Percutaneous atherectomy of femoropopliteal arterial lesions with plaque excision devices

NICE interventional procedures guidance [IPG380] 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 atherectomy of femoropopliteal arterial lesions with plaque excision devices.

  • Description

    Debris that builds up in the large blood vessels of the leg leads to narrowing of the vessels and reduced blood flow, which can result in leg pain or the development of foot ulcers.

    In this procedure, a special cutting device is used inside diseased blood vessels with the aim of removing the excess debris.

  • OPCS4.6 Code(s)

     

    Percutaneous atherectomy with plaque excision blade catheter for femoro-popliteal arterial lesions:

     

    L71.7 Percutaneous transluminal atherectomy

    Y53.- Approach to organ under image control

    Z38.- Terminal branch of aorta

     

    Percutaneous atherectomy with plaque excision blade catheter for femoro-popliteal arterial lesions with balloon angioplasty:

     

    L71.7 Percutaneous transluminal atherectomy

    L63.1 Percutaneous transluminal angioplasty of femoral artery

    Y53.- Approach to organ under image control

    Z38.- Terminal branch of aorta

     

    Percutaneous atherectomy with plaque excision blade catheter for femoro-popliteal arterial lesions and insertion of stent:

     

    L71.7 Percutaneous transluminal atherectomy

    L63.5 Percutaneous transluminal insertion of stent into femoral artery

    L76.- Endovascular placement of stent or L89.- Other endovascular placement of stent

    Y53.- Approach to organ under image control

    Z38.- Terminal branch of aorta.

    Note that it cannot be specifically identified using OPCS-4 codes that a plaque excision blade is used during this procedure.

    The NHS Classifications Service of the Health and Social Care Information Centre 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.  http://systems.hscic.gov.uk/data/clinicalcoding

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