The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparoscopic insertion of peritoneal dialysis catheter.

Description

A peritoneal dialysis catheter is a soft tube inserted into the abdomen and used to remove waste products (that would normally be removed by the kidneys) from the blood. Laparoscopic insertion (also known as 'keyhole surgery') is a way of inserting the catheter using a fine telescope to guide the catheter into the abdominal cavity.

Coding recommendations

Depending on whether a permanent or temporary dialysis catheter is inserted, one of the following pairs of OPCS-4 codes is assigned:

X41.1 Insertion of ambulatory peritoneal dialysis catheter

Y75.2 Laparoscopic approach to abdominal cavity NEC

or

X42.1 Insertion of temporary peritoneal dialysis catheter

Y75.2 Laparoscopic approach to abdominal cavity NEC

Note: If an ambulatory peritoneal dialysis catheter is removed, this is classified to the following two OPCS-4 codes: X41.2 Removal of ambulatory peritoneal catheter and Y75.2 Laparoscopic approach to abdominal cavity NEC.