Endoscopic balloon dilatation for subglottic or tracheal stenosis

NICE interventional procedures guidance [IPG425] 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 Endoscopic balloon dilatation for subglottic or tracheal stenosis.

  • Description

    Subglottic or tracheal stenosis is a narrowing of the windpipe between the throat and the lungs, which can cause wheezing, hoarseness and shortness of breath. It most commonly occurs after a person has needed to use a ventilator (breathing machine) and has had a tube down their windpipe for some time. In this procedure, a small balloon is introduced into the narrowed windpipe through an endoscope (a flexible telescope), which is inserted down the throat. The balloon is then gently inflated to widen the narrowed windpipe.

  • OPCS4.6 Code(s)

    Balloon dilatation of tracheal stenosis with the use of a bronchoscope:

     

    E48.8 Other specified therapeutic fibreoptic endoscopic operations on lower respiratory tract

    Y40.3 Balloon dilation of organ NOC

    Z24.3 Trachea

    In addition ICD-10 code J39.8 Other specified diseases of upper respiratory tract or Q32.1 Other congenital malformations of trachea is assigned.

    Balloon dilatation of subglottic stenosis with the use of a laryngoscope:

     

    E35.8 Other specified other therapeutic endoscopic operations on larynx

    Y40.3 Balloon dilation of organ NOC

    In addition ICD-10 code Q31.1 Congenital subglottic stenosis or J95.5 Postprocedural subglottic stenosis is assigned.

    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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