The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on placement of pectus bar for pectus excavatum (Nuss procedure).

It replaces the previous guidance on minimally invasive placement of pectus bar (IPG3, August 2003).

  • Description

    Pectus excavatum is an abnormality of the chest in which the breastbone sinks inward (sometimes called funnel chest). Problems associated with pectus excavatum are mainly cosmetic, although the condition can impair cardiac and respiratory function. Placement of a pectus bar for pectus excavatum (also known as the Nuss procedure) involves placing one or two steel (pectus) bars under the breastbone with the aim of raising it and correcting the abnormal shape. The bar, which is bent into a curve to fit the patient’s chest, is inserted through small openings in the chest. The bar (or bars) are usually removed within a few years of placement.

  • OPCS4.6 Code(s)

    T02.1 Correction of pectus deformity of chest wall

    Includes: Correction of pectus carinatum

                    Correction of pectus excavatum

    Y74.1 Thoracoscopically assisted approach to thoracic cavity (if used)

    Y02.2 Insertion of prosthesis into organ NOC

    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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