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.

Coding recommendations

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.

  • National Institute for Health and Care Excellence (NICE) accreditation logo