Laparoscopic hysterectomy (including laparoscopic total hysterectomy and laparoscopically assisted vaginal hysterectomy) for endometrial cancer

NICE interventional procedures guidance [IPG356] Published date:

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The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Laparoscopic hysterectomy (including laparoscopic total hysterectomy and laparoscopically assisted vaginal hysterectomy) for endometrial cancer.

  • Description

    Endometrial cancer is cancer of the lining of the womb (uterus), known as the endometrium. The most common symptom is abnormal bleeding from the vagina. Surgery for endometrial cancer usually involves the removal of the uterus (hysterectomy). A laparoscopic hysterectomy is carried out through several small incisions in the abdomen (‘keyhole’ surgery), with the aid of an internal telescope and camera system (laparoscope).

  • OPCS4.6 Code(s)

    Laparoscopic hysterectomy (LH):  

    Q07.4 Total abdominal hysterectomy NEC

     Includes: Hysterectomy NEC

    Y75.2 Laparoscopic approach to abdominal cavity NEC

    Note: If the clinical record is more specific, then another code may be appropriate from category Q07.- with the addition of Y75.2

     

    Laparoscopic Vaginal Hysterectomy (LVH):

    Q08.9 Unspecified vaginal excision of uterus

    Includes: Vaginal hysterectomy NEC

    Y75.2 Laparoscopic approach to abdominal cavity NEC

    Note: If the clinical record is more specific, then another code may be appropriate from category Q08.- with the addition of Y75.2

     

    Laparoscopically Assisted Vaginal Hysterectomy (LAVH):

    Q08.9 Unspecified vaginal excision of uterus

    Includes: Vaginal hysterectomy NEC

    Y75.1 Laparoscopically assisted approach to abdominal cavity

    Note: If the clinical record is more specific, then another code may be appropriate from category Q08.- with the addition of Y75.1

    In addition an ICD-10 code from category C54.1Malignant neoplasm of endometrium or C79.8 Secondary malignant neoplasm of other specified sites is assigned.

    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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