Endovascular stent-grafting of popliteal aneurysms

NICE interventional procedures guidance [IPG390] 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 Endovascular stent-grafting of popliteal aneurysms.

  • Description

    The popliteal artery is situated behind the knee and conveys blood to the lower leg and foot. An aneurysm is an abnormal swelling in the wall of an artery. Endovascular repair of popliteal aneurysm involves inserting a ‘stent-graft’ device through the femoral artery (in the groin) lining the inside of the aneurysm. The aim is for the stent-graft to bridge the weak spot within the artery and exclude the aneurysm, to reduce its risk of clotting or rupture.

  • OPCS4.6 Code(s)

    Arteriotomy approach:

    L63.5   Percutaneous transluminal insertion of stent into femoral artery

                Includes: Popliteal artery

    O20.-   Endovascular placement of stent graft

    Arteriotomy approach:

     

    L63.5   Percutaneous transluminal insertion of stent into femoral artery

                Includes: Popliteal artery

    O20.-   Endovascular placement of stent graft

    Y78.1   Arteriotomy approach to organ using image guidance with fluoroscopy

    Z38.6   Popliteal artery

     

    Percutaneous approach:

     

    L63.5   Percutaneous transluminal insertion of stent into femoral artery

                Includes: Popliteal artery

    O20.-   Endovascular placement of stent graft

    Y53.4   Approach to organ under fluoroscopic control

    Z38.6   Popliteal artery

     

    In addition ICD-10 code I72.4 Aneurysm and dissection of artery of lower extremity 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.  www.connectingforhealth.co.uk/clinicalcoding

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