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 cementoplasty for palliative treatment of bony malignancies
Percutaneous cementoplasty is the injection of acrylic bone cement into malignant or benign bone cavities in order to relieve pain and/or stabilise the bone.
Percutaneous cementoplasty may be performed under general anaesthetic or more commonly, using conscious sedation and local anaesthesia affecting the skin, subcutaneous tissue and the periosteum of the bone into which the needle will be introduced. Access to the bone is percutaneous.
W35.1 Introduction of therapeutic substance into bone
or W35.5 Therapeutic percutaneous puncture of bone
Y53.4 Approach to organ under fluoroscopic control
In addition one of the ICD-10 codes from categories C40.- Malignant neoplasm of bone and articular cartilage of limbs or C41.- Malignant neoplasm of bone and articular cartilage of other and unspecified sites or code C79.5 Secondary malignant neoplasm of bone and bone marrow 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