Minimally invasive oesophagectomy

NICE interventional procedures guidance [IPG407] Published date:

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The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Minimally invasive oesophagectomy.

This document replaces previous guidance on thoracoscopically assisted oesophagectomy (interventional procedure guidance 189).

  • Description

    Minimally invasive oesophagectomy can be used to remove part of the oesophagus (gullet), usually because of cancer. The procedure involves making small cuts or holes in the chest wall and inserting a camera and other instruments into the chest cavity in order to carry out the operation on the oesophagus.

  • OPCS4.6 Code(s)

    The codes are dependent upon the extent of the excision; the procedure is classified using codes from one of the following two categories and fourth character detail will be required:

    G02.- Total excision of oesophagus

    Y74.4 Thoracoscopic video-assisted approach to thoracic cavity

    or

    G03.- Partial excision of oesophagus

    Y74.4 Thoracoscopic video-assisted approach to thoracic cavity

    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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