Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for mediastinal masses

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on endobronchial ultrasound-guided transbronchial needle aspiration for mediastinal masses.

Description

This procedure can be used for patients who are being tested for various diseases, including lung cancer. Under local or general anaesthesia, a thin flexible telescope (bronchoscope) is inserted via the patient's mouth into the lungs. Images of the region between the two lungs (the mediastinum) are obtained using an ultrasound probe attached to the bronchoscope. The operator uses these images as a guide when taking samples of cells from masses suspected of disease. The aim of the procedure is to help reach a diagnosis and establish whether the disease has spread.

OPCS4.6 Code(s):

E63.2 Endobronchial ultrasound examination of mediastinum

Note: Use a supplementary code for concurrent biopsy of mediastinal lymph node (T87.4)

T87.4 Excision or biopsy of mediastinal lymph node

_{The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding}

Details

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Links:

	Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) for mediastinal metastases: Full guidance	27 February 2008
	IPG254 Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) for mediastinal metastases: guidance (web format)	10 February 2011
	Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) for mediastinal metastases: Understanding NICE guidance	27 February 2008
	Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) for mediastinal metastases: Understanding NICE guidance (MS Word format)	27 February 2008
	Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) for mediastinal metastases: Consultation comments table	27 February 2008
	Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for mediastinal masses (interventional procedures consultation)	23 October 2007
	Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) for mediastinal masses (interventional procedures overview)	23 October 2007
	IPG254 Defnyddio broncosgôp wedi'i lywio ag uwchsain i gymryd samplau meinwe o'r ardal rhwng yr ysgyfaint: deall canllawiau NICE (fformat MS Word)	29 July 2008