Percutaneous intradiscal laser ablation in the lumbar spine

NICE interventional procedures guidance [IPG357] 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 Percutaneous intradiscal laser ablation in the lumbar spine.

It replaces the previous guidance on Laser lumbar discectomy (Interventional Procedures Guidance no. 27 in December 2003).

  • Description

    Discs that act like cushions between the bones of the spine can sometimes get damaged and protrude onto nerves, causing back and leg pain, and numbness and weakness in the leg.

    In percutaneous intradiscal laser ablation, a needle is inserted through the outer cover of the disc, into its jelly-like centre. A laser is then inserted through the needle to destroy part of the disc, with the aim of shrinking it.

  • OPCS4.6 Code(s)

    V52.2 Destruction of intervertebral disc NEC

    V55.- Levels of spine

    Y08.3 Laser destruction of organ NOC

    Y53.1 Approach to organ under radiological control

    Z99.3 Intervertebral disc of lumbar spine

    Note: Codes within category V55.- are assigned in second place each time a spinal operation is coded. If the levels of spine are not specified V55.9 Unspecified levels of spine is used.

    Codes within category Y53.- are used as secondary codes to classify interventions that are percutaneous and require some form of image control, if the method of image control is unspecified Y53.9 Unspecified approach to organ under image control 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.

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