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.

Coding recommendations

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.