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) (interventional procedures guidance 139, 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.

Coding recommendations

Procedure

SNOMED CT preferred term (concept ID)

Extracorporeal shock wave therapy (439794000)

OPCS-4

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.

Diagnosis or health condition

SNOMED CT preferred term (concept ID)

Achilles tendinitis (11654001)

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