The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Balloon catheter insertion for Bartholin's cyst or abscess.

Description

The Bartholin’s glands are at the entrance of the vagina. A cyst or abscess can form in the Bartholin’s duct (which drains the glands) if it becomes blocked or infected. Cysts are usually treated either by ‘incision and drainage’ or ‘marsupialisation’, which involves cutting into the cyst and placing stitches to make a permanent opening so that the gland can drain freely. Insertion of a balloon catheter is a non-surgical alternative to incision and drainage or marsupialisation.

Coding recommendations

The appropriate OPCS-4 codes for treatment of a cyst or abscess of the Bartholin’s duct are:

P03.5 Operations on Bartholin duct

Y22.8 Other specified drainage of organ NOC

Y02.2 Insertion of prosthesis into organ NOC

The appropriate OPCS-4 codes for treatment of a cyst or abscess of the Bartholin’s gland are:

P03.4 Drainage of Bartholin gland

Y02.2 Insertion of prosthesis into organ NOC

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