The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on the implantation of multifocal (non-accommodative) intraocular lenses during cataract surgery.


A cataract is an eye condition in which the lens becomes cloudy over time. If untreated, cataracts can lead to blindness. During cataract surgery, the clouded lens is removed and replaced with an artificial lens, which provides clearer vision. Unlike standard intraocular lenses, a multifocal intraocular lens has areas with different focusing power with the aim of allowing near and distant objects to be seen without the need for spectacles.

Coding recommendations

C75.1 Insertion of prosthetic replacement for lens NEC

Note:  A supplementary OPCS-4 code is used to identify the method of concurrent extraction of lens (C71-C74).

It is not possible to capture the type of prosthetic lens replacement using OPCS-4.