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 uterine nerve ablation (LUNA) for chronic pelvic pain.
Pelvic pain in women can have a number of causes, including endometriosis (a condition in which tissue that is normally found lining the inside of the womb also occurs outside the womb, usually in the pelvic cavity). In many cases of pelvic pain, the cause is unknown. Laparoscopic uterine nerve ablation (LUNA) involves the destruction of a small segment of ligament that carries nerve fibres within the pelvis.
A60.8 Other specified destruction of peripheral nerve
Y75.2 Laparoscopic approach to abdominal cavity NEC
Z11.8 Specified sacral plexus NEC
In addition the ICD-10 code R10.2 Pelvic and perineal pain would be recorded if the cause of the pain is unknown.
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