Interspinous distraction procedures for lumbar spinal stenosis causing neurogenic claudication

NICE interventional procedures guidance [IPG365] 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 Interspinous distraction procedures for lumbar spinal stenosis causing neurogenic claudication.

It replaces the previous guidance on interspinous distraction procedures for spinal stenosis causing neurogenic claudication in the lumbar spine (Interventional Procedures Guidance no. 165, March 2006).  

  • Description

    Lumbar spinal stenosis is a narrowing of the spinal canal in the lower part of the back. This causes discomfort in the legs when standing or walking because of pressure on the spinal nerves. This procedure involves implanting a device into the space between two back bones to relieve pressure on the nerves and, therefore, pain in the legs.

  • OPCS4.6 Code(s)

    V28.1 Primary insertion of lumbar interspinous process spacer

    V55.- Levels of 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.

    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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