The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Laparoscopic cryotherapy for renal cancer.
It replaces the previous guidance on Cryotherapy for renal cancers (Interventional Procedures Guidance no. IPG 207, January 2007).
Renal cancer occurs in the lining of the very small tubes in the kidney. Cryotherapy involves applying freezing temperatures to the tumour by inserting a surgical instrument (cryoprobe) through several small incisions in the abdomen (‘keyhole’ surgery), with the aid of an internal telescope and camera system (laparoscope). The aim is to destroy cancer cells.
M10.4 Endoscopic cryoablation of lesion of kidney
Y53.- Approach to organ under image control
M04.3 Open destruction of lesion of kidney
Y75.2 Laparoscopic approach to abdominal cavity NEC
Y13.2 Cryotherapy to lesion of organ NOC
Note: Codes within category Y53.- are used as secondary codes to classify interventions that are percutaneous and require some form of image control: if the method of image control is unspecified, Y53.9 Unspecified approach to organ under image control is assigned.
Both coding solutions have been given as historically both have been used for laparoscopic cryotherapy, the first combination should be used in preference.
In addition the ICD-10 code C64.X Malignant neoplasm of kidney, except renal pelvis or C65.X Malignant neoplasm of renal pelvis or C79.0 Secondary malignant neoplasm of kidney and renal pelvis would be recorded.
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