Percutaneous laser coronary angioplasty

NICE interventional procedures guidance [IPG378] Published date:

Register an interest in this interventional procedure

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 laser coronary angioplasty.

  • Description

    Blood vessels from the heart can become blocked by the build-up of deposits of fat on their inner surface. This can cause problems with the heart and circulation such as angina.

    In this technique, a flexible plastic tube (a catheter), connected to a laser, is inserted though the leg and into the circulation. It is moved to the site of the blockage and the laser is then used to burn away the deposits. This procedure may be done on its own or with other techniques to help remove the deposits and/or keep the blood vessel open.

  • OPCS4.6 Code(s)

    The appropriate OPCS-4 codes for percutaneous laser coronary angioplasty alone are:

    K50.1 Percutaneous transluminal laser coronary angioplasty

    Y53.4 Approach to organ under fluoroscopic control

    The appropriate OPCS-4 codes for percutaneous laser coronary angioplasty with balloon angioplasty are:

    K50.1 Percutaneous transluminal laser coronary angioplasty

    Y40.3 Balloon dilation of organ NOC

    Y53.4 Approach to organ under fluoroscopic control

    The appropriate OPCS-4 codes for percutaneous laser coronary angioplasty with balloon angioplasty and insertion of stent are:

    K75.- Percutaneous transluminal balloon angioplasty and insertion of stent into coronary artery (a code is selected from this category depending on the number and type of stents inserted)

    Y08.4 Laser destruction of lesion of organ NOC

    Y53.4 Approach to organ under fluoroscopic control

    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

  • Get involved