection belongs under Q1800, even when a Mirena coil goes in.
The operative note should name the fibroid, the resection technique and any coil insertion, because the insurer checks it against Q1802.
Match the code on the pre-authorisation to the code on the invoice, and tell the insurer when the plan changes in theatre.
Pabau records the pre-authorisation on the patient’s case, warns your team when it is missing and sends UK claims through Healthcode and Bupa.
What CCSD code Q1802 covers
CCSD code Q1802 is the UK private-practice code for hysteroscopy with resection of fibroids, excluding morcellation, with or without insertion of a Mirena coil. The CCSD schedule lists it under 14.1.0 Uterus/Adnexa.
In clinical terms, this is a hysteroscopic myomectomy. The surgeon passes a hysteroscope through the cervix and cuts away a fibroid that bulges into the uterine cavity. A coil can go in at the same sitting without changing the code.
Biopsy-only and polyp-only hysteroscopies fall outside Q1802. Claims coded that way tend to come back, because the fibroid is what earns Q1802.
Q1800 or Q1802: The fibroid decides
Both codes start with a hysteroscope, and both allow a Mirena coil. What separates them is the tissue the surgeon removes.
Two edge cases need care, and the diagram below sets them beside the main split. If the fibroid came out with a hysteroscopic morcellator, Q1802 does not apply, so look up the right code before you invoice.
Our CCSD codes library lists the neighbouring gynaecology entries. If the surgeon also ablated the endometrium, check Q1700 and the CCSD combination rules first.
How a Q1802 claim moves from theatre to payment
Most Q1802 claims follow the same path. Each handover is a place where the code, the authorisation or the note can drift apart.
- Authorisation. Once a scan shows a fibroid inside the cavity, the patient or your team asks the insurer to authorise the planned procedure. Give the insurer Q1802 and record the reference it issues.
- Theatre. The surgeon resects the fibroid and writes the operative note. Any change of plan, such as a polyp-only finding, gets written down here.
- Invoice. The consultant’s invoice carries Q1802, the authorisation reference, the membership number and the procedure date.
- Submission. The claim goes to the insurer electronically through Healthcode, or through the insurer’s own route. The anaesthetist and the pathology lab usually invoice for their own work.
- Payment or query. The insurer pays against its fee schedule or asks for evidence. The operative note answers most queries, so keep it ready.
Fees and claim deadlines vary by insurer, so confirm both in the insurer’s provider guidance. Bupa publishes its codes through the Bupa code search, and our Bupa CCSD codes guide covers its billing basics.
Common Q1802 mistakes that trip up a claim
Most problems with Q1802 come from a mismatch between what happened in theatre and what the paperwork says. These are the ones to watch.
Pro Tip
When the scan is unclear, tell the patient the authorisation may need to change after theatre. A quick call to the insurer on the day saves a recode and a resubmission later.
Before you submit: A Q1802 checklist
Run through these checks with the operative note open beside the invoice. If any answer is no, fix it before the claim leaves the practice.
- Fibroid named. Does the note describe the fibroid, its position in the cavity and roughly how much was removed?
- Technique stated. Does it say the fibroid was resected, and that no morcellator was used?
- Coil recorded. If a Mirena coil went in, is the insertion in the note?
- Histology sent. Is the specimen request on file, so the lab’s invoice and report link back to this episode?
- Consent on file. Is the signed consent in the patient record, dated before the procedure?
- Codes match. Does the authorisation show Q1802, and does the invoice show the same code?
- Note signed. Has the responsible consultant signed and dated the operative note?
Keep the note, consent and histology report together on the patient record. When the insurer asks for evidence, you can send it the same day.
How Pabau keeps Q1802 claims on track
In many gynaecology practices, the authorisation number lives in an email and the invoice gets built by hand. The operative note sits in another system. When the insurer queries a claim, someone pieces it together again.
In Pabau’s practice management software, the pre-authorisation sits on the patient’s case. If it is missing, Pabau warns your team before the claim goes out. Our claims management software then sends UK claims through Healthcode and Bupa.
The operative note, consent and histology report sit on the same record as the claim. For a busy gynaecology list, a query becomes a quick lookup rather than a search through folders.
Keep every Q1802 claim authorised
Pabau records each patient’s pre-authorisation on the case, warns your team when one is missing and sends UK claims through Healthcode and Bupa.
Conclusion
Q1802 is a fibroid code. Bill it when the surgeon resected a fibroid without a morcellator, coil or no coil. Polyps and biopsies on their own go to Q1800.
Most rejected claims trace back to one moment. The plan changed in theatre, and the paperwork didn’t. Update the authorisation, write the fibroid into the note and the claim has little left to trip on.
Book a demo to see how Pabau tracks pre-authorisations and sends your gynaecology claims through Healthcode and Bupa.
Continue your research
Did the surgeon ablate the endometrium too? CCSD code Q1700 covers therapeutic endoscopic operations on the uterus, such as endometrial ablation.
Billing mostly through Bupa? Bupa CCSD codes guide explains how Bupa uses CCSD codes in UK private practice.
Coding major gynaecological oncology surgery? CCSD code Q0712 walks through radical trachelectomy billing.
Repairing prolapse in the same specialty? CCSD code P2310 covers anterior and posterior colporrhaphy.
Frequently asked questions
Is hysteroscopic myomectomy the same as Q1802?
Usually, yes. Hysteroscopic myomectomy means removing fibroids through a hysteroscope, which is what Q1802 describes. The exception is morcellation: Q1802 excludes it, so check the schedule for the code that applies.
Which fibroids can be removed by hysteroscopy?
Hysteroscopic resection suits submucosal fibroids, the ones that bulge into the uterine cavity. Fibroids in the muscle wall or on the outer surface usually need a laparoscopic or open myomectomy, which carry their own CCSD codes.
Can I bill a Mirena coil insertion separately with Q1802?
Not as a separate procedure. The Q1802 descriptor includes Mirena coil insertion as an option, so the insertion sits inside the code. Ask the insurer how it handles the cost of the device itself.
Do I need pre-authorisation for hysteroscopic fibroid removal?
Usually, yes. UK private insurers generally expect elective surgery to be authorised before it happens. The patient’s policy sets the rule, so confirm it and record the reference before the theatre date.
Is hysteroscopic fibroid resection a day case?
Often, yes. Many patients go home the same day. Larger fibroids sometimes need a second procedure, so record what was removed and what remains in the operative note.
