Endoscopic mastectomy and endoscopic wide local excision for breast cancer

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 endoscopic mastectomy and endoscopic wide local excision for breast cancer.

Description

Treatment for early breast cancer usually involves surgery to remove all or part of the breast. In this keyhole procedure, part or all of the breast tissue is removed using special instruments inserted through small skin incisions. The skin envelope of the breast and nipple are left intact, ready for an implant that can be inserted during the same operation. 

NICE Pathways

This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.

Visit the NICE Pathway: early and locally advanced breast cancer

OPCS4.6 Code(s):

The OPCS-4 codes for endoscopic wide local excision are as  follows:

B28.2 Partial excision of breast NEC

Includes: Wedge excision of breast NEC

                Wide excision of breast NEC

Y76.3 Endoscopic approach to other body cavity

 

The OPCS-4 codes for endoscopic mastectomy are as  follows:

B27.- Total excision of breast (fourth character dependent on the description of the mastectomy)

Y76.3 Endoscopic approach to other body cavity

Note: The codes within B27. - do not include any associate lymph node removal and these are classified with an additional code from categories T85-T87.

In addition an ICD-10 code from category C50.- Malignant neoplasm of breast or C79.8 Secondary malignant neoplasm of other specified sites is assigned.

_{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

Contact details:

Links:

	IPG296 Llawdriniaeth twll clo i dynnu meinwe'r fron i drin canser y fron: deall canllawiau NICE (fformat MS Word)	07 December 2009
	IPG296 Endoscopic mastectomy and endoscopic wide local excision for breast cancer: guidance (Web format)	28 February 2011
	IPG296 Endoscopic mastectomy and endoscopic wide local excision for breast cancer: guidance	22 April 2009
	IPG296 Endoscopic mastectomy and endoscopic wide local excision for breast cancer: understanding NICE guidance	22 April 2009
	IPG296 Endoscopic mastectomy and endoscopic wide local excision for breast cancer: understanding NICE guidance (MS Word format)	22 April 2009
	Endoscopic mastectomy and endoscopic wide local excision for breast cancer: consultation comments	22 April 2009
	Endoscopic mastectomy and endoscopic wide local excision for breast cancer: interventional procedures consultation	23 December 2008
	Endoscopic mastectomy and endoscopic wide local excision for breast cancer: interventional procedures overview	23 December 2008