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.

Coding recommendations

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.