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 radiofrequency catheter ablation for atrial fibrillation.
One of the following codes is assigned depending on the area of ablation:
K57.4 Percutaneous transluminal ablation of accessory pathway
K62.1 Percutaneous transluminal ablation of pulmonary vein to left atrium conducting system
K62.2 Percutaneous transluminal ablation of atrial wall for atrial flutter
K62.3 Percutaneous transluminal ablation of conducting system of heart for atrial flutter NEC
In addition to one of the above codes, the following code is assigned in addition:
Y11.4 Radiofrequency controlled thermal destruction of organ NOC
Note: The OPCS-4 codeY53.4 Approach to organ under fluoroscopic control is assigned in addition if fluoroscopic guidance is used.
If codes K57.4 or K62.3 are chosen, the site code Z33.6 Atrium of heart is assigned following Y11.4, or following Y53.4 if fluoroscopic control is used.
In addition the ICD-10 code I48.X Atrial fibrillation and flutter would be recorded.
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