The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on radiofrequency-assisted liver resection.


Cancer of the liver may be surgically removed in a number of ways Rafiofrequency (RF) assisted resection employs RF energy to coagulate the liver at the hepatic resection line after which hepatic resection is performed with the use of a common scalpel.

Coding recommendations

A code from the following category is assigned:

J02.-  Partial excision of liver


Y11.4 Radiofrequency controlled thermal destruction of organ NOC

Includes: Radiofrequency ablation of organ NOC

Y53.2 Approach to organ under ultrasonic control (if used)

The NHS Classifications Service has advised NICE that currently these are the most suitable OPCS-4 codes to describe this procedure. The OPCS-4 classification is designed to categorise procedures for analysis and it is not always possible to identify a procedure uniquely.

In addition the ICD-10 code C22.9 Malignant neoplasm of liver, unspecified or C78.7 Secondary malignant neoplasm of liver and intrahepatic bile duct would be recorded.