Total prosthetic replacement of the temporomandibular joint

NICE interventional procedures guidance [IPG329] Published date:

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The Interventional Procedures Advisory Committee (IPAC) has considered this procedure and NICE has issued a consultation document about its safety and efficacy. Consultation has now ended. IPAC will consider the consultation comments and produce a Final Interventional Procedures Document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.

The consultation period for this procedure closed on the 27th May 2014

  • Description

    Causes of disorders of the temporomandibular joint include inflammatory and degenerative arthritis, trauma, infection and complications of surgery. Symptoms include pain and difficulty opening the mouth, and an inability to eat a normal diet. Conservative treatments for disorders of the temporomandibular joint include rest, non-steroidal anti-inflammatory drugs, bite splints and physiotherapy. Surgical options include arthroscopic surgery, remodelling of the joint surface, removal of the intra-articular disc and replacement of components of the joint such as the disc, the fossa (socket) or the mandibular condyle.

  • OPCS4.6 Code(s)

    V20.1 Total prosthetic replacement of temporomandibular joint

    Note: OPCS-4 code V14.3 Partial excision of mandible NEC may also be assigned if the coronoid process is excised during the procedure.

    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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