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.


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.

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. 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.