The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Foker technique for long gap oesophageal atresia.
Oesophageal atresia is a congenital condition in which there is a break in the continuity of the oesophagus between the mouth and stomach at birth. The length of the atresia can vary from a few millimetres to a few centimetres.
The Foker technique involves encouraging the ends of the oesophagus to grow under traction over a number of days or weeks Once the ends of the oesophagus have come together, or are in close proximity, a primary anastomosis is performed
G07.3 Correction of congenital atresia of oesophagus
Note: OPCS-4 codes Y70.3 First stage of staged operations NOC or Y71.1 Subsequent stage of staged operations NOC may be added to indicate the stage of the procedure.
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