The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on balloon catheter dilation of paranasal sinus ostia for chronic sinusitis.
Sinusitis occurs when air-filled cavities of the face (the sinuses) become inflamed. Balloon catheter dilation aims to help keep the sinus passages open and unobstructed by gently inflating a small balloon, which is introduced through the nose via a flexible tube.
Depending on which sinus the procedure is performed on one of the following OPCS-4 codes is assigned:
E13.8 Other specified other operations on maxillary antrum
E14.8 Other specified operations on frontal sinus
E15.8 Other specified operations on sphenoid sinus
E17.8 Other specified operations on unspecified nasal sinus
The following three codes are assigned directly after one of the codes listed above:
Y76.1 Functional endoscopic sinus surgery
Y40.3 Balloon dilation of organ NOC
Y53.4 Approach to organ under fluoroscopic control
In addition an ICD-10 code from category J32.- Chronic sinusitis 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