Liposuction for chronic lymphoedema

NICE interventional procedures guidance [IPG251] Published date:

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The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on liposuction for chronic lymphoedema.

  • Description

    Chronic lymphoedema is swelling of the limb caused by a defect in the lymphatic system. This may be a defect that the patient is born with or can result from surgical removal of the lymph glands, such as in surgery for breast cancer. The swelling results from accumulation of lymph fluid and it can cause cosmetic problems, discomfort, pain and limited movement. Liposuction for chronic lymphoedema involves the removal of subcutaneous adipose tissue and accumulated lymph fluid via several small incisions in the limb. After the procedure, the patient wears a compression garment permanently, which can be removed intermittently for short periods.

  • OPCS4.6 Code(s)

    S62.2 Liposuction of subcutaneous tissue NEC

    Note: A code from Chapter Z would also be recorded to identify the site of the liposuction..

     

    In addition one of the following ICD-10 codes is assigned: I97.2 Postmastectomy lymphoedema syndrome or I89.0 Lymphoedema, not elsewhere classified or Q82.0 Hereditary lymphoedema. 

     

    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.  http://systems.hscic.gov.uk/data/clinicalcoding

     

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