The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on collagen injection for vocal cord augmentation.
Collagen is injected either transorally or transcutaneously from below the vocal fold using a laryngeal needle. The exact placement of collagen varies depending on the patient's pathology. The procedure can be carried out with local anaesthesia, and may not require admission.
E33.6 Vocal cord medialisation using biological material
Includes: Thyroplasty using biological material
The NHS Classifications Service has advised NICE that currently these are the most suitable OPCS-4 codes to describe this procedure. The OPCS-4 classification is designed to categorise procedures for analysis and it is not always possible to identify a procedure uniquely.
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