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
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.
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