The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on image-guided vacuum assisted excision biopsy of benign breast lesions.

  • Description

    This process can be used to remove completely benign breast lesions for example fibroadenomas. It uses a needle probe device with vacuum suction to remove breast tissue under imaging guidance (commonly ultrasound). The aim of the procedure is to continue using the biopsy device until the lesion visible on imaging is removed.

  • OPCS4.6 Code(s)

    B28.3 Excision of lesion of breast NEC

    Y06.6 Vacuum excision of lesion of organ NOC

               Includes: Vacuum assisted excision of lesion of organ NOC

    Y53.- Approach to organ under image control

    Note: Codes within category Y53.- are used as secondary codes to classify interventions that are percutaneous and require some form of image control: if the method of image control is unspecified, Y53.9 Unspecified approach to organ under image control 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.


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