The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on implantation of an opaque intraocular lens for intractable double vision.


Double vision (also known as diplopia) is seeing two images of a single object instead of one. In this procedure, the clear lens of one eye is removed and replaced with a non-transparent (opaque) lens. The aim is to block out one of the double images.

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 lens using OPCS-4.

 In addition the ICD-10 code H53.2 Diplopia would be recorded.

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