Thoracoscopic exclusion of the left atrial appendage (with or without surgical ablation) for non-valvular atrial fibrillation for the prevention of thromboembolism

NICE interventional procedures guidance [IPG400] 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 thoracoscopic exclusion of the left atrial appendage in atrial fibrillation (with or without other cardiac surgery) for the prevention of thromboembolism.

  • Description

     K22.3 Exclusion of left atrial appendage NEC

    Y74.2 Thoracoscopic approach to thoracic cavity NEC

     

    Note:  U20.2 Transoesophageal echocardiography is also assigned when transoesophageal echocardiography (TOE) is used during the procedure.

     

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

     

    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

  • OPCS4.6 Code(s)

    K22.8 Other specified other operations on wall of atrium

    Y74.2 Thoracoscopic approach to thoracic cavity NEC

    Y07.5 Occlusion of organ NOC

    Z94.3 Left sided operation

    U20.2 Transoesophageal echocardiography (if performed) 

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

    The NHS Classifications Service has advised NICE that currently these are the most suitable OPCS-4 codes to describe this procedure. The OPCS-4 classification is designed to categorise procedures for analysis and it is not always possible to identify a procedure uniquely.

    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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