Single-incision laparoscopic cholecystectomy

NICE interventional procedures guidance [IPG346] 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 Tuesday 23rd of September 2014.  

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  • Description

    Gallstones can cause recurrent pain and other symptoms as well as cholecystitis in some patients.  An operation to remove the gallbladder may be indicated, and it is called cholecystectomy.  It is usually carried out through ‘keyhole surgery’ using several small incisions, but this procedure aims to carry out the operation through a single ‘keyhole’.

  • OPCS4.6 Code(s)

    J18.- Excision of gallbladder

    Plus

    Y75.2 Laparoscopic approach to abdominal cavity NEC

    Note: OPCS-4 code J37.2 Operative cholangiography through cystic duct or J37.3 Direct puncture operative cholangiography plus Y75.2 Laparoscopic approach to abdominal cavity NEC are also assigned if a cholangiogram is performed during the procedure.

    Note: It is not possible to capture the fact that a single umbilical skin incision has been performed using OPCS-4 codes.

    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

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