The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD).
Children are sometimes born with defects of the hip joint and upper thigh bone, called proximal femoral focal deficiency, often abbreviated to PFFD. Surgical treatment, aiming to produce as functional a leg as possible, may be appropriate. This may also involve a corrective operation on the hip joint (sometimes referred to as the ‘superhip' procedure). The initial operation may be combined with other surgery to lengthen the leg and treat other problems such as poor knee function at the same time or at a later date.
This procedure cannot be expressed in the OPCS-4 classification by a single code. Procedures could vary for each patient depending on the severity of the condition, and these would be coded on a case by case basis based on the specific procedures carried out, they would be combined with the ICD-10 diagnosis code:
Q72.4 Longitudinal reduction defect of femur
Proximal femoral focal deficiency
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