The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on ex-vivo hepatic resection and reimplantation for liver cancer.

  • Description

    The liver may be affected by cancer, either spreading from other parts of the body or developing from within the organ. In some patients, the tumour may develop in parts of the liver that are dangerous or impossible to treat with surgery, for example, when the tumour is very close to major veins that connect to the liver. This procedure involves removing the liver from the body, cutting away the diseased tissue, and reimplanting the remaining tumour-free liver into the patient.

  • OPCS4.6 Code(s)

    A code from one of the following OPCS-4 categories is selected:


    J02.- Partial excision of liver

    Y05.4 Ex vivo resection of organ NOC


    J03.- Extirpation of lesion of liver

    Y05.4 Ex vivo resection of organ NOC

    In addition the ICD-10 code C22.9 Malignant neoplasm of liver, unspecified or C78.7 Secondary malignant neoplasm of liver and intrahepatic bile duct would be recorded.


    The NHS Classifications Service has advised NICE that currently these are the most suitable OPCS-4 codes to describe this procedure. The OPCS-4 classification is designed to categorise procedures for analysis and it is not always possible to identify a procedure uniquely.


    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.


  • Get involved