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 cerclage for prevention of recurrent pregnancy loss due to cervical incompetence.

The guidance was considered for reassessment in October 2010 and it was concluded that NICE will not be updating this guidance at this stage. However, if you believe there is new evidence which should warrant a review of our guidance, please contact us via the email address below.

  • Description

    Recurrent late miscarriages may be due to a weak (sometimes called an incompetent) cervix that shortens or opens too early in pregnancy. Cervical cerclage involves placing a stitch around the upper part of the cervix to keep it closed; the operation may be carried out through the vagina, or through the abdomen, as an open or laparoscopic ('keyhole') procedure.

  • OPCS4.6 Code(s)

    In pregnant woman


    R12.1 Cerclage of cervix of gravid uterus

    Y75.2 Laparoscopic approach to abdominal cavity NEC

    Codes in category Y95.- Gestational age must be assigned in a subsidiary position where this information is available.


    Or in non-pregnant woman


    Q05.1 Repair of cervix uteri NEC

    Includes: Cerclage of cervix of non-gravid uterus

    Y75.2 Laparoscopic approach to abdominal cavity NEC


    The NHS Classifications Service of the Health and Social Care Information Centre 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.


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