Percutaneous venoplasty for chronic cerebrospinal venous insufficiency for multiple sclerosis

NICE interventional procedures guidance [IPG420] 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 Percutaneous venoplasty for chronic cerebrospinal venous insufficiency in Multiple Sclerosis.

  • Description

    It is possible that there is a link between blocked veins in the head, neck and chest and progression of multiple sclerosis. This procedure aims to open blocked or narrowed veins by inflating a small balloon in the vein, allowing for better blood flow and a reduction in the symptoms of multiple sclerosis.

  • OPCS4.6 Code(s)

    L31.4 Percutaneous transluminal insertion of stent into carotid artery
    Or
    L35.3 Percutaneous transluminal insertion of stent into cerebral artery

    A code from category L76 Endovascular placement of stent or L89 Other endovascular placement of stent should be added to specify the type and number of stents used. Please note that the .8 and .9 codes from extended categoryL89 must not be used.

    Y53.- Approach to organ under image control

    In addition ICD-10 code I67.2 Cerebral atherosclerosis is assigned.

    The Clinical 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 Clinical Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided. Clinical Classifications Service — Health and Social Care Information Centre

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