Uterine artery embolisation for fibroids

NICE interventional procedures guidance [IPG367] 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 Uterine artery embolisation for fibroids.

It replaces the previous guidance on Uterine artery embolisation for fibroids (Interventional Procedures Guidance no. 94, October 2004).  

  • Description

    Uterine fibroids are non-cancerous growths that occur in the womb. They often have no symptoms but they can cause heavy bleeding, pain, and sometimes make it difficult for a woman to conceive or to carry a pregnancy to term. Uterine artery embolisation involves injecting small particles into the blood vessels that take blood to the uterus, via the groin. The aim is to block the blood supply to the fibroids to relieve symptoms and reduce their size.

  • OPCS4.6 Code(s)

    L71.3 Percutaneous transluminal embolisation of artery

    Y53.- Approach to organ under image control

    Z96.6 Uterine artery

    Note: 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.

    In addition the ICD-10 code from category D25.- Leiomyoma of uterus would be recorded.

    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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