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 24th March 2014
This guidance has been updated and replaced by NICEinterventional procedure guidance 494(published in June 2014).
Endoscopic vein harvest is a minimally invasive procedure undertaken through keyhole surgery to collect a section of vein usually from the leg to act as a graft for the heart operation.
One of the following OPCS-4 codes is used to classify the coronary artery bypass grafting with a saphenous vein graft, depending on the number of arteries replaced:
K40.1 Saphenous vein graft replacement of one coronary artery
K40.2 Saphenous vein graft replacement of two coronary arteries
K40.3 Saphenous vein graft replacement of three coronary arteries
K40.4 Saphenous vein graft replacement of four or more coronary arteries
K40.8 Other specified saphenous vein graft replacement of coronary artery
K40.9 Unspecified saphenous vein graft replacement of coronary artery
The endoscopic harvest of the saphenous vein is not coded in addition as this is implicit in the saphenous vein graft replacement code.
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. www.connectingforhealth.co.uk/clinicalcoding