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 miniature lens systems for advanced age-related macular degeneration.

  • Description

    Age-related macular degeneration is an eye disorder that usually starts later in life and causes problems with central vision. In this procedure, a combination of artificial lenses is implanted behind the pupil of one eye. The aim is that the implanted lenses help improve central vision while the other eye is used for peripheral vision.

  • OPCS4.6 Code(s)

    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. Additional codes may also be required if other surgical procedures are performed concurrently.

    In addition ICD-10 code H35.3 Degeneration of macula and posterior pole 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.


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