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 endoscopic catheter laser balloon pulmonary vein isolation for atrial fibrillation.


Atrial fibrillation (AF) is the irregular and rapid beating of the upper two chambers of the heart (the atria). This is caused by the disorganisation of the electrical impulses that control the heartbeat as a result of electrical triggers that may originate at the mouth of the pulmonary veins (large blood vessels carrying blood from the lungs to the left atrium). Typical symptoms can include palpitations, dizziness, shortness of breath and fatigue. Complications can include stroke. This procedure aims to prevent the abnormal electrical impulses using a laser to break down parts of the pulmonary veins causing problems to help maintain a normal heart beat.  This procedure may be suitable for patients in whom atrial fibrillation has failed to respond to medication.

Coding recommendations

K62.1 Percutaneous transluminal ablation of pulmonary vein to left atrium conducting system

Y08.5 Laser modification of organ NOC

Y53.4 Approach to organ under fluoroscopic control (if used)

In addition ICD-10 code I48.X Atrial fibrillation and flutter is assigned.

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