The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Percutaneous mitral valve annuloplasty.


Mitral regurgitation occurs when one of the four valves in the heart - the mitral valve - does not close properly, allowing blood to leak backwards. It may lead to shortness of breath and eventually heart failure (where the heart cannot pump enough blood to meet the body's needs). In this procedure, a catheter is inserted into a large vein in the groin or neck and passed through to the heart. A device is placed into a large vein that sits next to the mitral valve to constrict the valve, with the aim of making it close properly.

Coding recommendations

K35.8 Other specified therapeutic transluminal operations on valve of heart

Y02.2 Insertion of prosthesis into organ NOC

Y53.4 Approach to organ under fluoroscopic control

Z32.1 Mitral valve

U20.2 Transoesophageal echocardiography (if carried out)

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