Percutaneous laser revascularisation for refractory angina pectoris (IPG302)
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on percutaneous laser revascularistion for refractory angina pectoris. Full guidance has also been published on laser transmyocardial revascularistion for refractory angina pectoris.
Patients with refractory angina pectoris have chest pain (because of insufficient oxygen delivery to their heart muscle) that cannot be controlled by optimal medical or surgical management. Percutaneous laser revascularisation involves insertion of a catheter into major vessels of the groin, which is advanced to the heart, to drill holes on the heart muscle using a laser beam. The aim is to enable blood flow from the heart chambers into the heart muscle, to relieve myocardial ischaemia and reduce chest pain.
K23.4 Revascularisation of wall of heart
Includes: Revascularisation of heart
Y08.5 Laser modification of organ NOC
Y53.4 Approach to organ under fluoroscopic control
Note: Codes within category Y53.- are used as secondary codes to classify interventions that are percutaneous and require some form of image control: if the method of image control is unspecified, Y53.9 Unspecified approach to organ under image control is assigned.
Note: U2.1 Transthoracic echocardiography, U20.2 Transoesophageal echocardiography, U20.3 Intravascular echocardiography or U20.4 Epicardial echocardiography is also assigned when echocardiography is used during the procedure.
In addition a code from category I20.- Angina pectoris 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
- IPG302 Percutaneous laser revascularisation for refractory angina pectoris: guidance (web format)
- Percutaneous laser revascularistion for refractory angina pectoris (interventional procedures consultation)
- Systematic review of the efficacy and safety of transmyocardial and percutaneous laser revascularisation for refractory angina pectoris
- IPG302 Percutaneous laser revascularisation for refractory angina pectoris: guidance
- IPG302 Percutaneous laser revascularisation for refractory angina pectoris: understanding NICE guidance
- IPG302 Percutaneous laser revascularisation for refractory angina pectoris: understanding NICE guidance (MS Word format)
- IPG302 Percutaneous laser revascularisation for refractory angina pectoris: consultation comments
This page was last updated: 08 August 2012
- Web format
- Full Guidance (PDF)
- IPG302 Trin angina gan ddefnyddio laser ar du mewn i wal y galon drwy gathetr a osodwyd drwy rydweli: deall canllawiau NICE (fformat MS Word)
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