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 intradiscal electrothermal therapy for low back pain.
It replaces the previous guidance on percutaneous intradiscal electrothermal therapy for lower back pain (NICE interventional procedures guidance 81, August 2004).
In some patients, low back pain is thought to occur when one or more of the tough discs that sit between the bones (vertebrae) in the spine become worn. This procedure involves inserting a needle into the affected disc (a video image similar to an X-ray is used to help find the correct position). A narrow tube is then passed through the needle into the disc. The tube is heated slowly and kept in place for a few minutes.
V52.2 Destruction of intervertebral disc NEC
V55.- Levels of spine
Y10.2 Electrocauterisation of organ
Y53.- Approach to organ under image control
Z99.- Intervertebral disc
Note: Codes within category V55.- are assigned in second place each time a spinal operation is coded: if the levels of spine are not specified, V55.9 Unspecified levels of spine is used.
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.