Fetal cystoscopy for diagnosis and treatment of lower urinary outflow tract obstruction

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on fetal cystoscopy for diagnosis and treatment of lower urinary outflow tract obstruction.

Description

Lower urinary outflow tract obstruction prevents an unborn baby from passing urine. This can reduce the volume of amniotic fluid, and can cause problems with development of the baby's lungs and kidneys. Fetal cystoscopy is a procedure in which a flexible endoscope (a special video camera) is inserted into the baby's bladder to identify the cause of obstruction and to guide treatment in order to allow urine to pass freely.

NICE Pathways

This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.

Visit the NICE Pathway: antenatal care

OPCS4.6 Code(s):

Depending on whether the procedure is diagnostic or therapeutic, either:

R02.8 Other specified diagnostic endoscopic examination of fetus

or

R01.8 Other specified therapeutic endoscopic operations on fetus

 

A code from Y95.- Gestational age must be assigned in a subsidiary position where this information is available.

Y53.2 Approach to organ under ultrasonic control

A site code can be added as appropriate

Note: If both diagnostic and therapeutic procedures are carried out together, only the code for the therapeutic procedure would be needed.

 

_{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}

Details

Contact details:

Links:

	IPG205 Fetal cystoscopy for diagnosis and treatment of lower urinary outflow tract obstruction: guidance (web format)	11 February 2011
	IPG205 Fetal cystoscopy for diagnosis and treatment of lower urinary outflow tract obstruction: guidance	24 January 2007
	IPG205 Fetal cystoscopy for diagnosis and treatment of lower urinary outflow tract obstruction: Understanding NICE guidance	24 January 2007
	IPG205 Fetal cystoscopy for diagnosis and treatment of lower urinary outflow tract obstruction: Understanding NICE guidance (MS Word format)	24 January 2007
	IPG205 Canfod a thrin rhwystr yn y llwybr wrinol isaf mewn babanod yn y groth gan ddefnyddio systosgopi y ffetws: deall canllawiau NICE (fformat MS Word)	15 October 2009
	IPG205 Fetal cystoscopy for diagnosis and treatment of lower urinary outflow tract obstruction: Consultation comments table	24 January 2007
	Fetal cystoscopy for diagnosis and treatment of lower urinary outflow tract obstruction: Audit criteria	24 January 2007
	Fetal cystoscopy for diagnosis and treatment of lower urinary outflow tract obstruction (interventional procedures consultation)	26 September 2006
	Fetal cystoscopy for diagnosis and treatment of lower urinary outflow tract obstruction (interventional procedures overview)	26 September 2006