Percutaneous laser coronary angioplasty

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 Percutaneous laser coronary angioplasty.

Description

Blood vessels from the heart can become blocked by the build-up of deposits of fat on their inner surface. This can cause problems with the heart and circulation such as angina.

In this technique, a flexible plastic tube (a catheter), connected to a laser, is inserted though the leg and into the circulation. It is moved to the site of the blockage and the laser is then used to burn away the deposits. This procedure may be done on its own or with other techniques to help remove the deposits and/or keep the blood vessel open.

OPCS4.6 Code(s):

The appropriate OPCS-4 codes for percutaneous laser coronary angioplasty alone are:

K50.1 Percutaneous transluminal laser coronary angioplasty

Y53.4 Approach to organ under fluoroscopic control

The appropriate OPCS-4 codes for percutaneous laser coronary angioplasty with balloon angioplasty are:

K50.1 Percutaneous transluminal laser coronary angioplasty

Y40.3 Balloon dilation of organ NOC

Y53.4 Approach to organ under fluoroscopic control

The appropriate OPCS-4 codes for percutaneous laser coronary angioplasty with balloon angioplasty and insertion of stent are:

K75.- Percutaneous transluminal balloon angioplasty and insertion of stent into coronary artery (a code is selected from this category depending on the number and type of stents inserted)

Y08.4 Laser destruction of lesion of organ NOC

Y53.4 Approach to organ under fluoroscopic control

_{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:

	IPG378 Percutaneous laser coronary angioplasty: guidance	26 January 2011
	IPG378 Percutaneous laser coronary angioplasty: guidance (web format)	26 January 2011
	IPG378 Trin rhydwelïau coronaidd wedi'u blocio drwy gathetr gan ddefnyddio laser: deall canllawiau NICE (fformat MS Word)	24 February 2011
	IPG378 Percutaneous laser coronary angioplasty: understanding NICE guidance	26 January 2011
	IPG378 Percutaneous laser coronary angioplasty: understanding NICE guidance (MS Word format)	26 January 2011
	IPG378 Percutaneous laser coronary angioplasty: consultation comments	26 January 2011
	Percutaneous laser coronary angioplasty - Equality Impact Assessment	26 January 2011
	Percutaneous laser coronary angioplasty - Consultation Document	31 August 2010
	Percutaneous laser coronary angioplasty - Overview	31 August 2010