The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Therapeutic endoscopic division of epidural adhesions.

It replaces the previous guidance on endoscopic division of epidural adhesions (Interventional Procedures Guidance no. 88, September 2004).  

  • Description

    Endoscopic epidural procedures are used to treat lower back pain, particularly when radiculopathy is present. The epidural space is examined with an endoscope and further interventions may then be performed, such as mobilising spinal adhesions or administering drugs to inflamed tissue.

  • OPCS4.6 Code(s)

    A51.4 Endoscopic division of epidural adhesions

    Y53.4 Approach to organ under fluoroscopic control

    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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