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.

  • Description

    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.

  • OPCS4.6 Code(s)

    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.

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