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 gastrectomy for cancer.
Cancer of the stomach can be treated by partial or total removal of the stomach (gastrectomy) to take out the tumour and any affected lymph nodes. Gastrectomy was traditionally carried out by open surgery. In this procedure, the gastrectomy is performed using keyhole surgery, the cancer is then removed in exactly the same way as open surgery.
A code is selected from one of the following OPCS-4 categories:
G27.- Total excision of stomach
G28.- Partial excision of stomach
Y75.2 Laparoscopic approach to abdominal cavity NEC
In addition an ICD-10 code from category C16.- Malignant neoplasm of stomach or C78.8 Secondary malignant neoplasm of other and unspecified digestive organs is assigned.
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