The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on extracorporeal shockwave therapy for refractory Achilles tendinopathy.

Guidance has also been issued on Extracorporeal shockwave therapy for refractory plantar fasciitis and Extracorporeal shockwave therapy for refractory tennis elbow. It replaces the previous guidance on Extracorporeal shockwave therapy for refractory tendinopathies (plantar fasciitis and tennis elbow) (IPG139, November 2005).

  • Description

    Achilles tendinopathy is a condition of the tendon which connects the calf muscles to the heel bone. It is usually caused by overuse or injury. Symptoms include pain in the lower calf and back of the heel, and weakness or stiffness. In extracorporeal shockwave therapy, a machine is used to deliver sound waves to the painful area. It is not known exactly how it works, but it is thought that it might stimulate healing.

  • OPCS4.6 Code(s)

    Procedure

    SNOMED CT preferred term (concept ID)

    Extracorporeal shock wave therapy (439794000)

     

    OPCS-4.7

    T74.8 Other specified other operations on tendon

    Y53.2 Approach to organ under ultrasonic control (if ultrasound guidance is utilised)

    Z58.1 Triceps surae

    Includes: Tendo achillis

    In addition the ICD-10 code M76.6 Achilles tendinitis would be recorded.

    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

     

    Diagnosis or health condition

    SNOMED CT preferred term (concept ID)

    Achilles tendinitis (11654001

    SNOMED CT provides clinical terms for entry into the patient record to store clinical information relevant to that encounter. The mandated classifications (OPCS-4 or ICD-10) provide a method to collect and aggregate data to allow accurate and consistent data analysis.

    The Clinical Classifications Service of the Health and Social Care Information Centre 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 Clinical Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided. Clinical Classifications Service — Health and Social Care Information Centre

     

  • Get involved